Cited by 499Telemedicine and Telehealth ImplementationMobile Health and mHealth ApplicationsDiabetes Management and Education

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Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer

Open access

Hanlon, Peter, Daines, Luke, Campbell, Christine, McKinstry, Brian, Weller, David, Pinnock, Hilary·2017·Journal of Medical Internet Research

DOI 10.2196/jmir.6688PMC PMC5451641

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Abstract

BACKGROUND: Self-management support is one mechanism by which telehealth interventions have been proposed to facilitate management of long-term conditions. OBJECTIVE: The objectives of this metareview were to (1) assess the impact of telehealth interventions to support self-management on disease control and health care utilization, and (2) identify components of telehealth support and their impact on disease control and the process of self-management. Our goal was to synthesise evidence for telehealth-supported self-management of diabetes (types 1 and 2), heart failure, asthma, chronic obstructive pulmonary disease (COPD) and cancer to identify components of effective self-management support. METHODS: We performed a metareview (a systematic review of systematic reviews) of randomized controlled trials (RCTs) of telehealth interventions to support self-management in 6 exemplar long-term conditions. We searched 7 databases for reviews published from January 2000 to May 2016 and screened identified studies against eligibility criteria. We weighted reviews by quality (revised A Measurement Tool to Assess Systematic Reviews), size, and relevance. We then combined our results in a narrative synthesis and using harvest plots. RESULTS: We included 53 systematic reviews, comprising 232 unique RCTs. Reviews concerned diabetes (type 1: n=6; type 2, n=11; mixed, n=19), heart failure (n=9), asthma (n=8), COPD (n=8), and cancer (n=3). Findings varied between and within disease areas. The highest-weighted reviews showed that blood glucose telemonitoring with feedback and some educational and lifestyle interventions improved glycemic control in type 2, but not type 1, diabetes, and that telemonitoring and telephone interventions reduced mortality and hospital admissions in heart failure, but these findings were not consistent in all reviews. Results for the other conditions were mixed, although no reviews showed evidence of harm. Analysis of the mediating role of self-management, and of components of successful interventions, was limited and inconclusive. More intensive and multifaceted interventions were associated with greater improvements in diabetes, heart failure, and asthma. CONCLUSIONS: While telehealth-mediated self-management was not consistently superior to usual care, none of the reviews reported any negative effects, suggesting that telehealth is a safe option for delivery of self-management support, particularly in conditions such as heart failure and type 2 diabetes, where the evidence base is more developed. Larger-scale trials of telehealth-supported self-management, based on explicit self-management theory, are needed before the extent to which telehealth technologies may be harnessed to support self-management can be established.

Checked 2026-10-06 · 2 references not checked yet

AI snapshot

Written from the paper’s full text.

TL;DR

This metareview synthesized 53 systematic reviews (231 unique RCTs per Results; abstract says 232) of telehealth interventions to support self-management in diabetes, heart failure, asthma, COPD, and cancer. Evidence was inconsistent and no single self-management component was consistently effective, but no reviews reported harm, with the strongest support in type 2 diabetes and heart failure.

Key findings

Included 53 systematic reviews comprising 231 unique RCTs (119 diabetes, 58 heart failure, 28 asthma, 23 COPD, 3 cancer); the abstract reports 232 unique RCTs. Findings varied between and within disease areas.
Highest-weighted reviews showed blood glucose telemonitoring with feedback and some educational/lifestyle interventions improved glycemic control in type 2, but not type 1, diabetes; telemonitoring and telephone interventions reduced mortality and hospital admissions in heart failure, though findings were not consistent in all reviews.
No reviews showed evidence of harm; results for asthma, COPD, and cancer were mixed, and more intensive/multifaceted interventions were associated with greater improvements in diabetes, heart failure, and asthma.
Analysis of the mediating role of self-management and of components of successful interventions was limited and inconclusive; no single self-management component was consistently effective or ineffective.

Methods

Metareview (systematic review of systematic reviews) of RCTs of telehealth interventions to support self-management in 6 long-term conditions; searched 7 databases for reviews published January 2000 to May 2016.
Included 53 reviews; quality assessed with R-AMSTAR (scores 19–43 out of 44) and weighted by quality, size, and explicit self-management focus (8 reviews 3 stars, 23 reviews 2 stars, 21 reviews 1 star, 1 review no stars).
Because RCT overlap precluded meta-analysis, findings were combined in narrative synthesis and harvest plots; data were extracted from reviews, not individual RCTs, covering disease control, health care utilization, self-management process, and quality-of-life outcomes.

Limitations

Stated: metareview lag risks outdated results; reliance on review authors’ interpretation; inability to adjust for geography, age, or socioeconomic variables; RCT overlap risks overrepresenting some trials; only 6 conditions were considered; inclusion of reviews with implied self-management focus was potentially subjective; few reviews assessed publication bias.
Stated: most reviews did not analyze intervention intensity or specific components, limiting conclusions about which components or combinations are most beneficial.
Evident from the text: the abstract and Results report different unique RCT counts (232 vs 231); heterogeneity and poor intervention reporting limit component analysis; harvest plot rules may overlook individual RCTs.

