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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Jaana, M, 2009, Am J Manag Care, 15, 313
Franek, J, 2012, Ont Health Technol Assess Ser, 12, 1
10.1016/j.pop.2012.03.005 · DOI

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Items 201–300 of 498

Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE): A randomized trial to improve post myocardial infarction management
Zullig, L. L., Peterson, E. D., Shah, B. R., Grambow, S. C., Oddone, E. Ž., McCant, F., Lindquist, J. H., & Bosworth, H. B. (2022) · Patient Education and Counseling · doi:10.1016/j.pec.2022.05.011 · Cited by 13
Efeitos de intervenção educativa no letramento em saúde e no conhecimento sobre diabetes: estudo quase-experimental
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-2021-0313pt · Cited by 13
A LITERATURE REVIEW OF TELEMEDICINE IN INDONESIA: PAST, PRESENT, AND FUTURE PROSPECTIVE
Wijaya, J. H., Octavius, G. S., & Hwei, L. R. Y. (2022) · Jurnal Administrasi Kesehatan Indonesia · doi:10.20473/jaki.v10i2.2022.261-272 · Cited by 24
“Telemedicine can support patient self-management starting from medication prescription, lifestyle modification, and patient emotional management effectively, which then improve the quality of patient outcomes (Hanlon et al. , 2017).”
Background
Remote Patient Management in Peritoneal Dialysis: Opportunities and Challenges
Agarwal, S., & Wilkie, M. E. (2019) · Contributions to nephrology · doi:10.1159/000496309 · Cited by 13
The effect of remote patient monitoring on the primary care clinic visit frequency among adults with type 2 diabetes
Randall, M. H., Haulsee, Z. M., Zhang, J., Marsden, J. E., Moran, W. P., & Kirkland, E. B. (2020) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2020.104267 · Cited by 13
Validation of a Mobile App for Remote Autism Screening in Toddlers
Babu, P. R. K., Martino, J. M. D., Aiello, R. E., Eichner, B., Espinosa, S., Green, J., Howard, J., Perochon, S., Spanos, M., Vermeer, S., et al. (2024) · NEJM AI · doi:10.1056/aics2400510 · Cited by 14
A Scoping Review and General User's Guide for Facilitating the Successful Use of eHealth Programs for Diabetes in Clinical Care
Fisher, L., Glasgow, R. E., & Huebschmann, A. G. (2020) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2020.0383 · Cited by 10
“Use of systems with multiple types of communication channels and components is best, while keeping complexity minimized—allows for user customization and choice.(17,33,34,64,65)”
Background
Connected health: in the right place at the right time
Omboni, S. (2021) · Connected Health · doi:10.20517/ch.2021.01 · Cited by 12
“…myocardial infarction [16] Reduced in-hospital mortality +/- Secondary prevention for patients with coronary artery disease [17] Improvement in modifiable cardiovascular risk factors +/- Cancer [15] Improvement in quality of life +/- Mental illness [21] Improvement in adherence to drug treatment +”
BackgroundInfluential
Case Management and Telehealth: A Scoping Review
Béland, S., Dumont‐Samson, O., & Hudon, C. (2021) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2021.0012 · Cited by 12
Telemedicine in the Management of Chronic Obstructive Respiratory Diseases: An Overview
Barbosa, M. T., Sousa, C. S., & Morais‐Almeida, M. (2022) · Exon Publications eBooks · doi:10.36255/exon-publications-digital-health-respiratory-diseases · Cited by 12
‘Improving smart medication management’: an online expert discussion
Bates, D. W., Cheng, H.-Y., Cheung, N., Jew, R. K., Mir, F. A., Tamblyn, R. M., & Li, Y. (2022) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2021-100540 · Cited by 13
Telehealth interventions for mobility after lower limb loss: A systematic review and meta-analysis of randomized controlled trials
Esfandiari, E., Miller, W. C., Berardi, A., King, S., & Ashe, M. C. (2021) · Prosthetics and Orthotics International · doi:10.1097/pxr.0000000000000075 · Cited by 12
Home Monitoring Programs for Patients Testing Positive for SARS-CoV-2: An Integrative Literature Review
