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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Taylor, S, 2014, Southampton (UK); NIHR Journals Library, 1
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Items 101–200 of 498

The efficacy and safety of high-flow nasal cannula therapy in patients with COPD and type II respiratory failure: a meta-analysis and systematic review
Xu, Z., Zhu, L., Zhan, J., & Liu, L. (2021) · European journal of medical research · doi:10.1186/s40001-021-00587-7 · Cited by 31
Online group pain management for chronic pain: Preliminary results of a novel treatment approach to teletherapy
Mariano, T. Y., Wan, L., Edwards, R. R., Lazaridou, A., Ross, E. L., & Jamison, R. N. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x19870369 · Cited by 30
Effects of a HAPA-based multicomponent intervention to improve self-management precursors of older adults with tuberculosis: A community-based randomised controlled trial
Chen, Y., Tan, D., Xu, Y., Wang, B., Li, X., Cai, X., Li, M., Tang, C., Wu, Y., Shu, W., et al. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.09.007 · Cited by 33
Design of a Consumer Mobile Health App for Heart Failure: Findings From the Nurse-Led Co-Design of Care4myHeart
Woods, L. S., Duff, J. S., Roehrer, E., Walker, K., & Cummings, E. A. (2019) · JMIR Nursing · doi:10.2196/14633 · Cited by 30
“Particular concerns are around the evidence of consumer apps regarding accuracy, efficacy, and security [10], and the inconsistent impact on disease control and health care utilization [11].”
Background
Supporting Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies: Metaethnography Review of Frameworks, Models, and Theories Used in Research and Development
Cruz-Martínez, R. R., Wentzel, J., Asbjørnsen, R. A., Noort, P. D., van Niekerk, J. M., Sanderman, R., & van Gemert‐Pijnen, J. E. W. C. (2020) · Journal of Medical Internet Research · doi:10.2196/16157 · Cited by 32
“Accumulated evidence backs up this potential, as metareviews have shown that technology-supported interventions can be at least as effective as usual care in the promotion of self-management for chronic conditions [19,20].”
Background
Lessons Learned during a Naturalistic Study of Online Treatment for Pediatric Rehabilitation
Gefen, N., Steinhart, S., Beeri, M., & Weiss, P. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126659 · Cited by 36
Long-term effects of telemonitoring on healthcare usage in patients with heart failure or COPD
van der Burg, J. M. M., Aziz, N. A., Kaptein, M. C., Breteler, M. J. M., Janssen, J. H., van Vliet, L., Winkeler, D., van Anken, A., Kasteleyn, M. J., & Chavannes, N. H. (2020) · Clinical eHealth · doi:10.1016/j.ceh.2020.05.001 · Cited by 27
Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials
Li, J., Zhu, C., Liu, C., Su, Y., Peng, X., & Hu, X. (2021) · Journal of Nursing Scholarship · doi:10.1111/jnu.12729 · Cited by 28
Telehealth, Social Media, Patient Empowerment, and Physician Burnout: Seeking Middle Ground
Mano, M. S., & Morgan, G. (2022) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_100030 · Cited by 28
Perceived barriers and facilitators of structural reimbursement for remote patient monitoring, an exploratory qualitative study
Rakers, M. M., van Os, H. J. A., Recourt, K., Mosis, G., Chavannes, N. H., & Struijs, J. N. (2022) · Health Policy and Technology · doi:10.1016/j.hlpt.2022.100718 · Cited by 32
Self-management in patients with coronary heart disease after stent implantation at the long-term stage: a cross-sectional study
Zhu, H., Chen, G., Xue, X., & Zheng, S. (2022) · Annals of Palliative Medicine · doi:10.21037/apm-21-2465 · Cited by 27
Assessing telehealth interventions for physical activity and sedentary behavior self‐management in adults with type 2 diabetes mellitus: An integrative review
Howland, C., & Wakefield, B. J. (2020) · Research in Nursing & Health · doi:10.1002/nur.22077 · Cited by 29
“Hanlon et al. (2017) identified improvements in glycemic control in people with T2DM with telehealth systems that incorporated feedback and some educational and lifestyle interventions.”
Background
Smartphone Applications Designed to Improve Older People’s Chronic Pain Management: An Integrated Systematic Review
Dunham, M., Bonacaro, A., Schofield, P., Bacon, L., Spyridonis, F., & Mehrpouya, H. (2021) · Geriatrics · doi:10.3390/geriatrics6020040 · Cited by 28
“Evidence for the feasibility of telehealth has been noted in those living with long-term conditions including chronic lung disease, diabetes and heart failure [60].”
eHealth Interventions to Support Self-Management in People With Musculoskeletal Disorders, “eHealth: It’s TIME”—A Scoping Review
Kelly, M., Fullen, B. M., Martin, D., McMahon, S., & McVeigh, J. G. (2022) · Physical Therapy · doi:10.1093/ptj/pzab307 · Cited by 25
“22 eHealth has the potential to contribute to many of these components.”