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Integrity signals

Registry

Crossref · 10.2196/jmir.6688

Cites

76 of 78 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

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Show all 101 claims

It may state two separate claims as one. 78
Probably not a substantial claim. 50

None of the sources cited for this claim have been checked yet.
In the paper
“Taking into account quality assessment, explicit self-management focus, and total population size, 8 reviews received an evidence weighting of 3 stars [16,21,25,26,38,45,53,56], 23 received 2 stars [22,24,27-31, 33,37,40,42,44,46,49,50,52,54,55,58,62,63,67,68], 21 received 1 star [19,20,23,32,34-36,39,43,47,48,51,57, 59-61,64-66,69,70], and 1 received no stars [41].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Quality and Weighting of Included Reviews
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- Not checked yetcites [16] source
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In the paper
“A total of 5 reviews focused on type 1 diabetes [23,24,41,48,49] and 1 analyzed type 1 diabetes within a mixed review [19].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [23] source
- Not checked yetcites [24] source
- Not checked yetcites [41] Montori, VM, 2004, Diabetes Care source
- Not checked yetcites [48] source
- Not checked yetcites [49] source
- Not checked yetcites [19] Baron, J, 2012, J Diabetes Sci Technol source
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In the paper
“Three 1-star narrative syntheses showed improvement in HbA1c limited to only a few RCTs, and all concluded that further evaluation was required [19,23,48].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [19] Baron, J, 2012, J Diabetes Sci Technol source
- Not checked yetcites [23] source
- Not checked yetcites [48] source
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Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Narrative syntheses found that telehealth-delivered educational interventions [52] and telephone interventions [29] did not improve glycemic control.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [52] source
- Not checked yetcites [29] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Of these, 2 were awarded a 3-star weighting [21,53].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [21] source
- Not checked yetcites [53] source
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Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“The former focused on mobile messaging interventions, including medication reminders, and found no improvement in hemoglobin A1c (HbA1c) compared with usual care in a meta-analysis of 2 RCTs [24].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [24] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Interventions included telemonitoring of blood glucose [33,42,54] and mobile messaging [46].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [33] source
- Not checked yetcites [42] 2009, Ont Health Technol Assess Ser
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- Not checked yetcites [46] source
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Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“The reviews of de Jongh et al [24] and Viana et al [49] were both weighted 2 stars.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [24] source
- Not checked yetcites [49] source
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Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Of seven 2-star reviews [29,30,33,42,46,52,54], 4 were meta-analyses, all of which showed significant reductions in HbA1c compared with controls, although the effect sizes were small.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [29] source
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- Not checked yetcites [42] 2009, Ont Health Technol Assess Ser
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Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“Farmer et al assessed telemonitoring of self-monitored blood glucose and found no significant improvement in HbA1c in a meta-analysis of 9 RCTs, and either no difference or an increase in health care utilization in 6 RCTs [25].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [25] source
Strength:plain· not yet calibrated
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None of the sources cited for this claim have been checked yet.
In the paper
“Of these, 4 were awarded a 3-star weighting [16,25,38,45], of which Farmer et al [25] , Small et al [45], and Liang et al [38] analyzed control or health care utilization outcomes, or both.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [16] source
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Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Interventions included telemonitoring of blood sugar [40,44] and interactive telehealth excluding telephone support [27].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [40] source
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- Not checked yetcites [27] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
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None of the sources cited for this claim have been checked yet.
In the paper
“A total of 8 reviews were weighted 2 stars [22,27,28,31,37,40,44,50]; 4 of these included meta-analyses of impact on HbA1c, with 3 showing significant improvements over controls.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [22] source
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- Not checked yetcites [50] Verhoeven, F, 2010, J Diabetes Sci Technol source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
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In the paper
“In contrast, a 2-star narrative review showed no mortality benefit from telephone-only interventions and a variable effect on hospital admissions [55].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [55] source
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Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
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In the paper
“Some studies reported improvements in symptom scores; however, most showed no benefit.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [63] source
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
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None of the sources cited for this claim have been checked yet.
In the paper
“The highest weighted of these (Ciere et al, 3 stars) did not include any disease control outcomes [56], nor did 3 others [16,59,60].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [56] source
- Not checked yetcites [16] source
- Not checked yetcites [59] source
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Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“Self-management support was explicitly hypothesized as a mechanism by which these interventions might exert their effect, and both interventions reduced all-cause mortality.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [58] source
Load-bearingStrength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“Heart failure hospitalizations, but not all-cause hospital admissions, were also significantly lower with either telemonitoring or telephone support.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [58] source
Load-bearingStrength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
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None of the sources cited for this claim have been checked yet.
In the paper
“Both highlighted the potential benefit from some positive findings in the studies but acknowledged that these findings were not consistent and that the evidence base required development.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [24] source
- Not checked yetcites [62] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“The highest weighted of these each scored 2 stars [24,27,62,63], including 3 narrative syntheses and 1 meta-analysis.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [24] source
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Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“McLean et al analyzed a wide range of telehealth interventions, including structured telephone support, education support, telemonitoring, and action plan components [63].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [63] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“A 1-star weighted meta-analysis of telemonitoring for heart failure (excluding telephone interventions) showed a significant reduction in mortality and heart failure admissions, but not all-cause admissions or emergency department visits [57].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [57] source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“de Jongh et al [24] and Marcano Belisario et al [62] reviewed mobile interventions and smartphone apps, respectively. The number of included RCTs was small for both (1 and 2, respectively).”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [24] source
- Not checked yetcites [62] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“Meta-analyses showed no significant improvement in emergency department use or hospitalization at 3 months, but a significant reduction in hospitalizations compared with usual care at 12 months.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [63] source
Load-bearingStrength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Supported education and information interventions were particularly effective in the context of diabetes, with 9 larger systematic reviews showing evidence of improvement in HbA1c [27,30,35-37,40,44-46].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [27] source
- Not checked yetcites [30] source
- Not checked yetcites [35] Krishna, S, 2008, J Diabetes Sci Technol source
- Not checked yetcites [36] source
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Load-bearingStrength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“Lundell et al showed a significant improvement in physical activity with telehealth, but no impact on dyspnea [67].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [67] source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Both 2-star meta-analyses concerned home-based telehealth using a variety of technologies, incorporating information transmission with personalized feedback.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [67] source
- Not checked yetcites [68] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“The highest weighted of the heart failure reviews (Ciere et al) specifically analyzed whether the beneficial effects of telehealth interventions on clinical outcomes were mediated by increases in knowledge, self-care, or self-efficacy [56].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [56] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Another meta-analysis, weighted 1 star, showed no impact on mortality but evidence of fewer hospitalizations in a narrative synthesis [69].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [69] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“These included 2 meta-analyses, both weighted 2 stars [67,68].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [67] source
- Not checked yetcites [68] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“A 2-star weighted review of multiple conditions included a narrative synthesis of 5 RCTs of interactive telehealth interventions, excluding telephone-only support, and concluded no overall evidence of benefit in asthma [27].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [27] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“They found that evidence linking telehealth interventions with increased knowledge or self-care behaviors, or linking self-efficacy with self-care was “ambiguous,” and concluded that, on the basis of their findings and the poor methodological quality of the included studies, the evidence neither supports nor refutes their models [56].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [56] source
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“A total of 4 reviews (3 meta-analyses and 1 narrative syntheses) analyzed the impact of telehealth on all-cause mortality, and none showed a significant difference versus usual care [65,66,68,69,71,72].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [65] source
- Not checked yetcites [66] Franek, J, 2012, Ont Health Technol Assess Ser
- Not checked yetcites [68] source
- Not checked yetcites [69] source
- Not checked yetcites [71] Polisena, J, 2012, J Telemed Telecare source
- Not checked yetcites [72] source
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“The other review analyzed Internet-based education programs linking patients with clinicians and found no improvement in quality of life in 2 RCTs and an improvement in symptom scores in 1 of the RCTs [70].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [70] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“Teleconsultations, videoconferencing, and telephone follow-up designed to review symptoms or clinical course were important aspects of telehealth interventions described by Inglis et al for heart failure, whose meta-analysis showed reduced mortality and heart failure hospital admission with telemonitoring and telephone review [58].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [58] source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“The highest-weighted evidence showed improvement in HbA1c in type 2 diabetes with interventions remotely monitoring blood glucose and in some more intensive telephone interventions [31,38,53].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Statement of Main Findings
What the sources say
- Not checked yetcites [31] source
- Not checked yetcites [38] source
- Not checked yetcites [53] source
Load-bearingStrength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“Cassimatis et al (2 stars) analyzed behavioral interventions (excluding telemonitoring) and found some improvements in self-care, dietary and medication adherence, and physical activity, but the effect was inconsistent [22].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [22] source
Strength:plain· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“They found that evidence linking telehealth interventions with increased knowledge or self-care behaviors, or linking self-efficacy with self-care was “ambiguous,” and concluded that, on the basis of their findings and the poor methodological quality of the included studies, the evidence neither supports nor refutes their models [56].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [56] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Several diabetes reviews included elements of remote clinical review, with some reporting positive outcomes [27,30,40].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [27] source
- Not checked yetcites [30] source
- Not checked yetcites [40] source
Strength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“Cassimatis et al highlighted in their analysis that more intensive lifestyle interventions appeared to have a greater impact on glycemic control [22].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [22] source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“few reviews specifically considered or assessed for publication bias and, of those that did, some found evidence to suggest bias [38,46].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Statement of Main Findings
What the sources say
- Not checked yetcites [38] source
- Not checked yetcites [46] source
Load-bearingStrength:hedged· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“They defined 7 separate components of telehealth (patient education, health care provider education, self-monitoring profile, blood glucose goals, use of blood glucose data to modify behavior, feedback to patients, and 2-way interaction).”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [30] source
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
In the paper
“Physiological telemonitoring and telephone support for heart failure were associated with reduced mortality and heart failure-specific hospital admissions [58].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Statement of Main Findings
What the sources say
- Not checked yetcites [58] source
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“For both of these conditions, however, findings were inconsistent between reviews, and analyses of similar interventions reached different conclusions [25,55,57].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Statement of Main Findings
What the sources say
- Not checked yetcites [25] source
- Not checked yetcites [55] source
- Not checked yetcites [57] source
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“The rising prevalence of long-term conditions is a major clinical and public health challenge [1].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [1] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Telehealth has attracted considerable interest as a means of delivering care to those with long-term conditions [2].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [2] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Self-management—whereby individuals take on tasks to deal with medical management, role management, or emotional aspects of their condition [6]—is also increasingly recognized as important for effective management of long-term conditions [7-9].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [7] Department of HealthOur health, our care, our say: a new direction for community services20062016-09-21London, UKThe Stationary Officehttps://www.gov.uk/government/uploads/system/uploads/attachment_data/file/272238/6737.pdf
- Not checked yetcites [8] Department of HealthA new approach to chronic disease management for the 21st century20012016-09-21http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4018578.pdf
- Not checked yetcites [9] World Health OrganizationInnovative care for chronic conditions: building blocks for action20122016-09-21Geneva, SwitzerlandWHOhttp://www.who.int/chp/knowledge/publications/icccglobalreport.pdf
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“suggesting that telehealth is a safe option for delivery of self-management support, particularly in conditions such as heart failure and type 2 diabetes, where the evidence base is more developed.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Abstract > Conclusions
Load-bearingStrength:hedged· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
- Rests on an assumption: The included systematic reviews adequately assessed and reported harms or negative effects, so the absence of reported harm indicates that telehealth is safe.
In the paper
“A systematic overview of self-management interventions (Practical Reviews in Self-Management Support [PRISMS]) demonstrated that self-management support interventions across a range of 14 long-term conditions are complex and multifaceted, involve both the patient and health care professional, and need to be tailored to the individual and their specific condition and context [12].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [12] Taylor, S, 2014, Southampton (UK); NIHR Journals Library
Load-bearingStrength:boosted· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
In the paper
“A systematic overview of self-management interventions (Practical Reviews in Self-Management Support [PRISMS]) demonstrated that self-management support interventions across a range of 14 long-term conditions are complex and multifaceted, involve both the patient and health care professional, and need to be tailored to the individual and their specific condition and context [12].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [12] Taylor, S, 2014, Southampton (UK); NIHR Journals Library
Load-bearingStrength:boosted· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“The review found that no single component of self-management interventions could be identified as being more important than others, but also that the detail and quality of reporting of these complex interventions was a barrier to their wider implementation and the understanding of their effective components [12,13].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [12] Taylor, S, 2014, Southampton (UK); NIHR Journals Library
- Not checked yetcites [13] Hoffmann, TC, 2013, BMJ source
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
In the paper
“Telehealth has been proposed as one mechanism by which self-management may be promoted and enabled [10]”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [10] Steventon, A, 2012, BMJ source
Load-bearingStrength:hedged· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The overlap in included RCTs (ie, reviews with similar inclusion criteria may include the same RCTs) precluded meta-analysis of the review findings; we therefore undertook a narrative synthesis.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Methods > Data Extraction and Interpretation
Load-bearingStrength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
- Rests on an assumption: The included reviews' findings can be meaningfully combined in a narrative synthesis and harvest plots despite heterogeneity in outcomes and methods.
In the paper
“A systematic overview of self-management interventions (Practical Reviews in Self-Management Support [PRISMS]) demonstrated that self-management support interventions across a range of 14 long-term conditions are complex and multifaceted, involve both the patient and health care professional, and need to be tailored to the individual and their specific condition and context [12].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [12] Taylor, S, 2014, Southampton (UK); NIHR Journals Library
Strength:boosted· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“This taxonomy identified 14 separate components that might be adapted and used to support self-management across a range of long-term conditions.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Introduction
What the sources say
- Not checked yetcites [14] source
Load-bearingStrength:hedged· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
In the paper
“The authors concluded that benefits were unlikely in mild asthma but that those at higher risk of hospitalization may benefit.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [63] source
Load-bearingStrength:hedged· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“The authors emphasized that, despite some positive findings, the telehealth interventions were components in complex interventions and further evaluation would be required to clarify their role in COPD [68].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Impact of Telehealth Interventions on Disease Control and Health Care Utilization
What the sources say
- Not checked yetcites [68] source
Load-bearingStrength:hedged· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim. It may state two separate claims as one.
In the paper
“The authors concluded that a range of these components need to be incorporated into telehealth interventions for clinically significant improvements in diabetes self-management to be seen.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Results > Telehealth-Supported Components of Self-Management and Their Impact on Disease Control and the Process of Self-Management
What the sources say
- Not checked yetcites [30] source
Load-bearingStrength:plain· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
Probably not a substantial claim.
In the paper
“A recent metareview of heart failure telemonitoring interventions showed a reduction in all-cause mortality (relative risk 0.60-0.85) and heart failure hospitalizations (relative risk 0.64-0.86) in an analysis of 15 meta-analyses [74].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Comparison With Other Literature
What the sources say
- Not checked yetcites [74] source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
In the paper
“Greenwood et al concluded that a range of components (including educational, self-monitoring, goal-driven, and interactive elements) were important in improving glycemic control [30] and emphasized the multifaceted nature of self-management support.”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Comparison With Other Literature
What the sources say
- Not checked yetcites [30] source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Interventions with multiple components, or more intensive interventions, may be associated with greater benefits [30,53,63,68].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Statement of Main Findings
What the sources say
- Not checked yetcites [30] source
- Not checked yetcites [53] source
- Not checked yetcites [63] source
- Not checked yetcites [68] source
Load-bearingStrength:hedged· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
In the paper
“An overview of telehealth across a number of conditions noted modest improvements in HbA1c in some reviews with others noting no overall effect [2].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Comparison With Other Literature
What the sources say
- Not checked yetcites [2] source
Strength:plain· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“A strength of metareview methodology is that it allows a relatively rapid synthesis of a large body of primary literature and enables a broad overview of a subject area [15].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Strengths and Limitations
What the sources say
- Not checked yetcites [15] source
Strength:plain· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Such questions have been addressed using qualitative methodologies [75], which have highlighted that users valued convenience [76], a sense of being “watched over” [11,77], and finding the telemonitoring data reassuring [78].”
§ Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer > Discussion > Comparison With Other Literature
What the sources say
- Not checked yetcites [75] Medical Research CouncilDeveloping and evaluating complex interventions: new guidance20062016-09-21Swindon, UKMRChttp://www.mrc.ac.uk/documents/pdf/complex-interventions-guidance/
- Not checked yetcites [76] source
- Not checked yetcites [11] source
- Not checked yetcites [77] source
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.

