A pilot study on the potential of remote support to enhance wound care for nursing-home patients
Abstract
• Objective: to evaluate the effectiveness of a Telehealth system, using digital pen-and-paper technology and a modifed smartphone, to remotely monitor and support the effectiveness of wound management in nursing home residents. • Method: A randomised controlled pilot study was conducted in selected nursing homes in bradford, which were randomised to either the control or evaluation group. All patients with a wound of any aetiology or severity, resident in the selected nursing homes were considered eligible to participate in the study. residents in the control homes who had, or developed, a wound during the study period, continued to receive unsupported care directed by the nursing home staff (defined as ‘standard care’), while those in the evaluation homes received standard care supported by input from the remote experts. • Results: thirty-nine patients with a wound were identified in the 16 participating bradford nursing homes. Analysis of individual patient management pathways suggested that the system provided improved patient outcomes and that it may offer cost savings by improving dressing product selection, decreasing inappropriate onward referral and speeding healing. Despite initial anxiety related to the technology most nursing-home staff found the system of value and many were keen to see the trial continue to form part of routine patient management. • Conclusion: the current study supports the potential value of telemedicine in wound care and indicates the value that such a system may have to nursing-home staff and patients. • Declaration of interest: this study was funded by a regional Innovation Fund grant from the Yorkshire and Humberside Strategic Health Authority. the authors have no conflict of interest to declare with respect to the article or its contents.
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High levels of agreement (at least 80%) between experts have been reported for telewoundcare in nursing home settings.
“High levels of agreement (at least 80%) between experts have been reported for this approach in primary care [28] and nursing home [29] settings.”
From Recent directions in telemedicine: Review of trends in research and practice (2015) · cites this paper as [29]
Cites
Telemedicine Evaluation of Acute Burns Is Accurate and Cost-Effective
Saffle, J. R., Edelman, L., Theurer, L., Morris, S. E., & Cochran, A. (2009) · Journal of Trauma: Injury, Infection & Critical Care · doi:10.1097/ta.0b013e3181ae9b02 · Cited by 176 · see citing works
Vowden, K., & Vowden, P. (2008) · Journal of Tissue Viability · doi:10.1016/j.jtv.2008.11.002 · Cited by 81 · see citing works
Self-citationFeasibility and acceptance of telemedicine for wound care in patients with chronic leg ulcers
Hofmann‐Wellenhof, R., Salmhofer, W., Binder, B., Okcu, A., Kerl, H., & Soyer, H. P. (2006) · Journal of Telemedicine and Telecare · doi:10.1258/135763306777978407 · Cited by 81 · see citing works
Chanussot‐Deprez, C., & Contreras‐Ruiz, J. (2013) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000426717.59326.5f · Cited by 75 · see citing works
Feasibility Study of Home Care Wound Management Using Telemedicine
Terry, M., Halstead, L. S., O'Hare, P. A., Gaskill, C., Ho, P., Obecny, J., James, C., & Lauderdale, M. E. (2009) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000358638.38161.6b · Cited by 60 · see citing works
Chanussot‐Deprez, C., & Contreras‐Ruiz, J. (2008) · International Wound Journal · doi:10.1111/j.1742-481x.2008.00478.x · Cited by 52 · see citing works
Current Principles and Practices of Telemedicine and e-Health
Latifi, R. E. (2008) · Medical Entomology and Zoology · Cited by 51 · see citing works
The Effects of TeleWound Management on Use of Service and Financial Outcomes
Rees, R. S., & Bashshur, N. (2007) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2007.9971 · Cited by 49 · see citing works
A survey of wound care provision within one English health care district
Vowden, K., & Vowden, P. (2008) · Journal of Tissue Viability · doi:10.1016/j.jtv.2008.11.003 · Cited by 44 · see citing works
Self-citationVowden, K., & Vowden, P. (2008) · Journal of Tissue Viability · doi:10.1016/j.jtv.2008.11.001 · Cited by 41 · see citing works
Self-citationVowden, K., & Vowden, P. (2009) · Journal of Tissue Viability · doi:10.1016/j.jtv.2008.11.004 · Cited by 36 · see citing works
Self-citationImpact of tele‐advice on community nurses’ knowledge of venous leg ulcer care
Ameen, J., Coll, A. M., & Peters, M. A. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03442.x · Cited by 36 · see citing works
Feasibility of Virtual Wound Care
Wilkins, E. G., Lowery, J. C., & Goldfarb, S. L. (2007) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000269315.30639.82 · Cited by 24 · see citing works
Diagnostic quality of low resolution images for tele-woundcare.