Lara, B., Kottler, J., Olsen, A., Best, A., Conkright, J. M., & Larimer, K. A. (2022) · Applied Clinical Informatics · doi:10.1055/s-0042-1742370 · Cited by 12
Remote monitoring of patients with heart failure in real clinical practice
Николаевна, Н. С., Евгеньевна, Л. А., Жиров, И. В., Tereshchenko, S. N., & Boytsov, S. A. (2021) · Kardiologiia · doi:10.18087/cardio.2021.8.n1683 · Cited by 11
Effectiveness of an online education program for asthma patients in general practice: study protocol for a cluster randomized controlled trial
Eck, S., Hapfelmeier, A., Linde, K., Schultz, K., Gensichen, J. S., Sanftenberg, L., Kühlein, T., Stark, S., Gágyor, I., Kretzschmann, C., et al. (2022) · BMC Pulmonary Medicine · doi:10.1186/s12890-022-02217-2 · Cited by 11
Effects of anthropomorphic design on comprehension of self-monitoring test results: Integrating evidence of eye-tracking and event-related potential
Su, P., & Liu, K. (2024) · Displays · doi:10.1016/j.displa.2024.102664 · Cited by 11
A systematic review of telemedicine for neuromuscular diseases: components and determinants of practice
Senyel, D., Senn, K. C., Boyd, J., & Nagels, K. (2024) · BMC Digital Health · doi:10.1186/s44247-024-00078-9 · Cited by 11
The Potential Use and Value of a Wearable Monitoring Bracelet for Patients With Chronic Obstructive Pulmonary Disease: Qualitative Study Investigating the Patient and Health Care Professional Perspectives
Debeij, S. M., Aardoom, J. J., Haaksma, M. L., Stoop, W. A. M., van Isselt, E. F. V. D., & Kasteleyn, M. J. (2024) · JMIR Formative Research · doi:10.2196/57108 · Cited by 11
“Other studies that implemented eHealth interventions and tools to support self-management of long-term conditions suggest that eHealth is safe and best used alongside usual care [33]. eHealth is most promising in blended care settings [28,34].”
Background
The Relationship Between Benefit Finding and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease: The Mediating Effects of Self-Management
Zhang, J., Liu, X., Zhou, X., Li, Y., Chen, K., Kang, T., Du, W., & Suo, R. (2024) · International Journal of COPD · doi:10.2147/copd.s465953 · Cited by 11
Current status of older people with chronic diseases adopting digital health technologies: A scoping review
Li, C., Wang, H., Yuan, J., Shi, L., Chen, Y., Gao, Z., Zhao, L., & Oliveira, A. (2025) · Digital Health · doi:10.1177/20552076251348578 · Cited by 11
“91 Sul et al. study shows similar results found in meta-analysis of telemedicine.”
Time for a longer and better life for patients with COPD
Vanfleteren, L. E. G. W., Ullman, A., & Fabbri, L. M. (2018) · European Respiratory Journal · doi:10.1183/13993003.02569-2017 · Cited by 11
Visualizations Integrated Into Consumer Health Technologies Support Self-management of Chronic Diseases
Lor, M., & Backonja, U. (2019) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000583 · Cited by 11
Revealing the Nature of Chronic Obstructive Pulmonary Disease Using Self-tracking and Analysis of Contact Patterns: Longitudinal Study
Phanareth, K., Dam, A. L., Hansen, M. A. B. C., Lindskrog, S., Vingtoft, S., & Kayser, L. (2021) · Journal of Medical Internet Research · doi:10.2196/22567 · Cited by 11
“In a study by Pinnock et al [19] comparing telehealth with conventional care they found an annual rate of number of hospitalizations per patient to be 1.2.”
Influential
The Extent of Engagement With Telehealth Approaches by Patients With Advanced Cancer: Systematic Review
Goodman, W., Bagnall, A., Ashley, L., Azizoddin, D. R., Muehlensiepen, F., Blum, D., Bennett, M., & Allsop, M. J. (2022) · JMIR Cancer · doi:10.2196/33355 · Cited by 12
“Examination of telehealth approaches for patients with chronic diseases has found varying effects, with improved self-management of diabetes and reduced mortality and hospital admissions in heart failure, but these improvements have not been observed across other conditions, including cancer [8].”