109 of 109

The paper relies on this without support.
The included systematic reviews adequately assessed and reported harms or negative effects, so the absence of reported harm indicates that telehealth is safe.
“none of the reviews reported any negative effects”
“no reviews showed evidence of harm”
The paper relies on this without support.
The extent to which telehealth effectively promotes self-management, and the components of telehealth interventions that contribute to this goal, remain unclear.
“The extent to which telehealth effectively promotes self-management, and the components of telehealth interventions that contribute to this goal, remain unclear.”
The paper relies on this without support.
The included reviews' findings can be meaningfully combined in a narrative synthesis and harvest plots despite heterogeneity in outcomes and methods.
“we therefore undertook a narrative synthesis”
“We used harvest plots to illustrate the disease control outcomes related to telehealth-supported self-management components [17,18].”
The paper relies on this without support.
The included systematic reviews collectively provide a sufficiently complete and unbiased evidence base for the metareview's conclusions about telehealth for self-management of the six conditions.
“By relying on systematic review findings, the evidence is 1 step removed from the empirical evidence, and thus reliant on the interpretation of the review authors.”
The paper relies on this without support.
The six selected long-term conditions are representative enough to generalize the metareview's conclusions about telehealth for self-management to long-term conditions more broadly.
“This metareview considered only 6 long-term conditions and may have reached different conclusions had we selected a different set of conditions.”

5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

COPD mortality review designs do not match their descriptions
Minor
The four included reviews cited for COPD mortality are 65, 66, 68, and 69. The text elsewhere identifies 65 and 66 as narrative syntheses and 68 and 69 as meta-analyses, contradicting the stated split of three meta-analyses and one narrative synthesis.
Conflicting counts of unique RCTs
Minor
The abstract reports 232 unique RCTs, while the Results reports 231. The disease-specific counts in the Results also sum to 231.
Cancer reviews' star weightings conflict with the weighting list
Minor
The cancer section says both reviews were weighted 2 stars, but the earlier weighting list assigns review 21 three stars and review 70 one star.

