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11
February, 2012
Saturday

trials

Randomized Controlled Trial of Health Maintenance Reminders Provided Directly to Patients Through an Electronic PHR

Wright A et al, Journal of General Internal Medicine, 27(1)

BACKGROUND
Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied.

OBJECTIVE
To determine whether providing reminders directly to patients via an electronic Personal Health Record (PHR) improved adherence to care recommendations.
[ More ]

16 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Decision Support, phr, Preventive Care, trials

EHRs, Genomics Power Personalized Cancer Treatments

Neil Versel, InformationWeek

“Computer maker Dell is counting on the cloud, analytics, and “big data” to power the future of medicine and make healthcare more personal. The Texas-based hardware giant is putting the infrastructure in place to support electronic health records (EHR) and genomics on the journey from episodic care to coordinated care to personalized medicine.
[ More ]

11 January 2012 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Genomics, Oncology, Personalised Medicine, trials

Telehealth and mHealth: some pros and cons

Charles Wright, eHealthCentral

“After that less than stellar performance in the Sunday Age [below] Tim Barlass redeems himself with a fascinating piece about a trial in rural NSW in which elderly patients given a broadband “medibox” which monitored details of blood pressure, heart rate, blood oxygen and weight and logged them remotely to doctors, demonstrated a dramatic decrease in hospital admissions, and shorter stays.
[ More ]

10 January 2012 | No Comments »
Categories: News | Country: Australia | Tag(s): Elderly, mHealth, Telehealth, Telemedicine, trials

Personal characteristics and the law of attrition in randomized controlled trials of eHealth services for self-care

Blanson Henkemans OA et al, Gerontechnology, 10(3)

Objective
Contribute to understanding of determinants of attrition in Randomized Controlled Trials (RCTs) on eHealth services for self-care and to developing a strategy to attend to them.

Background
RCTs are considered the “gold standard” in empirical research on medical interventions. However, RCTs of eHealth services for self-care are often faced with Eysenbach’s Law of Attrition; that is, the phenomenon of people dropping out of the study early or being unavailable for follow-up studies.
[ More ]

4 January 2012 | No Comments »
Categories: Science | Tag(s): Health Care, phr, selfcare, trials

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials

McKibbon KA et al, J Am Med Inform Assoc, 19(1)

Objective
The US Agency for Healthcare Research and Quality funded an evidence report to address seven questions on multiple aspects of the effectiveness of medication management information technology (MMIT) and its components (prescribing, order communication, dispensing, administering, and monitoring).
[ More ]

21 December 2011 | No Comments »
Categories: Science | Tag(s): CPOE, Decision Support, Health Information Technology, Medication, trials

Health care by TV and remote control

Philippa Roxby, BBC News

“First thing in the morning, Terry Munro always puts the kettle on.
“Then I take my blood sugar, take my blood pressure and my weight and in that time the kettle’s boiled.
[ More ]

19 December 2011 | No Comments »
Categories: News | Country: UK | Tag(s): Telehealth, Telemedicine, trials, TV

Telehealth technologies reduce mortality rates

Janet Fang, Smart Planet

“Patients using home healthcare technologies have lower mortality rates, fewer emergency admissions, and shorter hospital stays, according to a UK Department of Health clinical study.
[ More ]

11 December 2011 | No Comments »
Categories: News | Country: UK | Tag(s): Benefits, Digital Homecare, Telehealth, Telemedicine, trials

Govt to opt patient data into trials

Rebecca Todd, e-Health Insider Acute

“The government wants to change the NHS Constitution so that patient information is automatically included in clinical research.
[ More ]

7 December 2011 | No Comments »
Categories: News, UK EHR | Country: UK | EHR: EHR, EHR UK | Tag(s): Consent, Research, trials

Shared Electronic Vascular Risk Decision Support in Primary Care

Holbrook A et al, Archives of Internal Medicine, 171(19)

Background
Computerized decision support systems (CDSSs) linked with electronic medical records (EMRs) are promoted as an effective means of improving patient care. However, very few high-quality studies are set in routine, community-based clinical care, and no consistent evidence of an effect on patient outcomes has been found.
[ More ]

26 October 2011 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Decision Support, Primary Care, trials

Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial

Duursma F et al, BMC Palliative Care, 10(1)

BACKGROUND:
Due to the growing number of elderly with advanced chronic conditions, healthcare services will come under increasing pressure. Teleconsultation is an innovative approach to deliver quality of care for palliative patients at home. Quantitative studies assessing the effect of teleconsultation on clinical outcomes are scarce. The aim of this present study is to investigate the effectiveness of teleconsultation in complex palliative homecare.
[ More ]

11 August 2011 | No Comments »
Categories: Science | Country: Netherlands | Tag(s): Palliative care, Teleconsultation, Telemedicine, trials

Testing a Dutch web-based tailored lifestyle programme among adults: a study protocol

Schulz DN et al, BMC Public Health, 11

Background
Smoking, high alcohol consumption, unhealthy eating habits and physical inactivity often lead to (chronic) diseases, such as cardiovascular diseases and cancer. Tailored online interventions have been proven to be effective in changing health behaviours. The aim of this study is to test and compare the effectiveness of two different tailoring strategies for changing lifestyle compared to a control group using a multiple health behaviour web-based approach.
[ More ]

14 March 2011 | No Comments »
Categories: Science | Country: Netherlands | Tag(s): Behaviour, Lifestyle, trials

How Strong are Passwords Used to Protect Personal Health Information in Clinical Trials?

