| Literature DB >> 26733455 |
Meredith A Achey1, Christopher A Beck1, Denise B Beran1, Cynthia M Boyd2, Peter N Schmidt1, Allison W Willis1, Sara S Riggare1, Richard B Simone1, Kevin M Biglan1, E Ray Dorsey1.
Abstract
Entities:
Year: 2016 PMID: 26733455 PMCID: PMC4700612 DOI: 10.1186/s13063-015-0984-7
Source DB: PubMed Journal: Trials ISSN: 1745-6215 Impact factor: 2.279
Randomized, controlled trials involving video based virtual house calls from physicians (N = 6)
| Study | Year | Sample size | Study population | Intervention(s) | Duration | Primary outcomes | Results |
|---|---|---|---|---|---|---|---|
| Dorsey ER et al. [ | 2013 | 20 | Individuals with Parkinson disease | Randomized to (1) in-person care or (2) care via telemedicine | 7 months | • Feasibility | • Virtual house calls were feasible |
| • Quality of life | • As effective as in-person care | ||||||
| McCrossan B et al. [ | 2012 | 83 | Infants with congenital heart defects | Randomized to (1) videoconferencing support, (2) telephone support, or (3) control | 10 weeks | • Acceptability | • Clinicians were more confident in treating patients in video visits vs. telephone |
| • Healthcare resource utilization | • Parents were satisfied with video visits • Healthcare resource utilization was lower in video-conferencing group | ||||||
| Leon A et al. [ | 2011 | 83 | Individuals with HIV | Randomized to (1) usual care or (2) Virtual Hospital care for one year, then crossed over after one year | 2 years | • Clinical | • Satisfaction with Virtual Hospital was high |
| • Healthcare resource utilization | • Clinical outcomes were similar for both groups | ||||||
| • Quality of life | |||||||
| • Satisfaction | |||||||
| Morgan GJ et al. [ | 2008 | 30 | Parents of children with severe congenital heart disease | Randomized to (1) telephone or (2) videoconferencing follow-up | 6 weeks | • Parents’ anxiety | • Videoconferencing decreased anxiety levels compared to telephone and allowed better clinical information |
| • Clinical | |||||||
| • Clinician and patient satisfaction | |||||||
| Dallolio L et al. [ | 2008 | 137 | Individuals with spinal cord injury | Randomized to (1) home (or nursing home or hospital) telemedicine (physician and nurse) and telerehabilitation (therapist) or (2) standard post-discharge care | 6 months | • Clinical | • Telemedicine patients at one out of four sites had statistically significantly better functional improvement |
| • Satisfaction | • Satisfaction with interactions with nursing and medical staff and information and treatment received were higher in the telemedicine group | ||||||
| Whitlock WL et al. [ | 2000 | 28 | Individuals with Type II diabetes | Randomized to (1) home videoconferencing (monthly physician calls and weekly nurse calls) or (2) standard in-person care | 3 months | • Clinical | • Some clinical outcomes improved significantly more in the telemedicine group |
| • Quality of life | • Quality of life was unchanged | ||||||
| • Satisfaction | • Physicians and case managers reported high subjective utility of telemedicine | ||||||
| • Technology problems were an obstacle |
aStudy evaluates an intervention that includes virtual house calls, but also includes other telemonitoring and/or electronic communication methodologies
Randomized, controlled trials involving video based physician visits with patients in clinical environments (N = 11)
| Study | Year | Sample size | Study population | Intervention(s) | Duration | Primary outcomes | Results |
|---|---|---|---|---|---|---|---|
| Fortney JC et al. [ | 2013 | 364 | Individuals with depression | Randomized to practice-based or telemedicine-base collaborative care | 18 months | • Clinical | • Telemedicine-based collaborative care yielded better outcomes for depressed patients |
| Moreno FA et al. [ | 2012 | 167 | Hispanic adults with depression | Randomized to telemedicine care from a psychiatrist or usual care from a primary care physician | 6 months | • Clinical | • All participants improved on clinical measures |
| • Quality of life | • Time to improvement was shorter in telemedicine group | ||||||
| Ferrer-Roca O et al. [ | 2010 | 800 | Primary care patients referred for specialized care | Randomized to face-to-face hospital referral or telemedicine from specialist | 6 months | • Quality of life | • Telemedicine care was comparable to face-to-face care |
| • Diagnosis and examination to start treatment were faster in the telemedicine group | |||||||
| Stahl JE, Dixon RF [ | 2010 | 175 | Patients in a general primary care practice | Interviewed face-to-face and via videoconferencing, order randomized | 2 visits | • Satisfaction | • Patients and providers were highly satisfied with videoconferencing but preferred face-to-face |
| • Willingness to pay | • Technical quality of video calls had significant impact on satisfaction | ||||||
| Dorsey ER et al. [ | 2010 | 14 | Individuals with Parkinson disease | Randomized to usual care or care via telemedicine | 6 months | • Feasibility | • Virtual house calls were feasible |
| • Virtual house calls improved disease-specific measures significantly compared to usual care. | |||||||
| Dixon RF, Stahl JE [ | 2009 | 175 | Patients in a general primary care practice | Randomized to one virtual visit and one face-to-face, or two face-to-face consultations | 2 visits | • Diagnostic agreement | • Physicians and patients highly satisfied with virtual visits |
| • Satisfaction | • Diagnostic agreement between virtual and in-person evaluation was similar to comparison of two in-person evaluations | ||||||
| Ahmed SN et al. [ | 2008 | 41 | Epilepsy patients | Randomized to telemedicine follow up or conventional | 1 visit | • Cost effectiveness | • 90 % of patients in both groups satisfied with quality of services |
| • Cost to patients and caregivers | • Cost of telemedicine production was similar to patient savings | ||||||
| • Satisfaction | |||||||
| O’Reilly R et al. [ | 2007 | 495 | Patients referred for psychiatric consult | Randomized to face to face or telepsychiatry | 4 months | • Clinical | • Similar outcomes were seen in both arms |
| • Cost effectiveness | • Telepsychiatry was at least 10 % less expensive than in-person care | ||||||
| • Satisfaction | • Both groups expressed similar satisfaction | ||||||
| De Las Cuevas C et al. [ | 2006 | 140 | Psychiatric outpatients | Randomized to face-to-face or telepsychiatry | 24 weeks | • Clinical | • Telepsychiatry had equivalent efficacy to face-to-face care |
| Ruskin PE et al. [ | 2004 | 119 | Veterans with depression | Randomized to telepsychiatry or in-person psychiatrist visits | 6 months | • Clinical | • Both groups were equivalent in clinical outcomes, cost, patient adherence, and patient satisfaction. |
| • Cost effectiveness | |||||||
| • Healthcare resource utilization | |||||||
| • Satisfaction | |||||||
| Bishop JE et al. [ | 2002 | 17 | Psychiatric patients | Randomized to videoconference or face-to-face | 4 months | • Satisfaction | • Similar satisfaction observed in both groups |