3 of 3

Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586
Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study
Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60240-2 · Cited by 6,972 · cited 1×
“The rising prevalence of long-term conditions is a major clinical and public health challenge [1].”
Methodology in conducting a systematic review of systematic reviews of healthcare interventions
Smith, V., Devane, D., Begley, C. M., & Clarke, M. (2011) · BMC Medical Research Methodology · doi:10.1186/1471-2288-11-15 · Cited by 1,227 · cited 2×
“A strength of metareview methodology is that it allows a relatively rapid synthesis of a large body of primary literature and enables a broad overview of a subject area [15].”
Effectiveness of telemedicine: A systematic review of reviews
Ekeland, A. G., Bowes, A., & Flottorp, S. (2010) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2010.08.006 · Cited by 1,162 · cited 1×
“Definitions of telehealth are many and varied [3], and the technologies involved are novel and evolving [4]: in this paper we use the term to refer to any use”
Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review
Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B. B., & Ginsburg, A. S. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3951 · Cited by 1,149 · cited 5×
“A total of 53 systematic reviews met the inclusion criteria [16,19-70].”
Influential
Healthcare via Cell Phones: A Systematic Review
Krishna, S., Boren, S. A., & Balas, E. A. (2009) · Telemedicine and e-Health · doi:10.1089/tmj.2008.0099 · Cited by 882 · cited 8×
“Supported education and information interventions were particularly effective in the context of diabetes, with 9 larger systematic reviews showing evidence of improvement in HbA1c [27,30,35-37,40,44-46].”
Influential
Interactive telemedicine: effects on professional practice and health care outcomes
Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., & Shepperd, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002098.pub2 · Cited by 806 · cited 10×
“A total of 53 systematic reviews met the inclusion criteria [16,19-70].”
Influential
Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies
O’Connor, S., Hanlon, P., O’Donnell, C. A., Garcia, S., Glanville, J., & Mair, F. S. (2016) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-016-0359-3 · Cited by 636
Self-citation
What Is Telemedicine? A Collection of 104 Peer-Reviewed Perspectives and Theoretical Underpinnings
Sood, S., Mbarika, V., Jugoo, S., Dookhy, R., Doarn, C. R., Prakash, N., & Merrell, R. C. (2007) · Telemedicine and e-Health · doi:10.1089/tmj.2006.0073 · Cited by 627 · cited 1×
“Definitions of telehealth are many and varied [3], and the technologies involved are novel and evolving [4]: in this paper we use the term to refer to any use”

