multidisciplinary care intervention patients approach including patient (IRR=3.82, P<.001 guidance and support for for nurse-induced contacts self-care . and IRR=1.63, P=.049 for patient-induced contacts). There were no statistically significant differences in clinical health status patients’ or in their self-care behavior. The technology received excellent feedback from the patient and professional side with a high adherence rate throughout the study telemonitoring-assisted care approach led to increased use of health care resources while showing no quantified improvement in the patients’ condition Wakefield et al (2013) 1 NR 4 Adults (n=302) divided 8 HbA1C: reduced in 10 NR 13 RCT between high intensity intervention group during the Home telehealth increases 2 Home tele-health (n=93), low intensity (n=102) 6 months of the intervention contact with patients and USA intervention involving nurse and usual care (n=107). (P= 0.0003 - 0.0001) but 11 Nurse monitoring and enables earlier detection of led remote monitoring. comparable with control collaboration with a primary problems. Home telehealth evaluate the efficacy of a High and low intensity 5 Comorbid diabetes and group by 6 months after care physician can improve outcomes in ‘To nurse managed home interventions compared hypertension intervention. patients with comorbid intervention to 12 NR chronic illness in the improve outcomes in 3 High intensity: daily BP, 6 Home Systolic Blood Pressure community. veterans with co-morbid blood glucose as directed. (SBP): significant reduction diabetes and Branching disease 7 Tele Nurses for high intensity group at 6 14 Further research neeeded HTN’ (p254). management algorithm (n=unspecified) and 12 months (p=0.01) to establish optimal focusing on diet, exercise, frequency and intensity for smoking cessation, foot care, Adherence: Improved in all these types of interventions medications, weight groups, with no differences management, preventative between groups. Home telehealth is a viable care and behaviour intervention for patients with modification and lifestyle chronic conditions in the modifications. Prompts, 9 NR community setting.
multidisciplinary care approach including patient guidance and support for self-care . intervention patients (IRR=3.82, P<.001 for nurse-induced contacts and IRR=1.63, P=.049 for patient-induced contacts). There were no statistically significant differences in patients’ clinical health status or in their self-care behavior. The technology received excellent feedback from the patient and professional side with a high adherence rate throughout the study telemonitoring-assisted care approach led to increased use of health care resources while showing no quantified improvement in the patients’ condition Wakefield et al (2013) RCT USA ‘To evaluate the efficacy of a nurse managed home intervention to improve outcomes in veterans with co-morbid diabetes and HTN’ (p254). 1 NR 2 Home tele-health intervention involving nurse led remote monitoring. High and low intensity interventions compared 3 High intensity: daily BP, blood glucose as directed. Branching disease management algorithm focusing on diet, exercise, smoking cessation, foot care, medications, weight management, preventative care and behaviour modification and lifestyle modifications. Prompts, 4 Adults (n=302) divided between high intensity (n=93), low intensity (n=102) and usual care (n=107). 5 Comorbid diabetes and hypertension 6 Home 7 Tele Nurses (n=unspecified) 8 HbA1C: reduced in intervention group during the 6 months of the intervention (P= 0.0003 - 0.0001) but comparable with control group by 6 months after intervention. Systolic Blood Pressure (SBP): significant reduction for high intensity group at 6 and 12 months (p=0.01) Adherence: Improved in all groups, with no differences between groups. 9 NR 10 NR 11 Nurse monitoring and collaboration with a primary care physician 12 NR 13 Home telehealth increases contact with patients and enables earlier detection of problems. Home telehealth can improve outcomes in patients with comorbid chronic illness in the community. 14 Further research neeeded to establish optimal frequency and intensity for these types of interventions Home telehealth is a viable intervention for patients with chronic conditions in the community setting.
12912_2017_225_MOESM1_ESM.docx