Document Detail


The REmote Patient Education in a Telemedicine Environment Architecture (REPETE).
MedLine Citation:
PMID:  18570565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of the study was to develop and implement an architecture for remote training that can be used in the narrowband home telemedicine environment. A remote training architecture, the REmote Patient Education in a Telemedicine Environment (REPETE) architecture, using a remote control protocol (RCP) was developed. A set of design criteria was specified. The developed architecture was integrated into the IDEATel home telemedicine unit (HTU) and evaluated against these design criteria using a combination of technical and expert evaluations. Technical evaluation of the architecture demonstrated that remote cursor movements and positioning displayed on the HTU were smooth and effectively real-time. The trainers were able to observe within approximately 2 seconds lag what the patient sees on their HTU screen. Evaluation of the architecture by experts was favorable. Responses to a Likert scale questionnaire regarding audio quality and remote control performance indicated that the expert evaluators thought that the audio quality and remote control performance were adequate for remote training. All evaluators strongly agreed that the system would be useful for training patients. The REPETE architecture supports basic training needs over a narrowband dial-up connection. We were able to maintain an audio chat simultaneously with performing a remote training session, while maintaining both acceptable audio quality and remote control performance. The RCP provides a mechanism to provide training without requiring a trainer to go to the patient's home and effectively supports deictic referencing to on screen objects.
Authors:
Albert M Lai; Justin B Starren; David R Kaufman; Eneida A Mendonça; Walter Palmas; Jason Nieh; Steven Shea
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Telemedicine journal and e-health : the official journal of the American Telemedicine Association     Volume:  14     ISSN:  1556-3669     ISO Abbreviation:  Telemed J E Health     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  355-61     Citation Subset:  IM    
Affiliation:
Department of Biomedical Informatics, Columbia University, 622 West 168th Street, Vanderbilt Clinic, 5th Floor, New York, NY 10032, USA. albert.lai@dbmi.columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Computer Systems*
Humans
Patient Education as Topic / methods*
Telemedicine / instrumentation*
Grant Support
ID/Acronym/Agency:
N01-LM07079/LM/NLM NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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