Articoli di riviste: "Home telecare"

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Ruggiero, C., R. Sacile e M. Giacomini. "Home telecare". Journal of Telemedicine and Telecare 5, n. 1 (marzo 1999): 11–17. http://dx.doi.org/10.1258/1357633991932333.

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Law, Derek. "Telecare comes home". Nursing and Residential Care 14, n. 1 (gennaio 2012): 40–42. http://dx.doi.org/10.12968/nrec.2012.14.1.40.

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López, Daniel, e Tomás Sánchez-Criado. "Dwelling the Telecare Home". Space and Culture 12, n. 3 (8 luglio 2009): 343–58. http://dx.doi.org/10.1177/1206331209337079.

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Vadillo, Laura, María Luisa Martín-Ruiz, Iván Pau, Rafael Conde e Miguel Ángel Valero. "A Smart Telecare System at Digital Home: Perceived Usefulness, Satisfaction, and Expectations for Healthcare Professionals". Journal of Sensors 2017 (2017): 1–12. http://dx.doi.org/10.1155/2017/8972350.

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Sensors, combined with intelligent systems, can enhance the quality of the Telecare services deployed at home, improving the capability for detection of risk situations and the users care. However, there are no specific studies that evaluate this kind of Telecare systems by professionals that work in a Telecare center. This paper shows the results of an assessment of the current satisfaction and future expectations of the Telecare professionals when using advanced Telecare solutions deployed at home. The study has been conducted through structured interviews with 24 Telecare experts working in the Telecare center of the Spanish Red Cross for attending alarm calls for elderly people. The interviews had the support of the TALISMAN Telecare system that is a next-generation Telecare service deployed in the accessible digital home of Universidad Politécnica de Madrid. All participants showed overall satisfaction with TALISMAN and their intention to use it. Results showed that perceived usefulness is an important influencing factor to the intention to use it and the Quality of the Information is a key factor in the perceived usefulness. TALISMAN, as an example of a next-generation Telecare system, is seen as a tool with high potential for improving the care of elderly people at home.

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Brewer, Jeffrey L., Teresa Taber-Doughty e Sara Kubik. "Safety assessment of a home-based telecare system for adults with developmental disabilities in Indiana: a multi-stakeholder perspective". Journal of Telemedicine and Telecare 16, n. 5 (25 maggio 2010): 265–69. http://dx.doi.org/10.1258/jtt.2010.090902.

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We investigated the perceptions of people about the safety, security and privacy of a telecare monitoring system for adults with developmental disabilities living in residential settings. The telecare system was used by remote caregivers overnight, when staff were not present in the homes. We surveyed 127 people from different stakeholder groups in the state of Indiana. The people surveyed included those with knowledge or experience of telecare, and those without. The stakeholders were clients, their advocates, service provider administrators and independent case coordinators. The responses in each category for every group were positive except one: only 4 of the 11 telecare case coordinators agreed that the telecare system provided a secure environment. Overall, the telecare system was perceived to be as safe, secure and private as the conventional alternative of having staff in the home.

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Botsis, Taxiarchis, George Demiris, Steinar Pedersen e Gunnar Hartvigsen. "Home telecare technologies for the elderly". Journal of Telemedicine and Telecare 14, n. 7 (ottobre 2008): 333–37. http://dx.doi.org/10.1258/jtt.2008.007002.

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There are many home telecare technologies which have been developed specifically for chronic diseases and there are some more generic technologies that could be used as well. For home telecare, the equipment must be certified, the operational routines must be reformed, the infrastructure must be in place, the market must be prepared, the health authorities must be convinced that the system will work and the cost-effectiveness must be evaluated. Organizational and societal changes, such as cost reduction policies and an aging population, are the main driving forces for the development of home telecare, especially for elderly patients. At the moment there is no holistic model for scientific evaluation from different perspectives (e.g. clinical, legal, technical). We suggest that more research on home telecare and its effects needs to be conducted, in order to provide evidence for optimizing the use of this promising technique.

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Tang, Puay, e Tim Venables. "'Smart' homes and telecare for independent living". Journal of Telemedicine and Telecare 6, n. 1 (2 febbraio 2000): 8–14. http://dx.doi.org/10.1258/1357633001933871.