BackgroundMethodInfluential
Home Telehealth in the Veterans Health Administration: Trends and Correlates of Length of Enrollment from 2010 to 2017
Gray, K. E., Rao, M., Gunnink, E. J., Eschenroeder, L. W., Geyer, J. R., Nelson, K. M., & Reddy, A. (2022) · Journal of General Internal Medicine · doi:10.1007/s11606-022-07452-1 · Cited by 11
Effects of internet-based interventions on improvement of glycemic control and self-management in older adults with diabetes: Systematic review and meta-analysis
Yang, W., Zhang, X., Chen, J., Miao, W., Zheng, C., Qian, X., & Geng, G. (2022) · Primary care diabetes · doi:10.1016/j.pcd.2022.05.004 · Cited by 11
The effects of community interventions on unplanned healthcare use in patients with multimorbidity: a systematic review
Wasan, T., Hayhoe, B., Cicek, M., Lammila-Escalera, E., Nicholls, D., Majeed, A., & Greenfield, G. (2023) · Journal of the Royal Society of Medicine · doi:10.1177/01410768231186224 · Cited by 9
“Many chronic conditions stem from issues such as obesity and hypertension that can be easily monitored remotely by the patient themselves 38 ; several lobbying powers, including NGOs, are already calling for greater accessibility to such home-monitoring devices.”
Background
Long‐term follow‐up of web‐based and group‐based behavioural intervention in NAFLD in a real world clinical setting
Petroni, M. L., Colosimo, S., Brodosi, L., Armandi, A., Bertini, F., Montesi, D., Bugianesi, E., & Marchesini, G. (2023) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.17768 · Cited by 12
Knowledge mobilisation: an ethnographic study of the influence of practitioner mindlines on atopic eczema self-management in primary care in the UK
Cowdell, F. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025220 · Cited by 12
“Eczema is not classified as a long-term condition in the same way as other illnesses for example asthma.(21) Primary care practitioners are expected to deliver evidence-based practice (EBP).”
Background
Impact of medication review via tele-expertise on unplanned hospitalizations at 3 months of nursing homes patients (TEM-EHPAD): study protocol for a randomized controlled trial
Corréard, F., Montaleytang, M., Costa, M., Astolfi, M., Baumstarck, K., Loubière, S., Amichi, K., Auquier, P., Verger, P., Villani, P., et al. (2020) · BMC Geriatrics · doi:10.1186/s12877-020-01546-3 · Cited by 11
Video-based smartphone app (‘VIDEA bewegt’) for physical activity support in German adults: a single-armed observational study
Fischer, T., Stumpf, P., Schwarz, P. E. H., & Timpel, P. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-052818 · Cited by 11
Digital interventions for the management of chronic obstructive pulmonary disease
Janjua, S., Threapleton, C. J., Prigmore, S., & Disler, R. T. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013246 · Cited by 11
Frameworks, Models, and Theories Used in Electronic Health Research and Development to Support Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies: Protocol for a Metaethnography Review
Cruz-Martínez, R. R., Noort, P. D., Asbjørnsen, R. A., van Niekerk, J. M., Wentzel, J., Sanderman, R., & van Gemert‐Pijnen, J. E. W. C. (2019) · JMIR Research Protocols · doi:10.2196/13334 · Cited by 11
“The literature often provides lessons learned on a case-by-case basis in eHealth research and development to support self-management [14,15,20,21].”
SHARE plus: Delivering a Telehealth CGM Data-Sharing Intervention to Older Adults and Their Care Partners
Allen, N. A., Bristol, A. A., Grigorian, E. G., Iacob, E., Berg, C. A., & Litchman, M. L. (2022) · Diabetes Spectrum · doi:10.2337/dsi21-0016 · Cited by 10
Telemedicina en el manejo de la enfermedad pulmonar obstructiva crónica: revisión sistemática
Vila, M., Oliveira, V. R., & Agustí, A. G. N. (2023) · Medicina Clínica · doi:10.1016/j.medcli.2023.01.008 · Cited by 10
Acceptability and usability of a nurse-assisted remote patient monitoring intervention for the post-hospital follow-up of patients with long-term illness: A qualitative study
Wathne, H. B., May, C. R., Morken, I. M., Storm, M., & Husebø, A. M. L. (2024) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2024.100229 · Cited by 10
“However, with support from a remote patient monitoring intervention, more patients could effectively self-manage their long-term illnesses at home (Hanlon et al., 2017).”
