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In support of professional practice, asynchronous communication between the patient and the provider is implemented separately or in combination with Internet-based self-management interventions. This interaction occurs primarily through electronic messaging or discussion boards. There is little evidence as to whether it is a useful tool for chroni...
Contexts in source publication
Context 1
... 15 studies were found to meet the inclusion criteria and were thus included in the review (Figure 1). Table 1 shows the characteristics of the samples of the studies. The studies varied in geographic location, sample size, mean age of the sample, and nature of the chronic disease ( Table 1). ...
Context 2
... 1 shows the characteristics of the samples of the studies. The studies varied in geographic location, sample size, mean age of the sample, and nature of the chronic disease ( Table 1). Eleven of the 15 studies were performed in the United States, two in Europe (Portugal, The Netherlands), one in Australia, and one in Asia (Korea). ...
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Objectives
We explored the influence of e-trust, e-health literacy, e-health information seeking, and e-health information consumerism on medical satisfaction and positive health perceptions.
Methods
Our sample consisted of 499 randomly selected panel members aged 40–93. We employed hierarchical ordinary least squares (OLS) regression analyses and...
Current health guidelines aim to increase the responsibility of people with chronic conditions to self-care. Literature studies highlight educational programmes for self-management of chronic conditions as a holistic approach, involving special health needs and emotional, psychological and social needs. Lorig and Holman (with adults and the elderly...
Background:
Online access to computerized medical records has the potential to improve convenience, satisfaction, and care for patients, and to facilitate more efficient organization and delivery of care.
Objective:
The objective of this review is to explore the use and impact of having online access to computerized medical records and services...
Citations
... Similarly, we found no significant change in emergency department visits, consistent with a systematic review indicating that health care utilization, specifically physician visits, did not decrease significantly. However, this review did observe a decline in visits among back pain and asthma patients, although these differences were not statistically significant [83]. Our study indicated a significant reduction in hospitalization risk, consistent with other reviews on conditions like rheumatoid arthritis, diabetes, and skin diseases [82][83][84]. ...
... However, this review did observe a decline in visits among back pain and asthma patients, although these differences were not statistically significant [83]. Our study indicated a significant reduction in hospitalization risk, consistent with other reviews on conditions like rheumatoid arthritis, diabetes, and skin diseases [82][83][84]. ...
Background
Asynchronous digital health (eg, web-based portal, text, and email communication) can overcome practical barriers associated with in-person and remote synchronous (real-time) consultations. However, little is known about the effectiveness and acceptability of asynchronous digital health to support care for individuals with asthma (eg, asthma reviews).
Objective
We aimed to systematically review the qualitative and quantitative evidence on the role of asynchronous digital health for asthma care.
Methods
Following Cochrane methodology, we searched 6 databases (January 2001-July 2022; search update: September 2023) for quantitative, qualitative, or mixed methods studies supporting asthma care using asynchronous digital health. Screening and data extraction were duplicated. We assessed the risk of bias in the clinical outcomes of randomized controlled trials included in the meta-analysis using the revised Cochrane risk of bias tool. For the remaining studies, we evaluated the methodological quality using the Downs and Black checklist, critical appraisal skills program, and mixed methods appraisal tool for quantitative, qualitative, and mixed methods studies, respectively. We determined the confidence in the evidence using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) criteria. We conducted a meta-analysis of trial data and a thematic analysis of qualitative data.
Results
We included 30 studies (20 quantitative, 6 qualitative, and 4 mixed methods) conducted in 9 countries involving individuals with asthma, their caregivers, and health care professionals. Asynchronous digital consultations linked with other functionalities, compared to usual care, improved asthma control (standardized mean difference 0.32, 95% CI 0.02-0.63; P=.04) and reduced hospitalizations (risk ratio 0.36; 95% CI 0.14-0.94; P=.04). However, there were no significant differences in quality of life (standardized mean difference 0.16; 95% CI –0.12 to 0.43; P=.26) or emergency department visits (risk ratio 0.83; 95% CI 0.33-2.09; P=.69). Patients appreciated the convenience of asynchronous digital health, though health care professionals expressed concerns. Successful implementation necessitated an organizational approach. Integrative synthesis underscored the ease of asking questions, monitoring logs, and medication reminders as key digital functionalities.