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Telecare services and 'smart' homes share a common technological base in information technology and telecommunications. There is growing interest in both telecare services and smart homes, although they have been studied in isolation. Telecare has been driven largely by perceived cost savings and improved service delivery to the home, leading to improved quality of life and independent living. Smart homes are also expected to provide better and safer living conditions. The integration of the two should produce more secure and autonomous living. There are different forms of telecare services, as there are different types of smart homes, each ranging from basic systems involving the use of alarms and the ordinary telephone to intelligent monitoring with sensors and interactive communication. The introduction of these systems has policy implications, such as the need for coordination between health, social services and housing policy makers, which will reduce duplication and inefficient allocation of resources. Successful delivery of telecare to the home is as much dependent on the construction and condition of the housing stock as it is on the ability of the care provider to meet users' needs. If the UK National Health Service (NHS) could replace a significant proportion of domiciliary nursing visits by telephone calls, then savings of up to 200 million per annum would be possible.

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Dewsbury, Guy, e Debbie Ballard. "Telecare: supporting independence at home". British Journal of Healthcare Assistants 6, n. 2 (febbraio 2012): 71–73. http://dx.doi.org/10.12968/bjha.2012.6.2.71.

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Rodríguez, M. J., M. T. Arredondo, F. del Pozo, E. J. Gómez, A. Martínez e A. Dopico. "A Home Telecare Management System". Journal of Telemedicine and Telecare 1, n. 2 (giugno 1995): 86–94. http://dx.doi.org/10.1177/1357633x9500100204.

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The increasing tendency to discharge chronic patients from hospital, as well as the growing expectation of improved quality of life for elderly and disabled people at home, was the original motivation for the development of a home telecare management system. The system allows a service centre to perform remote monitoring of biological signals and other data via the public telephone network, as well as to manage different emergency situations arising at home. The system is part of the EU-funded EPIC project (European Prototype for Integrated Care). It was tested in Belfast (Northern Ireland) and is currently being installed in Torre del Mar (Spain). This paper describes the system design and preliminary evaluation. The results indicate that the system operators find it highly acceptable in terms of efficiency, effectiveness, helpfulness, control and learnability. Integration of home telecare data with community-care information systems is essential if data captured at home are to be incorporated into the care process effectively.

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Coyle, Geraldine, Leslie Boydell e Lynn Brown. "Home Telecare for the Elderly". Journal of Telemedicine and Telecare 1, n. 3 (settembre 1995): 183–84. http://dx.doi.org/10.1177/1357633x9500100309.

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Agrell, Henrik, Sara Dahlberg e Anthony F. Jerant. "Patients' Perceptions Regarding Home Telecare". Telemedicine Journal and e-Health 6, n. 4 (dicembre 2000): 409–15. http://dx.doi.org/10.1089/15305620050503889.

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Dewsbury, Guy, e Debbie Ballard. "Is your home telecare aware?" Nursing and Residential Care 14, n. 8 (agosto 2012): 422–24. http://dx.doi.org/10.12968/nrec.2012.14.8.422.

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Berge, Mari S. "Telecare – where, when, why and for whom does it work? A realist evaluation of a Norwegian project". Journal of Rehabilitation and Assistive Technologies Engineering 4 (gennaio 2017): 205566831769373. http://dx.doi.org/10.1177/2055668317693737.

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Introduction Evaluations of telecare demonstrate disparate results, which are of little help for understanding what the users need from further policy and development. This study aims to provide a more nuanced approach to telecare evaluations. Methods Realist evaluation is used to scrutinize what it is about telecare that works for whom, why, how and in which circumstances. Sequential interviews were conducted with telecare users and relatives at pre- and post-implementation stages. Result Some users experienced the intended effects from telecare, such as increased feeling of safety, whereas others did not. Various contextual elements influenced how people reasoned about the resources provided by telecare and affected the individual outcomes. Discussion The desire to remain in own home appeared to be a major driving force in accepting telecare. Users had surprisingly high tolerance to side effects of telecare, which might indicate that much was at stake. Some users disapproved of having telecare due to contextual reasons; however, readjustments proved successful to some. Conclusion This study illuminates how and why telecare works differently in different situations, and thus leads to different outcomes. When telecare is correctly adjusted to match the user’s needs, abilities and contexts it enables them to feel safe and remain in their own homes.

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Guise, Veslemøy, e Siri Wiig. "Evaluating a simulation-based telecare training program for home healthcare professionals: A trainee perspective". Journal of Nursing Education and Practice 7, n. 5 (28 dicembre 2016): 76. http://dx.doi.org/10.5430/jnep.v7n5p76.