El Emam K et al, J Med Internet Res, 13(1)

Background:
Findings and statements about how securely personal health information is managed in clinical research are mixed.
Objective: The objective of our study was to evaluate the security of practices used to transfer and share sensitive files in clinical trials.

Methods:
Two studies were performed. First, 15 password-protected files that were transmitted by email during regulated Canadian clinical trials were obtained. Commercial password recovery tools were used on these files to try to crack their passwords. Second, interviews with 20 study coordinators were conducted to understand file-sharing practices in clinical trials for files containing personal health information.
[ More ]

13 February 2011 | No Comments »
Categories: Science | Country: Canada | Tag(s): Personal Health Information, Privacy, Security, trials

Electronic Patient Messages to Promote Colorectal Cancer Screening: A Randomized, Controlled Trial

Sequist TD et al, Arch Intern Med, 2010

Background
Colorectal cancer is a leading cause of cancer mortality, yet effective screening tests are often underused. Electronic patient messages and personalized risk assessments delivered via an electronic personal health record could increase screening rates.
[ More ]

16 December 2010 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): e-Mail, Messaging, Oncology, phr, Risk Assessment, trials

National ePrescribing trial gets underway after delays

Randal Jackson, Computerworld

“After years of debate and dispute between the various parties involved, the new National Health IT Board has launched a national geographic trial for community ePrescribing.
[ More ]

15 December 2010 | No Comments »
Categories: News | Country: Australia | Tag(s): e-prescribing, trials

Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial

Webster R et al, J Med Internet Res, 12(3)

Background:
Elevated low-density lipoprotein (LDL) cholesterol is a leading risk factor for cardiovascular disease. Despite the availability of proven interventions to lower LDL cholesterol, their use remains subobtimal. Many websites provide interactive, tailored advice on cardiovascular risk in an attempt to help bridge this evidence-practice gap, yet there is little evidence that provision of such a tool is effective in changing practice.
[ More ]

3 October 2010 | No Comments »
Categories: News, Science | Country: Australia | Tag(s): heart, Internet, trials, Web

Computerized Decision Support for Medication Dosing in Renal Insufficiency: A Randomized, Controlled Trial

Terrell KM et al, Annals of Emergency Medicine, 2010

Study objective
Emergency physicians prescribe several discharge medications that require dosage adjustment for patients with renal disease. The hypothesis for this research was that decision support in a computerized physician order entry system would reduce the rate of excessive medication dosing for patients with renal impairment.
[ More ]

14 May 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): CPOE, Decision Support, emergency, Medication, Renal, trials

Patient’s Social Network Predicts Drug Outcomes

Emily Singer, Technology Review

“Earlier this month, the journal Lancet Neurology published a study showing that the generic drug lithium did nothing to slow the course of amyotrophic lateral sclerosis (ALS), a devastating neurological disease. The findings would likely have been a disappointment to patients–they refuted an earlier, much smaller study suggesting that lithium could alter the disease’s rapid decline–but many already suspected this outcome.
[ More ]

11 May 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Drugs, Research, social-network, trials

A randomized trial to evaluate the efficacy of online follow-up visits in the management of acne

Watson AJ et al, Archives of Dermatology, 146(4)

Objective
To evaluate whether delivering acne follow-up care via an asynchronous, remote online visit (e-visit) platform produces equivalent clinical outcomes to office care.

Design
A prospective, randomized controlled study.
[ More ]

26 April 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Dermatology, Teleconsultation, trials

In Home Elder Care Robot Trials Begin

CNNMoney

“GeckoSystems Intl. Corp. announced today that they are starting limited in home evaluation trials for their first product, a personal companion home care robot, the CareBot(TM). GeckoSystems is a dynamic leader in the emerging Mobile Service Robot (MSR) industry revolutionizing their development and usage with “Mobile Robot Solutions for Safety, Security and Service(TM).”
[ More ]

16 November 2009 | No Comments »
Categories: News | Country: United States | Tag(s): Digital Homecare, Elderly, Industry, Robot, trials

Scotland trial shows telemedicine an acceptable option

Bernie Monegain, Healthcare IT News

“A telemedicine trial, undertaken by Cisco, has proven a success after almost 100 percent of responses suggested the technology used was acceptable, according to Cisco Systems, a U.S.-based multi-national corporation.
[ More ]

24 July 2009 | No Comments »
Categories: News | Country: UK | Tag(s): Telemedicine, trials

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