Conclusions
Despite low confidence in evidence, asynchronous consultation supported by digital functionalities is an effective and convenient option for nonemergency asthma care. This type of consultation, well accepted by individuals with asthma and their caregivers, offers opportunities for those facing challenges with traditional synchronous consultations due to lifestyle or geographic constraints. However, efficient organizational strategies are needed to manage the associated workload.
Trial Registration
PROSPERO CRD42022344224; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=344224
International Registered Report Identifier (IRRID)
RR2-10.1371/journal.pone.0281538
... Patients may express a need for communication as a way to become more involved in their care. 25 Often, they feel like they do not have enough information, and this may be related to the low retention rate of information provided by healthcare practitioners. One approach to improving this is by increasing health literacy, which is the main objective of this intervention. ...
... Nevertheless, this suggests that the age barrier is not insurmountable. 25 According to a report by Statbel, the Belgian statistics office, in 2022, 70% of the population aged between 65 and 74 used the internet almost every day. They primarily accessed it through their smartphones, computers or tablets. ...
Background
Chronic obstructive pulmonary disease (COPD) patients often have poor health literacy, leading to non-adherence to treatment and poor inhalation technique. Technological solutions can help manage COPD, but adherence tends to be low due to various factors.
Objectives and Methods
We conducted a qualitative study to determine the needs of COPD patients and healthcare practitioners (HCPs) towards a mobile application and a web platform. We also aimed to identify potential barriers or facilitators to the use of such digital tools and their potential impact, and to assess the current state of collaboration between healthcare practitioners.
Results
Our study found that COPD patients face difficulties in managing the disease and treatments, lack information and need easier contact with caregivers. Patients’ needs include access to reliable information about COPD, its medical treatments and smoking cessation, help in maintaining good physical condition through adapted exercises, incentives and reminders, and crisis management protocols or a logbook. As patient needs can differ, it would be ideal if the mobile application could be customized. HCPs cite patient adherence, correct intake of the treatment, communication and lack of patient motivation as challenges. In particular, they would like to have access to information on patient follow-up and logbooks, as well as scientific documentation. They believe that interprofessional collaboration is essential for good patient care. However, lack of time is a major hurdle in optimizing this collaboration.
Conclusion
Our study showed that most patients and HCPs view a technological platform positively to support the care of COPD patients and promote interprofessional collaboration.
... A negative correlation between concerns about out-of-pocket costs and levels of trust in their doctors via telehealth appointments has been evidenced (Orrange et al., 2021) and excessive costs have been previously considered an impediment to trust in digital health systems (Adjekum et al., 2018). In Australia, telehealth items were incorporated permanently into MBS to cover appointments with doctors and allied health professionals using video and telephone, but these items do not cover asynchronous interactions, which can be effective in monitoring some chronic conditions (De Jong et al., 2014) which might be available in the private sector. An important distinction in this finding is that the perceived trust in digital health and the cost of the service is not necessarily related to the quality of service. ...
... Evidence suggests that eHealth interventions can be helpful in HIV care, aiding prevention [7], retention in care [8] and treatment adherence [9]. Work is urgently needed to understand how best to translate eHealth and virtual care into effective person-centred models of care that meet the complex needs of PLHIV that can be delivered and accessed remotely. ...
Background
The COVID‐19 pandemic prompted an unprecedented surge in virtual services, necessitating a rapid shift to digital healthcare approaches. This review focuses on evaluating the evidence of virtual care (VC) in delivering HIV care, considering the complex nature of HIV and the need for tailored‐approaches, especially for marginalized populations.