Background
Challenges to Video Visits for Patients With Non–English Language Preference
Kong, M., Ríos‐Fetchko, F., Olmos-Rodriguez, M., Branagan, L., Iott, B. E., Tack, T. C., Yarbrough, C., Grumbach, K., & Fernández, A. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.57477 · Cited by 10
Cost-Effectiveness of Telerehabilitation Compared to Traditional In-Person Rehabilitation: A Systematic Review and Meta-Analysis
Shambushankar, A. K., Jose, J., Gnasekaran, S., & Kaur, G. (2025) · Cureus · doi:10.7759/cureus.79028 · Cited by 10
Nurses’ experience with telecare: a qualitative analysis of perceptions and implications for caring and the nursing profession
Piras, I., Barbieri, B., Bellini, D., Pibiri, V., Simone, S. D., Mondo, M., Pileri, J., & Galletta, M. (2025) · BMC Nursing · doi:10.1186/s12912-025-03480-4 · Cited by 10
“In this area, telecare has been beneficial for several chronic conditions such as cardiovascular, respiratory, autoimmune, endocrinological, metabolic, and oncological diseases [4, 5].”
A call for better understanding of social media in surveillance and management of noncommunicable diseases
Lui, C., Wang, Z., Wang, N., Milinovich, G. J., Ding, H., Mengersen, K. L., Bambrick, H., & Hu, W. (2021) · Health Research Policy and Systems · doi:10.1186/s12961-021-00683-4 · Cited by 10
View from the Patient Perspective: Mixed-Methods Analysis of Post-Discharge Virtual Visits in a Randomized Controlled Trial
Harkey, K., Connor, D. C., Wang, H., Kaiser, N. C., Matthews, B. D., Kelz, R. R., & Reinke, C. E. (2021) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2021.07.688 · Cited by 11
Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19
Suárez-Gil, R., Casariego-Vales, E., Blanco-López, R. M., Santos-Guerra, F., Pedrosa-Fraga, C., Fernández-Rial, Á., Íñiguez-Vázquez, I., Abad-García, M. M., Bal-Alvaredo, M., & on behalf of the members of the Lugo TELEA-COVID Team (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12040609 · Cited by 10
Effects and Processes of an mHealth Intervention for the Management of Chronic Diseases: Prospective Observational Study
Breckner, A., Litke, N. A., Göbl, L., Wiezorreck, L., Miksch, A., Szécsényi, J., Wensing, M., & Weis, A. (2022) · JMIR Formative Research · doi:10.2196/34786 · Cited by 10
“Previous research in various patient populations has shown mixed effects of mHealth tools for self-management support [4,5].”
Background
Initial Outcomes of CardioClick, a Telehealth Program for Preventive Cardiac Care: Observational Study
Kalwani, N. M., Johnson, A. N., Parameswaran, V., Dash, R., & Rodríguez, F. (2021) · JMIR Cardio · doi:10.2196/28246 · Cited by 10
“Telehealth programs for secondary prevention of CVD have achieved equal or superior reductions in risk factors when compared to those achieved in traditional in-person clinics and cardiac rehabilitation [12-14].”
Result
Is Telemedicine in Primary Care a Good Option for Polish Patients with Visual Impairments Outside of a Pandemic?
Binder-Olibrowska, K. W., Wrzesińska, M. A., & Godycki-Ćwirko, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116357 · Cited by 11
Interdisciplinary management of chronic breathlessness
Reilly, C. C., Brighton, L. J., & Maddocks, M. M. (2019) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000435 · Cited by 9
“there is increasing evidence supporting the use of the internet for self-management of long-term conditions [40], and emerging literature regarding internet-based interventions for breathlessness.”
Background
Psychosocial interventions and their effectiveness on quality of life among elderly persons living with HIV in Africa South of the Sahara: Systematic review and meta -analysis protocol
Abdulai, M., Owiredu, D., Boadu, I., Tabong, P. T., Sarfo, B. Y., Bonful, H. A., Addo-Lartey, A. A., Akuffo, K. O., & Danso‐Appiah, A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0291781 · Cited by 9
“Although several systematic reviews on the impact of psychosocial intervention on QoL among the elderly exist but these have focused on chronic diseases such as cancers [32, 35], chronic heart failure and type II diabetes mellitus [22, 36, 37] but there is little or no evidence on psychosocial interventions targeting…”
Background
The long-term effect of an m-health tool on self-care in patients with heart failure: a pre–post interventional study with a mixed-method analysis
Liljeroos, M., Arkkukangas, M., & Strömberg, A. (2024) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvad107 · Cited by 9
“31,32 Furthermore, person-centred support utilizing digital platforms as a communication tool combined with structured telephone support seems to be an option to increase the self-efficacy and problem solving of people with chronic obstructive pulmonary disease (COPD) and HF during 6 months of…”
Method
Web-based nutrition: a useful resource for cancer patients?
