Research Papers for 2018:
Feasibility of a Proactive Text Messaging Intervention for Smokers in Community Health Centers: Pilot Study
Gina Kruse - MPH, MD; Jennifer HK Kelley - RN, MSN; Karen Chase - BA; Nancy A Rigotti - MD
A Machine Learning Model to Predict the Risk of 30-Day Readmissions in Patients with Heart Failure: A Retrospective Analysis of Electronic Medical Records Data
Sara Bersche Golas, Takuma Shibahara, Stephen Agboola, Hiroko Otaki, Jumpei Sato, Tatsuya Nakae, Toru Hisamitsu, Go Kojima, Jennifer Felsted, Sujay Kakaramath, Joseph Kvedar and Kamal Jethwani
Heart failure is one of the leading causes of hospitalization in the United States. Advances in big data solutions allow for storage, management, and mining of large volumes of structured and semi-structured data, such as complex healthcare data. Applying these advances to complex healthcare data has led to the development of risk prediction models to help identify patients who would benefit most from disease management programs in an effort to reduce readmissions and healthcare cost, but the results of these efforts have been varied. The primary aim of this study was to develop a 30-day readmission risk prediction model for heart failure patients discharged from a hospital admission.
Evaluating the Impact of a Web-Based Risk Assessment System (CareSage) and Tailored Interventions on Health Care Utilization: Protocol for a Randomized Controlled Trial
Ramya Sita Palacholla, MD, MPH; Nils C Fischer, MPH; Stephen Agboola, MD, MPH; Mariana Nikolova-Simons, PhD; Sharon Odametey, MPH; Sara Bersche Golas, MA; Jorn op den Buijs, PhD; Linda Schertzer, BS; Joseph Kvedar, MD; and Kamal Jethwani, MD, MPH
The goal of this study is to evaluate the impact of a risk assessment system (CareSage) and targeted interventions on health care utilization.
Healthcare Utilization in Older Patients Using Personal Emergency Response Systems: An Analysis of Electronic Health Records and Medical Alert Data
Stephen Agboola, MD, MPH; Nils C Fischer, MPH; Mariana Nikolova-Simons, PhD; Jorn op den Buijs, PhD; Linda Schertzer, BS; Joseph Kvedar, MD; and Kamal Jethwani, MD, MPH
A Longitudinal Retrospective Analyses of healthcare utilization rates in older patients using Personal Emergency Response Systems from 2011 to 2015.
Research Papers for 2017:
Technology: Revolutionizing the Delivery of Health Behavior Change Interventions with Integrated Care
Stephen O. Agboola, Kamal Jethwani
Activities of daily living measured by the Harvard Automated Phone Task track with cognitive decline over time in non-demented elderly
Marshall GA, Aghjayan SL, Dekhtyar M, Locascio JJ, Jethwani K, Amariglio RE, Johnson KA, Sperling RA, Rentz DM
Designing Patient-Centered Text Messaging Interventions for Increasing Physical Activity Among Participants With Type 2 Diabetes: Qualitative Results From the Text to Move Intervention
Horner GN, Agboola S, Jethwani K, Tan-McGrory A, Lopez L. Eysenbach G, ed.
Healthcare utilization in older patients using personal emergency response systems: an analysis of electronic health records and medical alert data
Agboola, S., Golas, S., Fischer, N., Nikolova-Simons, M., op den Buijs, J., Schertzer, L., Kvedar, J. and Jethwani, K
Mobile Application to Promote Adherence to Oral Chemotherapy and Symptom Management: A Protocol for Design and Development.
Fishbein JN, Nisotel LE, MacDonald JJ, Pensak NA, Jacobs JM, Flanagan C, Jethwani K, Greer JA. Eysenbach G, ed.
Research Papers for 2016:
Activities of Daily Living Measured by the Harvard Automated Phone Task Track with Cognitive Decline over Time in Non-Demented Elderly
G.A. Marshall; S.L. Aghjayan; M. Dekhtyar; J.J. Locascio; K. Jethwani; R.E. Amariglio; K.A. Johnson; R.A. Sperling; D.M. Rentz
Text to Move: A Randomized Controlled Trial of a Text-Messaging Program to Improve Physical Activity Behaviors in Patients With Type 2 Diabetes Mellitus
Text messages are increasingly being used because of the low cost and the ubiquitous nature of mobile phones to engage patients in self-care behaviors. Self-care is particularly important in achieving treatment outcomes in type 2 diabetes mellitus (T2DM). Read more on JMIR by clicking here.
