Given the rapid global growth of older adults with chronic condition(s), the present study explored the effects of telehealth technologies on self-management among older adults with chronic condition(s).
Methods
Clinical trial studies on telehealth self-management for older adults with chronic condition(s) published in peer reviewed journals were reviewed systematically. In addition, the potential biases were assessed for included studies.
Results
This review identified 31 articles regarding the effectiveness of telehealth technologies on self-management among older adults.
Discussion
According to the findings of the present study, telehealth technologies have shown effectiveness on improving self-care skills, improving self-monitoring behaviours and improving clinical outcomes among older adults with chronic condition(s) in different settings. Using telehealth technologies is an advisable intervention for promoting older patients’ self-management. However, it is critical to consider racial diversity and culture-related health behaviour differences when using telehealth technologies.
World Health Organization. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser 916: i–viii, 1–149, backcover, http://www.ncbi.nlm.nih.gov/pubmed/12768890 (2003, accessed 1 February 2016).
Verbrugge LM and Patrick DL. Seven chronic conditions: Their impact on US adults’ activity levels and use of medical services. Am J Public Health 85: 173–182. American Public Health Association, http://www.ncbi.nlm.nih.gov/pubmed/7856776 (1995, accessed 23 March 2017).
5.
BodenheimerTLorigKHolmanHet al.Patient self-management of chronic disease in primary care. JAMA2002; 288: 2469–2475.
6.
BarlowJWrightCSheasbyJet al.Self-management approaches for people with chronic conditions: A review. Patient Educ Couns2002; 48: 177–187.
7.
ClarkNMBeckerMHJanzNKet al.Self-management of chronic disease by older adults a review and questions for research. J Aging Health1991; 3: 3–27.
8.
Ruiz JG, Tunuguntla R, Cifuentes P, et al. Development and pilot testing of a self-management internet-based program for older adults with overactive bladder. Urology 78: 48–53, http://www.sciencedirect.com/science/article/pii/S0090429511001178 (2011, accessed 17 February 2016).
9.
Van Dam HA, van der Horst F, van den Borne B, et al. Provider–patient interaction in diabetes care: Effects on patient self-care and outcomes. Patient Educ Couns 51: 17–28, http://www.sciencedirect.com/science/article/pii/S0738399102001222 (2003, accessed 29 February 2016).
10.
ChanAMatcharDBTsaoMAet al.Self-Care for Older People (SCOPE): A cluster randomized controlled trial of self-care training and health outcomes in low-income elderly in Singapore. Contemp Clin Trials2015; 41: 313–324.
11.
Toobert DJ, Hampson SE and Glasgow RE. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care 23: 943–50, http://care.diabetesjournals.org/content/23/7/943.short (2000, accessed 24 February 2016).
12.
Ni H, Nauman D, Burgess D, et al. Factors influencing knowledge of and adherence to self-care among patients with heart failure. Arch Intern Med 159: 1613. American Medical Association, http://archinte.jamanetwork.com/article.aspx?articleid=485084 (1999, accessed 29 February 2016).
13.
AjzenITimkoCWhiteJB. Self-monitoring and the attitude–behavior relation. J Pers Soc Psychol1982; 42: 426–426.
PicotJ. Telemedicine and telehealth in Canada: Forty years of change in the use of information and communications technologies in a publicly administered health care system. Telemed J1998; 4: 199–205.
16.
LorigKRRitterPStewartALet al.Chronic disease self-management program: 2-year health status and health care utilization outcomes. Med Care2001; 39: 1217–1223.
17.
LorigKRSobelDSStewartALet al.Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Med Care1999; 37: 5–14.
18.
LorigKRSobelDSRitterPLet al.Effect of a self-management program on patients with chronic disease. Eff Clin Pract2001; 4: 256–262.
19.
JerantAFvon Friederichs-FitzwaterMMMooreM. Patients’ perceived barriers to active self-management of chronic conditions. Patient Educ Couns2005; 57: 300–307.
20.
HuijbregtsMPJMcEwenSTaylorD. Exploring the feasibility and efficacy of a telehealth stroke self-management programme: A pilot study. Physiother Can2009; 61: 210–220.