Methods
A mixed‐methods systematic review was performed with searches on five databases, covering studies from January 1946 to May 2022. Inclusion criteria involved two‐way virtual consultations between healthcare workers and people living with HIV (PLHIV), with detailed descriptions and outcomes. Qualitative and quantitative studies were included, and the risk of bias was assessed using the Newcastle–Ottawa score and Stenfors' framework.
Results
Among 4143 identified records, 26 studies met the criteria, with various models of care described. The majority of studies were observational, and videoconferencing was the primary mode of virtual consultation employed. Quantitative analysis revealed PLHIV generally accept VC, with high attendance rates (87%). Mean acceptability and satisfaction rates were 80% and 85%, respectively, while 87% achieved HIV viral suppression. The setting and models of VC implementation varied, with some introduced in response to COVID‐19 while others were as part of trials.
Conclusions
VC for PLHIV is deemed an acceptable and effective approach and is associated with good virological outcomes. Data on other health outcomes is lacking. The review underscores the importance of diverse models of care, patient choice and comprehensive training initiatives for both staff and patients. Establishing a ‘gold standard’ for VC models is crucial for ensuring appropriate and effective reviews of PLHIV in virtual settings.
... Drawing on the UGT, online health services can provide three gratifications (i.e., interpersonal utility, informationseeking, and accessibility gratifications) (Kim et al., 2021). First, by affording round-the-clock health support, OPPC enables patients to communicate with providers more frequently and efficiently, avoiding the physical inconvenience of visiting offline clinics (de Jong et al., 2014). Second, patients can seek more extensive health information during their clinical conversations on mobile health apps or via email, facilitating knowledge learning and fostering participation in self-health management. ...
... Kim et al. (2021) suggested that when users can appreciate the utility of patient portals in facilitating their access to health records, health information from their providers, and online tracking of clinical appointments, their care quality assessment would be increased. A systematic review showed that OPPC adoption can bolster patient satisfaction and yield beneficial psychological outcomes such as increased self-esteem, decreased stress, and depression (de Jong et al., 2014). Empirical evidence also indicated that perceptions of highquality care can be a favorable outcome of reciprocal OPPC (Liu and Yeo, 2021). ...
Purpose
To examine the association between offline healthcare barriers and emotional well-being and assess the mediation roles of online patient–provider communication (OPPC) and perceived quality of care. This study also investigates the trends in offline healthcare barriers, OPPC, perceived quality of care, and emotional well-being over four years among the old population in the U.S.
Methods
Data from the Health Information National Trends Survey (HINTS) 5 Cycles 1, 2, and 4 were used. Mediation analysis and comparison analysis were employed.
Results
The results indicated an increment in OPPC and a decline in patient’s perceived quality of care between 2017 and 2020. Across the three years, offline healthcare barriers were consistently negatively associated with emotional well-being, and perceived quality of care remained a mediator in such a relationship. Moreover, the serial mediating roles of OPPC and perceived quality of care between offline healthcare barriers and emotional well-being turned from statistically non-significant (2017) to significant (2018, 2020).
Conclusion
Our results witness the growing adoption of OPPC among older adults and the evolution of OPPC as a complementary communication modality. The findings can support interventions to augment OPPC utilization and enhance the perception of quality care of older adults, contributing to their increased emotional well-being.
... c P = 0.03. (20) No significant difference was found between the groups' contacts with healthcare professionals outside the hospital. physiotherapists from the hospital or municipalities, were connected with participants in eDialogue. ...
... However, others have reported the opposite or no difference [17,18]. Due to substantial heterogeneity of studies within this domain, systematic reviews have encountered challenges in reaching definitive conclusions regarding effects on resource consumption, including phone calls [19,20]. In clinical practice, phone inquiries to hospitals are not registered systematically, on answering phone calls, we cannot conclude that eDialogue reduces the workload of hospital staff, even though it may change the workflow for the better. ...