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Background: The provision and use of telecare services implies new ways of working for home healthcare staff. To gain the knowledge, skills and attitudes necessary for sound telecare practice, staff are in need of thorough training opportunities. Simulation has been suggested as a useful approach to prepare healthcare professionals for providing telecare services. The aim of this study was to test and evaluate a simulation-based telecare training program for qualified healthcare professionals and explore whether it met intended training objectives from the perspective of the trainees.Methods: A total of 14 healthcare professionals working in home healthcare services participated in up to two training sessions, each across two separate days. Data were collected by way of four tape-recorded focus group interviews and field notes from non-participant observations of eight simulation sessions, and were analysed by way of systematic text condensation.Results: The analysis resulted in seven categories addressing trainees’ experiences of partaking in simulated virtual visits; their perceptions of simulation-based telecare training; and their views on the main learning outcomes from the simulation-based training program in question.Conclusions: Simulation-based training provides trainees with realistic insight into the knowledge and skills required for new ways of working through telecare and can thus be a useful way of preparing healthcare professionals for the delivery of telecare services such as virtual home healthcare visits.

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Mair, F. S., P. Goldstein, C. May, R. Angus, C. Shiels, D. Hibbert, J. O'connor et al. "Patient and provider perspectives on home telecare: Preliminary results from a randomized controlled trial". Journal of Telemedicine and Telecare 11, n. 1_suppl (luglio 2005): 95–97. http://dx.doi.org/10.1258/1357633054461976.

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A randomized controlled trial of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease has been undertaken in the north-west of England. A videophone was used that communicates via the ordinary telephone network. The intervention period for each participant was two weeks. Participants in the telecare arm of the trial were asked to complete logbooks to record their experiences of each telecare encounter. A simple, self-completed, 10–item questionnaire was used that consisted of a Likert scale, ranging from 1 (totally disagree) to 5 (totally agree). Fourteen nurses completed 150 logbooks and 22 patients completed 145 logbooks. These results demonstrate significant differences in perception between patients and their health-care providers with regard to telecare encounters across all the domains addressed. Participating patients consistently demonstrated more positive views of the telecare encounters than their health-care providers.

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Whitten, P., B. Collins e F. Mair. "Nurse and patient reactions to a developmental home telecare system". Journal of Telemedicine and Telecare 4, n. 3 (1 settembre 1998): 152–60. http://dx.doi.org/10.1258/1357633981932136.

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Pilot studies have suggested that telemedicine is a satisfactory means of delivering nursing services into the home. A home telecare programme in Kansas provided nursing services to homes in four towns in Kansas. The present study examined patients' and nurses' perceptions of a variety of issues related to home telecare. Datacollection methods included in-depth interviews, observation and analyses of archival data from patient records. Patients suffered an average of 4.6 concurrent illnesses. On the whole, patients perceived the system as a valuable resource that offered great potential, although many saw no immediate health benefits for themselves. Nurses were enthusiastic about the prospect of practising in this way, although they did have strong opinions about what types of nurses, patients and illnesses were suited to telemedicine.

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Fisk, Malcolm J. "Telecare equipment in the home. Issues of intrusiveness and control". Journal of Telemedicine and Telecare 3, n. 1_suppl (giugno 1997): 30–32. http://dx.doi.org/10.1258/1357633971930274.

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Telecare in the home offers substantial benefits tousers. However, the manner of its development and technological configuration will determine the extent to which it is acceptable and will meet clinical and social objectives. There are important issues of intrusiveness and control. An ethical framework for telecare is needed.

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Kinsella, A. "Home telecare in the United States". Journal of Telemedicine and Telecare 4, n. 4 (dicembre 1998): 195–200. http://dx.doi.org/10.1258/1357633981932226.

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Zissman, Keren, Izabella Lejbkowicz e Ariel Miller. "Telemedicine for multiple sclerosis patients: assessment using Health Value Compass". Multiple Sclerosis Journal 18, n. 4 (30 settembre 2011): 472–80. http://dx.doi.org/10.1177/1352458511421918.