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Sorted by citations

The effectiveness of self-management of hypertension in adults using mobile health: systematic review and meta-analysis
Li, R., Liang, N., Bu, F., & Hesketh, T. (2020) · JMIR mHealth and uHealth · doi:10.2196/17776 · Cited by 262
“mHealth is emerging as a vital platform to perform self-management, especially for chronic diseases [11].”
Background
Videoconferencing psychotherapy and depression: a systematic review
Berryhill, M. B., Culmer, N., Williams, N., Halli-Tierney, A., Betancourt, A., Roberts, H., & King, M. (2019) · Telemedicine and e-Health · doi:10.1089/tmj.2018.0058 · Cited by 275
Mapping the evidence on the effectiveness of telemedicine interventions in diabetes, dyslipidemia, and hypertension: An umbrella review of systematic reviews and meta-analyses
Timpel, P., Oswald, S., Schwarz, P. E. H., & Harst, L. (2020) · Journal of Medical Internet Research · doi:10.2196/16791 · Cited by 243
“Owing to the need for individualized and continuous monitoring and self-management support for patients, chronic diseases are considered the ideal target conditions for the development and implementation of telemedicine approaches [18,19].”
Background
Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review
Camden, C., Pratte, G., Fallon, F., Couture, M. M., Berbari, J., & Tousignant, M. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1595750 · Cited by 240
The Effectiveness of Smartphone Apps for Lifestyle Improvement in Noncommunicable Diseases: Systematic Review and Meta-Analyses
Lunde, P., Nilsson, B. B., Bergland, A., Kværner, K. J., & Bye, A. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9751 · Cited by 214
“A recent systematic meta-review evaluated telehealth interventions, which are also regarded as mHealth, to support self-management of long-term conditions [36].”
Background
Electronic Consultation in Primary Care Between Providers and Patients: Systematic Review
Mold, F., Hendy, J., Lai, Y.-L., & de Lusignan, S. (2019) · JMIR Medical Informatics · doi:10.2196/13042 · Cited by 181
“Remote care comes in many forms, including telephone, video, text messaging, email consultations, Web-based portals for prescription orders, appointment booking, and patient access to online health records, or any combinations of all these [13], recognizing that research in this area is heterogeneous [14].”
Background
Factors influencing the effectiveness of remote patient monitoring interventions: a realist review
Thomas, E. E., Taylor, M. L., Banbury, A., Snoswell, C. L., Haydon, H. M., Gallegos Rejas, V. M., Smith, A. C., & Caffery, L. J. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-051844 · Cited by 156
Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis
Aminuddin, H. B., Jiao, N., Jiang, Y., Hong, J., & Wang, W. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.02.003 · Cited by 157
Implementation Strategies to Enhance the Implementation of eHealth Programs for Patients With Chronic Illnesses: Realist Systematic Review
Varsi, C., Solberg Nes, L., Kristjansdottir, O. B., Kelders, S. M., Stenberg, U., Zangi, H. A., Børøsund, E., Weiss, K. E., Stubhaug, A., Asbjørnsen, R. A., et al. (2019) · Journal of Medical Internet Research · doi:10.2196/14255 · Cited by 148
“For example, telehealth is regarded as a safe option for delivery of self-management support [10], and internet-delivered cognitive behavioral therapy (ICBT) has shown promising results as an alternative to traditional face-to-face interventions among persons with chronic health illnesses [3].”
Background
Home-based versus centre-based cardiac rehabilitation
McDonagh, S. T. J., Dalal, H. M., Moore, S. F., Clark, C. E., Dean, S. G., Jolly, K. B., Cowie, A., Afzal, J., & Taylor, R. S. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007130.pub5 · Cited by 178
Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews
Captieux, M., Pearce, G., Parke, H. L., Epiphaniou, E., Wild, S., Taylor, S. J. C., & Pinnock, H. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-024262 · Cited by 132
Self-citation
Telehealth in Oncology: ASCO Standards and Practice Recommendations
Zon, R. T., Kennedy, E. B., Adelson, K. B., Blau, S. H., Dickson, N. R., Gill, D. M., Laferriere, N., López, A. M., Mulvey, T. M., Patt, D. A., et al. (2021) · JCO Oncology Practice · doi:10.1200/op.21.00438 · Cited by 148
“A study that looked at outcomes across chronic diseases, including diabetes, heart failure, asthma, chronic obstructive pulmonary disease, and cancer, found that the oncology field had the least well-developed evidence base for the effectiveness of telehealth interventions for survivors.(28) Studies of telehealth(28,2…”
Background
Videoconferencing psychological therapy and anxiety: a systematic review
Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Ruggles, H. (2019) · Family Practice · doi:10.1093/fampra/cmy072 · Cited by 143
Mobile health technology: a novel tool in chronic disease management
Fan, K., & Zhao, Y. (2021) · Intelligent Medicine · doi:10.1016/j.imed.2021.06.003 · Cited by 150
Digital physical therapy in the COVID-19 pandemic
Dantas, L. O., Barreto, R. P. G., & Ferreira, C. H. J. (2020) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2020.04.006 · Cited by 137
Patients’ quality of life during active cancer treatment: a qualitative study
Sibeoni, J., Picard, C., Orri, M., Labey, M., Bousquet, G., Verneuil, L., & Revah-Levy, A. (2018) · BMC Cancer · doi:10.1186/s12885-018-4868-6 · Cited by 106
Clinical Improvements by Telemedicine Interventions Managing Type 1 and Type 2 Diabetes: Systematic Meta-review
Eberle, C., & Stichling, S. (2021) · Journal of Medical Internet Research · doi:10.2196/23244 · Cited by 119
The state of the art in telerehabilitation for musculoskeletal conditions
Baroni, M. P., Jacob, M. F., Rios, W. R. C., Fandim, J. V., Fernandes, L. G., Chaves, P. I., Fioratti, I., & Saragiotto, B. T. (2023) · Archives of Physiotherapy · doi:10.1186/s40945-022-00155-0 · Cited by 146
At my own pace, space, and place: a systematic review of qualitative studies of enablers and barriers to telehealth interventions for people with chronic pain
Fernandes, L. G., Devan, H., Fioratti, I., Kamper, S. J., Williams, C. M., & Saragiotto, B. T. (2022) · Pain · doi:10.1097/j.pain.0000000000002364 · Cited by 118
Impact of Travel Time on Health Care Costs and Resource Use by Phase of Care for Older Patients With Cancer
Rocque, G. B., Williams, C., Miller, H. D., Azuero, A., Wheeler, S. B., Pisu, M., Hull, O., Rocconi, R. P., & Kenzik, K. M. (2019) · Journal of Clinical Oncology · doi:10.1200/jco.19.00175 · Cited by 115
“Characteristics Total, % (N = 23,382) £ 30-Minute Travel Time to Cancer Care Site, % (n = 11,296) 31-60–Minute Travel Time to Cancer Care Site, % (n = 6,414) > 1-Hour Travel Time to Cancer Care Site, % (n = 5,672) Minutes to CCS, median (IQR) 32 (18-59) 18 (13-24) 41 (35-50) 96 (75-138) Age at diagnosis, years # 75 63.”
Telemedicine in COPD: An Overview by Topics
Barbosa, M. T. R., Sousa, C. S., Morais‐Almeida, M., Simões, M. J., & Mendes, P. (2020) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2020.1815182 · Cited by 115
“and health education in COPD patients [24,26,27].”
Background
Artificial intelligence in personalized nutrition and food manufacturing: a comprehensive review of methods, applications, and future directions
Agrawal, K., Göktaş, P., Kumar, N., & Leung, M.-F. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1636980 · Cited by 140
Physical Examinations via Video for Patients With Heart Failure: Qualitative Study Using Conversation Analysis
Seuren, L. M., Wherton, J., Greenhalgh, T., Cameron, D., A'Court, C., & Shaw, S. E. (2020) · Journal of Medical Internet Research · doi:10.2196/16694 · Cited by 120
Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review
Muñoz-Tomás, M.-T., Burillo-Lafuente, M., Vicente-Parra, A., Sanz-Rubio, M. C., Suárez-Serrano, C., Marcén-Román, Y., & Franco-Sierra, M. Á. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054358 · Cited by 119
“Although more evidence is needed to establish care standards, studies have indicated that telerehabilitation is as efficient as face-to-face care in terms of assessment [3,4], pain management [3,5], functionality [6] and health education [7].”
Background
Patient Characteristics and Telemedicine Use in the US, 2022
Chang, E., Penfold, R. B., & Berkman, N. D. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.3354 · Cited by 108
eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project
Melchiorre, M. G., Papa, R., Rijken, M., van Ginneken, E., Hujala, A., & Barbabella, F. (2017) · Health Policy · doi:10.1016/j.healthpol.2017.08.006 · Cited by 106
“telehealth seems to be a “safe option” for delivery of self-management support [58].”
Background
Smartphone-based objective monitoring in bipolar disorder: status and considerations
Faurholt‐Jepsen, M., Bauer, M., & Kessing, L. V. (2018) · International Journal of Bipolar Disorders · doi:10.1186/s40345-017-0110-8 · Cited by 104
Effect of telehealth interventions on quality of life in cancer survivors: A systematic review and meta-analysis of randomized controlled trials
Li, J., Liu, Y., Jiang, J., Peng, X., & Hu, X. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103970 · Cited by 98
A Mobile Health Intervention to Improve Self-Care in Patients With Heart Failure: Pilot Randomized Control Trial
Athilingam, P. R., Jenkins, B., Johansson, M., & Labrador, M. A. (2017) · JMIR Cardio · doi:10.2196/cardio.7848 · Cited by 95
“A recent meta-synthesis of 9 systematic reviews of telemonitoring of physiological parameters and telephone support significantly reduced HF-related readmissions, whereas no impact was reported from telephone-only interventions and a variable effect reported on hospital admissions [13].”
Background
The use of telemedicine for the diagnosis and treatment of sleep disorders: an American Academy of Sleep Medicine update
Shamim-Uzzaman, Q. A., Bae, C. J., Ehsan, Z., Setty, A. R., Devine, M. F., Dhankikar, S., Donskoy, I., Fields, B. G., Hearn, H., Hwang, D., et al. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9194 · Cited by 98
“However, studies showing the success of management of other medication-treated disorders, such as asthma, hypertension and diabetes, 16,17 suggest that management of these other sleep disorders via telemedicine would be successful as well.”
The use of patient-facing teleconsultations in the national health service: scoping review
O'Cathail, M., Sivanandan, M. A., Diver, C., Patel, P., & Christian, J. (2020) · JMIR Medical Informatics · doi:10.2196/15380 · Cited by 86
Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies
Taylor, M. L., Thomas, E. E., Vitangcol, K. J., Marx, W., Campbell, K. L., Caffery, L. J., Haydon, H. M., Smith, A. C., & Kelly, J. T. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221119620 · Cited by 109
“Many individuals could effectively self-manage their condition in the community with the right support.(2) However, personalised health information and feedback outside of scheduled healthcare visits are often lacking.”
Background
The smell of lung disease: a review of the current status of electronic nose technology
van der Sar, I. G., Wijbenga, N., Nakshbandi, G., Aerts, J. G. J. V., Manintveld, O. C., Wijsenbeek, M. S., Hellemons, M. E., & Moor, C. C. (2021) · Respiratory Research · doi:10.1186/s12931-021-01835-4 · Cited by 87
“Furthermore, the diagnosis is delayed in patients whose symptoms are attributed to (undiagnosed) heart failure [36].”
Background
Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure – A randomized controlled trial
Fors, A., Blanck, E., Ali, L., Ekberg‐Jansson, A., Fu, M. L. X., Kjellberg, I. L., Mäkitalo, Å., Swedberg, K. B., Taft, C., & Ekman, I. (2018) · PLoS ONE · doi:10.1371/journal.pone.0203031 · Cited by 88
From chronic disease management to person-centered eHealth; a review on the necessity for blended care
