The objective of this study was to test whether a telehealth intervention could improve the compliance with continuous positive airway pressure (CPAP) by patients with sleep apnea. These patients had been nonadherent for the initial 3 months of therapy even after receiving the initial standard and then supplemental audiotaped/videotaped patient education for adhering to CPAP nightly. The materials and methods included a randomized testing of experimental and placebo interventions. Interventions were delivered by nurses to two groups in their homes by telehealth over a 12-week period. The placebo intervention was used to control for Hawthorne effect, time and attention influences and the novelty of having telehealth in the home. Results following the telehealth interventions were that significantly more patients in the experimental group 1 (n = 10) than the placebo group 2 (n = 9) were adhering nightly to CPAP (chi 2 = 4.55, p = 0.033). Group 1 patients reported greater satisfaction with their intervention. However, both groups rated telehealth delivery positively. The mean cost of each 20-minute telehealth visit was 30 dollars while the total cost of the telehealth intervention for each patient was 420 dollars. These costs included telehealth equipment, initial installation, longdistance telephone charges, nurse salary, and intervention materials. Conclusions are that telehealth interventions are a potentially cost-effective service for increasing adherence to prescribed medical treatments. Replication studies with large samples and in other clinical groups are recommended.
"). This service model has been used to address a wide variety of clinical concerns including but not limited to compliance with treatment for sleep apnea (Smith et al. 2006), pain management (McGeary et al. 2012), weight maintenance (Haugen et al. 2007), post-traumatic stress (Sloan et al. 2011 "
[Show abstract][Hide abstract] ABSTRACT: Interest in procedural fidelity has grown rapidly since 1981 as evidenced by the growing numbers of research publications across disciplines on this topic. As a result, the past 30 years of research has yielded a variety of procedures to guide research and practice, which we hope translates into better educational practices and services. Despite our progress, much remains unknown. As an introduction to the special issue on advancements in procedural fidelity, this article will briefly describe the conceptual and definitional issues surrounding this topic, summarize the relevance of procedural fidelity to education and research, and highlight the articles in this issue that address proposed research priorities.
Journal of Behavioral Education 03/2013; 23(1). DOI:10.1007/s10864-013-9191-3
[Show abstract][Hide abstract] ABSTRACT: Leadership development initiatives in work settings or in executive MBA programs can use online technology to make executive coaching available to a large number of managers. Previously, the integration of classroom training and challenging work assignments into expanded leadership capability has been facilitated by individual executive coaching or mentoring. This limited the number of potential participants who could access these resources. Now, research on online behavioral interventions suggest that group online executive coaching could be a method of expanding effective leadership development programs to a larger number of participants. This paper presents a model of online executive coaching that integrates findings from leadership research, outcome evaluations of group leadership training programs, research on online behavioral interventions, and the literature on executive coaching.
[Show abstract][Hide abstract] ABSTRACT: Integration of magnetic elements is one of the most important aims in the electronics industry, since it allows a reduction in the size of power electronics equipment. This paper presents a method to design integrated magnetic elements using thick-film technology. A DC-to-DC power converter has been built and tested to validate this technology. Experimental results obtained and conclusions derived are also presented
Applied Power Electronics Conference and Exposition, 1998. APEC '98. Conference Proceedings 1998., Thirteenth Annual; 03/1998
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