Browsing by Author "Speedie, Stuart"
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- ItemCommunication patterns and technical quality of virtual visits in home care.(2003-09-03) Demiris, George; Speedie, Stuart; Finkelstein, Stanley; Harris, IleneTen patients in a home care study received virtual visits from nurses via analogue video phones in their homes They received standard home care services and two virtual visits per week The visits were video recorded and then reviewed The study involved 10 patients and 10 nurses from one urban and three rural home care agencies Six of the patients had congestive heart failure three had chronic obstructive pulmonary disease and one required diabetes related wound care The average age of the patients was 78 years SD 12 All but one lived in rural areas One hundred and twenty two virtual visits were reviewed for technical quality Their mean duration was 21 min range 5 60 The technical quality was given an average rating of 95 range 57 100 There were no technical problems in 78 visits 64 in 10 cases 8 there was difficulty establishing a connection A content analysis of 30 of the visits identified 13 themes such as assessing the patient s clinical status promotion of compliance with medication and treatment psychosocial issues general informal talk and patient education In general the technical problems were minor and did not appear to interfere with care
- ItemA mHealth-based care model for improving hypertension control in stroke survivors: Pilot RCT.(0000-00-00) Lakshminarayan, Kamakshi; Westberg, Sarah; Northuis, Carin; Fuller, Candace C; Ikramuddin, Farah; Ezzeddine, Mustapha; Scherber, Julie; Speedie, StuartPURPOSE Hypertension HTN is significantly under treated in stroke survivors We examined usability and efficacy of a mHealth based care model for improving post stroke HTN control Funding AHRQ R21HS021794 METHODS We used a RCT design Planned study duration was 90 days Intervention arm IA participants measured their BP daily using a smart phone and wireless BP monitor This was transmitted automatically to the study database Investigators Physician PharmD made bi weekly medication adjustments to achieve the BP goal Control arm CA participants received a digital BP monitor and usual care We examined Usability measured with Marshfield System Usability Survey and HTN control efficacy using an ITT intent to treat and as treated AT analyses RESULTS Fifty participants IA 28 CA 22 completed the study The Marshfield survey question I thought the system was easy to use mean score was 4 6 5 strongly agree Mean SBP declined significantly between enrollment and study completion in the IA In ITT IA SBP declined 9 88 mm p 0 005 In AT IA SBP declined 10 81 mm p 0 0036 CA SBP decline was 5 6 mm Hg not significant In the ITT baseline HTN control SBP Under 140 mm Hg was 50 in IA and CA At study completion HTN was controlled in 82 23 28 of IA and 64 14 22 of CA p 0 14 In the AT HTN was controlled in 89 23 26 of IA and 58 14 24 of CA p 0 015 CONCLUSION A mHealth based HTN care model had excellent usability and provided better HTN control than usual care in stroke survivors CLINICAL TRIAL gov NCT01875094
- ItemPatient-centered applications: use of information technology to promote disease management and wellness. A white paper by the AMIA knowledge in motion working group.(2007-12-14) Demiris, George; Afrin, Lawrence B; Speedie, Stuart; Courtney, Karen L; Sondhi, Manu; Vimarlund, Vivian; Lovis, Christian; Goossen, William; Lynch, CecilAdvances in information technology IT enable a fundamental redesign of health care processes based on the use and integration of electronic communication at all levels New communication technologies can support a transition from institution centric to patient centric applications This white paper defines key principles and challenges for designers policy makers and evaluators of patient centered technologies for disease management and prevention It reviews current and emerging trends highlights challenges related to design evaluation reimbursement and usability and reaches conclusions for next steps that will advance the domain
- ItemResearch recommendations for the american telemedicine association.(2006-10-17) Krupinski, Elizabeth; Dimmick, Susan; Grigsby, Jim; Mogel, Greg; Puskin, Dena; Speedie, Stuart; Stamm, Beth; Wakefield, Bonnie; Whited, John; Whitten, Pamela; Yellowlees, PeterThe American Telemedicine Association ATA convened a panel of experts to generate a research agenda for the telemedicine community to further support and promote the long term acceptance and use of telehealth Three principles to guide research and four key areas within which research is greatly needed were identified These four areas are technical clinical human factors and ergonomics and economic analyses It is the hope of the panel that the research recommendations put forth in this document will give investigators the inspiration tools and goals to make this happen
- ItemRole-based and Adaptive user interface designs in a Teledermatology consult system: a way to secure and a way to enhance.(2004-01-19) Lin, Yi Jung; Speedie, StuartUser interface design is one of the most important parts of developing applications Nowadays a quality user interface must not only accommodate interaction between machines and users but also needs to recognize the differences and provide functionalities for users from role to role or even individual to individual With the web based application of our Teledermatology consult system the development environment provides us highly useful opportunities to create dynamic user interfaces which lets us to gain greater access control and has the potential to increase efficiency of the system We will describe the two models of user interfaces in our system Role based and Adaptive