21.
JennettPAAffleckHLHaileyDet al.The socio-economic impact of telehealth: A systematic review. J Telemed Telecare2003; 9: 311–320.
22.
BendixenRMLevyCEOliveESet al.Cost effectiveness of a telerehabilitation program to support chronically ill and disabled elders in their homes. Telemed J E Health2009; 15: 31–38.
23.
RiegelBCarlsonBGlaserDet al.Randomized controlled trial of telephone case management in hispanics of mexican origin with heart failure. J Card Fail2006; 12: 211–219.
24.
BalkAHDavidseWDommelenPet al.Tele-guidance of chronic heart failure patients enhances knowledge about the disease. A multi-centre, randomised controlled study. Eur J Heart Fail2008; 10: 1136–1142.
25.
SavardLBorstadATkachuckJet al.Telerehabilitation consultations for clients with neurologic diagnoses: Cases from rural Minnesota and American Samoa. NeuroRehabilitation2003; 18: 93–102.
26.
RussellTGJullGAWoottonR. The diagnostic reliability of Internet-based observational kinematic gait analysis. J Telemed Telecare2003; 9(Suppl. 2): S48–S51.
27.
GaleaMTumminiaJGarbackLM. Telerehabilitation in spinal cord injury persons: A novel approach. Telemed J E Health2006; 12: 160–162.
28.
LumPSUswatteGTaubEet al.A telerehabilitation approach to delivery of constraint-induced movement therapy. J Rehabil Res Dev2006; 43: 391–400.
29.
SanfordJAGriffithsPCRichardsonPet al.The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial. J Am Geriatr Soc2006; 54: 1641–1648.
30.
LorigKRRitterPLLaurentDDet al.Internet-based chronic disease self-management: A randomized trial. Med Care2006; 44: 964–971.
31.
PhillipsVLTemkinAVesmarovichSet al.Using telehealth interventions to prevent pressure ulcers in newly injured spinal cord injury patients post-discharge. Int J Technol Assess Health Care1999; 15: 749–766.
32.
LiberatiAAltmanDGTetzlaffet al.The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Med2009; 6: e1000100–e1000100.
33.
Boland A, Cherry MG and Dickson R. Doing a systematic review: A student’s guide. Sage, 1 November 2013. IGARSS 2014. 1–5.
34.
GreenhalghT. How to read a paper: The basics of evidence-based medicine, Hoboken: John Wiley & Sons, 2014.
35.
KrippendorffK. Content analysis: An introduction to its methodology, Thousand Oaks, CA: SAGE Publications, 2004.
36.
JohnstonBWeelerLDeuserJet al.Outcomes of the Kaiser Permanente tele-home health research project. Arch Fam Med2000; 9: 40–40.
37.
PietteJDMarinecNGallegos-CabrialesECet al.Spanish-speaking patients’ engagement in interactive voice response (IVR) support calls for chronic disease self-management: Data from three countries. J Telemed Telecare2013; 19: 89–94.
38.
SetoEIstepanianRSHCafazzoJAet al.UK and Canadian perspectives of the effectiveness of mobile diabetes management systems. Conf Proc IEEE Eng Med Biol Soc2009; 2009: 6584–6587.
39.
LittellJHCorcoranJPillaiV. Systematic reviews and meta-analysis, New York: Oxford University Press, 2008, pp. 216–357.
40.
PietteJDStriplinDMarinecNet al.A mobile health intervention supporting heart failure patients and their informal caregivers: A randomized comparative effectiveness trial. J Med Internet Res2015; 17: e142–e142.
41.
Dang S, Karanam C and Gómez-Marín O. Outcomes of a mobile phone intervention for heart failure in a minority county hospital population. Telemed J E Health. Epub ahead of print 4 January 2017. DOI: 10.1089/tmj.2016.0211.
42.
RitchieCSHoustonTKRichmanJSet al.The E-Coach technology-assisted care transition system: A pragmatic randomized trial. Transl Behav Med2016; 6: 428–437.
43.
