scholarly journals Increasing Access to Chronic Disease Self-Management Programs in Rural and Remote Communities Using Telehealth

2013 ◽  
Vol 19 (6) ◽  
pp. 467-473 ◽  
Author(s):  
Susan B. Jaglal ◽  
Vinita A. Haroun ◽  
Nancy M. Salbach ◽  
Gillian Hawker ◽  
Jennifer Voth ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Self Management ◽  
Rural And Remote ◽  
Remote Communities

scholarly journals IMPLEMENTING THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM IN RURAL AND REMOTE AREAS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 497-497
Author(s):  
M Longstreth ◽  
D Duhamel ◽  
C Carrico ◽  
R Barry ◽  
C McKibbin
Keyword(s):  
Chronic Disease ◽  
Management Program ◽  
Self Management ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas

Self-management of diabetes and associated comorbidities in rural and remote communities: a scoping review

2021 ◽  
Author(s):  
Bodil Rasmussen ◽  
Karen Wynter ◽  
Helen A. Rawson ◽  
Helen Skouteris ◽  
Nicola Ivory ◽  
...  
Keyword(s):  
Scoping Review ◽  
Self Management ◽  
Rural And Remote ◽  
Remote Communities

Building Healthy Communities: The Rural Chronic Disease Initiative

2006 ◽  
Vol 12 (2) ◽  
pp. 15
Author(s):  
Sue Whyte ◽  
Di Wyatt ◽  
Susan Faulkner ◽  
Janice Chesters ◽  
Marlene Drysdale ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Federal Budget ◽  
Rural And Remote ◽  
Community Members ◽  
Remote Communities ◽  
Community Ownership ◽  
Department Of Health ◽  
The People ◽  
Important Challenge ◽  
Community Projects

The Australian Government Department of Health and Ageing funded an innovative program to improve the health and wellbeing of people living in small rural and remote communities across Australia. The Rural Chronic Disease Initiative (RCDI) was announced in late 2002 as part of the 2000-2001 Federal Budget. Its purpose was to develop more skills in health organisations and in the community, to improve what people know about chronic disease, to encourage community members to change their behaviour and provide better ways to help people with chronic disease. The department funded 29 small projects across Australia. There will be many outcomes and degrees of success from such a wide-ranging group of community projects. There were three main factors that contributed to success: the skills of the people in project teams and employed as project officers; the partnerships and linkages created for the project; and the degree of community ownership of or engagement with the project. Time was the most important challenge for projects, in particular the time needed to consult with and engage the community. Other challenges included the level of skills and capacity within the community and the lack of available training and accreditation. The RCDI projects have shown that rural and remote communities in Australia can initiate, develop and implement a range of successful strategies to prevent and better manage chronic diseases.

Integration of assistive technology to support self management of chronic disease

2009 ◽  
Author(s):  
H. Zheng ◽  
C.D. Nugent ◽  
P.J. McCullagh ◽  
W.P. Burns ◽  
S. Alexander ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Assistive Technology ◽  
Self Management

scholarly journals Effectiveness of an eHealth self-management tool for older adults with multimorbidity (KeepWell): protocol for a hybrid effectiveness–implementation randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e048350
Author(s):  
Monika Kastner ◽  
Julie Makarski ◽  
Leigh Hayden ◽  
Jemila S Hamid ◽  
Jayna Holroyd-Leduc ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Randomised Controlled Trial ◽  
Disease Management ◽  
Chronic Conditions ◽  
Controlled Trial ◽  
Management Tool ◽  
Self Management ◽  
Plain Language ◽  
Randomised Controlled

IntroductionIn response to the burden of chronic disease among older adults, different chronic disease self-management tools have been created to optimise disease management. However, these seldom consider all aspects of disease management are not usually developed specifically for seniors or created for sustained use and are primarily focused on a single disease. We created an eHealth self-management application called ‘KeepWell’ that supports seniors with complex care needs in their homes. It incorporates the care for two or more chronic conditions from among the most prevalent high-burden chronic diseases.Methods and analysisWe will evaluate the effectiveness, cost and uptake of KeepWell in a 6-month, pragmatic, hybrid effectiveness–implementation randomised controlled trial. Older adults age ≥65 years with one or more chronic conditions who are English speaking are able to consent and have access to a computer or tablet device, internet and an email address will be eligible. All consenting participants will be randomly assigned to KeepWell or control. The allocation sequence will be determined using a random number generator.Primary outcome is perceived self-efficacy at 6 months. Secondary outcomes include quality of life, health background/status, lifestyle (nutrition, physical activity, caffeine, alcohol, smoking and bladder health), social engagement and connections, eHealth literacy; all collected via a Health Risk Questionnaire embedded within KeepWell (intervention) or a survey platform (control). Implementation outcomes will include reach, effectiveness, adoption, fidelity, implementation cost and sustainability.Ethics and disseminationEthics approval has been received from the North York General Hospital Research and Ethics Board. The study is funded by the Canadian Institutes of Health Research and the Ontario Ministry of Health. We will work with our team to develop a dissemination strategy which will include publications, presentations, plain language summaries and an end-of-grant meeting.Trial registration numberNCT04437238.

scholarly journals Development and assessment of a telesonography system for musculoskeletal imaging

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Mohammed Obaid ◽  
Qianwei Zhang ◽  
Scott J. Adams ◽  
Reza Fotouhi ◽  
Haron Obaid
Keyword(s):  
Degrees Of Freedom ◽  
Ultrasound Images ◽  
Ultrasound Probe ◽  
Rural And Remote ◽  
Significant Delay ◽  
Remote Communities ◽  
Internet Connection ◽  
Good For ◽  
4 Degrees Of Freedom

Abstract Background Telesonography systems have been developed to overcome barriers to accessing diagnostic ultrasound for patients in rural and remote communities. However, most previous telesonography systems have been designed for performing only abdominal and obstetrical exams. In this paper, we describe the development and assessment of a musculoskeletal (MSK) telesonography system. Methods We developed a 4-degrees-of-freedom (DOF) robot to manipulate an ultrasound probe. The robot was remotely controlled by a radiologist operating a joystick at the master site. The telesonography system was used to scan participants’ forearms, and all participants were conventionally scanned for comparison. Participants and radiologists were surveyed regarding their experience. Images from both scanning methods were independently assessed by an MSK radiologist. Results All ten ultrasound exams were successfully performed using our developed MSK telesonography system, with no significant delay in movement. The duration (mean ± standard deviation) of telerobotic and conventional exams was 4.6 ± 0.9 and 1.4 ± 0.5 min, respectively (p = 0.039). An MSK radiologist rated quality of real-time ultrasound images transmitted over an internet connection as “very good” for all telesonography exams, and participants rated communication with the radiologist as “very good” or “good” for all exams. Visualisation of anatomic structures was similar between telerobotic and conventional methods, with no statistically significant differences. Conclusions The MSK telesonography system developed in this study is feasible for performing soft tissue ultrasound exams. The advancement of this system may allow MSK ultrasound exams to be performed over long distances, increasing access to ultrasound for patients in rural and remote communities.

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