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Background: Telemedicine carries the potential of improving accessibility to health services, especially for disabled people. Objective: To assess the health-related outcomes of short-term implementation of telemedicine (telemed) for MS patients. Methods: A prospective study of 40 MS patients divided into a control group and a telemed group was conducted, in two stages: A. Six months’ follow-up for measurement of baseline health-related variables; B. Implementation stage, adding home telecare to the telemed group. A Health Value Compass was applied to assess the outcomes of home telecare implementation. Clinical status, cost data, patients’ self-assessment of Health Related Quality of Life (HRQoL) and satisfaction with telecare were studied. Results: Patients in the telemed group demonstrated improved clinical outcome measured by symptoms severity. There was a decrease of at least 35% in the medical costs for 67% of the telemed group patients. Satisfaction with telecare was high and most patients would recommend this service to others. Conclusions: The present pilot study, applying Health Value Compass-based analysis, suggests that telecare is a powerful tool for monitoring MS patients at home, carries the potential to improve health care while reducing costs, and should be considered for implementation as part of the management of chronic neurological diseases.

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Hebert, M. A., M. J. Paquin e S. Iversen. "Predicting success: Stakeholder readiness for home telecare diabetic support". Journal of Telemedicine and Telecare 8, n. 3_suppl (dicembre 2002): 33–36. http://dx.doi.org/10.1258/13576330260440781.

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summary Readiness to adopt a new technology is one factor that contributes to the success of a telehealth programme. Since one goal of telehealth is to improve care, it is appropriate to determine its success through a quality-of-care framework that addresses structure, process and outcome. A qualitative case study of home care in the Calgary Health Region in Alberta set out to understand how clients, nurses, physicians and managers perceived their readiness to use video-visits for home care. Focus groups, home visits, and telephone and face-to-face interviews were used to collect data. Readiness to adopt home telecare was compared between groups, as well as with behaviour predicted in the literature. Differences in perceptions were identified among the four participant groups. Clients and managers identified a higher degree of readiness-clients because of the potential to support independence in their homes and managers because of the potential efficiencies in the system.

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Naick, Madeline. "Providing telecare for older adults: understanding the care navigators’ experience". Quality in Ageing and Older Adults 19, n. 1 (12 marzo 2018): 31–41. http://dx.doi.org/10.1108/qaoa-12-2017-0051.

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Purpose The provision of telecare for older adults in England is increasingly being facilitated by care navigators in the non-statutory sector. The purpose of this paper is to explore the experiences of care navigators when assessing older adults for telecare and to understand what contextual and organisational factors impact on their practice. Design/methodology/approach A purposeful sample of care navigators and telecare installers was selected. Care navigators were recruited from five non-statutory organisations. In order to provide an insight into telecare provision by this sector, telecare installers were also recruited. Semi-structured interviews were conducted with 11 participants covering: role, training, assessment, reviews, installation, suitability, impact, aims, outcomes, and organisational structure. Interview data were analysed using the framework approach. Findings Five main themes emerged from the analysis: responsiveness, autonomy, knowledge exchange, evolving practice, and sustaining performance. Research limitations/implications This study included a small sample, and was only based in one local authority, focusing on the experience of care navigators in only one sector. Practical implications The findings suggest that strategic placement of care navigators could support the demand for telecare assessment to facilitate discharges from hospital. This study highlights the perception of home assessment as a gold standard of practice for care navigators. In order to develop a more sustainable model for care navigators’ capacity to work within hospital teams and provide home assessments needs further consideration. Originality/value This study is one of the first to explore the role of the care navigator and their involvement in the provision of telecare for older adults.

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Mair, F. S., P. Goldstein, C. Shiels, C. Roberts, R. Angus, J. O'connor, A. Haycox e S. Capewell. "Recruitment difficulties in a home telecare trial". Journal of Telemedicine and Telecare 12, n. 1_suppl (luglio 2006): 26–28. http://dx.doi.org/10.1258/135763306777978371.

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Mair, F., A. Boland, R. Angus, A. Haycox, D. Hibbert, S. Bonner, C. Roberts, S. Capewell e P. Bundred. "A randomized controlled trial of home telecare". Journal of Telemedicine and Telecare 8, n. 2 (10 agosto 2002): 58–60. http://dx.doi.org/10.1258/135763302320302046.

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López, Daniel, e Miquel Domènech. "Embodying Autonomy in a Home Telecare Service". Sociological Review 56, n. 2_suppl (ottobre 2008): 181–95. http://dx.doi.org/10.1111/j.1467-954x.2009.00822.x.