Lazăr, D. E., Postolică, R., Hanganu, B., Mocanu, V., & Ioan, B. G. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1134793 · Cited by 9
“(49) examined the efficacy of web-based nutrition in cancer patients or survivors and found limited research on the use of web-based nutrition, with results shown only in symptom scores.”
Background
Building evidence for care beyond the medical centre
Ullman, T. A., & Atreja, A. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31857-3 · Cited by 9
Video-based smartphone app (‘VIDEA bewegt’) for physical activity support in German adults: a study protocol for a single-armed observational study
Fischer, T., Stumpf, P., Reinhardt, G., Schwarz, P. E. H., & Timpel, P. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034027 · Cited by 9
“28 29 In addition, the time course of intervention effects and the strategies needed to achieve sustainable change have not yet been fully investigated.”
Background
Motivators, Barriers, and Opportunity for E‐Health to Encourage Physical Activity in Axial Spondyloarthritis: A Qualitative Descriptive Study
Passalent, L., Cyr, A. B., Jurišica, I., Mathur, S., Inman, R. D., & Haroon, N. (2021) · Arthritis Care & Research · doi:10.1002/acr.24788 · Cited by 9
The long and winding road of eHealth. The service ecosystem perspective
Sebastiani, R., & Anzivino, A. (2021) · Journal of Business and Industrial Marketing · doi:10.1108/jbim-02-2021-0107 · Cited by 9
Key Care Provision Aspects That Affect Care Transition in the Long-Term Care Systems: Preliminary Review Findings
Wieczorek, E., Kocot, E., Evers, S., Sowada, C., & Pavlova, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116402 · Cited by 9
“Various technologies could also be used to remotely monitor the biometric data of the patient or to provide remote consultations [33,34].”
Background
Implementation of a telerehabilitation program for children with neurodevelopmental disorders during the lockdown caused by COVID-19
Báez‐Suárez, A., Padrón-Rodríguez, I., Santana-Cardeñosa, D., Santana-Perez, L., Lopez-Herrera, V. M., & Pestana-Miranda, R. (2022) · British Journal of Occupational Therapy · doi:10.1177/03080226221141322 · Cited by 9
“…our opinion that telerehabilitation is as effective as face-to-face rehabilitation in terms of evaluation (Cottrell et al., 2017, 2018), pain management (Cottrell et al., 2017, 2018), improved functionality (Rawstorn et al., 2016; Shukla et al., 2017), and health education (Hanlon et al., 2017).”
Background
Knowledge, attitude, and practice toward postoperative self‐management among patients after percutaneous coronary intervention: A structural equation modeling analysis
Lei, H., Zhu, L., & Zhang, X. (2024) · Clinical Cardiology · doi:10.1002/clc.24232 · Cited by 7
Comparative effectiveness of ehealth self-management interventions for patients with heart failure: A Bayesian network meta-analysis
Li, D., Huang, L., Zhang, F., & Wang, J. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108277 · Cited by 9
Ever Use of Telehealth in Nebraska by March 2021: Cross-Sectional Analysis
Smith, L. C., Johnson, G. W., Jadhav, S., Kabayundo, J., Ahuja, M., Wang, H., & Ratnapradipa, K. L. (2024) · Journal of Medical Internet Research · doi:10.2196/53320 · Cited by 9
“…recognize that telehealth has the potential to support improved outcomes for individuals with chronic conditions, as it has been found to be a safe alternative to traditional care [32], enhancing patient education [33], facilitating disease management [34], and supporting self-management [32,34].”