Roth, A. C., Reid, J. C., & Concannon, M. J. (1998) · PubMed Central · Cited by 5 · see citing works
Reducing admissions for long-term conditions: is telehealth the answer?
Phillips, J. (2012) · British Journal of Community Nursing · doi:10.12968/bjcn.2012.17.2.76 · Cited by 2 · see citing works
Slater, S. G., & Chetney, R. (2003) · Home Health Care Management & Practice · doi:10.1177/1084822302239309 · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Telemedicine in dermatology: findings and experiences worldwide—a systematic literature review.
Trettel, A., Eissing, L., & Augustin, M. (2018) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/jdv.14341 · Cited by 206 · see citing works
Recent directions in telemedicine: Review of trends in research and practice
Wilson, L. S., & Maeder, A. J. (2015) · Healthcare Informatics Research · doi:10.4258/hir.2015.21.4.213 · Cited by 203 · see citing works
A Systematic Review of the Use of Telemedicine in Plastic and Reconstructive Surgery and Dermatology
Vyas, K. S., Hambrick, H. R., Shakir, A., Morrison, S. D., Tran, D. C., Pearson, K., Vásconez, H. C., Mardini, S., Gosman, A. A., Dobke, M. K., et al. (2017) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000001044 · Cited by 139 · see citing works
Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review
Hüter, K., Krick, T., Domhoff, D., Seibert, K., Wolf‐Ostermann, K., & Rothgang, H. (2020) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s286193 · Cited by 125 · see citing works
Rasmussen, B. S., Frøkjær, J., Bjerregaard, M. R., Lauritsen, J. L., Hangaard, J., Henriksen, C. W., Halekoh, U., & Yderstræde, K. B. (2015) · Diabetes Care · doi:10.2337/dc15-0332 · Cited by 107 · see citing works
Hyperspectral imaging in wound care: A systematic review
Saiko, G., Lombardi, P., Au, Y., Queen, D., Armstrong, D. G., & Harding, K. G. (2020) · International Wound Journal · doi:10.1111/iwj.13474 · Cited by 105 · see citing works
Smith‐Strøm, H., Igland, J., Østbye, T., Tell, G. S., Hausken, M. F., Graue, M., Skeie, S., Cooper, J. G., & Iversen, M. M. (2017) · Diabetes Care · doi:10.2337/dc17-1025 · Cited by 94 · see citing works
Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis
Chen, L., Cheng, L., Gao, W., Chen, D., Wang, C., & Ran, X. (2020) · JMIR mhealth and uhealth · doi:10.2196/15574 · Cited by 91 · see citing works
Telemedicine and the COVID-19 Pandemic: Are We Ready to Go Live?