Background and purpose:
Post-discharge inquiries to the hospital are predominantly conducted through phone calls. The rigid timing of these calls is inconvenient for patients and disrupts the workflows of healthcare professionals. The aim of this study was to investigate the effect of a team-based digital communication intervention (eDialogue) facilitated through a messenger-like commercial solution on patient-initiated phone calls to the hospital after discharge. Secondarily, we investigated other patient-initiated contacts, patients' perception of continuity of care, and their perception of feeling safe and satisfied after hospital discharge.
Methods:
On the day of discharge, 70 surgically treated orthopedic patients were randomized to the intervention group with access to eDialogue (n = 35) or the control group with standard communication pathways by phone call (n = 35) for the following 8 weeks. Through eDialogue, the intervention group had access to team-based asynchronous digital communication in text and photos with healthcare professionals across disciplines and sectors. Inclusion criteria were discharge to own home and receipt of rehabilitation services from both hospital and primary care after discharge.
Results:
We found a significant reduction in the mean number of patient-initiated phone calls to the hospital from 2.3 (95% confidence interval [CI] 1.4-4.1) in the control group to 0.5 (CI 0.3-1.0) in the intervention group (P = 0.004). Across groups, patients reported similar perceptions of continuity of care; however, the participants in the intervention group expressed significantly improved perceptions of, and satisfaction with, access to healthcare after discharge.
Conclusion:
Access to eDialogue reduced patient-initiated phone calls to the hospital, enhanced patient satisfaction with healthcare accessibility, and did not compromise patients' perception of continuity of care after discharge compared with standard communication pathways.
... For example, when important health information such as cancer screening recommendations are communicated clearly, explicitly, and memorably by providers, women are more likely to adhere to regular mammography screening (Silk et al., 2008(Silk et al., , 2015. On the other hand, the finding of non-significant direct relationships between PCC and breast/cervical cancer screening behaviors among U.S. women aligns with findings from previous studies (de Jong et al., 2014;Jiang and Hong, 2018). These empirical studies highlighted the underlying psychological processes between PCC and health outcomes. ...
This study proposed and tested the cross-sectional effects of patient-centered communication (PCC) on cancer screening behaviors via an affective-cognitive sequential chain of mediation through cancer worry and health self-efficacy. Cross-sectional data were analyzed from four iterations of the Health Information National Trends Survey (2011, 2014, 2017, and 2020). The results found that lowered cancer worry following PCC does not show a cross-sectional positive effect in promoting cancer screening behaviors, while enhanced health self-efficacy as a subsequent state is a facilitator of screening behaviors. The findings further demonstrated increased PCC, a rise in cancer worry, and a sustained level of health self-efficacy. Also, our research has identified an upward trend in cancer screening behaviors from 2011 to 2017, followed by a notable decrease in 2020. These insights underscore the nuanced ways PCC can foster cancer screening behaviors, emphasizing the importance of emotional and cognitive aspects in clinical settings.
... Asynchronous e-visits enable PCPs to respond at a time that is suitable for them, eliminating in-session time constraints. Thus, PCPs can deliver tailored treatment to large numbers of patients [23,24]. E-visit invitations can be automated and sent in bulk via the EHR to all patients who meet treatment criteria. ...
Background
Cigarette smoking remains the leading cause of preventable disease and death in the United States. Primary care offers an ideal setting to reach adults who smoke cigarettes and improve uptake of evidence-based cessation treatment. Although U.S. Preventive Services Task Force Guidelines recommend the 5As model (Ask, Advise, Assess, Assist, Arrange) in primary care, there are many barriers to its implementation. Automated, comprehensive, and proactive tools are needed to overcome barriers. Our team developed and preliminarily evaluated a proactive electronic visit (e-visit) delivered via the Electronic Health Record patient portal to facilitate evidence-based smoking cessation treatment uptake in primary care, with promising initial feasibility and efficacy. This paper describes the rationale, design, and protocol for an ongoing Hybrid Type I effectiveness-implementation trial that will simultaneously assess effectiveness of the e-visit intervention for smoking cessation as well as implementation potential across diverse primary care settings.