What are the characteristics of the best type 1 diabetes patient education programmes (from diagnosis to long‐term care), do they improve outcomes and what is required to make them more effective?
Heller, S. R., Gianfrancesco, C., Taylor, C., & Elliott, J. (2020) · Diabetic Medicine · doi:10.1111/dme.14268 · Cited by 35
Effectiveness of Digital Counseling Environments on Anxiety, Depression, and Adherence to Treatment Among Patients Who Are Chronically Ill: Systematic Review
Paalimäki‐Paakki, K., Virtanen, M. A., Henner, A., Nieminen, M. T., & Kääriäinen, M. (2022) · Journal of Medical Internet Research · doi:10.2196/30077 · Cited by 32
“The impacts of various digital health interventions on the management of chronic diseases, especially diabetes mellitus [20-26], cardiovascular diseases, and cancer, have been studied extensively by systematic reviews during recent years [10,27-47].”
Background
Meaningful use of a digital platform and structured telephone support to facilitate remote person-centred care – a mixed-method study on patient perspectives
Barenfeld, E., Fuller, J. M., Wallström, S., Fors, A., Ali, L., & Ekman, I. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07831-8 · Cited by 26
“A woman diagnosed with CHF wrote, “When I had contact plus used the support [tool], I was very sick and the personal contact plus health goals (written) meant that I felt supported and could follow my process”.”
BackgroundInfluential
Are we ready for telemonitoring inflammatory bowel disease? A review of advances, enablers, and barriers
del Hoyo, J., Millán, M., Garrido‐Marín, A., & Aguas, M. (2023) · World Journal of Gastroenterology · doi:10.3748/wjg.v29.i7.1139 · Cited by 26
A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine
Barken, T. L., Söderhamn, U., & Thygesen, E. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14117 · Cited by 26
Telerehabilitation physical exercise for patients with lung cancer through the course of their disease: A systematic review
Burton, M., Valet, M., Caty, G. D., Nana, F. A., & Reychler, G. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221094200 · Cited by 27
“42 46 For cancer survivors, the ﬁ ndings are promising for improving fatigue outcomes with health-care interventions delivered via personal mobile device.”
Applications of digital Medicine in oncology: Prospects and challenges
Ge, H., Li, L., Zhang, D., & Ma, F. (2022) · Cancer Innovation · doi:10.1002/cai2.37 · Cited by 25
“Digital health includes digital medicine and can broadly be defined as anything that combines health care with digital technologies, including electronic medical record systems, telemedicine [8] used for Internet ‐ based diagnosis and treatment, and digital medicine [7, 9].”
Background
Video‐Enhanced Care Management for Medically Complex Older Adults with Cognitive Impairment
Hastings, S. N., Mahanna, E. P., Berkowitz, T. S. Z., Smith, V. A., Choate, A. L., Hughes, J. M., Pavon, J., Robinson, K., Hendrix, C., Van Houtven, C., et al. (2021) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16819 · Cited by 24
Adaptive user interfaces in systems targeting chronic disease: a systematic literature review
Wang, W., Khalajzadeh, H., Grundy, J., Madugalla, A. K., McIntosh, J., & Obie, H. O. (2023) · User Modeling and User-Adapted Interaction · doi:10.1007/s11257-023-09384-9 · Cited by 31
“Therefore, patients may have diverse needs regarding self-management [21].”
Background
Use of Tablets and Smartphones to Support Medical Decision Making in US Adults: Cross-Sectional Study
Langford, A. T., Orellana, K. T., Kalinowski, J., Aird, C., & Buderer, N. M. F. (2020) · JMIR mhealth and uhealth · doi:10.2196/19531 · Cited by 24
“While it has been established that people with more than one health condition are more likely to use digital health tools [29,30], we did not observe an association between the number and type of health conditions with the use of tablets or smartphones to support medical decision making.”
Background
Strategies to promote adoption and usage of an application to support asthma self-management: a qualitative observational study
Hui, C. Y., McKinstry, B., Walton, R. T., & Pinnock, H. (2018) · BMJ Health & Care Informatics · doi:10.14236/jhi.v25i4.1056 · Cited by 24
Self-citation
Development of a telehealth intervention to promote care‐seeking among transgender women of color in Washington, DC
Magnus, M., Edwards, E. A., Dright, A., Gilliam, L., Brown, A. E., Levy, M. E., Sikka, N. K., Siegel, M., Criss, V., Watson, C. C., et al. (2020) · Public Health Nursing · doi:10.1111/phn.12709 · Cited by 27
Telemedicine for Follow-up Management of Patients After Liver Transplantation: Cohort Study
Tian, M., Wang, B., Xue, Z., Dong, D., Liu, X., Wu, R., Yu, L., Xiang, J., Zhang, X., Zhang, X., et al. (2021) · JMIR Medical Informatics · doi:10.2196/27175 · Cited by 24
“In the last decade, telemedicine supported self-management of heart failure, asthma, chronic obstructive pulmonary disease, and cancer [45].”
