| Author/Editor | McLean, Susannah; Chandler, David; Nurmatov, Ulugbek; Liu, Joseph; Pagliari, Claudia; Car, Josip; Sheikh, Aziz | |
| Title | Telehealthcare for asthma | |
| Type | članek | |
| Source | Cochrane Database Syst Rev Online | |
| Vol. and No. | , št. 10 | |
| Publication year | 2010 | |
| Volume | str. 1-86 | |
| Language | eng | |
| Abstract | Background Healthcare systems internationally need to consider new models of care to cater for the increasing numbers of people with asthma. Telehealthcare interventions are increasingly being seen by policymakers as a potential means of delivering asthma care. We defined telehealthcare as being healthcare delivered froma distance, facilitated electronically and involving the exchange of information through the personalised interaction between a healthcare professional using their skills and judgement and the patient providing information. Objectives To assess the effectiveness of telehealthcare interventions in people with asthma. Search strategy We searched in the following databases:CochraneCentralRegister ofControlledTrials (CENTRAL),MEDLINE, EMBASE,CINAHL,AMED, and PsycINFO; this was supplemented by handsearching of respiratory journals. We also searched registers of ongoing and unpublished trials. Selection criteria We selected completed randomised controlled trials of telehealthcare initiatives aiming to improve asthma care. Data collection and analysis Two review authors independently appraised studies for inclusion and extracted data and performed meta-analyses. We analysed dichotomous variables to produce an odds ratio (OR) and continuous variables to produce a mean difference. Main results We included 21 trials in this review. The 21 included studies investigated a range of technologies aiming to support the provision of care from a distance. These included: telephone (n = 9); video-conferencing (n = 2); Internet (n = 2); other networked communications (n = 6); text ShortMessaging Service (n = 1); or a combination of text and Internet (n = 1). Meta-analysis showed that these interventions did not result in clinically important improvements in asthma quality of life (minimum clinically important difference = 0.5): mean difference in Juniper's Asthma Quality of Life Questionnaire (AQLQ) 0.08 (95% CI 0.01 to 0.16). (Abstract truncated at 2000 characters) | |
| Descriptors | ASTHMA COMPUTER COMMUNICATION NETWORKS META-ANALYSIS |