Telemedicine and Patient Safety
Stephen Agboola, MD, MPH; Joseph Kvedar, MD
A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-based care is being replaced by a patient-centric approach, in which patients are constantly connected to their health care providers. This shift is driven by the need to optimize the performance of the health care system and enabled by advances in technology.Read the full paper on the Agency for Healthcare and Research Quality website by clicking here.
Telemedical Education: Training Digital Natives in Telemedicine
Akhilesh S Pathipati, BA ; Tej D Azad, BA ; Kamal Jethwani, MPH, MD
Digital Health and Patient Safety
Stephen O. Agboola, MBBS, MPH; David W. Bates, MD, MSc; Joseph C. Kvedar, MD
A Multimodal mHealth Intervention (FeatForward) to Improve Physical Activity Behavior in Patients with High Cardiometabolic Risk Factors: Rationale and Protocol for a Randomized Controlled Trial
Stephen Agboola, MD MPH; Ramya Sita Palacholla, MD MPH; Amanda Centi, PhD; Joseph Kvedar, MD; Kamal Jethwani, MD MPH.
A Remote Medication Monitoring System for Chronic Heart Failure Patients to Reduce Readmissions: A Two-Arm Randomized Pilot Study
Timothy M Hale, PhD ; Kamal Jethwani, MPH, MD ; Manjinder Singh Kandola, AB ; Fidencio Saldana, MPH, MD ; Joseph C Kvedar, MD.
Research Papers for 2015:
Prescription Tablets in the Digital Age: A Cross-Sectional Study Exploring Patient and Physician Attitudes Toward the Use of Tablets for Clinic-Based Personalized Health Care Information Exchange
Patel V, Hale TM, Palakodeti S, Kvedar JC, Jethwani K.
Editorial: Making Mobile Health Measure Up
Kourosh AS, Kvedar JC.
Introduction: Nearly 50 years ago, Kligman challenged our field to produce devices and methodologies that would allow dermatologists to care for patients without need of the human eye. Now, as new smartphone applications (apps) spring up daily and new modalities for remote monitoring offer alternatives for managing aspects of the traditional physician-patient visit, our field has entered a technological exploration phase, fashioning and testing health innovations as predicted by a dermatologic Jules Verne decades ago. This new phase brings with it new research considerations and new questions. A technological intervention study, for example, must face 2 particular questions: how to deliver effective health care within the new media now possible for patient interactions and how to measure that health care delivery effectively. Read More
Heart Failure Remote Monitoring: Evidence From the Retrospective Evaluation of a Real-World Remote Monitoring Program
Agboola S, Jethwani K, Khateeb K, Moore S, Kvedar J.
BACKGROUND: Given the magnitude of increasing heart failure mortality, multidisciplinary approaches, in the form of disease management programs and other integrative models of care, are recommended to optimize treatment outcomes. Remote monitoring, either as structured telephone support or telemonitoring or a combination of both, is fast becoming an integral part of many disease management programs. However, studies reporting on the evaluation of real-world heart failure remote monitoring programs are scarce.
Patient Engagement With a Mobile Web-Based Telemonitoring System for Heart Failure Self-Management: A Pilot Study
Zan S, Agboola S, Moore SA, Parks KA, Kvedar JC, Jethwani K
Background: Intensive remote monitoring programs for congestive heart failure have been successful in reducing costly readmissions, but may not be appropriate for all patients. There is an opportunity to leverage the increasing accessibility of mobile technologies and consumer-facing digital devices to empower patients in monitoring their own health outside of the hospital setting. The iGetBetter system, a secure Web- and telephone-based heart failure remote monitoring program, which leverages mobile technology and portable digital devices, offers a creative solution at lower cost.
The Effect of Technology-Based Interventions on Pain, Depression, and Quality of Life in Patients With Cancer: A Systematic Review of Randomized Controlled Trials
Agboola SO, Ju W, Elfiky A, Kvedar JC, Jethwani K.
