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Expanding The Capacity Of Rural Cancer Care With Teleoncology, Jason Semprini 2020 University of Iowa

Expanding The Capacity Of Rural Cancer Care With Teleoncology, Jason Semprini

Online Journal of Rural Research & Policy

Background: In the United States, 6 of the 25 leading causes of death stem from site-specific cancers, resulting in over 1.7 million deaths annually. Yet, this burden is not evenly distributed. While the incidence of cancer is significantly higher in urban areas, rural regions face higher rates of cancer mortality. Identifying the factors contributing rural cancer disparities can facilitate more effective and feasible policy solutions.’

Problem Definition: Rural Americans are geographically isolated from high-quality cancer services and face systemic barriers to NCI designated comprehensive cancer centers. Given this disparity, rural Americans have failed to fully realize the benefits of ...


Increasing Utilization Of Telehealth In Outpatient Primary Care, Allison Samuel, MD, Candace Derenge, MD, Anahita Molayi, MD, Amanda Kahn, MD, Jason Ojeda, MD 2020 Thomas Jefferson University

Increasing Utilization Of Telehealth In Outpatient Primary Care, Allison Samuel, Md, Candace Derenge, Md, Anahita Molayi, Md, Amanda Kahn, Md, Jason Ojeda, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

Based on survey data, residents are interested in gaining exposure to Telehealth and attendings would like to increase their number of Telehealth appointments. Providers expressed uncertainty about insurance coverage as a major barrier to increasing Telehealth utilization.

SMART AIM: Increase the total number of Telehealth visits at JIMA by 25% and initiate Telehealth visits for residents by May 1st.


Utilizing Telehealth Technology To Reduce Social Isolation And Depression In Seniors, Bohan Farrell 2020 University of San Diego

Utilizing Telehealth Technology To Reduce Social Isolation And Depression In Seniors, Bohan Farrell

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Social isolation in the elderly has been identified as a risk factor for poor mental and physical health, as well as higher rates of mortality, depression, and cognitive decline. Loneliness is the unpleasant experience that occurs when a person’s network of social relationships is deficient in some important way, either quantitatively or qualitatively. Depression is a mental condition characterized by feelings of severe despondency and dejection, typically with feelings of inadequacy and guilt, and accompanied by lack of energy and disturbance of appetite and sleep. Physically, lonely people have more disorders, such as sleeping problems, stomach pain ...


Healthcare Workers' Perceptions Of Different Types Of Interpreters In The Gulf South, Meg Hayslip 2020 University of Mississippi

Healthcare Workers' Perceptions Of Different Types Of Interpreters In The Gulf South, Meg Hayslip

Honors Theses

Medical interpreters are important in the healthcare community. Many studies have focused on the consequences of not having an interpreter. A variety of problems can be caused by "language brokering" when no interpreter is available. These studies will be discussed in the literature review. Many states have requirements to become certified as an interpreter, and the selection criteria is what makes a person a “good” interpreter. Previous research, such as that by Chan et al., has shown how different styles of interpreting can affect the quality of health care. This study focuses on how healthcare personnel and their patients view ...


Comparison Of A Collective Intelligence Tailored Messaging System On Smoking Cessation Between African American And White People Who Smoke: Quasi-Experimental Design, Jamie Faro, Catherine S. Nagawa, Jeroan J. Allison, Stephenie C. Lemon, Kathleen M. Mazor, Thomas K. Houston, Rajani S. Sadasivam 2020 University of Massachusetts Boston

Comparison Of A Collective Intelligence Tailored Messaging System On Smoking Cessation Between African American And White People Who Smoke: Quasi-Experimental Design, Jamie Faro, Catherine S. Nagawa, Jeroan J. Allison, Stephenie C. Lemon, Kathleen M. Mazor, Thomas K. Houston, Rajani S. Sadasivam

Open Access Articles

BACKGROUND: The Patient Experience Recommender System for Persuasive Communication Tailoring (PERSPeCT) is a machine learning recommender system with a database of messages to motivate smoking cessation. PERSPeCT uses the collective intelligence of users (ie, preferences and feedback) and demographic and smoking profiles to select motivating messages. PERSPeCT may be more beneficial for tailoring content to minority groups influenced by complex, personally relevant factors.