Talboom-Kamp, E. P. W. A., Verdijk, N. A., Kasteleyn, M. J., Numans, M. E., & Chavannes, N. H. (2018) · Clinical eHealth · doi:10.1016/j.ceh.2018.01.001 · Cited by 86
Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study
Jiang, Y., Sun, P., Chen, Z., Guo, J., Wang, S., Liu, F., & Li, J. (2022) · BMC Geriatrics · doi:10.1186/s12877-021-02702-z · Cited by 86
Digital interventions for the management of chronic obstructive pulmonary disease
Janjua, S., Banchoff, E., Threapleton, C. J., Prigmore, S., Fletcher, J., & Disler, R. T. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013246.pub2 · Cited by 90
A telehealth system for automated diagnosis of asthma and chronical obstructive pulmonary disease
Gurbeta, L., Badnjević, A., Maksimović, M., Omanović-Mikličanin, E., & Sejdić, E. (2018) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocy055 · Cited by 79
Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis
De Groot, J., Wu, D., Flynn, D., Robertson, D., Grant, G., & Sun, J. (2021) · World Journal of Diabetes · doi:10.4239/wjd.v12.i2.170 · Cited by 77
The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis
Peters, G. M., Kooij, L., Lenferink, A., van Harten, W. H., & Doggen, C. J. M. (2021) · Journal of Medical Internet Research · doi:10.2196/25195 · Cited by 78
“In a systematic overview of the use of telehealth for various chronic health conditions, reviews on health conditions other than heart failure or COPD also found only a few articles, except for diabetes [8].”
BackgroundInfluential
Are COPD self-management mobile applications effective? A systematic review and meta-analysis
Shaw, G., Whelan, M., Armitage, L. C., Roberts, N. W., & Farmer, A. A. (2020) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-020-0167-1 · Cited by 78
Telemedicine Awareness, Knowledge, Attitude, and Skills of Health Care Workers in a Low-Resource Country During the COVID-19 Pandemic: Cross-sectional Study
Elhadi, M., Elhadi, A., Bouhuwaish, A. E. M., Alshiteewi, F. B., Elmabrouk, A., Alsuyihili, A., Alhashimi, A., Khel, S., Elgherwi, A., Alsoufi, A., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/20812 · Cited by 81
“Telemedicine services can reduce the risk of infection among populations by facilitating social distancing and decreasing the burden on the hospitals that provide care to individuals with COVID-19 [21-23].”
Background
Telemedicine can revolutionize the treatment of chronic disease
Corbett, J. A., Opladen, J., & Bisognano, J. D. (2020) · International Journal of Cardiology Hypertension · doi:10.1016/j.ijchy.2020.100051 · Cited by 70
Toward a Digital Platform for the Self-Management of Noncommunicable Disease: Systematic Review of Platform-Like Interventions
Tighe, S. A., Ball, K., Kensing, F., Kayser, L., Rawstorn, J. C., & Maddison, R. (2020) · Journal of Medical Internet Research · doi:10.2196/16774 · Cited by 73
“…of communication technologies used to deliver health services and facilitate patient and health care professional interaction [47] have reported that improvements in self-management of NCDs are not inferior to the positive changes produced by structured center-based programs or usual care [42,48].”
Lifestyle interventions for mental health
Manger, S. (2019) · Australian Journal of General Practice · doi:10.31128/ajgp-06-19-4964 · Cited by 67
Impact of Asynchronous Electronic Communication–Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review
Nguyen, O. T., Tabriz, A. A., Huo, J. S., Hanna, K., Shea, C. M., & Turner, K. L. (2021) · Journal of Medical Internet Research · doi:10.2196/27531 · Cited by 65
Use of Mobile Devices to Help Cancer Patients Meet Their Information Needs in Non-Inpatient Settings: Systematic Review
Richards, R., Kinnersley, P., Brain, K. E., McCutchan, G. M., Staffurth, J. N., & Wood, F. (2018) · JMIR mhealth and uhealth · doi:10.2196/10026 · Cited by 66
“Previous studies of mobile symptom-monitoring or adherence interventions have shown similar findings, including improvements to symptoms, such as an increased blood glucose control, increased self-management behaviors, such as increased adherence to treatment, and fewer hospital admissions [23-25,60].”
BackgroundResultInfluential
Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis
Leo, D. G., Buckley, B. J. R., Chowdhury, M., Harrison, S. L., Isanejad, M., Lip, G. Y. H., Wright, D. J., Lane, D. A., & the TAILOR investigators (2022) · Journal of Medical Internet Research · doi:10.2196/35508 · Cited by 62
“Our findings confirm previous reviews [177,178] while expanding the results to populations outside care homes [178] and including study designs other than RCTs [177].”
Opportunities and Challenges of Telehealth in Remote Communities: Case Study of the Yukon Telehealth System
Seto, E., Smith, D., Jacques, M., & Morita, P. P. (2019) · JMIR Medical Informatics · doi:10.2196/11353 · Cited by 60
“Similar home-based services have been widely presented by other authors in the field, showcasing the widespread benefit of enabling patients to attend their visits from the comfort of their own home [26-31].”
Background
Effects of a Nurse-Led Telehealth Self-care Promotion Program on the Quality of Life of Community-Dwelling Older Adults: Systematic Review and Meta-analysis
Wong, A. K. C., Bayuo, J., Wong, F. K. Y., Yuen, W. S., Lee, A. Y. L., Chang, P. K., & Lai, J. T. C. (2022) · Journal of Medical Internet Research · doi:10.2196/31912 · Cited by 67
“Some focused on patients with a specific disease or who were in the terminal phase of their life, instead of on a sample representing the general population of community-dwelling older adults [18-20], while others overlooked the leading efforts of nurses in using telecare to promote self-care in the community [21].”
Background
The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression
Hangaard, S., Laursen, S. H., Andersen, J. D., Kronborg, T., Vestergaard, P., Hejlesen, O., & Udsen, F. W. (2023) · Journal of Diabetes Science and Technology · doi:10.1177/19322968211064633 · Cited by 55
Opportunities in the cloud or pie in the sky? Current status and future perspectives of telemedicine in nephrology
Stauss, M., Floyd, L., Becker, S., Ponnusamy, A., & Woywodt, A. (2020) · Clinical Kidney Journal · doi:10.1093/ckj/sfaa103 · Cited by 56
“concluded that this approach is generally safe [53].”
Background
Association Between Daily Internet Use and Incidence of Chronic Diseases Among Older Adults: Prospective Cohort Study
Li, P., Zhang, C., Gao, S., Zhang, Y., Liang, X., Wang, C., Zhu, T., & Li, W. (2023) · Journal of Medical Internet Research · doi:10.2196/46298 · Cited by 60
“For instance, internet-based telemedicine technology may be used for monitoring and disease intervention outcomes in patients with heart failure and diabetes, therefore lowering mortality and hospital admissions [19].”
Medical Mobile App Classification Using the National Institute for Health and Care Excellence Evidence Standards Framework for Digital Health Technologies: Interrater Reliability Study
Nwe, K., Larsen, M. E., Nelissen, N., & Wong, D. (2020) · Journal of Medical Internet Research · doi:10.2196/17457 · Cited by 56
Online teletherapy for chronic pain: A systematic review
Mariano, T. Y., Wan, L., Edwards, R. R., & Jamison, R. N. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x19871746 · Cited by 52
Effectiveness of mobile phone-based self-management interventions for medication adherence and change in blood pressure in patients with coronary heart disease: A systematic review and meta-analysis
Sua, Y. S., Jiang, Y., Thompson, D. R., & Wang, W. (2020) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515119895678 · Cited by 52
Smartphone-based self-monitoring in bipolar disorder: evaluation of usability and feasibility of two systems
Faurholt‐Jepsen, M., Torri, E., Cobo, J., Yazdanyar, D., Palao, D. J., Cardoner, N., Andreatta, O., Mayora, O., & Kessing, L. V. (2019) · International Journal of Bipolar Disorders · doi:10.1186/s40345-018-0134-8 · Cited by 53
Effectiveness of telemonitoring on self-care behaviors among community-dwelling adults with heart failure: a quantitative systematic review
Nick, J. M., Roberts, L. R., & Petersen, A. B. (2021) · JBI Evidence Synthesis · doi:10.11124/jbies-20-00329 · Cited by 52
Motivation, Challenges and Self-Regulation in Heart Failure Self-Care: a Theory-Driven Qualitative Study
Chew, H. S. J., Sim, K. L. D., Cao, X., & Chair, S. Y. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09798-z · Cited by 65
A Framework for Optimizing Technology-Enabled Diabetes and Cardiometabolic Care and Education: The Role of the Diabetes Care and Education Specialist
Greenwood, D. A., Howell, F., Scher, L., Yousef, G., Rinker, J., Yehl, K., Isaacs, D. M., & Peeples, M. M. (2020) · The diabetes educator · doi:10.1177/0145721720935125 · Cited by 44
Telemedicine interventions for hypertension management in low- and middle-income countries: A scoping review
Hoffer-Hawlik, M. A., Moran, A. E., Zerihun, L. M., Usseglio, J., Cohn, J., & Gupta, R. (2021) · PLoS ONE · doi:10.1371/journal.pone.0254222 · Cited by 49
“Compared to medical management, interventions that promote lifestyle changes for patient self-management are typically multifaceted in nature and vary widely depending on patientspecific factors [33].”
Background
Telehealth Interventions for Improving Self-Management in Patients With Hemophilia: Scoping Review of Clinical Studies
Qian, W., Lam, T. N., Lam, H. H. W., Li, C. K., & Cheung, Y. T. (2019) · Journal of Medical Internet Research · doi:10.2196/12340 · Cited by 48
Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies
Hanley, J., Pinnock, H., Paterson, M., & McKinstry, B. (2018) · BMC Family Practice · doi:10.1186/s12875-018-0814-6 · Cited by 52
Self-citation
Telehealth in chronic disease management and the role of the Internet-of-Medical-Things: the Tholomeus® experience
Omboni, S., Campolo, L., & Panzeri, E. (2020) · Expert Review of Medical Devices · doi:10.1080/17434440.2020.1782734 · Cited by 45
The Willingness to Pay for Telemedicine Among Patients With Chronic Diseases: Systematic Review
Chua, V., Koh, J. H., Koh, G. C., & Tyagi, S. (2022) · Journal of Medical Internet Research · doi:10.2196/33372 · Cited by 48
“The benefits of telemedicine-aided self-management are also apparent from a systematic review conducted by Hanlon et al [14], where telehealth interventions were found to be appropriate and effective in supporting chronic disease self-management.”
BackgroundMethod
Health Information Sources Influencing Health Literacy in Different Social Contexts across Age Groups in Northern Thailand Citizens
Buawangpong, N., Sirikul, W., Anukhro, C., Seesen, M., La-up, A., & Siviroj, P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19106051 · Cited by 44
The Impact of Telemedicine on Quality of Care for Patients with Diabetes After March 2020
Quinton, J. K., Ong, M. K., Sarkisian, C. A., Casillas, A., Vangala, S., Kakani, P., & Han, M. A. (2022) · Journal of General Internal Medicine · doi:10.1007/s11606-021-07367-3 · Cited by 45
“Individuals (N) 224 7,357 16,364 9,231 Age, mean (SD) 60 (11) 60 (11) 60 (11) 60 (11) Female (%) 119 (53)* 3,600 (49)* 7,348 (45)* 3,867 (42)* Race (%) American Indian 1 ( < 1) 38 (1) 92 (1) 55 (1) Asian 27 (12) 1,057 (14) 2,535 (15) 1,505 (16) Black 21 (9) 822 (11) 1,605 (10) 804 (9) Other/unknown 53 (24) 1,690 (23)…”
Disease management programs in chronic heart failure
Moertl, D., Altenberger, J., Bauer, N., Berent, R., Berger, R., Böhmer, A., Ebner, C., Fritsch, M., Geyrhofer, F., Huelsmann, M., et al. (2017) · Wiener klinische Wochenschrift · doi:10.1007/s00508-017-1265-0 · Cited by 53
Telemedicine in heart failure—more than nice to have?
Eurlings, C., Boyne, J. J., de Boer, R. A., & Rocca, H. B. (2018) · Netherlands Heart Journal · doi:10.1007/s12471-018-1202-5 · Cited by 46