Mills, E. C., Savage, E., Lieder, J., & Chiu, E. S. (2020) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000669916.01793.93 · Cited by 88 · see citing works
Tan, A. J. Q., Rusli, K. D. B., McKenna, L., Tan, L. L. C., & Liaw, S. Y. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x211049206 · Cited by 83 · see citing works
Piaggesi, A., Läuchli, S., Bassetto, F., Biedermann, T., Marques, A. P., Najafi, B., Palla, I., Scarpa, C., Seimetz, D., Triulzi, I., et al. (2018) · Journal of Wound Care · doi:10.12968/jowc.2018.27.sup6a.s1 · Cited by 75 · see citing works
Sood, A. K., Granick, M. S., Trial, C., Lano, J., Palmier, S., Ribal, É., & Téot, L. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000002702 · Cited by 72 · see citing works
Bunn, F., Goodman, C. M., Corazzini, K., Sharpe, R., Handley, M., Lynch, J. K., Meyer, J. E., Dening, T., & Gordon, A. L. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17030987 · Cited by 63 · see citing works
Augustin, M., Wimmer, J., Biedermann, T., Blaga, R., Dierks, C., Djamei, V., Elmer, A., Elsner, P. U., Enk, A., Gass, S., et al. (2018) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/ddg.13512 · Cited by 48 · see citing works
Zhao, Y., Rokhani, F. Z., Ghazali, S. S., Devaraj, N. K., Su, J., & Chew, B. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03424-6 · Cited by 42 · see citing works
eHealth in Wound Care: from conception to implementation
Moore, Z. E. H., Angel, D., Bjerregaard, J., O’Connor, T., McGuiness, W., Kröger, K., Rasmussen, B. S., & Yderstrœde, K. B. (2015) · Journal of Wound Care · doi:10.12968/jowc.2015.24.sup5.s1 · Cited by 36 · see citing works
Zhang, J., Mihai, C., Tüshaus, L., Scebba, G., Distler, O., & Karlen, W. (2021) · JMIR mhealth and uhealth · doi:10.2196/26149 · Cited by 37 · see citing works
Huang, Z., Wu, S., Yu, T., & Hu, A. (2020) · Advances in Wound Care · doi:10.1089/wound.2020.1169 · Cited by 31 · see citing works
Wickström, H., Öien, R. F., Fagerström, C., Anderberg, P., Jakobsson, U., & Midlöv, P. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-017623 · Cited by 29 · see citing works
Newbould, L., Mountain, G. A., Hawley, M., & Ariss, S. (2017) · International Journal of Telemedicine and Applications · doi:10.1155/2017/5785613 · Cited by 20 · see citing works
Digital Health Interventions for Chronic Wound Management: A Systematic Review and Meta-Analysis
Bai, X., Zhang, H., Jiao, Y., Yuan, C., Ma, Y., & Han, L. (2024) · Journal of Medical Internet Research · doi:10.2196/47904 · Cited by 23 · see citing works
“Teleswallowing”: a case study of remote swallowing assessment
Bidmead, E., Reid, T., Marshall, A., & Southern, V. (2015) · Clinical Governance An International Journal · doi:10.1108/cgij-06-2015-0020 · Cited by 18 · see citing works
Goh, L. J. (2017) · International Archives of Nursing and Health Care · doi:10.23937/2469-5823/1510070 · Cited by 17 · see citing works
Colino, R. M., Argentina, F., de Miguel, A. M., Marqués, M. B., Jiménez, B. C., Poblete, C. F., Alarcón, T., Martínez-Peromingo, F. J., & González-Montalvo, J. I. (2021) · Revista Española de Geriatría y Gerontología · doi:10.1016/j.regg.2021.01.002 · Cited by 18 · see citing works
Outcomes of Telehealth for Wound Care: A Scoping Review
Kostovich, C. T., Etingen, B., Wirth, M., Patrianakos, J., Kartje, R., Baharestani, M., & Weaver, F. M. (2022) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000821916.26355.fa · Cited by 18 · see citing works
Current Dermatologic Care in Dutch Nursing Homes and Possible Improvements: A Nationwide Survey
Lubeek, S. F. K., van der Geer, E. R., van Gelder, M. M. H. J., Koopmans, R. T. C. M., van de Kerkhof, P. C. M., & Gerritsen, M. P. (2015) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2015.04.015 · Cited by 13 · see citing works
Effectiveness of digital technologies to support nursing care: results of a scoping reviewPreprint
Hüter, K., Krick, T., Domhoff, D., Seibert, K., Wolf‐Ostermann, K., & Rothgang, H. (2020) · Research Square · doi:10.21203/rs.2.24344/v1 · Cited by 14 · see citing works
Cost-effectiveness of telemonitoring screening for diabetic foot ulcer: a mathematical model
Boodoo, C., Perry, J. A., Leung, G., Cross, K., & Isaranuwatchai, W. (2018) · CMAJ Open · doi:10.9778/cmajo.20180088 · Cited by 11 · see citing works