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Rahimpour, Mohammadreza, Nigel H. Lovell, Branko G. Celler e John McCormick. "Patients’ perceptions of a home telecare system". International Journal of Medical Informatics 77, n. 7 (luglio 2008): 486–98. http://dx.doi.org/10.1016/j.ijmedinf.2007.10.006.

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Mair, F., A. Boland, R. Angus, A. Haycox, C. May, D. Hibbert, S. Bonner, C. Roberts, S. Capewell e P. Bundred. "A Randomized Controlled Trial of Home Telecare". Journal of Telemedicine and Telecare 8, n. 2_suppl (gennaio 2002): 58–60. http://dx.doi.org/10.1177/1357633x020080s227.

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Gathercole, Rebecca, Rosie Bradley, Emma Harper, Lucy Davies, Lynn Pank, Natalie Lam, Anna Davies et al. "Assistive technology and telecare to maintain independent living at home for people with dementia: the ATTILA RCT". Health Technology Assessment 25, n. 19 (marzo 2021): 1–156. http://dx.doi.org/10.3310/hta25190.

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Background Assistive technology and telecare have been promoted to manage the risks associated with independent living for people with dementia, but there is limited evidence of their effectiveness. Objectives This trial aimed to establish whether or not assistive technology and telecare assessments and interventions extend the time that people with dementia can continue to live independently at home and whether or not they are cost-effective. Caregiver burden, the quality of life of caregivers and of people with dementia and whether or not assistive technology and telecare reduce safety risks were also investigated. Design This was a pragmatic, randomised controlled trial. Blinding was not undertaken as it was not feasible to do so. All consenting participants were included in an intention-to-treat analysis. Setting This trial was set in 12 councils in England with adult social services responsibilities. Participants Participants were people with dementia living in the community who had an identified need that might benefit from assistive technology and telecare. Interventions Participants were randomly assigned to receive either assistive technology and telecare recommended by a health or social care professional to meet their assessed needs (a full assistive technology and telecare package) or a pendant alarm, non-monitored smoke and carbon monoxide detectors and a key safe (a basic assistive technology and telecare package). Main outcome measures The primary outcomes were time to admission to care and cost-effectiveness. Secondary outcomes assessed caregivers using the 10-item Center for Epidemiological Studies Depression Scale, the State–Trait Anxiety Inventory 6-item scale and the Zarit Burden Interview. Results Of 495 participants, 248 were randomised to receive full assistive technology and telecare and 247 received the limited control. Comparing the assistive technology and telecare group with the control group, the hazard ratio for institutionalisation was 0.76 (95% confidence interval 0.58 to 1.01; p = 0.054). After adjusting for an imbalance in the baseline activities of daily living score between trial arms, the hazard ratio was 0.84 (95% confidence interval 0.63 to 1.12; p = 0.20). At 104 weeks, there were no significant differences between groups in health and social care resource use costs (intervention group – control group difference: mean –£909, 95% confidence interval –£5336 to £3345) or in societal costs (intervention group – control group difference: mean –£3545; 95% confidence interval –£13,914 to £6581). At 104 weeks, based on quality-adjusted life-years derived from the participant-rated EuroQol-5 Dimensions questionnaire, the intervention group had 0.105 (95% confidence interval –0.204 to –0.007) fewer quality-adjusted life-years than the control group. The number of quality-adjusted life-years derived from the proxy-rated EuroQol-5 Dimensions questionnaire did not differ between groups. Caregiver outcomes did not differ between groups over 24 weeks. Limitations Compliance with the assigned trial arm was variable, as was the quality of assistive technology and telecare needs assessments. Attrition from assessments led to data loss additional to that attributable to care home admission and censoring events. Conclusions A full package of assistive technology and telecare did not increase the length of time that participants with dementia remained in the community, and nor did it decrease caregiver burden, depression or anxiety, relative to a basic package of assistive technology and telecare. Use of the full assistive technology and telecare package did not increase participants’ health and social care or societal costs. Quality-adjusted life-years based on participants’ EuroQol-5 Dimensions questionnaire responses were reduced in the intervention group compared with the control group; groups did not differ in the number of quality-adjusted life-years based on the proxy-rated EuroQol-5 Dimensions questionnaire. Future work Future work could examine whether or not improved assessment that is more personalised to an individual is beneficial. Trial registration Current Controlled Trials ISRCTN86537017. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 19. See the NIHR Journals Library website for further project information.