“However, there may be also a significant improvement in self-management in HF as well as other chronic diseases [44], possibly resulting in reduction of outpatient visits as shown for another chronic disease [45].”
Background
Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
Hwang, N., Park, J., & Chang, M. (2021) · Healthcare · doi:10.3390/healthcare9040472 · Cited by 44
“[8] proposed six components for SM support using telehealth (TH): patient education and information, monitoring using”
Background
eHealth for people with COPD in the Netherlands: a scoping review
Hallensleben, C., van Luenen, S., Rolink, E., Ossebaard, H. C., & Chavannes, N. H. (2019) · International Journal of COPD · doi:10.2147/copd.s207187 · Cited by 45
“…into telehealth, in which telecommunications and virtual technology are used to provide health care outside health care institutions.9 A meta-review by Hanlon et al (2017)10 summarized the evidence of eight previous reviews on the effectiveness of telehealth interventions for people with COPD.”
Background
CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors
MacDonald, A. M., Chafranskaia, A., Lopez, C. J., Maganti, M. D., Bernstein, L. J., Chang, E. B., Langelier, D. M., Obadia, M., Edwards, B. Q., OH, P. I., et al. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103092 · Cited by 47
Telemedicine and virtual respiratory care in the era of COVID-19
Pinnock, H., Murphie, P., Vogiatzis, I., & Poberezhets, V. (2022) · ERJ Open Research · doi:10.1183/23120541.00111-2022 · Cited by 43
Self-citation
Managing Diabetes in Hard to Reach Populations: A Review of Telehealth Interventions
Appuswamy, A. V., & Desimone, M. E. (2020) · Current Diabetes Reports · doi:10.1007/s11892-020-01310-2 · Cited by 42
Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study
Kujala, S., Ammenwerth, E., Kolanen, H., & Ervast, M. (2020) · Journal of Medical Internet Research · doi:10.2196/17696 · Cited by 38
“Diabetes and heart failure interventions seem to be particularly effective [2].”
Background
Telehealth for Chronic Disease Management Among Vulnerable Populations
Williams, C., & Shang, D. (2023) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-023-01588-4 · Cited by 45
“1 3 clinical outcomes, yet the lack of in-person options did not encourage telehealth use [17, 29, 30].”
Effects of Person-Centered Care Using a Digital Platform and Structured Telephone Support for People With Chronic Obstructive Pulmonary Disease and Chronic Heart Failure: Randomized Controlled Trial
Ali, L., Wallström, S., Fors, A., Barenfeld, E., Fredholm, E. M., Fu, M. L. X., Goudarzi, M., Gyllensten, H., Kjellberg, I. L., Swedberg, K. B., et al. (2021) · Journal of Medical Internet Research · doi:10.2196/26794 · Cited by 41
“Nonetheless, telehealth self-management interventions do not seem to report any adverse effects, which could suggest that such interventions are a suitable option to support people with chronic conditions [6].”
Background
Promise of Mobile Health Technology to Reduce Disparities in Patients With Cancer and Survivors
Gonzalez, B. D. (2018) · JCO Clinical Cancer Informatics · doi:10.1200/cci.17.00141 · Cited by 40
Delivering Telerehabilitation to COVID-19 Inpatients: A Retrospective Chart Review Suggests it is a Viable Option
Rosen, K., Patel, M., Lawrence, C., & Mooney, B. (2020) · HSS Journal® The Musculoskeletal Journal of Hospital for Special Surgery · doi:10.1007/s11420-020-09774-4 · Cited by 40
Effect of Telemetric Interventions on Glycated Hemoglobin A1c and Management of Type 2 Diabetes Mellitus: Systematic Meta-Review
Eberle, C., & Stichling, S. (2021) · Journal of Medical Internet Research · doi:10.2196/23252 · Cited by 38
“Recent studies have reported positive effects of telemetric interventions on diabetes management [5,6].”
Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study
Ekstedt, M., Nordheim, E. S., Hellström, A., Strandberg, S., & Hagerman, H. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09428-1 · Cited by 41
“Studies show shifting results regarding outcomes of telemonitoring [4].”
Background
Model for Medical Student Introductory Telemedicine Education
Walker, C. R., Echternacht, H., & Brophy, P. D. (2018) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2018.0140 · Cited by 38
“5,6 As the pressure to reduce healthcare costs and improve patient access increases, the need for physicians to utilize telemedicine technologies will most likely increase.”
WeChat as a Platform for Baduanjin Intervention in Patients With Stable Chronic Obstructive Pulmonary Disease in China: Retrospective Randomized Controlled Trial
Bi, J., Yang, W., Hao, P., Yong-mei, Z., Wei, D., Sun, Y., Lin, Y., Sun, M., Chen, X., Luo, X., et al. (2020) · JMIR mhealth and uhealth · doi:10.2196/23548 · Cited by 37
“Although the management of COPD patients has been studied since the 1960s [30], the situation of management is not optimistic.”
Can the COPD web be used to promote self-management in patients with COPD in swedish primary care: a controlled pragmatic pilot trial with 3 month- and 12 month follow-up
Nyberg, A., Tistad, M., & Wadell, K. (2019) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2019.1569415 · Cited by 36
“However, even though eHealth solutions have been suggested to have the potential to deliver support for selfmanagement in patients with COPD, effects are inconsistent and further research is warranted [11,12].”
Background
Predictive performance and impact of algorithms in remote monitoring of chronic conditions: A systematic review and meta-analysis
Castelyn, G., Laranjo, L., Schreier, G., & Gallego, B. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104620 · Cited by 38
Self-Efficacy of Older People Using Technology to Self-Manage COPD, Hypertension, Heart Failure, or Dementia at Home: An Overview of Systematic Reviews
Chalfont, G. E., Mateus, C., Varey, S., & Milligan, C. (2020) · The Gerontologist · doi:10.1093/geront/gnaa045 · Cited by 35
“Governments, particularly in high-income countries are seeking technological ‘solutions’ to address the rising patient numbers and costs associated with LTCs (Hanlon et al., 2017; Parati, Pellegrini, & Torlasco, 2019).”
Background
Implementation of digital home monitoring and management of respiratory disease
Pinnock, H., Hui, C. Y., & van Boven, J. F. M. (2023) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000965 · Cited by 38
Self-citation
Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7–8 September 2017
Donner, C. F., Raskin, J. M., ZuWallack, R., Nici, L. L., Ambrosino, N., Balbi, B., Blackstock, F. C., Casaburi, R. H., Dreher, M., Effing, T., et al. (2018) · Respiratory Medicine · doi:10.1016/j.rmed.2018.09.003 · Cited by 39
Telemonitoring Interventions in COPD Patients: Overview of Systematic Reviews
Li, X., Xie, Y., Zhao, H., Zhang, H., Yu, X., & Li, J. (2020) · BioMed Research International · doi:10.1155/2020/5040521 · Cited by 33
“TI is a technology that captures data related to the diagnosis, prevention, and management of health and disease, making it possible to monitor and intervene in the event of acute and chronic disease [31], especially in the field of heart failure and COPD [10, 32].”
Background
A randomized clinical trial of smartphone self-managed recovery support services
Scott, C. K., Dennis, M. L., Johnson, K., & Grella, C. E. (2020) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2020.108089 · Cited by 34
“, regular monitoring of behaviors and/or experiences in real time in the subject’s natural environment) leads to changes in substance use, self-monitoring is considered a key component of selfmanagement for chronic diseases in general (Bodenheimer, Lorig, Holman, & Grumbach, 2002; Hamine, Gerth-Guyette, Faulx, Green,…”
Background
Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach
Ekstedt, M., Kirsebom, M., Lindqvist, G., Kneck, Å., Kneck, Å., Flink, M., & Wannheden, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19010391 · Cited by 39
“Despite the major push to harness eHealth services that support self-management behavior among older adults with chronic conditions in interaction with primary healthcare, precisely how to develop theory- and evidence-informed eHealth interventions that engage users remains a challenge and is rarely well documented [1…”
BackgroundInfluential
Cost-effectiveness of telehealth-delivered diet and exercise interventions: A systematic review
Law, L., Kelly, J. T., Savill, H., Wallen, M. P., Hickman, I. J., Erku, D., & Mayr, H. L. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x211070721 · Cited by 35
Participatory methods in a digital setting: experiences from the co-creation of an eHealth tool for people with chronic obstructive pulmonary disease
Lundell, S., Toots, A., Sönnerfors, P., Halvarsson, A., & Wadell, K. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-01806-9 · Cited by 34
“In particular, eHealth may facilitate greater control of, and a more active role in personal health [2]; its potential for self-management of chronic diseases, including diabetes, cancer, cardiovascular-, and respiratory disease across populations is promising [3, 4].”
Background
Mitigating the Impact of the COVID-19 Pandemic on Adult Cancer Patients through Telehealth Adoption: A Systematic Review
Murphy, A., Kirby, A., Lawlor, A., Drummond, F. J., & Heavin, C. (2022) · Sensors · doi:10.3390/s22093598 · Cited by 34
“For this study, we use the term “Telehealth” to characterise two-way communications among stakeholders [5] and their use of ICT [6,7] to enable the delivery of healthcare, exchange of health data, and dissemination of health-related education across geographic lly isperse locatio s [8–13].”
BackgroundMethod
Patient Experiences of Web-Based Cognitive Behavioral Therapy for Heart Failure and Depression: Qualitative Study
Lundgren, J., Johansson, P., Jaarsma, T., Andersson, G., & Kärner Köhler, A. (2018) · Journal of Medical Internet Research · doi:10.2196/10302 · Cited by 33
The Effectiveness of Telemedicine Solutions in Type 1 Diabetes Management: A Systematic Review and Meta-analysis
Udsen, F. W., Hangaard, S., Bender, C., Andersen, J., Kronborg, T., Vestergaard, P., Hejlesen, O., & Laursen, S. (2022) · Journal of Diabetes Science and Technology · doi:10.1177/19322968221076874 · Cited by 27
Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers’ involvement
Acquati, C., Hibbard, J. H., Miller‐Sonet, E., Zhang, A., & Ionescu, E. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01085-9 · Cited by 32
Becoming more of an insider: A grounded theory study on patients’ experience of a person-centred e-health intervention
Barenfeld, E., Ali, L., Wallström, S., Fors, A., & Ekman, I. (2020) · PLoS ONE · doi:10.1371/journal.pone.0241801 · Cited by 31
“Even where there has been a shift towards more interactive service, this has modelled conventional roles, with the health professional in the role of expert providing monitoring, assessments or education, and patient participation limited to the reporting of signs or symptoms [7].”
Background
The impact of internet use on health status among older adults in China: The mediating role of social support
Yiting, E., Yang, J., Niu, L., & Lu, C. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1108096 · Cited by 32
“In terms of disease intervention, Internet interventions have been widely adopted to aid disease management in a variety of areas, such as HIV and AIDS, malaria, tuberculosis, diabetes, asthma, obesity, and smoking (21), thus reducing mortality (22).”
Background
Usefulness and Relevance of an eHealth Tool in Supporting the Self-Management of Chronic Obstructive Pulmonary Disease: Explorative Qualitative Study of a Cocreative Process
Tistad, M., Lundell, S., Wiklund, M., Nyberg, A., Holmner, Å., & Wadell, K. (2018) · JMIR Human Factors · doi:10.2196/10801 · Cited by 31
“A recent meta-review of telehealth interventions to support self-management in COPD showed inconsistent effects [13].”

