Evidence map›Paper›PMID 26604991›Full record

ArticleJournal of mobile technology in medicine

mHealth Clinic Appointment PC Tablet: Implementation, Challenges and Solutions.

Carol E Smith, Ryan Spaulding, Ubolrat Piamjariyakul, Marilyn Werkowitch, Donna Macan Yadrich, Dedrick Hooper, Tyson Moore, Richard Gilroy

Open access · hybridAbstract read
In one paragraph

Article in Journal of mobile technology in medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Carol E SmithProfessor, School of Nursing and Preventive Medicine & Public Health Department, University of Kansas Medical Center.
Ryan SpauldingResearch Associate Professor, Director, Center for Telemedicine and Telehealth, Interim Associate Vice Chancellor, Institute for Community Engagement, University of Kansas Medical Center.
Ubolrat PiamjariyakulResearch Associate Professor, School of Nursing, University of Kansas Medical Center.
Marilyn WerkowitchSchool of Nursing, University of Kansas Medical Center.
Donna Macan YadrichInterventionist, School of Nursing, University of Kansas Medical Center.
Dedrick HooperSystems Coordinator, Center for Telemedicine and Telehealth, University of Kansas Medical Center.
Tyson MooreResearch Assistant, School of Nursing, University of Kansas Medical Center.
Richard GilroyProfessor and Medical Director of Liver Transplantation, Department of Gastroenterology and Hepatology, University of Kansas Medical Center.
University of Kansas Medical Center · US

Funding

Mobile Technologies Assisting Patients & Family Caregivers in Healthy LivingR01EB015911 · NIBIB · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SMITH, CAROL E · 2013 to 2015
$1.7M
NIBIB NIH HHS R01 EB015911
6 · The paper itself

Abstract

backgroundPatients requiring daily intravenous (IV) home parenteral nutrition (HPN) would benefit from in-home professional observation to improve self-care, to assess, detect and prevent serious complications.

aimsThe study aims are to assess the viability and utility of conducting mobile healthcare (mHealth) videoconference assessments with patients managing lifelong daily 12-hour IV nutrition infusions in their homes. The challenges and solutions to implementing mobile personal computer (PC) tablet based clinic appointments are described.

methodsA wireless Apple iPad Mini™ mobile touch-screen tablet computer with 5 mega-pixel camera was loaned to patients. Each tablet had Polycom RealPresence software and a fourth generation (4G) mobile telecommunications data plan. These supported audio-visual mobile videoconferencing encrypted connections between health professionals in their offices and HPN patients and their family members in their homes. Patients' and professionals' evaluations of their mHealth clinic experiences are collected.

resultsPatients (mean age = 41.9, SD = 2.8 years) had been prescribed 12-hour home parenteral nutrition (HPN) infusions daily due short bowel disorders. Patients had been on HPN from 1 to 10 years (M=4, SD=3.6). Evaluation of clinic appointments revealed that 100% of the patients (n=45) and the professionals (n=6) indicated that they can clearly hear and easily see one another. The mHealth audio-visual interactions were highly rated by patients and family members. Professionals highly rated their ability to obtain a medical history and visual inspection of patients. Several challenges were identified and recommendations for resolutions are described. DISCUSSION: All patients and professionals highly rated the iPad mHealth clinic appointments for convenience and ease of communicating between homes and offices. An important challenge for all mHealth visits is the clinical professional's ability to make clinically accurate judgments about what they observed and heard from the patients. Following our solutions for obtaining clear visuals with the iPad can improve ability to make clinical assessments.

Indexed as

mHealthMobile clinic appointmentWireless health care access

Identifiers

PMID26604991
PMCPMC4655176
OpenAlexW1036371917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.