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Fisk, Malcolm J. "Telecare at home: factors influencing technology choices and user acceptance". Journal of Telemedicine and Telecare 4, n. 2 (1 giugno 1998): 80–83. http://dx.doi.org/10.1258/1357633981931993.

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Summary Acceptance of telecare technologies in the home is strongly influenced by factors that relate to dwelling design and the ways in which independent living is promoted. The experience to date of personal response systems and services provides some indication of the reasons why users may either resist their introduction or not use such technologies after they have been introduced. Telecare systems and services are poised to incorporate medical and other sensors, so that the manner of their provision, installation and control becomes an important consideration for service providers. A clear ethical framework is called for.

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Lynch, Jennifer K., Jon Glasby e Suzanne Robinson. "If telecare is the answer, what was the question? Storylines, tensions and the unintended consequences of technology-supported care". Critical Social Policy 39, n. 1 (10 marzo 2018): 44–65. http://dx.doi.org/10.1177/0261018318762737.

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Telecare – services employing technology to monitor people’s movement, medication and home environment at a distance – has emerged as a key component of global social care and health policies. The relationship between policies about telecare and the experiences and aspirations of service users has been under-interrogated. This article draws on findings from an organisational case study involving people living with complex conditions using various telecare devices and employs Hajer’s (1995) concept of argumentative discourse analysis to identify two key storylines arguing that telecare improves people’s quality of life and promotes independence. While these storylines point to seemingly logical and incontestable objectives, uncritical policy and practice fails to recognise and prioritise the aspirations of service users, leading to unintended consequences that can deepen people’s isolation and minimise organisational benefits.

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Lopez-Guede, Jose Manuel, Aitor Moreno-Fernandez-de-Leceta, Alexeiw Martinez-Garcia e Manuel Graña. "Lynx: Automatic Elderly Behavior Prediction in Home Telecare". BioMed Research International 2015 (2015): 1–18. http://dx.doi.org/10.1155/2015/201939.

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This paper introduces Lynx, an intelligent system for personal safety at home environments, oriented to elderly people living independently, which encompasses a decision support machine for automatic home risk prevention, tested in real-life environments to respond to real time situations. The automatic system described in this paper prevents such risks by an advanced analytic methods supported by an expert knowledge system. It is minimally intrusive, using plug-and-play sensors and machine learning algorithms to learn the elder’s daily activity taking into account even his health records. If the system detects that something unusual happens (in a wide sense) or if something is wrong relative to the user’s health habits or medical recommendations, it sends at real-time alarm to the family, care center, or medical agents, without human intervention. The system feeds on information from sensors deployed in the home and knowledge of subject physical activities, which can be collected by mobile applications and enriched by personalized health information from clinical reports encoded in the system. The system usability and reliability have been tested in real-life conditions, with an accuracy larger than 81%.

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Doughty, Kevin, Andrew Monk, Carole Bayliss, Sian Brown, Lena Dewsbury, Barbara Dunk, Vance Gallagher et al. "Telecare, telehealth and assistive technologies: do we know what we're talking about?" Housing, Care and Support 11, n. 3 (1 novembre 2008): 36–41. http://dx.doi.org/10.1108/14608790200800023.

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The development of telecare services in the UK has been supported by grants from the respective governments of Scotland and Wales, and by the Department of Health in England. New services are being established, sometimes to operate alongside existing community equipment services and community alarm services. Elsewhere they are embracing a wider range of services including rehabilitation, intermediate care and health services designed to reduce use of unscheduled care services. This paper discusses the difficulties in understanding the scope of telecare services, and the definitions of services that will need to be confirmed if service users are to be able to choose appropriately if offered direct payments. Two service models are offered, one of which uses telehealth as an umbrella term to cover all telecare, e‐care and m‐care, and telemedicine, where the former includes all such services offered in the service user's home, including those of a medical nature. The second model views telecare alongside assistive technologies and telemedicine as one of three technology groups designed to make people more independent, or to bring care closer to home. There is significant overlap between the three groups, which justifies the introduction of a new term ‐ ARTS (assistive and remote technology services) ‐ to describe this area of support.

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Chen, Charles, e Shih-Wei Chou. "Measuring Patients’ Perceptions and Social Influence on Home Telecare Management System Acceptance". International Journal of Healthcare Information Systems and Informatics 5, n. 3 (luglio 2010): 44–68. http://dx.doi.org/10.4018/jhisi.2010070104.