BackgroundResult
Effects of educational intervention on health literacy and knowledge about diabetes: a quasi-experimental study
Paes, R. G., Mantovani, M. D. F., Costa, M. C., Pereira, A. C. L., Kalinke, L. P., & Moreira, R. C. (2022) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2021-0313en · Cited by 23
Integrated Care in Chronic Obstructive Pulmonary Disease and Rehabilitation
Nici, L. L., & ZuWallack, R. (2018) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2018.1501671 · Cited by 24
Telemedicine Familiarity and Post-Disaster Utilization of Emergency and Hospital Services for Ambulatory Care Sensitive Conditions
Friedman, R. S. C., Carpenter, D. M., Shaver, J., McDermott, S. C., & Voelkel, J. L. (2022) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2021.12.025 · Cited by 21
Nurse-Led Telehealth Interventions During COVID-19
Joo, J. Y. (2022) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000962 · Cited by 23
The Opportunities for Telehealth in Pediatric Practice and Public Health
Wang, C.-H. J., Ma, J., ZUCKERMAN, B. S., & Car, J. (2020) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2020.03.001 · Cited by 24
Time to change the paradigm? A mixed method study of the preferred and potential features of an asthma self-management app
Hui, C. Y., Walton, R. T., McKinstry, B., & Pinnock, H. (2019) · Health Informatics Journal · doi:10.1177/1460458219853381 · Cited by 24
Self-citation
Effectiveness of Telemedicine in Managing Diabetes in Pregnancy: A Systematic Review and Meta-Analysis
Laursen, S. H., Boel, L., Udsen, F. W., Secher, P. H., Andersen, J. S., Vestergaard, P., Hejlesen, O. K., & Hangaard, S. (2022) · Journal of Diabetes Science and Technology · doi:10.1177/19322968221094626 · Cited by 24
Evaluating a Remote Monitoring Program for Respiratory Diseases: Prospective Observational Study
Althobiani, M. A., Ranjan, Y., Jacob, J., Orini, M., Dobson, R., Porter, J. C., Hurst, J. R., & Folarin, A. (2023) · JMIR Formative Research · doi:10.2196/51507 · Cited by 22
“Several recent studies have shown the feasibility of remote data collection to assess individuals’ health [2,7-10], but most of these studies have focused on health monitoring at home [11].”
Background
Comparative Effectiveness of Disease Management With Information Communication Technology for Preventing Hospitalization and Readmission in Adults With Chronic Congestive Heart Failure
Aronow, W. S., & Shamliyan, T. (2018) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2018.03.012 · Cited by 23
Factors Affecting Patients' Acceptance of and Satisfaction with Cloud-Based Telehealth for Chronic Disease Management: A Case Study in the Workplace
Su, Y., Huang, S.-T., Wu, Y., & Chen, C. (2020) · Applied Clinical Informatics · doi:10.1055/s-0040-1708838 · Cited by 27
Research Implications for Future Telemedicine Studies and Innovations in Diabetes and Hypertension—A Mixed Methods Study
Timpel, P., & Harst, L. (2020) · Nutrients · doi:10.3390/nu12051340 · Cited by 25
“As patients with chronic diseases like type 2 diabetes (T2D) or hypertension need continuous and individualized care, they are seen as the ideal target group for the use of digital health interventions like telemedicine [6,7].”
Background
Care Team Perspectives and Acceptance of Telehealth in Scaling a Home-Based Primary Care Program: Qualitative Study
Kozikowski, A., Shotwell, J., Wool, E. E., Slaboda, J. C., Abrashkin, K. A., Rhodes, K. V., Smith, K. L., Pekmezaris, R., & Norman, G. J. (2019) · JMIR Aging · doi:10.2196/12415 · Cited by 21
“Studies of home-based telehealth for care of long-term chronic conditions have demonstrated positive outcomes, albeit many utilized poor methodological approaches and lacked theoretical frameworks [22,23].”
Use of an eHealth tool for exercise training and online contact in people with severe chronic obstructive pulmonary disease on long-term oxygen treatment: A feasibility study
Sönnerfors, P., Wadell, K., Dohrn, I., Nyberg, A., Runold, M., & Halvarsson, A. (2020) · Health Informatics Journal · doi:10.1177/1460458220945429 · Cited by 24
‘He or she maybe doesn't know there is such a thing as a review’: A qualitative investigation exploring barriers and facilitators to accessing medication reviews from the perspective of people from ethnic minority communities
Robinson, A., Sile, L., Govind, T., Guraya, H. K., O'Brien, N., Harris, V., Pilkington, G., Todd, A., & Husband, A. (2022) · Health Expectations · doi:10.1111/hex.13482 · Cited by 22
Involving Citizen-Patients in the Development of Telehealth Services: Qualitative Study of Experts’ and Citizen-Patients’ Perspectives
Alami, H., Gagnon, M., & Fortin, J. (2018) · Journal of Participatory Medicine · doi:10.2196/10665 · Cited by 26
“In recent years, many projects and programs have been initiated with the objective to develop new models of service delivery, capitalizing on the potential of telehealth to improve accessibility, quality, continuity, efficiency, and integration of health care and services, especially for populations with chronic disea…”
Background
Society of Behavioral Medicine (SBM) urges Congress to ensure efforts to increase and enhance broadband internet access in rural areas.