The impact of internet use on physical activity among Chinese older adults: the mediating role of social support
Shen, Y., Lu, C., & Wang, B. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1492188 · Cited by 8
The double-edged sword of internet use in China’s aging population: thresholds, mediation and digital health policy
Li, Y., Cai, J., & Yu, H. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1643510 · Cited by 12
“This is attributed to several factors, including the optimization of information dissemination (4), the acquisition of social support (5), the enhancement of a sense of gain (6) and the improvement of the medical service system (7).”
Patterns of acceptance and use of digital health services among the persistent frequent attenders of outpatient care: A qualitatively driven multimethod analysis
Virtanen, L., Kaihlanen, A., Kainiemi, E., Saukkonen, P., & Heponiemi, T. (2023) · Digital Health · doi:10.1177/20552076231178422 · Cited by 10
Effectiveness of internet-based nursing interventions for the treatment of patients with periodontitis
Liang, L., Sheng, Y., Wang, M., Li, X., & Cheng, Z. (2024) · BMC Oral Health · doi:10.1186/s12903-024-04147-3 · Cited by 9
“The widespread popularity of smartphones and tablets has created a convenient and accessible platform for nursing experts to guide individuals with chronic diseases anytime and anywhere [12, 13].”
Background
Hybrid approaches to allied health services for children and young people: a scoping review
Krasovsky, T., Weiss, P. L., Gafni-Lachter, L., Kizony, R., & Gefen, N. (2024) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-024-01401-1 · Cited by 8
“Evidence from studies of adult patients suggests that allied health services, delivered remotely, are as effective as in-person service therapy [4, 5].”
Background
Understanding the general practice of telemonitoring integrated care: a qualitative perspective
Chow, J. S. F., Knight, A. W., Disney, A., Köhler, F., Duggan, J., Maurya, N., & Gonzalez-Arce, V. E. (2021) · Australian Journal of Primary Health · doi:10.1071/py20215 · Cited by 8
Executive summary of the meeting of the 2021 ASHP Commission on Goals: Optimizing Medication Outcomes Through Telehealth
(2022) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/zxac034 · Cited by 8
eHealth in Self-Managing at a Distance Patients with COPD
Kermelly, S., & Bourbeau, J. (2022) · Life · doi:10.3390/life12060773 · Cited by 9
“A metareview has been published with synthesized systematic review evidence on telehealth interventions to support self-management in a variety of chronic diseases including COPD [38].”
Background
IMPlementing IMProved Asthma self-management as RouTine (IMP2ART) in primary care: study protocol for a cluster randomised controlled implementation trial
McClatchey, K., Hammersley, V., Steed, L., Sheringham, J., Marsh, V., Barat, A., Delaney, B., Hamborg, T., Fitzsimmons, D. F., Holmes, S., et al. (2023) · Trials · doi:10.1186/s13063-023-07253-9 · Cited by 8
Self-citation
Understanding Drivers of Telemedicine in Pediatric Medical Care
Ostrowski, S. A., McNinch, N. L., Grossoehme, D. H., Aultman, J. M., Spalding, S. J., Wagoner, C., & Rush, S. Z. (2022) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2022.0293 · Cited by 8
“2,13,14,15 As decisions are made regarding the future of health care and health care re-imbursement, it is imperative that we understand patient preference and health care satisfaction so that we can provide appropriate, timely health care to strengthen patient outcomes.”
Effects of nurse‐led home‐based telephone support or home visits on cognitive function
Mao, N., Xue, F., Cai, W., & Li, J. (2021) · Clinical and Translational Science · doi:10.1111/cts.13195 · Cited by 6
“Processing Speed Index Baseline (T0) 106 (13) 107 (8) 0.”
Background
Feasibility of a wearable self-management application for patients with COPD at home: a pilot study
Wu, R. C., de Lara, E., Liaqat, D., Liaqat, S., Chen, J. L., Son, T., & Gershon, A. S. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02461-y · Cited by 7
“Comparing to other domains such as heart failure, diabetes and asthma, digital health interventions in COPD appear to be less effective overall [22].”
Background
Efficacy and Acceptability of a Mobile App for Monitoring the Clinical Status of Patients With Chronic Obstructive Pulmonary Disease Receiving Home Oxygen Therapy: Randomized Controlled Trial
Rojas, A. N., de Torres, L. Á. P., Mosquera, F. E. C., & Molina‐Recio, G. (2025) · Journal of Medical Internet Research · doi:10.2196/65888 · Cited by 9
“It was based on the TAM [30] designed by Davis [31,32], aimed at evaluating people’s perception of usefulness and ease regarding acceptance in the use of devices or software in digital environments.”
Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review
Monaco, M. L., Profeta, A., & Corrao, S. (2025) · Nursing Open · doi:10.1002/nop2.70265 · Cited by 15
“Some studies (Liang et al. 2011; Hanlon et al. 2017; Yang et al. 2019) reported more pronounced improvements in T2DM populations, possibly due to variations in insulin dependency, disease progression, or patient self-management needs.”
Investigating the Outcomes of an Asthma Educational Program and Useful Influence in Public Policy
Dailah, H. G. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.736203 · Cited by 7
COPD Self-Management for Adults Living in Rural Areas: Systematic Review of Telehealth and Non-Telehealth Interventions
Stellefson, M., Kinder, C., Boyd, I., Elijah, O. A., Naher, S., & McFadden, N. T. (2022) · American Journal of Health Education · doi:10.1080/19325037.2022.2100525 · Cited by 7
Clinical Practice Guidelines for mental health and well-being in patients with chronic medical illnesses
Grover, S., Avasthi, A., & Majid, A. (2024) · Indian Journal of Psychiatry · doi:10.4103/indianjpsychiatry.indianjpsychiatry_603_23 · Cited by 7
“[58] Some studies have specifically focused on improving the self-efficacy of persons with chronic illness (es).”
Paving a Path to Equity in Cardiorenal Care
Mohottige, D. (2024) · Seminars in Nephrology · doi:10.1016/j.semnephrol.2024.151519 · Cited by 7
Telenursing in the postoperative period: a scoping review
Gimenez, V. C. D. A., de Almeida, G. M. F., Cyrino, C. M. S., Lemos, C. D. S., Favoretto, C., & de Ávila, M. A. G. (2024) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2024-0066 · Cited by 7
“Telehealth can be defined as any intervention in which clinical information is transferred remotely between patients and healthcare professionals (4) .”
Background
Diabetes consultation versus diabetes education in patients with poor glycaemic control: A telemedicine intervention study
Nyenwe, E. A., Ashby, S., & Tidwell, J. (2020) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x20959213 · Cited by 8
“A more recent study that evaluated 53 systematic reviews also concluded that telehealth interventions were not superior to usual care.(20) The discordant results obtained from the different studies may be due to differing patient characteristics such as age, type of intervention and the duration of telemedicine interv…”
Result
Digital Consultations During COVID-19: A Multiperspective Mixed-Methods Study in an Integrative Medicine Setting in Switzerland
Barth, J., Canella, C., Oehler, M., & Witt, C. M. (2021) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2020.0539 · Cited by 7
“22 Studies on psychotherapy for depression, for example, have shown that digital consultation has a similar effectiveness like face-to-face settings.”
Biopsychosocial Profiles of Patients With Cardiac Disease in Remote Rehabilitation Processes: Mixed Methods Grounded Theory Approach
Anttila, M.-R., Söderlund, A., Paajanen, T. I., Kivistö, H., Kokko, K., & Sjögren, T. (2021) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/16864 · Cited by 7
“Additional support can be provided using evidence-based health behavior change techniques with the help of technology in rehabilitation [15,30,32,65].”
Background
How Frequently and for How Long Do Adults With Type 2 Diabetes Use Management Apps? The REALL Study
Fisher, L., Fortmann, A. L., Florissi, C., STONER, K. C., Knaebel, J., & Stuhr, A. (2021) · Journal of Diabetes Science and Technology · doi:10.1177/19322968211058766 · Cited by 7
Tele-Active Rehabilitation for Youth With Concussion: Evidence-Based and Theory-Informed Intervention Development
Shore, J., Nalder, E. J., Hutchison, M. G., Reed, N. P., & Hunt, A. W. (2022) · JMIR Pediatrics and Parenting · doi:10.2196/34822 · Cited by 8
“Telehealth literature indicated that weekly appointments should involve a review of symptoms and activity performance with provider feedback, continued education regarding symptom management strategies, and support to promote motivation and adherence to the home program [85,86].”