OBJECTIVE: The objective of this study was to describe and evaluate the use of PERSPeCT in African American people who smoke compared with white people who smoke.

METHODS: Using a quasi-experimental design, we compared African American people ...


Multimodal Photoplethysmography-Based Approaches For Improved Detection Of Hypertension, Kaylie Welykholowa, Richard Fletcher, Mohamed Elgendi 2020 University of British Columbia

Multimodal Photoplethysmography-Based Approaches For Improved Detection Of Hypertension, Kaylie Welykholowa, Richard Fletcher, Mohamed Elgendi

Open Access Articles

Elevated blood pressure (BP) is a major cause of death, yet hypertension commonly goes undetected. Owing to its nature, it is typically asymptomatic until later in its progression when the vessel or organ structure has already been compromised. Therefore, noninvasive and continuous BP measurement methods are needed to ensure appropriate diagnosis and early management before hypertension leads to irreversible complications. Photoplethysmography (PPG) is a noninvasive technology with waveform morphologies similar to that of arterial BP waveforms, therefore attracting interest regarding its usability in BP estimation. In recent years, wearable devices incorporating PPG sensors have been proposed to improve the early ...


Feasibility Of Post-Operative Mobile Health Monitoring Among Colorectal Surgery Patients, Tanya Kuper 2020 The University of Western Ontario

Feasibility Of Post-Operative Mobile Health Monitoring Among Colorectal Surgery Patients, Tanya Kuper

Electronic Thesis and Dissertation Repository

Post-operative readmission following colorectal surgery is a common and costly occurrence. Remote health monitoring via mobile applications has the potential to reduce post-operative readmissions by early identification of complications. This intervention depends on patient acceptance and compliance with available technology. The feasibility of home monitoring using automated daily surveys and wound photo uploads, delivered via a mobile health application, was tested in the immediate post-operative period after colorectal surgery. Patient compliance, the association between generated alerts and readmissions, and patient satisfaction were measured. Patient satisfaction was high; 80.5% of patients reported that they felt safer going home knowing that ...


Improving Hearing Screenings With Tele-Otology, Ryan J. Miller, Joshua George-Lopez, Robert S. Hong MD, PhD 2020 Wayne State University - School of Medicine

Improving Hearing Screenings With Tele-Otology, Ryan J. Miller, Joshua George-Lopez, Robert S. Hong Md, Phd

Medical Student Research Symposium

Introduction: The Lions Hearing Center of Michigan (LHC-MI) is an assistance program in Detroit that provides hearing aids to individuals in need. LHC-MI has provided thousands of hearing aids, but such efforts have been costly, requiring patients to make multiple appointments at multiple locations. To streamline this process, the LHC-MI is piloting a new program, titled “Hear Now! Detroit!”, that uses telemedicine to reach patients at community sites.

Purpose: To evaluate the feasibility of a hearing screening program that uses telemedicine to reduce the number of visits required to acquire hearing aids.

Methods: Teams of community volunteers were deployed to ...


Launching Virtual Care In A Benign Breast Surgery Clinic, Louisa Antonelli BS, Hassan Nasser MD, Jessica Bensenhaver MD, Lindsay Petersen MD 2020 Wayne State University

Launching Virtual Care In A Benign Breast Surgery Clinic, Louisa Antonelli Bs, Hassan Nasser Md, Jessica Bensenhaver Md, Lindsay Petersen Md

Medical Student Research Symposium

The aim of this study is to assess the success of implementation of a telemedicine clinic in a benign breast surgery practice, and the hypothesis was that some women may feel uncomfortable virtually discussing breast complaints and problems. Twelve women seen as new patients in the benign breast surgery clinic and scheduled for surgery were asked if they were interested in having their post-operative visit performed virtually. Demographic information was also collected. Ages ranged from 24 to 77 years, and distance from the hospital ranged from 4.3 miles to 14.3 miles. Of the 12 women surveyed, 8 women ...