Methods
The primary aim of this remote five-year study is to examine the effectiveness of the e-visit intervention vs. treatment as usual (TAU) for smoking cessation via a clinic-randomized clinical trial. Adults who smoke cigarettes are recruited across 18 primary care clinics. Clinics are stratified based on their number of primary care providers and randomized 2:1 to either e-visit or TAU. An initial baseline e-visit gathers information about patient smoking history and motivation to quit, and a clinical decision support algorithm determines the best evidence-based cessation treatment to prescribe. E-visit recommendations are evaluated by a patient’s own provider, and a one-month follow-up e-visit assesses cessation progress. Main outcomes include: (1) cessation treatment utilization (medication, psychosocial cessation counseling), (2) reduction in cigarettes per day, and (3) biochemically verified 7-day point prevalence abstinence (PPA) at six-months. We hypothesize that patients randomized to the e-visit condition will have better cessation outcomes (vs. TAU). A secondary aim evaluates e-visit implementation potential at patient, provider, and organizational levels using a mixed-methods approach. Implementation outcomes include acceptability, adoption, fidelity, implementation cost, penetration, and sustainability.
Discussion
This asynchronous, proactive e-visit intervention could provide substantial benefits for patients, providers, and primary care practices and has potential to widely improve reach of evidence-based cessation treatment.
Trial registration
NCT05493254.
... Углеводный обмен. В целом во всех представленных на сегодняшний день систематических обзорах и метаанализах было показано, что использование телемедицинских технологий в ведении пациентов позволяет снизить уровень гликированного гемоглобина на 0,22-0,71% от исходного [5,[10][11][12][13][14][15][16][17][18][19][20][21][22]. При этом более выраженное снижение наблюдается у пациентов с исходно худшими показателями гликемического контроля [10] в первые месяцы от начала коммуникации (снижение гликированного гемоглобина на 0,54-0,56% в первые 3-6 мес [15,16]). ...
... Артериальное давление. Ведение пациентов с артериальной гипертензией с помощью телемедицинских технологий позволяет достигнуть определенной положительной динамики [12,16,19,22]. Так, в ходе сравнительного анализа телемедицинского консультирования с очными визитами было выявлено статистически значимое снижение уровня систолического (максимально на 3,47 мм рт. ...
Diabetes mellitus is one of the most world’s common disease. Global digitalization reveals new opportunities in diabetes mellitus patient man-agement. Various applications and devices are currently available to improve patient’s glucose levels. Apart from continuous glucose monitoring devices traditional methods of blood glucose monitoring are widely used. The development of special applications and options for glucometers to connect with mobile devices essentially improved data analysis and allowed to improve treatment efficacy.
... To prevent the acquirement of wrong information, professionals should administer web-based education intervention. This may be beneficial due to low cost, convenience, individualized format, and distribution of reliable and comprehensive information (Anderson and Klemm, 2008 improved patient knowledge on their conditions and self-management skills (de Jong et al., 2014). A similar approach can be applied to improve awareness of HPV and HPV vaccine among KA residing in Alabama. ...
Introduction:
Although the HPV vaccine is known to prevent associated cancers, studies found a low awareness among Korean Americans (KA). This study aimed to examine the HPV and HPV vaccine awareness among KA in Alabama.
Methods:
A cross-sectional survey was conducted with a convenience sample of 278 KA residing in Alabama to understand the levels of HPV and HPV vaccine awareness and associated factors.
Results:
Those who heard of HPV were 31.7% and 29.5% for HPV vaccine. Those who were older than 50 years old and married were less likely to hear of HPV and HPV vaccine. Those who were female and had annual health check-ups were more likely to hear of both. Using the Internet for health information was positively associated with HPV vaccine awareness.
Discussion:
HPV education tailored to sociodemographic and using the Internet might be an effective strategy in improving the HPV and HPV vaccine awareness levels.