Browsing by Author "Goland, Robin"
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- ItemA cognitive framework for understanding barriers to the productive use of a diabetes home telemedicine system.(2004-01-19) Kaufman, David R; Starren, Justin; Patel, Vimla L; Morin, Philip C; Hilliman, Charlyn; Pevzner, Jenia; Weinstock, Ruth S; Goland, Robin; Shea, StevenTelemedicine has the potential to transcend geographic and socio cultural barriers to the delivery of high quality health care to the medically underserved populations However there are significant cognitive and usability barriers This paper presents a multifaceted cognitive evaluation of the IDEATel diabetes education and telemedicine program The evaluation included a cognitive walkthrough analysis to characterize task complexity and identify potential problems as well as field usability testing in patients homes The study revealed dimensions of the interface that impeded optimal access to system resources In addition we found significant obstacles corresponding to perceptual motoric skills mental models of the system and health literacy The objective of this work is to contribute to a design framework so that participants with a wide range of skills can better manage their chronic illnesses
- ItemColumbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design.(2001-12-25) Shea, Steven; Starren, Justin; Weinstock, Ruth S; Knudson, Paul E; Teresi, Jeanne; Holmes, Douglas; Palmas, Walter; Field, Lesley; Goland, Robin; Tuck, Catherine; Hripcsak, George; Capps, Linnea; Liss, DavidThe Columbia University Informatics for Diabetes Education and Telemedicine IDEATel Project is a four year demonstration project funded by the Centers for Medicare and Medicaid Services with the overall goals of evaluating the feasibility acceptability effectiveness and cost effectiveness of telemedicine in the management of older patients with diabetes The study is designed as a randomized controlled trial and is being conducted by a state wide consortium in New York Eligibility requires that participants have diabetes are Medicare beneficiaries and reside in federally designated medically underserved areas A total of 1 500 participants will be randomized half in New York City and half in other areas of the state Intervention participants receive a home telemedicine unit that provides synchronous videoconferencing with a project based nurse electronic transmission of home fingerstick glucose and blood pressure data and Web access to a project Web site End points include glycosylated hemoglobin blood pressure and lipid levels patient satisfaction health care service utilization and costs The project is intended to provide data to help inform regulatory and reimbursement policies for electronically delivered health care services
- ItemDepression and glycemic control in elderly ethnically diverse patients with diabetes: the IDEATel project.(2006-03-28) Trief, Paula M; Morin, Philip C; Izquierdo, Roberto; Teresi, Jeanne; Eimicke, Joseph P; Goland, Robin; Starren, Justin; Shea, Steven; Weinstock, Ruth SThe purpose of the study was to investigate the effect of comorbid depression on glycemic control and on response to a telemedicine case management intervention for elderly ethnically diverse diabetic patients
- ItemDetection and remediation of medically urgent situations using telemedicine case management for older patients with diabetes mellitus.(2008-05-19) Izquierdo, Roberto; Meyer, Suzanne; Starren, Justin; Goland, Robin; Teresi, Jeanne; Shea, Steven; Weinstock, Ruth SDetection and response to medically urgent situations in patients with diabetes mellitus can improve the process and outcomes of care and potentially decrease morbidity and mortality We examined the detection and remediation of medically urgent situations among older patients receiving telemedicine case management for diabetes
- ItemGlycemic control and health disparities in older ethnically diverse underserved adults with diabetes: five-year results from the Informatics for Diabetes Education and Telemedicine (IDEATel) study.(2011-01-28) Weinstock, Ruth S; Teresi, Jeanne A; Goland, Robin; Izquierdo, Roberto; Palmas, Walter; Eimicke, Joseph P; Ebner, Susana; Shea, Steven; ,The Informatics for Diabetes Education and Telemedicine IDEATel project randomized ethnically diverse underserved older adults with diabetes to a telemedicine intervention or usual care Intervention participants had lower A1C levels over 5 years New analyses were performed to help better understand this difference
- ItemPsychosocial outcomes of telemedicine case management for elderly patients with diabetes: the randomized IDEATel trial.(2007-04-30) Trief, Paula M; Teresi, Jeanne A; Izquierdo, Roberto; Morin, Philip C; Goland, Robin; Field, Leslie; Eimicke, Joseph P; Brittain, Rebecca; Starren, Justin; Shea, Steven; Weinstock, Ruth S
- ItemA randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus.(2006-01-02) Shea, Steven; Weinstock, Ruth S; Starren, Justin; Teresi, Jeanne; Palmas, Walter; Field, Lesley; Morin, Philip; Goland, Robin; Izquierdo, Roberto E; Wolff, L Thomas; Ashraf, Mohammed; Hilliman, Charlyn; Silver, Stephanie; Meyer, Suzanne; Holmes, Douglas; Petkova, Eva; Capps, Linnea; Lantigua, Rafael ATelemedicine is a promising but largely unproven technology for providing case management services to patients with chronic conditions who experience barriers to access to care or a high burden of illness
- ItemThe role of nurses in installing telehealth technology in the home.(2005-07-19) Starren, Justin; Tsai, Christopher; Bakken, Suzanne; Aidala, Angela; Morin, Philip C; Hilliman, Charlyn; Weinstock, Ruth S; Goland, Robin; Teresi, Jeanne; Shea, Steven; ,Home telehealth involves the use of video conferencing or remote monitoring equipment in patients homes The installation of hardware and training of patients has historically been performed by nurses typically RNs This article examines the experience of RNs as telehealth installers in the Informatics for Diabetes Education and Telemedicine IDEATel project where RNs were responsible for the installation of the Home Telemedicine Units HTUs and for training patients in the use of the HTUs blood pressure cuffs and fingerstick glucose meters Average installation and training time was 166 minutes SD 51 min Structured interviews with RN installers revealed that patient education and training accounted for roughly two thirds of the in home time Technology related problems especially those related to telecommunications were the primary cause of installation difficulties Thematic analysis of installer interviews identified eight major themes and confirmed the importance of both clinical and technical knowledge during the telehealth installation process
- ItemUsability in the real world: assessing medical information technologies in patients' homes.(2003-10-13) Kaufman, David R; Patel, Vimla L; Hilliman, Charlyn; Morin, Philip C; Pevzner, Jenia; Weinstock, Ruth S; Goland, Robin; Shea, Steven; Starren, JustinThis paper presents an approach to usability evaluation of computer based health care systems designed for patient use in their homes Although such devices are becoming more prevalent there is very little known about their usability