Don’T Call Me In The Morning: Why It Might Be Best To See Patients In-Person, A Case Report, Johnny Jarnagin, Jennifer Baima, Mathew J. Most, David A. Mazin 2020 University of Massachusetts Medical School

Don’T Call Me In The Morning: Why It Might Be Best To See Patients In-Person, A Case Report, Johnny Jarnagin, Jennifer Baima, Mathew J. Most, David A. Mazin

Orthopedics and Physical Rehabilitation Publications

Case Diagnosis: Post-irradiation Sarcoma

Case Description: A 58-year-old woman with a history of stage IIIB squamous cell carcinoma of the cervix who was treated with chemoradiation, considered in remission 5 years prior on PET CT, and was under every 6-months surveillance for recurrence by gynecology. She presented to the Emergency Department for severe back pain, left sided sciatica, and paresthesias. In the absence of fracture or cord compression, she was discharged with recommendations for primary care follow-up. This took place over the telephone with referral to the spine center. One week later, her pain progressed to 10+/10 with dense ...


Amending The Ryan Haight Act: Elevating Telemedicine Law To New Heights, Dillon Vaughn 2020 Texas A&M University School of Law (Student)

Amending The Ryan Haight Act: Elevating Telemedicine Law To New Heights, Dillon Vaughn

Texas A&M Law Review

The Ryan Haight Act has established excessive restrictions on controlled substance prescribing through telemedicine by first requiring an in-person exam. If the Act is not amended, many individuals in need of medication will go without proper medical care. While other agencies and states have made moves to expand telehealth, the DEA has dragged its feet on making any significant changes. This Comment argues that the federal government should amend the Ryan Haight Act, allowing telemedicine providers to prescribe controlled substances without an in-person exam. This amendment would focus on the standard of care while requiring stringent documentation by physicians who ...


Challenges And Lessons Learned From A Mobile Health, Web-Based Human Papillomavirus Intervention For Female Korean American College Students: Feasibility Experimental Study, Minjin Kim, Haeok Lee, Jeroan J. Allison 2020 University of Massachusetts Medical School

Challenges And Lessons Learned From A Mobile Health, Web-Based Human Papillomavirus Intervention For Female Korean American College Students: Feasibility Experimental Study, Minjin Kim, Haeok Lee, Jeroan J. Allison

Open Access Articles

BACKGROUND: Mobile health (mHealth) and Web-based research methods are becoming more commonplace for researchers. However, there is a lack of mHealth and Web-based human papillomavirus (HPV) prevention experimental studies that discuss potential issues that may arise.

OBJECTIVE: This study aimed to assess the feasibility of research procedures and discuss the challenges and lessons learned from an mHealth and Web-based HPV prevention experimental study targeting female Korean American college students in the United States.

METHODS: A pilot randomized controlled trial (RCT) was conducted in an mHealth and Web-based platform with 104 female Korean American college students aged 18-26 years between September ...


An Interactive Web-Based Lethal Means Safety Decision Aid For Suicidal Adults (Lock To Live): Pilot Randomized Controlled Trial, Marian E. Betz, Christopher E. Knoepke, Scott Simpson, Bonnie J. Siry, Ashley Clement, Tamara Saunders, Rachel Johnson, Deborah Azrael, Edwin D. Boudreaux, Faris Omeragic, Leah M. Adams, Sydney Almond, Elizabeth Juarez-Colunga, Daniel D. Matlock 2020 University of Colorado

An Interactive Web-Based Lethal Means Safety Decision Aid For Suicidal Adults (Lock To Live): Pilot Randomized Controlled Trial, Marian E. Betz, Christopher E. Knoepke, Scott Simpson, Bonnie J. Siry, Ashley Clement, Tamara Saunders, Rachel Johnson, Deborah Azrael, Edwin D. Boudreaux, Faris Omeragic, Leah M. Adams, Sydney Almond, Elizabeth Juarez-Colunga, Daniel D. Matlock

Open Access Articles

BACKGROUND: Counseling to reduce access to lethal means such as firearms and medications is recommended for suicidal adults but does not routinely occur. We developed the Web-based Lock to Live (L2L) decision aid to help suicidal adults and their families choose options for safer home storage.