Ford, S., Buscemi, J., Hirko, K., Laitner, M. H., Newton, R., Jonassaint, C., Fitzgibbon, M., & Klesges, L. (2020) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz035 · Cited by 22
Effectiveness of Telemonitoring for Respiratory and Systemic Symptoms of Asthma and COPD: A Narrative Review
Metting, E., Dassen, L., Aardoom, J. J., Versluis, A., & Chavannes, N. H. (2021) · Life · doi:10.3390/life11111215 · Cited by 21
“Recent systematic reviews and meta-analyses on telemonitoring in asthma or COPD have shown that negative effects on clinical outcomes are rare [48], consistent with our finding of either positive outcomes or similar effects in comparison to usual care.”
Result
Management of Rheumatoid Arthritis in Primary Care: A Scoping Review
Inchingolo, F., Inchingolo, A. M., Fatone, M. C., Avantario, P., Vecchio, G. D., Pezzolla, C., Mancini, A., Galante, F., Palermo, A., Inchingolo, A. D., et al. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21060662 · Cited by 19
“The use of eHealth solutions enables patients to improve their self-management [204].”
Background
Effects of a telehealth-delivered Mediterranean diet intervention in adults with Rheumatoid Arthritis (MEDRA): a randomised controlled trial
Raad, T., George, E. S., Griffin, A., Larkin, L., Fraser, A. D., Kennedy, N., & Tierney, A. C. (2024) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-024-07742-1 · Cited by 28
“While telehealth-delivered clinical trials and dietary interventions conducted specifically in RA are lacking, trials conducted in the other chronic disease population have demonstrated that telehealth-delivered dietary interventions are effective at supporting behavioural change [63, 64].”
Background
A Web-Based Physical Activity Portal for Individuals Living With a Spinal Cord Injury: Qualitative Study
Pancer, M., Manganaro, M., Pace, I., Marion, P., Gagnon, D. H., Laramée, M.-T., Messier, F., Amari, F., & Ahmed, S. (2019) · JMIR Formative Research · doi:10.2196/12507 · Cited by 20
“Moreover, research has reported increased levels of condition-related information searching among chronic disease populations, including diabetes, depression, and chronic obstructive pulmonary disorder (COPD) [7,8].”
Background
Mobile Health Self-management Interventions for Patients With Heart Failure
Schmaderer, M. S., Struwe, L. A., Loecker, C. N., Lier, L., Lundgren, S. W., Wichman, C., Pozehl, B., & Zimmerman, L. M. (2021) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000846 · Cited by 20
“Eleven randomized controlled trials were identified comparing the effectiveness of mHealth interventions with usual care in patients with HF.5 Although most (n = 8) of the studies included evaluation of some form of clinical feedback (eg, weight, blood pressure, heart rate), only 6 assessed HF symptoms.”
BackgroundInfluential
Impact of COVID-19 on Heart Failure Self-Care
Radhakrishnan, K., Allen, C., Main, A. S. D., & Park, L. (2021) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000794 · Cited by 19
Independent Use of a Home-Based Telemonitoring App by Older Patients With Multimorbidity and Mild Cognitive Impairment: Qualitative Study
Scheibe, M., Lang, C., Druschke, D., Arnold, K., Luntz, E., Schmitt, J. M., & Holthoff‐Detto, V. (2021) · JMIR Human Factors · doi:10.2196/27156 · Cited by 20
“There are already a large number of telemonitoring apps available for different kinds of chronic diseases, with corresponding usability and acceptance evaluations that have been summarized in several systematic reviews [17-20].”
Background
Multimorbidity in Difficult Asthma: The Need for Personalised and Non-Pharmacological Approaches to Address a Difficult Breathing Syndrome
Varkonyi-Sepp, J., Freeman, A. T., Ainsworth, B., Kadalayil, L., Haitchi, H. M., & Kurukulaaratchy, R. J. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12091435 · Cited by 19
Perceptions and Use of Telehealth Among Diverse Communities: Multisite Community-Engaged Mixed Methods Study
Barwise, A. K., Huschka, T., Woo, C., Egginton, J. S., Huang, L., Allen, J.-S. P., Johnson, M. G., Hamm, K., Wolfersteig, W., Phelan, S. M., et al. (2023) · Journal of Medical Internet Research · doi:10.2196/44242 · Cited by 20
Designing Telemedicine for Older Adults With Multimorbidity: Content Analysis Study
Buawangpong, N., Pinyopornpanish, K., Pliannuom, S., Nantsupawat, N., Wiwatkunupakarn, N., Angkurawaranon, C., & Jiraporncharoen, W. (2023) · JMIR Aging · doi:10.2196/52031 · Cited by 21
“There is evidence supporting that telemedicine services have the potential to enhance self-management among patients and their families, including improving medication adherence among older patients with chronic conditions and improving disease control and patient satisfaction [43,44].”
