Document Detail


A systematic review of the mediating role of knowledge, self-efficacy and self-care behaviour in telehealth patients with heart failure.
MedLine Citation:
PMID:  23019605     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We conducted a systematic review of controlled trials and pre-post studies to examine whether the putative benefits of telehealth, notably, improvements in clinical outcomes and quality of life, are mediated by increases in knowledge, self-efficacy and self-care behaviour in patients with heart failure. Telehealth was defined as any system of home-based self-monitoring of signs or symptoms of heart failure that transferred data for remote assessment by healthcare providers. Seven electronic databases were searched for studies that assessed any of six pathways in a proposed model. Data were independently extracted by two reviewers. Twelve studies met the inclusion criteria and provided evidence for or against one or more of the six pathways. Although all of the pathways in the model can be theoretically justified and three of the six relationships have been established in heart failure samples outside the context of telehealth, none of the pathways in the model were supported by the telehealth studies reviewed. Failure to replicate previously established relationships emphasizes the weakness of the telehealth literature, which impedes our ability to address questions such as how telehealth might achieve beneficial outcomes.
Authors:
Yvette Ciere; Martin Cartwright; Stanton P Newman
Related Documents :
25036815 - On the lower predictive bound approach for non-inferiority clinical trials with binary ...
24290145 - Application of stochastic approach based on monte carlo (mc) simulation for life cycle ...
23284225 - The brief treatment cost analysis tool (tcat-lite) for substance abuse treatment: relia...
23545075 - Optimal continuous-monitoring design of single-arm phase ii trial based on the simulate...
18331125 - Growth curve models for indistinguishable dyads using multilevel modeling and structura...
16907145 - Integrating local static and dynamic information for routing traffic.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Journal of telemedicine and telecare     Volume:  -     ISSN:  1758-1109     ISO Abbreviation:  J Telemed Telecare     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506702     Medline TA:  J Telemed Telecare     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
* Leiden University, Faculty of Social and Behavioural Sciences, Leiden, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  The effect of doxycycline on alcohol consumption and sensitivity: consideration for inducible transg...
Next Document:  Crossover ilio-iliac bypass and removal of femoro-femoral graft as first treatment for the infection...