OBJECTIVE: This study aimed to test the feasibility and acceptability of L2L among suicidal adults in emergency departments (EDs).

METHODS: At 4 EDs, we enrolled participants (English-speaking, community-dwelling, suicidal adults) in a pilot randomized controlled trial. Participants were randomized in a 13:7 ratio to L2L or control (website with general suicide prevention information ...


Barn-Raising On The Digital Frontier: The L.A.U.N.C.H. Collaborative, Bradford W. Hesse, David Ahern, Michele Ellison, Eliah Aronoff-Spencer, Robin C. Vanderpool, Karen Onyeije, Michael C. Gibbons, Timothy W. Mullett, Ming-Yuan Chih, Victoria Attencio, Grant Patterson, Jessica Boten, Christopher Hartshorn, Ben Bartolome, Katie Gorscak, Melanie McComsey, Alexandra Hubenko, Bin Huang, Corey Baker, Don Norman 2020 National Cancer Institute

Barn-Raising On The Digital Frontier: The L.A.U.N.C.H. Collaborative, Bradford W. Hesse, David Ahern, Michele Ellison, Eliah Aronoff-Spencer, Robin C. Vanderpool, Karen Onyeije, Michael C. Gibbons, Timothy W. Mullett, Ming-Yuan Chih, Victoria Attencio, Grant Patterson, Jessica Boten, Christopher Hartshorn, Ben Bartolome, Katie Gorscak, Melanie Mccomsey, Alexandra Hubenko, Bin Huang, Corey Baker, Don Norman

Journal of Appalachian Health

A meta-analysis of oncology papers from around the world revealed that cancer patients who lived more than 50 miles away from hospital centers routinely presented with more advanced stages of disease at diagnosis, exhibited lower adherence to prescribed treatments, presented with poorer diagnoses, and reported a lower quality of life than patients who lived nearer to care facilities. Connected health approaches—or the use of broadband and telecommunications technologies to evaluate, diagnose, and monitor patients beyond the clinic—are becoming an indispensable tool in medicine to overcome the obstacle of distance.


Patient-Reported Outcomes Feedback Report For Knee Arthroplasty Patients Should Present Selective Information In A Simple Design - Findings Of A Qualitative Study, Kathrin I. Fischer, Diarmuid De Faoite, Matthias S. F. Rose 2020 Charité – Universitätsmedizin Berlin

Patient-Reported Outcomes Feedback Report For Knee Arthroplasty Patients Should Present Selective Information In A Simple Design - Findings Of A Qualitative Study, Kathrin I. Fischer, Diarmuid De Faoite, Matthias S. F. Rose

Open Access Articles

BACKGROUND: Technical innovation to assess patient-reported outcomes (PROs) facilitates their implementation in clinical practice. In particular, mobile applications (apps) allow PROs to be assessed outside of the clinical setting. A patient's health status can be remotely monitored and evaluated after discharge, and their recovery process tracked. This is of particular interest for patients after knee arthroplasty, as the recovery phase after surgery usually takes place in an outpatient setting and requires a high level of patient engagement. Providing results of PRO assessments to patients in the form of a feedback report could increase patient engagement and may improve communication ...


Comparison Of Patient Satisfaction With Telehealth And In-Clinic Post-Operative Visits, Lillian Matthews, Bryan Renslo, Deborah T. Glassman, MD 2020 Thomas Jefferson University

Comparison Of Patient Satisfaction With Telehealth And In-Clinic Post-Operative Visits, Lillian Matthews, Bryan Renslo, Deborah T. Glassman, Md

Phase 1

Introduction: Telehealth has grown rapidly in the healthcare industry as a time efficient, affordable, and accessible means to provide care. Jefferson’s Department of Urology currently employs telehealth for post-operative visits but its efficacy in post-nephrectomy patients has not been well studied. We aim to demonstrate that patient satisfaction is the same for telehealth versus in-clinic post-operative visits in nephrectomy patients. Secondarily we will examine distance saved for telehealth patients.