Background
Identifying Self-Management Support Needs for Pregnant Women With Opioid Misuse in Online Health Communities: Mixed Methods Analysis of Web Posts
Liang, O. S., Chen, Y., Bennett, D. S., & Yang, C. C. (2020) · Journal of Medical Internet Research · doi:10.2196/18296 · Cited by 20
“Studies have demonstrated the effectiveness of self-management support programs, to an extent, for managing long-term conditions such as diabetes, heart failure, dementia, and Parkinson disease [21-27].”
Background
Mobile phone-based interventions for improving contraception use
Perinpanathan, T., Maiya, S., van Velthoven, M. H., Nguyen, A. T., Free, C., & Smith, C. E. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011159.pub3 · Cited by 24
Strategies for Patient, Family, and Caregiver Engagement
Bennett, W. L., Pitts, S. I., Aboumatar, H. J., Sharma, R., Smith, B. M., Das, A., Day, J., Holzhauer, K., & Bass, E. B. (2020) · doi:10.23970/ahrqepctb36 · Cited by 19
An Ostomy Self-management Telehealth Intervention for Cancer Survivors: Technology-Related Findings From a Randomized Controlled Trial
Weinstein, R. S., Holcomb, M. J., Mo, J., Yonsetto, P., Bojorquez, O., GRANT, M. M., Wendel, C. S., Tallman, N. J., Ercolano, E. A., Cidav, Z., et al. (2021) · Journal of Medical Internet Research · doi:10.2196/26545 · Cited by 18
Evaluation of a Digital Self-management Platform for Patients With Chronic Illness in Primary Care: Qualitative Study of Stakeholders’ Perspectives
van de Vijver, S. J. M., Hummel, D., van Dijk, A. H., Cox, J., van Dijk, O., den Broek, N. V., & Metting, E. (2022) · JMIR Formative Research · doi:10.2196/38424 · Cited by 18
“Traditional clinical pathways offer standardized care that can be seen as rigid when physicians make decisions for their patients based on strict guidelines, and this can result in poor adherence and ownership by patients [5-7].”
Background
The Diabetes teleMonitoring of patients in insulin Therapy (DiaMonT) trial: study protocol for a randomized controlled trial
Hangaard, S., Kronborg, T., Hejlesen, O. K., Aradóttir, T. B., Kaas, A., Bengtsson, H. L., Vestergaard, P., & Jensen, M. H. (2022) · Trials · doi:10.1186/s13063-022-06921-6 · Cited by 21
“In a 2017 systematic review, it was concluded that telemedicine solutions are a safe way to provide support for self-care for patients with diabetes [22].”
Background
Assessment of Rwandan diabetic patients’ needs and expectations to develop their first diabetes self-management smartphone application (Kir’App)
Kabeza, C. B., Harst, L., Schwarz, P. E. H., & Timpel, P. (2019) · Therapeutic Advances in Endocrinology and Metabolism · doi:10.1177/2042018819845318 · Cited by 19
Toi Même, a Mobile Health Platform for Measuring Bipolar Illness Activity: Protocol for a Feasibility Study
Dargél, A., Mosconi, E., Masson, M., Plaze, M., Taieb, F., Platen, C. V., Buivan, T. P., Pouleriguen, G., Sanchez, M., Fournier, S., et al. (2020) · JMIR Research Protocols · doi:10.2196/18818 · Cited by 18
“Different mHealth interventions have been developed and used for various medical conditions such as diabetes, cardiovascular disease, asthma, and headache [19].”
Background
Patients’ and Clinicians’ Visions of a Future Internet-of-Things System to Support Asthma Self-Management: Mixed Methods Study
Hui, C. Y., McKinstry, B., Fulton, O., Buchner, M., & Pinnock, H. (2021) · Journal of Medical Internet Research · doi:10.2196/22432 · Cited by 17
“In contrast, clinical research typically focuses on evaluating older, established digital health technologies and their impact on patient health outcomes [34,35].”