BackgroundMethod
Association between perception of COVID-19 risk, confidence in health services and avoidance of emergency department visits: results from a community-based survey in Portugal
Lopes, S., Soares, P., Gama, A. F., Pedro, A. R., Moniz, M., Laires, P. A., Goes, A. R., Nunes, C., & Dias, S. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-058600 · Cited by 7
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Zhu, L., Li, D., Jiang, X., Jia, Y., Liu, Y., Li, F., Chen, X., Lin, T., Diao, D., & Gao, Y. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-060376 · Cited by 8
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Genberg, E., Viitanen, H. T., Mäkelä, M. J., Kautiainen, H., & Kauppi, P. (2023) · BMC Pulmonary Medicine · doi:10.1186/s12890-023-02467-8 · Cited by 9
“Some studies showed a positive effect of DHT interventions on self-management and disease control, while others did not [22].”
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An Internet of Things based COPD managing system: Its development, challenges and first experiences
Zhou, L., Du, C., Bai, C., & Song, Y. (2019) · Clinical eHealth · doi:10.1016/j.ceh.2019.05.001 · Cited by 8
Use of a Digital Chronic Obstructive Pulmonary Disease Respiratory Tracker in a Primary Care Setting: A Feasibility Study
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“Importantly, however, the evidence base in COPD remains less well developed [10], especially compared with those in other chronic diseases such as type 2 diabetes and heart failure [6], and there is considerable variability in both the interventions and outcome measures used in studies of mobile health applications an…”
Background
Application of the Quadruple Aim to evaluate the operational impact of a telemedicine program
Kalwani, N. M., Wang, K. M., Johnson, A. N., Deb, J. D., Gold, T., Maddukuri, A. K., Savage, E., Parameswaran, V., Dash, R., Scheinker, D., et al. (2021) · Healthcare · doi:10.1016/j.hjdsi.2021.100593 · Cited by 7
Digitally enabled primary care: the emperor’s new clothes?
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The Case Manager: An Agent Controlling the Activation of Knowledge Sources in a FHIR-Based Distributed Reasoning Environment
Lanzola, G., Polce, F., Parimbelli, E., Gabetta, M., Ronald Cornet, A., de Groot, R., Kogan, A., Glasspool, D. W., Szymon Wilk, A., & Quaglini, S. (2023) · Applied Clinical Informatics · doi:10.1055/a-2113-4443 · Cited by 6
Exploring the patient experience of remote hypertension management in Scotland during COVID-19: a qualitative study
McHale, S., Paterson, M., Pearsons, A., Neubeck, L., Atherton, I., Guthrie, B., McKinstry, B., & Hanley, J. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-078944 · Cited by 6
Self-citation
Effectiveness and safety of telemonitoring compared with standard of care in people with type 2 diabetes treated with insulin: a national multicenter randomized controlled trial
Hangaard, S., Kronborg, T., Cohen, S. R., Kofoed‐Enevoldsen, A., Thomsen, C. H. N., Aradóttir, T. B., Kristensen, S. N. S., Kaas, A., Bengtsson, H. L., Vestergaard, P., et al. (2025) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2025.05.017 · Cited by 7
Agreement and Reliability Between Tele-Assessment and In-Person Assessment of the One-Minute Sit-to-Stand Test in Patients with Chronic Respiratory Diseases
Larrateguy, S., Otto‐Yáñez, M., Bogado, J., Larrateguy, L., Barros-Poblete, M., Mazzucco, G. A., Blanco, I., Gimeno‐Santos, E., & Torres‐Castro, R. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14145049 · Cited by 6
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Associations between underlying diseases with COVID-19 and its symptoms among adults: a cross-sectional study
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Applications of Telemedicine in Patients with an Ostomy: A Scoping Review
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“an asthma action plan was completed with the patient? 37 (86) 6 (14)”
Background
Assessing the use of telemedicine among people with diabetes: A Danish translation and cross-cultural adaptation of the Telemedicine Usability Questionnaire
Bender, C., Nielsen, M. G., Hejlesen, O. K., & Hangaard, S. (2022) · Linköping electronic conference proceedings · doi:10.3384/ecp187003 · Cited by 5
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Background
Feasibility, Acceptability, and Intervention Description of a Mobile Health Intervention in Patients With Heart Failure
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The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review
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Consideration of Sex, Gender, or Age on Outcomes of Digital Technologies for Treatment and Monitoring of Chronic Obstructive Pulmonary Disease: Overview of Systematic Reviews
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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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