Internet Devices and Desires: A Review of Randomized Controlled Trials of Interactive, Internet-mediated, In-home, Chronic Disease Monitoring Programs

dc.creator	Anne-Marie Nicol
dc.creator	Corlann Gee Bush
dc.creator	Ellen Balka
dc.date	2009-01-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:26:56Z
dc.date.available	2015-07-20T22:26:56Z
dc.identifier	1916-7342
dc.identifier	https://doaj.org/article/b18e87486ec143d88903c68c45315fdb
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/21696
dc.description	Background and Objectives: The advent of the Internet has made in-home monitoring a possibility for patients suffering from chronic disease, although few studies have examined this phenomena across different disease states. The goal of this review is to identify and evaluate studies where randomized control trials were used to evaluate Internet-mediated home monitoring systems designed to manage and support patients with chronic diseases.Methods and Results: We reviewed 454 abstracts of articles describing computerbased health interventions and read forty-three articles in depth. Seventeen articles met inclusion criteria and were selected for this review. Only completed randomized, controlled trials that reported physiological health outcomes of the intervention were included. Other results reviewed included the populations studied, the short and long term effectiveness of the interventions, costs and technology-related issues and health care provider communication. Internet-mediated home monitoring interventions appear to have some benefit for specific chronic diseases in specific circumstances. Few studies documented cost savings; none of those that did used consistent measures. Studies seldom addressed the challenges of introducing sophisticated interactive-monitoring systems into patients’ homes, the reasons for attrition from trials, or the effects of the intervention on the work of care providers or interprofessional practices.Conclusions: The interventions reviewed showed potential to enhance chronic disease management in some cases. However, the short duration of the studies made it difficult to generalize the results to wider home care settings or predict the effectiveness of such systems over the long and complicated courses of chronic diseases. Thus, despite hopes for significant cost and labour savings, Internet-mediated systems for monitoring chronic diseases in patients’ homes will likely complement rather than replace usual care.
dc.language	English
dc.publisher	Simon Fraser University
dc.relation	http://www.jripe.org/index.php/journal/article/view/2/5
dc.relation	https://doaj.org/toc/1916-7342
dc.source	Journal of Research in Interprofessional Practice and Education, Vol 1, Iss 1, Pp 67-84 (2009)
dc.subject	Internet
dc.subject	Chronic disease
dc.subject	Outcomes assessment
dc.subject	Disease monitoring
dc.subject	Randomized controlled trials
dc.subject	Home monitoring
dc.subject	Cost/benefits
dc.subject	Public aspects of medicine
dc.subject	RA1-1270
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Public Health
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Public aspects of medicine
dc.subject	RA1-1270
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Public Health
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Public aspects of medicine
dc.subject	RA1-1270
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Public aspects of medicine
dc.subject	RA1-1270
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Public aspects of medicine
dc.subject	RA1-1270
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.title	Internet Devices and Desires: A Review of Randomized Controlled Trials of Interactive, Internet-mediated, In-home, Chronic Disease Monitoring Programs
dc.type	article