BackgroundSelf-citation
Managing Asthma During Pregnancy and the Postpartum Period
Murphy, V. E., Gibson, P. G., & Schatz, M. X. (2023) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2023.07.020 · Cited by 17
Personalised management and supporting individuals to live with their asthma in a primary care setting
Pinnock, H., Noble, M., Lo, D. K. H., McClatchey, K., Marsh, V., & Hui, C. Y. (2023) · Expert Review of Respiratory Medicine · doi:10.1080/17476348.2023.2241357 · Cited by 20
Self-citation
Efectividad de las intervenciones basadas en telemedicina sobre resultados en salud en pacientes con multimorbilidad en atención primaria: revisión sistemática
de la Pisa, B. P., Lobato, M. P., Calzada, C. M., & García-Lozano, M. J. (2019) · Atención Primaria · doi:10.1016/j.aprim.2019.08.004 · Cited by 19
Patient and carer survey of remote vital sign telemonitoring for self-management of long-term conditions
Walkden, J.-A., McCullagh, P. J., & Kernohan, G. W. (2019) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2019-100079 · Cited by 17
Efficacy of Health Coaching and an Electronic Health Management Program: Randomized Controlled Trial
Kang, E., Park, S. M., Lee, K., Lee, E. B., Yim, J., Lee, J., Kim, S., Rhee, Y. E., & Yun, Y. H. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-021-06671-2 · Cited by 17
Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
Yu, H. M., Zhang, P., Wang, X., Wang, Y., & Zhang, B. (2019) · Iranian Journal of Public Health · doi:10.18502/ijph.v48i3.884 · Cited by 17
“Behavioral change theories aim to improve an individual's self-management ability through continuous and dynamic processes, and to improve prognosis of patients with chronic heart failure through joint efforts of both medical staff and patients (13).”
Background
A randomized prospective trial of an ostomy telehealth intervention for cancer survivors
Krouse, R. S., Zhang, S., Wendel, C. S., Sun, V. C.-Y., GRANT, M. M., Ercolano, E. A., Hornbrook, M. C., Cidav, Z., Nehemiah, A., Rock, M. C., et al. (2023) · Cancer · doi:10.1002/cncr.35091 · Cited by 16
“32 A systematic review of support group interventions that used telehealth with patients participated from their homes found that results for changes in health outcomes were similar for telehealth interventions compared to in ‐ person interventions as well as compared to UC groups.”
Result
Delivery of supported self‐management in remote asthma reviews: A systematic rapid realist review
Kinley, E., Skene, I., Steed, L., Pinnock, H., & McClatchey, K. (2022) · Health Expectations · doi:10.1111/hex.13441 · Cited by 17
Self-citation
Self‐efficacy in managing post‐treatment care among oral and oropharyngeal cancer survivors
Manne, S. L., Hudson, S. V., Kashy, D. A., Imanguli, M. M., Pesanelli, M., Frederick, S., & Cleave, J. H. V. (2022) · European Journal of Cancer Care · doi:10.1111/ecc.13710 · Cited by 17
“…for specific evidence-based interventions for cancer survivors, such interventions could include skill-based education and training, symptom selfmonitoring, goal setting, action planning and provision of regular feedback from the oncology care team (Hanlon et al., 2017; Howell et al., 2017).”
Background
Self-Efficacy and Healthcare Costs in Patients with Chronic Heart Failure or Chronic Obstructive Pulmonary Disease
Blanck, E., Pirhonen, L., Fors, A., Ekman, I., Ali, L., Swedberg, K. B., & Gyllensten, H. (2023) · ESC Heart Failure · doi:10.1002/ehf2.14574 · Cited by 16
Participation, Retention, and Utilization of a Web-Based Chronic Disease Self-Management Intervention Among Older Adults
Portz, J. D., & LaMendola, W. F. (2018) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2017.0208 · Cited by 15
Readiness for Voice Technology in Patients With Cardiovascular Diseases: Cross-Sectional Study
Kowalska, M., Gładyś, A., Kalańska-Łukasik, B., Gruz-Kwapisz, M., Wojakowski, W., & Jadczyk, T. (2020) · Journal of Medical Internet Research · doi:10.2196/20456 · Cited by 16
“Thus, the implementation of telehealth services may enable alternative treatment strategies [18].”
Person-centred care by a combined digital platform and structured telephone support for people with chronic obstructive pulmonary disease and/or chronic heart failure: study protocol for the PROTECT randomised controlled trial
Ali, L., Wallström, S., Barenfeld, E., Fors, A., Fredholm, E. M., Gyllensten, H., Swedberg, K. B., & Ekman, I. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-036356 · Cited by 16
“29 There is some research combining e-health with PCC. PCC in the form of a structured telephone support for patients with CHF and/or COPD has been shown to mitigate worsening self-efficacy without increasing the risk of clinical events.”
Feedback based on health advice via tracing bracelet and smartphone in the management of blood pressure among hypertensive patients: a community-based RCT trial in Chongqing, China
Zhang, Y., Tao, Y., Zhong, Y., Thompson, J., Rahmani, J., Bhagavathula, A. S., Xu, X., & Luo, J. (2022) · Medicine · doi:10.1097/md.0000000000029346 · Cited by 14
“However, telemonitoring and telephone interventions showed reductions in mortality and in-hospital admissions for patients with heart failure.[10] Similarly, evidence from a review of mHealth interventions within a developing context showed no benefit on health outcomes.”