BACKGROUND: The burden of cancer is increasing; projections over the next 2 decades suggest that the annual cases of cancer will rise from 14 million in 2012 to 22 million. However, cancer patients in the 21st century are living longer due to the availability of novel therapeutic regimens, which has prompted a growing focus on maintaining patients' health-related quality of life. Telehealth is increasingly being used to connect with patients outside of traditional clinical settings, and early work has shown its importance in improving quality of life and other clinical outcomes in cancer care.
Teledermatology: From historical perspective to emerging techniques of the modern era: Part II: Emerging technologies in teledermatology, limitations and future directions
Coates SJ, Kvedar J, Granstein RD
Abstract: Telemedicine is the use of telecommunications technology to support health care at a distance. Dermatology relies on visual cues that are easily captured by imaging technologies, making it ideally suited for this care model. Advances in telecommunications technology have made it possible to deliver high-quality skin care when patient and provider are separated by both time and space. Most recently, mobile devices that connect users through cellular data networks have enabled teledermatologists to instantly communicate with primary care providers throughout the world. The availability of teledermoscopy provides an additional layer of visual information to enhance the quality of teleconsultations. Teledermatopathology has become increasingly feasible because of advances in digitization of entire microscopic slides and robot-assisted microscopy. Barriers to additional expansion of these services include underdeveloped infrastructure in remote regions, fragmented electronic medical records, and varying degrees of reimbursement. Teleconsultants also confront special legal and ethical challenges as they work toward building a global network of practicing physicians.
Teledermatology: From historical perspective to emerging techniques of the modern era: Part I: History, rationale, and current practice
Coates SJ, Kvedar J, Granstein RD
Abstract: Telemedicine is the use of telecommunications technology to support health care at a distance. Technological advances have progressively increased the ability of clinicians to care for diverse patient populations in need of skin expertise. Dermatology relies on visual cues that are easily captured by imaging technologies, making it ideally suited for this care model. Moreover, there is a shortage of medical dermatologists in the United States, where skin disorders account for 1 in 8 primary care visits and specialists tend to congregate in urban areas. Even in regions where dermatologic expertise is readily accessible, teledermatology may serve as an alternative that streamlines health care delivery by triaging chief complaints and reducing unnecessary in-person visits. In addition, many patients in the developing world have no access to dermatologic expertise, rendering it possible for teledermatologists to make a significant contribution to patient health outcomes. Teledermatology also affords educational benefits to primary care providers and dermatologists, and enables patients to play a more active role in the health care process by promoting direct communication with dermatologists.
Research Papers for 2014:
Improving outcomes in cancer patients on oral anti-cancer medications using a novel mobile phone-based intervention: study design of a randomized controlled trial
Agboola S, Flanagan C, Searl M, Elfiky A, Kvedar J, Jethwani K.
Read the full paper here.
Pain management in cancer patients using a mobile app: study design of a randomized controlled trial
Agboola S, Kamdar M, Flanagan C, Searl M, Traeger L, Kvedar J, Jethwani K.
Read the full paper here.
Privacy and Security Concerns in Telehealth
Hale TM, Kvedar JC.
Read the full paper here.
Representation of Health Conditions on Facebook: Content Analysis and Evaluation of User Engagement
Hale TM, Pathipati AS, Zan S, Jethwani K.
Read the full paper here.
Surveying Indian Gay Men for Coping Skills and HIV Testing Patterns Using the Internet
Jethwani KS, Mishra SV, Jethwani PS, Sawant NS.
Read the full paper here.
Web-Based Depression Screening and Psychiatric Consultation for College Students: A Feasibility and Acceptability Study
Williams A, Larocca R, Chang T, Trinh NH, Fava M, Kvedar J, Yeung A.
Read the full paper here.
Internet Use and Depression Among Retired Adults: A Longitudinal Analysis
Cotten SR, Ford G, Ford S, Hale TM.
Read the full paper here.
Telehealth Among US Hospitals: Several Factors, Including State Reimbursement and Licensure Policies, Influence Adoption
Adler-Milstein J, Kvedar J, Bates DW.
Read the full paper here.
Connected Health: A Review of Technologies and Strategies to Improve Patient Care with Telemedicine and Telehealth
Kvedar J, Coye MJ, Everett W.
Read the full paper here.