Hanratty, B., Craig, D., Brittain, K., Spilsbury, K., Vines, J., & Wilson, P. M. (2019) · Health Services and Delivery Research · doi:10.3310/hsdr07270 · Cited by 11 · see citing works
Zhang, X., Guo, Z., Duan, Y., Sun, C., & Luo, J. (2025) · JMIR mhealth and uhealth · doi:10.2196/58553 · Cited by 10 · see citing works
Putrik, P., Grobler, L., LALOR, A. F., Ramsay, H., Gorelik, A., Karnon, J. D., Parker, D., Morgan, M. A. J., Buchbinder, R., & O’Connor, D. A. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013880.pub2 · Cited by 6 · see citing works
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Bhamra, I. B., Gallagher, J. E., & Patel, R. (2023) · Journal of Public Health · doi:10.1093/pubmed/fdad258 · Cited by 7 · see citing works
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Wound Care in Home-Based Settings
Meah, Y., Gliatto, P. M., Ko, F. C., & Skovran, D. M. (2016) · Springer eBooks · doi:10.1007/978-3-319-23365-9_10 · Cited by 4 · see citing works
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Lubeek, S. F. K., Mommers, R. J. M., van der Geer, E. R., van de Kerkhof, P. C. M., & Gerritsen, M. P. (2016) · Tijdschrift voor Gerontologie en Geriatrie · doi:10.1007/s12439-016-0177-1 · Cited by 3 · see citing works
The Promise and Hurdles of Telemedicine in Diabetes Foot Care Delivery
Najafi, B., Swerdlow, M., Murphy, G. A., & Armstrong, D. G. (2020) · Springer eBooks · doi:10.1007/978-3-030-56917-4_28 · Cited by 2 · see citing works
Su, Y.-C., Lin, Y.-H., & Huang, M.-Y. (2025) · JMIR Formative Research · doi:10.2196/77685 · Cited by 1 · see citing works
Applications smartphone pour le choix du pansement, enquête auprès d’infirmiers libéraux
Masson, R., Léonel, F., & Téot, L. (2016) · Soins · doi:10.1016/j.soin.2016.02.015 · Cited by 1 · see citing works
CA-210: AIRPEDIA, essai randomisé contrôlé de suivi des plaies de pied diabétique par télémédecine
Oreglia, M., David‐Tchouda, S., Margier, J., Benhamou, P., & Muller, M. (2016) · Diabetes & Metabolism · doi:10.1016/s1262-3636(16)30342-1
Giacinto, F., Falasconi, C., Giacinto, E., Germano, M., & Ciuffoletti, D. (2018) · Italian Journal of Wound Care · doi:10.4081/ijwc.2018.20
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DiRico, N., & Ryan, K. (2018) · Geriatric Nursing · doi:10.1016/j.gerinurse.2018.02.008
Juraszovich, B., Weißenhofer, S., & Rappold, E. (2023) · Verlag Österreich eBooks · doi:10.33196/9783704692436-106
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GmbH, G. Ö. (2023) · Verlag Österreich eBooks · doi:10.33196/9783704692436
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Yanko, R., Biesse, R., Shoham, G., Kheir, R., Govrin-Yehudain, O., Golan, Z., Leshem, D., Barnea, Y., Gur, E., & Fliss, E. (2025) · Advances in Skin & Wound Care · doi:10.1097/asw.0000000000000342
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Virtual care for chronic wounds in residential aged care settings: A scoping review
Russell, H. A., Luscombe, G. M., Banbury, A., Makeham, M., & Barakat‐Johnson, M. (2026) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x261462025
- Authors
- Vowden, K., & Vowden, P.
- Affiliations
- University of Bradford (GB)
- ORCID
- Venue
- Journal of Wound Care
- Publisher
- Mark Allen Group
- Published
- 2013-09
- Volume
- 22
- Issue
- 9
- Pages
- 481-488
- ISSN
- 0969-0700 (ISSN-L)
- 2052-2916
- OpenAlex
- W2061188296
- Cited by
- 55
- References
- 16
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 3 · 2020: 8 · 2019: 1 · 2018: 6 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 1
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Wound Care (publishedVersion)
- PubMed (publishedVersion)
- Bradford Scholars (University of Bradford) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- telemedicine, wound care, nursing home residents, remote wound monitoring, smartphones, wound dressing selection, wound healing, nursing home staff, cost reduction, older adults
- MeSH terms
- Aged, Aged, 80 and over, Attitude of Health Personnel, Female, United Kingdom, Humans, Interviews as Topic, Male, Middle Aged, Nursing Homes, Pilot Projects, Skin Ulcer, Wounds and Injuries, Treatment Outcome, Telemedicine
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