Browsing by Author "Price, D"
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- ItemMobile phone technology in the management of asthma.(2005-07-22) Ryan, D; Cobern, W; Wheeler, J; Price, D; Tarassenko, LPeak flow monitoring is widely recommended as part of a self management plan for asthma We conducted an observational study using electronic peak flow monitoring and mobile phone technology in a UK general practice population over a nine month period Patients between 12 and 55 years of age who required treatment with regular inhaled steroids and as needed bronchodilators were recruited from nine general practices Patients were included if their asthma was considered stable i e no exacerbation in the previous three months No therapeutic intervention was proposed The primary outcome measure was compliance In all 69 of the 46 participants who filled in the post study questionnaire were satisfied or very satisfied by the study citing the ease of use and the increased autonomy and understanding of asthma as the main advantages In total 74 indicated that the system had helped to improve their ability to manage their symptoms The most positive features of the telemedicine system were described as follows increased awareness and information about asthma improved ability to monitor manage the condition with the feedback screens on the mobile phone and ease of use
- ItemTelepaediatrics and diabetic retinopathy screening of young people with diabetes in Queensland.(2004-12-17) Stillman, J K; Gole, G A; Wootton, R; Woolfield, N; Price, D; Van der Westhuyzen, J; Williams, M; Williams, JWe have examined the feasibility of a telemedicine enabled screening service for children and adolescents with diabetes in Queensland There are approximately 1400 young people with diabetes in Queensland and only about two thirds of them are screened in accordance with international guidelines A regional retinal screening service was established using a nonmydriatic digital retinal camera Seven centres volunteered to participate in the study During a five month pilot trial 83 of the young people with diabetes who attend these centres underwent digital retinal screening 3 7 Retinal images were sent via email to a paediatric ophthalmologist for review and results were returned via email A copy of each participant s results was forwarded by mail to the referring diabetes doctor and the participant and family The majority of the image files 96 were rated as excellent or good Only one participant was identified as having an abnormal result Participants and their families expressed satisfaction with the digital retinal screening process
- ItemUnderstanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study.(2007-04-25) Pinnock, H; Slack, R; Pagliari, C; Price, D; Sheikh, ABACKGROUND National and international healthcare policy increasingly seeks technological solutions to the challenge of providing care for people with long term conditions Novel technologies however have the potential to change the dynamics of disease monitoring and self management We aimed to explore the opinions and concerns of people with asthma and primary care clinicians on the potential role of mobile phone monitoring technology transmitting symptoms and peak flows with immediate feedback of control and reminder of appropriate actions in supporting asthma self management METHODS This qualitative study recruited 48 participants 34 adults and teenagers with asthma 14 asthma nurses and doctors from primary care in Lothian Central Scotland and Kent South East England Thirty nine participated in six focus groups which included a demonstration of the technology nine gave in depth interviews before and after a 4 week trial of the technology RESULTS Participants considered that mobile phone based monitoring systems can facilitate guided self management although paradoxically may engender dependence on professional technological support In the early phases as patients are learning to accept understand and control their asthma this support was seen as providing much needed confidence During the maintenance phase when self management predominates patient and professionals were concerned that increased dependence may be unhelpful although they appreciated that maintaining an on going record could facilitate consultations CONCLUSION Mobile phone based monitoring systems have the potential to support guided self management by aiding transition from clinician supported early phases to effective self management during the maintenance phase Continuing development adoption and formal evaluation of these systems should take account of the insights provided by our data