Research Papers for 2013:
The Impact of Using Mobile-Enabled Devices on Patient Engagement in Remote Monitoring Programs
Agboola S, Havasy R, Myint-U K, Kvedar J, Jethwani K.
Read the full paper here.
Perspectives on Acne: What Twitter Can Teach Health Care Providers
Shive M, Bhatt M, Cantino A, Kvedar J, Jethwani K.
Read the full paper here.
Assessing Hospital Readmission Risk Factors in Heart Failure Patients Enrolled in a Telemonitoring Program
Zai AH, Ronquillo JG, Nieves R, Chueh HC, Kvedar JC, Jethwani K.
Read the full paper here.
The Future of Connected Health in Preventive Medicine
Agboola SO, Ball M, Kvedar JC, Jethwani K.
Read the full paper here.
Is There Such a Thing as an Online Health Lifestyle?
Hale, Timothy M.
Read the full paper here.
Research Papers for 2012:
Implementation of a Web-Based Tool for Patient Medication Self-Management: The Medication Self-titration Evaluation Programme (Med-STEP) for Blood Pressure Control
Grant RW, Pandiscio JC, Pajolek H, Woulfe A, Pelletier A, Kvedar J, Park ER.
Read the full paper here.
Diabetes Connect: An Evaluation of Patient Adoption and Engagement in a Web-Based Remote Glucose Monitoring Program
Jethwani K, Ling E, Mohammed M, Myint-U K, Pelletier A, Kvedar JC.
Read the full paper here.
Evaluating a Web-Based Self-Management Program for Employees with Hypertension and Prehypertension: A Randomized Clinical Trial
Watson AJ, Singh K, Myint-U K, Grant RW, Jethwani K, Murachver E, Harris K, Lee TH, Kvedar JC.
Read the full paper here.
Feasibility of a Clearing House for Improved Cooperation Between Telemedicine Networks Delivering Humanitarian Services: Acceptability to Network Coordinators
Wootton R, Bonnardot L, Geissbuhler A, Jethwani K, Kovarik C, McGoey S, Person DA, Vladzymyrskyy A, Zolfo M.
Read the full paper here.
Comparative Performance of Seven Long-Running Telemedicine Networks Delivering Humanitarian Services
Wootton R, Geissbuhler A, Jethwani K, Kovarik C, Person DA, Vladzymyrskyy A, Zanaboni P, Zolfo M.
Read the full paper here.
Prevention of Weight Gain Following a Worksite Nutrition and Exercise Program: A Randomized Controlled Trial
Thorndike AN, Sonnenberg L, Healey E, Myint-U K, Kvedar JC, Regan S.
Read the full paper here.
Long-Running Telemedicine Networks Delivering Humanitarian Services: Experience, Performance and Scientific Output
Wootton R, Geissbuhler A, Jethwani K, Kovarik C, Person DA, Vladzymyrskyy A, Zanaboni P, Zolfo M.
Read the full paper here.
The Feasibility and Impact of Delivering a Mind-Body Intervention in a Virtual World
Hoch DB, Watson AJ, Linton DA, Bello HE, Senelly M, Milik MT, Baim MA, Jethwani K, Fricchione GL, Benson H, Kvedar JC.
Read the full paper here.
An Internet-Based Virtual Coach to Promote Physical Activity Adherence in Overweight Adults: Randomized Controlled Trial
Watson A, Bickmore T, Cange A, Kulshreshtha A, Kvedar J.
Read the full paper here.
Research Papers for 2011:
E-Patient Connectivity and the Near Term Future
Kvedar JC, Nesbitt T, Kvedar JG, Darkins A.
Read the full paper here.
Linking Electronic Health Record-Extracted Psychosocial Data in Real-Time to Risk of Readmission for Heart Failure
Watson AJ, O'Rourke J, Jethwani K, Cami A, Stern TA, Kvedar JC, Chueh HC, Zai AH.
Read the full paper here.
Telemonitoring in Patients with Heart Failure
Everett W, Kvedar JC, Nesbitt TS.
Read the full paper here.
Implementing a Web-Based Home Monitoring System Within an Academic Health Care Network: Barriers and Facilitators to Innovation Diffusion
Pelletier AC, Jethwani K, Bello H, Kvedar J, Grant RW.
