A Meta-Synthesis of Behavioral Outcomes from Telemedicine Clinical Trials for Type 2 Diabetes and the Clinical User-Experience Evaluation (CUE).

A worldwide demographic shift is in progress and the aged population proportion is projected to more than double across the next four decades. Our current healthcare models may not be adequate to handle this shift in demography, which may have serious consequences for the ageing population who are m...

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Publicado en:Journal of Medical Systems Vol. 39; no. 3; pp. 1 - 22
Autores principales: Jalil, Sakib, Myers, Trina, Atkinson, Ian
Formato: research systematic review tables/charts meta synthesis Journal Article
Publicado: Springer Nature Mar2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2015
      vid: 39
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-015-0191-9
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        atl: A Meta-Synthesis of Behavioral Outcomes from Telemedicine Clinical Trials for Type 2 Diabetes and the Clinical User-Experience Evaluation (CUE).
      aug:
        au:
          Jalil, Sakib
          Myers, Trina
          Atkinson, Ian
        affil: E-Research Centre, James Cook University, Townsville 4811 Australia
      sug:
        subj:
          Telemedicine
          Diabetes Mellitus, Type 2 Therapy
          Clinical Information Systems
          User-Computer Interface
          Behavioral Changes
          Self Care
          Systematic Review
          Meta Synthesis
          Human
          Clinical Trials
          Diabetic Patients
          Aged
          PubMed
          Databases, Health
          Computer Literacy
          Computer User Training
          Research Dropouts
          Patient Compliance
          Disease Management
          Aged: 65+ years
      ab: A worldwide demographic shift is in progress and the aged population proportion is projected to more than double across the next four decades. Our current healthcare models may not be adequate to handle this shift in demography, which may have serious consequences for the ageing population who are more prone to chronic diseases. One proposed remediation is to provide in-home assisted healthcare with technology-intervened approaches. Telemedicine, telehealth, e-health are paradigms found in scientific literature that provide clinical treatment through a technology intervention. In evidence-based medical science, these technology interventions are evaluated through clinical trials, which are targeted to measure improvements in medical conditions and the treatment's cost effectiveness. However, effectiveness of a technology also depends on the interaction pattern between the technology and its' users, especially the patients. This paper presents (1) a meta-synthesis of clinical trials for technology-intervened treatments of type 2 diabetes and (2) the Clinical User- Experience Evaluation (CUE). CUE is a recommendation for future telemedicine clinical trials that focuses on the patient as the user from Human- Computer Interaction (HCI) perspective and was developed as part of this research. The clinical trials reviewed were interpreted from a technology perspective and the non-medical or non-biological improvements of the users (patients) rather than the medical outcome. Results show that technology-intervened treatments provide positive behavior changes among patients and are potentially highly beneficial for chronic illness management such as type 2 diabetes. The results from the CUE method show how it complements clinical trials to capture patients' interaction with a technology.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        meta synthesis
        Journal Article
      ougenre: Article
    language: English
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