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Salisbury C, O’Cathain A, Thomas C, et al. An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk. Southampton (UK): NIHR Journals Library; 2017 Jan. (Programme Grants for Applied Research, No. 5.1.)
An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk.
Show detailsStudy | Participants | Intervention | Follow-up | Comparison | Outcome measures |
---|---|---|---|---|---|
Bennett 2011420 | 145 managers from eight US organisations | Internet-based training programme | 6 months | Normal daily activities | Dietary attitudes and beliefs, exercise participation and beliefs, mental health symptom frequency and beliefs, weight, waist circumference, BMI, percentage body fat |
Bove 2011181 | 465 participants from medically underserved and rural areas (USA) | Nurse management of CVD risk factors with telemedicine communication | 12 months | Nurse management of CVD risk factors | Framingham 10-year CVD event risk, waist circumference, BMI, SBP, DBP, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides, blood glucose, HbA1c, smoking |
Broekhuizen 2012184 | 340 Dutch adults with familial hypercholesterolaemia | Personalised health counselling using computer-generated tailored advice and face-to-face counselling complemented by telephone booster sessions | 12 months | Usual care | Total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides, SBP, serum glucose, BMI, waist circumference |
Claes 2013180 | 314 self-employed lawyers in Belgium | Personalised online and one-to-one coaching by mail, e-mail and telephone and face-to-face. Printed profile with individual risk factors and total CVD risk. Annual multidisciplinary screening | 3 years | Printed profile with individual risk factors and total CVD risk. Annual multidisciplinary screening | 10-year risk of a fatal CVD event, SBP, DBP, total cholesterol, BMI, physical fitness (heart rate in recovery post exercise) |
Cook 2007421 | 419 US human resource company employees | Comprehensive multimedia health promotion programme | 3 months | Commercially available booklets | Eating practices and attitudes, stress management, physical activity |
Dekkers 2011179 | 276 healthy overweight employees of Dutch companies | Distance counselling lifestyle intervention programme by via phone or internet called Leef je Fit (Live yourself Fit). Also received self-help materials | 2 years | Self-help materials | Body weight, waist circumference, sum of skinfolds, SBP, DBP, total cholesterol |
Nolan 2011182 | 680 participants at high risk of CVD or history of CAD (Canada) | Small group lifestyle counselling via teleconference. Written summary of CVD risk factor profile with brief advice and educational handouts | 6 months | Written summary of CVD risk factor profiles with brief advice and educational handouts | Framingham 10-year CVD risk, SBP, DBP, ratio of total cholesterol to HDL cholesterol |
Nolan 2012183 | 387 hypertensive patients (Canada) | E-counselling with motivational messaging | 4 months | Usual care and e-newsletter | SBP, DBP, pulse pressure, total cholesterol |
Ruffin 2011422 | 3382 participants in Family Healthware Impact Trial (USA) | Interactive online tool for family history of six common diseases (including CHD and stroke). Provides risk assessment and tailored preventative health messages | 6 months | Standard prevention messages for common diseases of interest | Smoking, fruit and vegetable intake, physical activity, blood pressure, cholesterol, blood glucose |
Sone 2010178 | 2033 Japanese type 2 diabetes patients | Individual telephone counselling sessions every 2 weeks | 8 years | Usual care | Incidence of macrovascular and microvascular complications, BMI, SBP, DBP, fasting plasma glucose, HbA1c, total cholesterol, triacylglycerol, HDL cholesterol, lipoprotein, food energy intake, exercise, smoking |
Verheijden 2004423 | 146 general practice patients with chronic diseases (Canada) | Self-assessment tool for stage of behaviour change, providing targeted information packages | 8 months | Usual care | BMI, SBP, DBP, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides |
Wakefield 2011424 | 302 US war veterans with hypertension and diabetes | Home telehealth device for blood pressure and blood glucose data input. High-intensity group received prompts from pre-programmed branching disease management algorithm. Low-intensity group received automated responses from device | 12 months | Usual care | HbA1c, SBP |
Wister 200748 | 611 patients at high risk of CVD or history of CHD (Canada) | Health report card with telehealth counselling follow-up sessions | 12 months | Usual care | Framingham 10-year CVD risk, Framingham global risk score, total cholesterol, HDL cholesterol, glucose, SBP, smoking, physical activity, BMI |
CAD, coronary artery disease; DBP, diastolic blood pressure; HbA1c, glycated haemoglobin; LDL, low-density lipoprotein; SBP, systolic blood pressure.
This table is reprinted from Preventive Medicine, vol. 64, Merriel SW, Andrews V, Salisbury C, Telehealth interventions for primary prevention of cardiovascular disease: a systematic review and meta-analysis, pp. 88–95, copyright 2015, with permission from Elsevier.61
- Summary of included studies addressing changes in overall cardiovascular disease...Summary of included studies addressing changes in overall cardiovascular disease risk factors - An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk
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