Background
eHealth Program to Reduce Hospitalizations Due to Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Retrospective Study
van Buul, A. R., Derksen, C., Hoedemaker, O., van Dijk, O., Chavannes, N. H., & Kasteleyn, M. J. (2021) · JMIR Formative Research · doi:10.2196/24726 · Cited by 15
“It is thought that patients with frequent exacerbations may benefit more from eHealth programs [14-18].”
Background
Economic Aspects of Delivering Primary Care Services: An Evidence Synthesis to Inform Policy and Research Priorities
Clarke, L., Anderson, M., Anderson, R., Klausen, M. B., Forman, R., Kerns, J., Rabe, A. P. J., Kristensen, S. R., Theodorakis, P. N., Valderas, J. M., et al. (2021) · Milbank Quarterly · doi:10.1111/1468-0009.12536 · Cited by 18
Self-management interventions for Type 2 Diabetes: systematic review protocol focusing on patient workload and capacity support
Hanlon, P., Bryson, I., Morrison, H., Rafiq, Q., Boehmer, K. R., Gionfriddo, M. R., Gallacher, K., May, C. R., Montori, V. M., Lewsey, J., et al. (2021) · Wellcome Open Research · doi:10.12688/wellcomeopenres.17238.1 · Cited by 15
Self-citation
Use of Facial Morphology to Determine Nutritional Status in Older Adults: Opportunities and Challenges
Tay, W. L. W., Quek, R. Y. C., Kaur, B., Lim, J., & Henry, C. J. (2022) · JMIR Public Health and Surveillance · doi:10.2196/33478 · Cited by 16
“Telemonitoring is also considered an efficient use of health care resources [34,37,38,40-44,46,48].”
Assessing the technical feasibility of a flexible, integrated Internet-of-things connected for asthma (C4A) system to support self-management: a mixed method study exploring patients and healthcare professionals perspectives
Hui, C. Y., McKinstry, B., McLean, S., Buchner, M., & Pinnock, H. (2022) · JAMIA Open · doi:10.1093/jamiaopen/ooac110 · Cited by 16
Self-citation
Digitally Delivered Interventions to Improve Nutrition Behaviors Among Resource-Poor and Ethnic Minority Groups With Type 2 Diabetes: Systematic Review
Karimi, N., Opie, R., Crawford, D. A., O’Connell, S. L., & Ball, K. (2023) · Journal of Medical Internet Research · doi:10.2196/42595 · Cited by 19
Web-Based Tailored Nursing Intervention to Support Medication Self-management
Côté, J., Fortin, M., Auger, P., Rouleau, G., Dubois, S., Vaillant, I., Gélinas-Lemay, É., & Boudreau, N. (2019) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000572 · Cited by 15
A Feasibility Study of a Telehealth Intervention on Health Care Service Utilization among Transgender Women of Color in Washington, DC
Magnus, M., Edwards, E. A., Dright, A., Gilliam, L., Brown, A. D., Levy, M. E., Sikka, N. K., Siegel, M., Criss, V., Watson, C., et al. (2018) · ACI Open · doi:10.1055/s-0038-1639603 · Cited by 15
A Telemedicine-Based Registration System for the Management of Renal Anemia in Patients on Maintenance Hemodialysis: Multicenter Study
Ni, Z., Jin, H., Jiang, G., Wang, N., Peng, A., Guo, Z., Bai, S., Zhou, R., Lu, J., Wang, Y., et al. (2019) · Journal of Medical Internet Research · doi:10.2196/13168 · Cited by 15
“Increasing evidence has indicated promising results for telecare and telehealth medicine in the management of diabetes, heart failure, asthma, chronic obstructive pulmonary disease, and cancer [1] and even chronic kidney disease and peritoneal dialysis [14-16].”
International Trend of Non-Contact Healthcare and Related Changes Due to COVID-19 Pandemic
Kim, S., Kim, J.-A., & Lee, J. Y. (2022) · Yonsei Medical Journal · doi:10.3349/ymj.2022.63.s22 · Cited by 15
“In the field of chronic disease management, the effectiveness of non-contact healthcare is accumulated the most, and positive patient experiences are reported.(73) Several studies have shown that non-contact healthcare for chronic disease management is clinically similar to face-to-face care.”
Background
Review of Systematic Reviews in the Field of Telemedicine
Goharinejad, S., Hajesmaeel-Gohari, S., Jannati, N., Goharinejad, S., & Bahaadinbeigy, K. (2021) · Medical Journal of The Islamic Republic of Iran · doi:10.47176/mjiri.35.184 · Cited by 18
Toward the Value Sensitive Design of eHealth Technologies to Support Self-management of Cardiovascular Diseases: Content Analysis
Cruz-Martínez, R. R., Wentzel, J., Bente, B. E., Sanderman, R., & van Gemert‐Pijnen, J. E. W. C. (2021) · JMIR Cardio · doi:10.2196/31985 · Cited by 14
“Specifically, technologies such as smartphone applications and internet-enabled monitoring devices have been proposed as tools that can support self-management [6,7].”
