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  1. TI=Remote shared decision making through telemedicine: A systematic review of the literature
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  1. Article ; Online: Remote shared decision making through telemedicine: A systematic review of the literature.

    Hartasanchez, Sandra A / Heen, Anja Fog / Kunneman, Marleen / García-Bautista, Andrea / Hargraves, Ian G / Prokop, Larry J / May, Carl R / Montori, Victor M

    Patient education and counseling

    2021  Volume 105, Issue 2, Page(s) 356–365

    Abstract: Objectives: To assess the extent to which shared decision making (SDM) can take place ... in telemedicine (remote SDM).: Methods: We searched Medline, Cochrane, and Scopus from 2010 until August 7th ... remote SDM. Themes related to interactional workability of both telemedicine technologies and SDM emerged ...

    Abstract Objectives: To assess the extent to which shared decision making (SDM) can take place in telemedicine (remote SDM).
    Methods: We searched Medline, Cochrane, and Scopus from 2010 until August 7th, 2020 for articles on remote SDM in the care of any patient using any technology. We also conducted a search for telemedicine articles citing key reports on SDM outcome measures. Two reviewers independently screened titles and abstracts, reviewed full text eligible studies, and synthesized their content using thematic analysis.
    Results: Of the 12 eligible articles, most were European with patients with chronic disease or mental and behavioral health. 8 articles used synchronous remote SDM and 1 used asynchronous remote SDM. Themes related to interactional workability of both telemedicine technologies and SDM emerged, namely access to broadband, digital literacy, and satisfaction with the convenience of remote visits.
    Conclusions: Telemedicine technologies may foster virtual interactions that support remote SDM, which, in turn, may promote productive patient-clinician interactions and patient-centered care.
    Practice implications: Digitally-mediated consultations surged amidst the COVID-19 pandemic. The extent to which SDM frameworks developed for in-person use need any adaptation for remote SDM remains unclear. Investment in innovation, design, implementation, and effectiveness research to advance remote SDM are needed.
    MeSH term(s) COVID-19 ; Decision Making ; Decision Making, Shared ; Humans ; Pandemics ; Patient Participation ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2021-06-11
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2021.06.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Telehealth Remote Monitoring Systematic Review: Structured Self-monitoring of Blood Glucose and Impact on A1C.

    Greenwood, Deborah A / Young, Heather M / Quinn, Charlene C

    Journal of diabetes science and technology

    2014  Volume 8, Issue 2, Page(s) 378–389

    Abstract: ... to modify treatment, interactive communication or shared decision making). Fifteen studies were included ... Allied Health Literature, EMBASE, and OVID Medline databases with search terms "Telemedicine" AND ... for improving A1C. A systematic review was conducted using the Medline, Cumulative Index to Nursing and ...

    Abstract The aim was to summarize research on telehealth remote patient monitoring interventions that incorporate key elements of structured self-monitoring of blood glucose (SMBG) identified as essential for improving A1C. A systematic review was conducted using the Medline, Cumulative Index to Nursing and Allied Health Literature, EMBASE, and OVID Medline databases with search terms "Telemedicine" AND "Monitoring, Physiologic" AND "Diabetes Mellitus, Type 2." Study selection criteria included original randomized clinical trials evaluating the impact of telehealth remote patient monitoring on A1C among adults with type 2 diabetes and incorporated 1 or more essential elements of SMBG identified by the International Diabetes Federation (patient education, provider education, structured SMBG profile, SMBG goals, feedback, data used to modify treatment, interactive communication or shared decision making). Fifteen studies were included, with interventions ranging from 3 to 12 months (mean 8 months) with sample sizes from 30 to 1665. Key SMBG elements were grouped into 3 categories: education, SMBG protocols, and feedback. Research incorporating 5 of the 7 elements consistently achieved significant A1C improvements between study groups. Interventions using more SMBG elements are associated with an improvement in A1C. Studies with the largest A1C decrease incorporated 6 of the 7 elements and computer decision support. Two studies with 5 of the 7 elements and active medication management achieved significant A1C decreases. Telehealth remote patient monitoring interventions in type 2 diabetes have not included all structured monitoring elements recommended by the IDF. Incorporating more elements of structured SMBG is associated with improved A1C.
    Language English
    Publishing date 2014-02-21
    Publishing country United States
    Document type Review
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/1932296813519311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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