De San MiguelKSmithJLewinG. Telehealth remote monitoring for community dwelling older adults with chronic obstructive pulmonary disease. Telemed J E Health2013; 19: 652–657.
44.
GellisZDKenaleyBLTen HaveT. Integrated telehealth care for chronic illness and depression in geriatric home care patients: The integrated telehealth education and activation of mood (I-TEAM) study. J Am Geriatr Soc2014; 62: 889–895.
45.
YoungHMiyamotoSWardDet al.Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes. Telemed J E Health2014; 20: 828–834.
46.
HawkinsSY. Improving glycemic control in older adults using a videophone motivational diabetes self-management intervention. Res Theory Nurs Pract2010; 24: 217–232.
47.
WuLForbesAWhileA. Patients’ experience of a telephone booster intervention to support weight management in Type 2 diabetes and its acceptability. J Telemed Telecare2010; 16: 221–223.
48.
AllamAKostovaZNakamotoKet al.The effect of social support features and gamification on a Web-based intervention for rheumatoid arthritis patients: Randomized controlled trial. J Med Internet Res2015; 17: e14–e14.
49.
BermanRLHIrisMABodeRet al.The effectiveness of an online mind-body intervention for older adults with chronic pain. J Pain2009; 10: 68–79.
50.
HaleTMJethwaniKKandolaMSet al.A remote medication monitoring system for chronic heart failure patients to reduce readmissions: A two-arm randomized pilot study. J Med Internet Res2016; 18: e91–e91.
51.
KnightEStuckeyMIPetrellaRJ. Health promotion through primary care: enhancing self-management with activity prescription and mHealth. Phys Sportsmed2014; 42: 90–99.
52.
Barberan-GarciaAVogiatzisISolbergHSet al.NEXES Consortium. Effects and barriers to deployment of telehealth wellness programs for chronic patients across 3 European countries. Respir Med2014; 108: 628–637.
53.
GlasgowREChristiansenSMKurzDet al.Engagement in a diabetes self-management website: Usage patterns and generalizability of program use. J Med Internet Res2011; 13: e9–e9.
54.
TabakMBrusse-KeizerMvan der ValkPet al.A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: A pilot randomized controlled trial. Int J COPD2014; 9: 935–944.
55.
WoodendAKSherrardHFraserMet al.Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart Lung2008; 37: 36–45.
56.
GellisZDKenaleyBMcGintyJet al.Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: A randomized controlled trial. Gerontologist2012; 52: 541–552.
ColeSAFarberNCWeinerJSet al.Double-disease management or one care manager for two chronic conditions: Pilot feasibility study of nurse telephonic disease management for depression and congestive heart failure. Dis Manag2006; 9: 266–276.
59.
Rocque GB, Halilova KI, Varley AL, et al. Feasibility of a telehealth educational program on self-management of pain and fatigue in adult cancer patients. J Pain Symptom Manage. Epub ahead of print 6 February 2017.
60.
DavisRMHitchADSalaamMMet al.TeleHealth improves diabetes self-management in an underserved community. Diabetes TeleCare2010; 33: 1712–1717.
61.
BarcellonaDFenuLCornacchiniSet al.Telemedicine can improve the quality of oral anticoagulation using portable devices and self-testing at home. J Telemed Telecare2013; 19: 298–301.
62.
Lusignan S, Wells S, Johnson P, et al. Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure. European Journal of Heart Failure 2001; 3: 723–730.
63.
PecinaJLHansonGJVan HoutenHet al.Impact of telemonitoring on older adults health-related quality of life: The Tele-ERA study. Qual Life Res2013; 22: 2315–21.
64.
LilholtPHHæsumLKEhlersLHet al.Specific technological communication skills and functional health literacy have no influence on self-reported benefits from enrollment in the TeleCare North trial. Int J Med Inform2016; 91: 60–66.
65.
BrewsterLMountainGWesselsBet al.Factors affecting front line staff acceptance of telehealth technologies: A mixed-method systematic review. J Adv Nurs2014; 70: 21–33.
66.
WadeVAEliottJAHillerJE. Clinician acceptance is the key factor for sustainable telehealth services. Qual Health Res2014; 24: 682–694.