Methods: We will administer an IRB approved questionnaire to all nephrectomy patients via the EPIC® EMR platform after their post-operative visit. Each questionnaire will be specific to telehealth or in-clinic ...


Comparison Of Patient Satisfaction Between Telehealth And In-Clinic Post-Operative Visits, Bryan Renslo, Lillian Matthews, Deborah T. Glassman, MD 2020 Thomas Jefferson University

Comparison Of Patient Satisfaction Between Telehealth And In-Clinic Post-Operative Visits, Bryan Renslo, Lillian Matthews, Deborah T. Glassman, Md

Phase 1

Introduction: Telehealth has the potential to be an efficient, affordable, and accessible means to give care. In the field of Urology, its use has large potential but has not been well studied. We hypothesize that the use of telehealth for post-op nephrectomy patients will maintain the same level of patient satisfaction. We also hypothesize that telehealth visits will take less time and save patients money by eliminating the need to travel.

Methods: From May through July 2019, post-nephrectomy patients who consented to the study were given either a telehealth or in-clinic post-operative visit. Outcome metrics and demographics information were obtained ...


The Relationship Between Intensity Of Fitness Tracker Usage And Motivation, Rachel Cannata, Abigail C. Daugherty, Madison O. DiRocco, Julianne Green, Pial DasGupta 2020 The University of Akron

The Relationship Between Intensity Of Fitness Tracker Usage And Motivation, Rachel Cannata, Abigail C. Daugherty, Madison O. Dirocco, Julianne Green, Pial Dasgupta

Williams Honors College, Honors Research Projects

Many college students engage in unhealthy behaviors which may contribute to diseases. Additionally, some students may lack motivation to rectify these behaviors to improve their long-term health. This study assessed the relationship between intensity of fitness tracker usage and motivation among health professions students at a large, public Midwestern university. This non-experimental, correlational study used convenience sampling and a theoretical framework based on Bandura’s Social Cognitive Theory. Online recruitment announcements were emailed and included links to the consent form and survey. Motivation was measured with Deci and Ryan’s modified self-determination tool. Intensity of tracker usage was measured using ...


Patient Satisfaction With Telehealth Services Compared To In-Office Visits: A Systematic Literature Review, Crystal L. Fleischhacker 2020 Minnesota State University, Mankato

Patient Satisfaction With Telehealth Services Compared To In-Office Visits: A Systematic Literature Review, Crystal L. Fleischhacker

All Theses, Dissertations, and Other Capstone Projects

Telehealth is changing the current paradigm of healthcare. As an emerging mode of healthcare delivery, telehealth stands to help alleviate the shortage of primary care and specialty care providers especially patients in rural areas. In addition to increasing access of healthcare, this service allows for flexibility, convenience and has the potential to decrease healthcare costs while improving patient outcomes. The objective of this literature review was to examine patient satisfaction with telehealth compared to in-office visits. A systematic search was conducted and a total of 17 articles that met inclusion criteria were examined. Data and factors evolving around patient satisfaction ...


Millennial Attitudes Toward Telehealth: An Integrative Literature Review, Hannah Gwyneth Y. Tabora 2020 University of Central Florida

Millennial Attitudes Toward Telehealth: An Integrative Literature Review, Hannah Gwyneth Y. Tabora

Honors Undergraduate Theses

Purpose: The primary purpose of this research was to explore individuals born in the millennial generation’s likelihood of using telehealth and virtual office visits as a replacement for face to face provider interactions. The secondary purpose was to examine the feasibility and access of treatable conditions and ailments in a virtual environment.

Methods: A literature review exploring millennials and telehealth was performed using various databases with search terms combined to include: ‘millennials*’, ‘telehealth*’, ‘telemed*’, ‘finance*’, ‘primary care*’, ‘healthcare*’, ‘health knowledge*’, ‘literacy*’, ‘education*’, ‘misinformation*’. The data was conformed into tables that synthesized the relationship between the millennial generation and their ...


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