BackgroundMethod
Telehome Monitoring of Symptoms and Lung Function in Children with Asthma
Fossati, A., Challier, C., Dalhoumi, A. A., Rose, J., Robinson, A. L., Périsson, C., Galodé, F., Luaces, B., & Fayon, M. J. (2022) · Healthcare · doi:10.3390/healthcare10061131 · Cited by 13
“It is increasingly used to monitor chronic patients, and allows the recording of clinical or technical indicators at home with the identification of alerts [11].”
Background
Self-care management and experiences of using telemonitoring as support when living with hypertension or heart failure: A descriptive qualitative study
Strandberg, S., Backåberg, S., Fagerström, C., & Ekstedt, M. (2023) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2023.100149 · Cited by 18
“Self-care monitoring through telemonitoring technology gives people with chronic illness and their informal carers access to healthcare services at a distance (Hanlon et al., 2017; Lefler et al., 2018).”
Background
Trends in the receipt of medicines information among Finnish adults in 1999–2014: a nationwide repeated cross-sectional survey
Mononen, N., Airaksinen, M. S. A., Hämeen‐Anttila, K., Helakorpi, S., & Pohjanoksa-Mäntylä, M. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026377 · Cited by 14
Perceptions of Patients and Physicians on Teleconsultation at Home for Diabetes Mellitus: Survey Study
Rego, N., Pereira, H. S., & Crispim, J. (2021) · JMIR Human Factors · doi:10.2196/27873 · Cited by 15
“Telehealth is a safe option for delivery of self-management support [45] P4 (improves the patient’s health)”
Background
Feasibility study for supporting medication adherence for adults with cystic fibrosis: mixed-methods process evaluation
Hind, D., Drabble, S. J., Arden, M. A., Mandefield, L., Waterhouse, S., Maguire, C., Cantrill, H., Robinson, L., Beever, D., Scott, A. J., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-039089 · Cited by 14
A Scoping Review of Telehealth-Assisted Case Management for Chronic Illnesses
Joo, J. Y., & Liu, M. F. (2021) · Western Journal of Nursing Research · doi:10.1177/01939459211008917 · Cited by 14
“Telehealth intervention, broadly adopted, is “any intervention in which clinical information is transferred remotely between patient and health care provider, regardless of the technology used to record or transmit the information” (Hanlon et al., 2017, p. 3).”
Method
UTAUT2-based questionnaire: cross-cultural adaptation to Canadian French
Pagé, I., Roos, M., Collin, O., Lynch, S., Lamontagne, M., Massé‐Alarie, H., & Blanchette, A. K. (2022) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2037746 · Cited by 17
Long-term effects of a telemedically-assisted lifestyle intervention on glycemic control in patients with type 2 diabetes – A two-armed randomised controlled trial in Germany
Dunkel, A., von Storch, K., Hochheim, M., Zank, S., Polidori, M. C., & Woopen, C. (2023) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-023-01290-6 · Cited by 14
Telemonitoring of pediatric asthma in outpatient settings: A systematic review
Pais‐Cunha, I., Fontoura‐Matias, J., Almeida, A. L., Ferreira‐Magalhães, M., Fonseca, J., Azevedo, I., & Jácome, C. I. O. (2024) · Pediatric Pulmonology · doi:10.1002/ppul.27046 · Cited by 15
“13,19 Although these technologies are often not tailored to children and their use in real ‐ world practice is still difficult, electronic monitoring of medication adherence in children and adolescents with asthma has been well described.”
Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review
Chen, Y., Tan, R., Long, X., & Tu, H. (2024) · Medicine · doi:10.1097/md.0000000000038366 · Cited by 14
Impact of Digitally Enabled Peer Support Interventions on Diabetes Distress and Depressive Symptoms in People Living with Type 1 Diabetes: A Systematic Review
Yakubu, T., Pawer, S., West, N., Tang, T. S., & Görges, M. (2024) · Current Diabetes Reports · doi:10.1007/s11892-024-01560-4 · Cited by 14
“Literature indicates that longer telehealth interventions promote sustained improvements in clinical outcomes among individuals with chronic illnesses, including T1D [43].”
A Mobile Phone–Based Telemonitoring Program for Heart Failure Patients After an Incidence of Acute Decompensation (Medly-AID): Protocol for a Randomized Controlled Trial
Seto, E., Ross, H. J., Tibbles, A., Wong, S., Ware, P., Etchells, E. E., Kobulnik, J., Chibber, T., & Poon, S. (2019) · JMIR Research Protocols · doi:10.2196/15753 · Cited by 13
“Factors influencing the benefits include the features of the TM system, patient population, study design, and the implementation plan [27,28].”

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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