Read the full paper here.
Research Papers for 2010:
It is Time to Talk About People: A Human-Centered Healthcare System
Searl MM, Borgi L, Chemali Z.
Read the full paper here.
Text Messages as a Reminder Aid and Educational Tool in Adults and Adolescents with Atopic Dermatitis: A Pilot Study
Pena-Robichaux V, Kvedar JC, Watson AJ.
Read the full paper here.
Use of Remote Monitoring to Improve Outcomes in Patients with Heart Failure: A Pilot Trial
Kulshreshtha A, Kvedar JC, Goyal A, Halpern EF, Watson AJ.
Read the full paper here.
A Randomized Trial to Evaluate the Efficacy of Online Follow-Up Visits in the Management of Acne
Watson AJ, Bergman H, Williams CM, Kvedar JC.
Read the full paper here.
Innovation Networks for Improving Access and Quality Across the Healthcare Ecosystem
Carroll M, James JA, Lardiere MR, Proser M, Rhee K, Sayre MH, Shore JH, Ternullo J.
Read the full paper here.
Research Papers for 2009:
Mobile Phone Technology for Children with Type 1 and Type 2 Diabetes: A Parent Survey
Pena V, Watson AJ, Kvedar JC, Grant RW.
Read the full paper here.
Text-Message Reminders to Improve Sunscreen Use: A Randomized, Controlled Trial Using Electronic Monitoring
Armstrong AW, Watson AJ, Makredes M, Frangos JE, Kimball AB, Kvedar JC.
Read the full paper here.
Up From Crisis: Overhauling Healthcare Information, Payment, and Delivery in Extraordinary Times
Kvedar JC, Hwang J, Moorhead T, Orlov LM, Ubel PA.
Read the full paper here.
Remote Assessment of Acne: The Use of Acne Grading Tools to Evaluate Digital Skin Images
Bergman H, Tsai KY, Seo SJ, Kvedar JC, Watson AJ.
Read the full paper here.
Connected Health as a Lever for Healthcare Reform
Kvedar JC, Herzlinger R, Holt M, Sanders JH.
Read the full paper here.
Feasibility and Effectiveness of Telepsychiatry Services for Chinese Immigrants in a Nursing Home
Yeung A, Johnson DP, Trinh NH, Weng WC, Kvedar J, Fava M.
Read the full paper here.
Diabetes Connected Health: A Pilot Study of a Patient- and Provider-Shared Glucose Monitoring Web Application
Watson AJ, Kvedar JC, Rahman B, Pelletier AC, Salber G, Grant RW.
Read the full paper here.
The Role of Online Support Communities: Benefits of Expanded Social Networks to Patients with Psoriasis
Idriss SZ, Kvedar JC, Watson AJ.
Read the full paper here.
Innovations in Connected Health
Singh K, Kvedar JC.
Read the full paper here.
Research Papers for 2008:
Societal Drivers in the Applications of Telehealth
Doarn CR, Yellowlees P, Jeffries DA, Lordan D, Davis S, Hammack G, McClosky-Armstrong T, Kvedar J.
Read the full paper here.
Brave New Worlds: How Virtual Environments Can Augment Traditional Care in the Management of Diabetes
Watson AJ, Grant RW, Bello H, Hoch DB.
Read the full paper here.
Staying on Top in Dermatology: Why We Must Act Now to Address the Capacity Challenge
Watson AJ, Kvedar JC.
Read the full paper here.
Beyond EHRs: How Technology Can Help You Treat Chronic Illness
Heinzelmann PJ, Kvedar JC, Kibbe DC.
Read the full paper here.
Reevaluating the Digital Divide: Current Lack of Internet Use Is Not a Barrier to Adoption of Novel Health Information Technology
Watson AJ, Bell AG, Kvedar JC, Grant RW.
Read the full paper here.
Research Papers for 2007:
Connected Health: A New Framework for Evaluation of Communication Technology Use in Care Improvement Strategies for Type 2 Diabetes
Mathur A, Kvedar JC, Watson AJ.
Read the full paper here.
Economic Evaluation of Interactive Teledermatology Compared with Conventional Care
Armstrong AW, Dorer DJ, Lugn NE, Kvedar JC.
Read the full paper here.