Key Messages

Asthma: Key Messages

Asthma: Key Messages

Uptake of home telehealth varies significantly and may decline over time.   Home telehealth appears to be as effective as usual care in improving lung function and reducing symptoms.   There is strong evidence that home telehealth can improve medication adherence, an important component of self-management.  However, there is insufficient evidence of effects on self-efficacy […]

Chronic Obstructive Pulmonary Disease: Key Messages

Chronic Obstructive Pulmonary Disease: Key Messages

There is strong evidence that home telehealth is significantly more effective than usual care in reducing exacerbations, and some evidence that it can improve daily symptoms.   Patient satisfaction with home telehealth tends to be high.   Little research has been done on provider views.  One study reported strongly negative perceptions of videoconferencing-based case management, […]

Cardiovascular Disease, Heart Failure: Key Messages

Cardiovascular Disease, Heart Failure: Key Messages

There is strong evidence that home telehealth can lead to short-term improvement in functional status.  Research into long-term outcomes is insufficient.   Several strongly designed studies have shown that home telehealth has the potential to reduce mortality significantly more than usual care.  However, many others – also strongly designed – have found that home telehealth […]

Cardiovascular Disease, Coronary Artery Disease: Key Messages

Cardiovascular Disease, Coronary Artery Disease: Key Messages

There is strong evidence that home telehealth can lead to short-term improvement in functional status.  Research into long-term outcomes is insufficient.   Several strongly designed studies have shown that home telehealth has the potential to reduce mortality significantly more than usual care.  However, many others – also strongly designed – have found that home telehealth […]

Type 1 Diabetes: Key Messages

Type 1 Diabetes: Key Messages

Significant reductions in hemoglobin A1c (HbA1c) are reported frequently enough to support claims that home telehealth can be as or more effective than usual care in improving glycemic control.  However, many studies that do not report significant differences between telehealth and usual care.  In short, there is strong evidence that home telehealth can be very […]

Type 2 Diabetes: Key Messages

Type 2 Diabetes: Key Messages

Home telehealth can be highly beneficial for people with type 2 diabetes.  There is strong evidence that it can reduce HbA1c, lower blood pressure, improve exercise habits, and raise self-efficacy and quality of life.  Under some circumstances, it can also improve cholesterol, body mass index, and diet.  Improvements are often greater than those seen with […]

Renal Disease: Key Messages

Renal Disease: Key Messages

Researchers have established the feasibility of using home telehealth for management of renal disease.   Very little information is available on home telehealth for renal disease.  Unknowns include satisfaction, uptake, clinical outcomes, and effects on the health care system.   Economic analyses cannot take place until clinical efficacy has been established.   Our search excluded […]

Stroke: Key Messages

Stroke: Key Messages

Rehabilitation programs delivered through home telehealth can be as or more effective than conventional rehabilitation.   The fixed scheduling of rehabilitation programs makes it comparatively simple to determine human resource requirements for this type of home telehealth.   There is moderate evidence that remote monitoring for INR management can improve clinical stability in the short-term, […]