Authors: Hanlon, P., Daines, L., Campbell, C., McKinstry, B., Weller, D., & Pinnock, H.
Affiliations: University of Edinburgh (GB)
Corresponding author: Pinnock, Hilary
ORCID: Hanlon, Peter
Daines, Luke
Campbell, Christine
McKinstry, Brian
Weller, David
Pinnock, Hilary
Venue: Journal of Medical Internet Research
Publisher: JMIR Publications Inc.
Published: 2017-05-17
Volume: 19
Issue: 5
Pages: e172
ISSN: 1438-8871 (ISSN-L)
DOI: 10.2196/jmir.6688
PMC: PMC5451641
OpenAlex: W2609520421
Semantic Scholar: 2aade83dc64d7ebc9bc9436027ed04c36c2fd2af
Cited by: 499
References: 78
Citations by year: 2026: 22 · 2025: 47 · 2024: 64 · 2023: 67 · 2022: 79 · 2021: 75 · 2020: 55 · 2019: 55 · 2018: 30 · 2017: 5
FWCI: 6.44
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Journal of Medical Internet Research (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
Funders: National Institute for Health and Care Research (RP-DG-1213-10008, 11/1014/04)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Keywords: self-management support, chronic disease, diabetes mellitus, type 1 diabetes, type 2 diabetes, heart failure, asthma, chronic obstructive pulmonary disease, cancer, glycemic control, hospitalization, mortality, health care utilization, intervention components, telephone-delivered intervention, educational intervention, lifestyle intervention, mediating role
MeSH terms: Self-Management, Asthma, Chronic Disease, Delivery of Health Care, Diabetes Mellitus, Type 2, Heart Failure, Humans, Neoplasms, Telemedicine, Pulmonary Disease, Chronic Obstructive

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Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer

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