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Successful implementation of a Home Telecare Management System (HTMS) requires acceptance by the users, especially when technical innovation is applied to manage chronic healthcare in elderly patients, who are unaccustomed to using modern technology. Based on the Technology Acceptance Model (TAM) and Social Influence Theory (SIT), a Home Telecare Management System (HTMS) Acceptance Model is proposed and tested to improve the understanding of patients’ acceptance of HTMS and the impact of social influence on patients’ attitude and behavioral intentions in using HTMS. Via empirical research and analysis of 221 patients’ questionnaires, the partial least squares (PLS) technique indicates that most of the model’s hypotheses are significant. Implications for both theory and practice are also provided.

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Stewart, Lisa S. P., e Brian McKinstry. "Fear of Falling and the Use of Telecare by Older People". British Journal of Occupational Therapy 75, n. 7 (luglio 2012): 304–12. http://dx.doi.org/10.4276/030802212x13418284515758.

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Introduction: Since fear of falling has been linked to self-restriction of activity, a further decline in physical functioning and a greater risk of falling, interventions, such as use of telecare, to address a person's fear are essential to reduce the risk of further falls. The aim of this critical review was to evaluate the association between older people's fear of falling and the use of telecare, and whether telecare could reduce this fear. Method: A search of major databases (1980–2011) identified 424 results and, following screening, 10 articles were included in the review. Findings: Perceptions of older people about using telecare were mixed: some felt a greater sense of security and reassurance but, for others, confidence levels were not increased. Studies suggest that an automatic fall detector was useful for older people who were unable or reluctant to use a pendant alarm following a fall. Conclusion: The use of telecare including the wearing of an automatic fall detector, while improving confidence and reducing fear of falling in some, does not suit everyone. A careful assessment of a person's views on his or her falls risk and level of anxiety will determine how telecare can best meet the person's needs to remain supported at home.

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Eason, Ken, Patrick Waterson e Priya Davda. "The Sociotechnical Challenge of Integrating Telehealth and Telecare into Health and Social Care for the Elderly". International Journal of Sociotechnology and Knowledge Development 5, n. 4 (ottobre 2013): 14–26. http://dx.doi.org/10.4018/ijskd.2013100102.

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Telehealth and telecare have been heralded as major mechanisms by which frail elderly people can continue to live at home but numerous pilot studies have not led to the adoption of these technologies as mainstream contributors to the health and social care of people in the community. This paper reviews why dissemination has proved difficult and concludes that one problem is that these technologies require considerable organisational changes if they are to be effective: successful implementation is not just a technical design issue but is a sociotechnical design challenge. The paper reviews the plans of 25 health communities in England to introduce integrated health and social care for the elderly. It concludes that these plans when implemented will produce organisational environments conducive to the mainstream deployment of telehealth and telecare. However, the plans focus on different kinds of integrated care and each makes different demands on telehealth and telecare. Progress on getting mainstream benefits from telehealth and telecare will therefore depend on building a number of different sociotechnical systems geared to different forms of integrated care and incorporating different forms of telehealth and telecare.

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Celler, Branko G., Nigel H. Lovell e Daniel K. Y. Chan. "The potential impact of home telecare on clinical practice". Medical Journal of Australia 171, n. 10 (novembre 1999): 518–21. http://dx.doi.org/10.5694/j.1326-5377.1999.tb123782.x.

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Whitten, Pamela, e Maureen Mickus. "Home telecare for COPD/CHF patients: outcomes and perceptions". Journal of Telemedicine and Telecare 13, n. 2 (marzo 2007): 69–73. http://dx.doi.org/10.1258/135763307780096249.

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Guillén, S., M. T. Arredondo, V. Traver, M. A. Valero, S. Martin, A. Traganitis, E. Mantzourani et al. "User satisfaction with home telecare based on broadband communication". Journal of Telemedicine and Telecare 8, n. 2 (aprile 2002): 81–90. http://dx.doi.org/10.1258/1357633021937523.

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Hibbert, D., F. S. Mair, R. M. Angus, C. May, A. Boland, A. Haycox, C. Roberts, C. Shiels e S. Capewell. "Lessons from the implementation of a home telecare service". Journal of Telemedicine and Telecare 9, n. 1_suppl (giugno 2003): 55–56. http://dx.doi.org/10.1258/135763303322196358.

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summary We conducted a qualitative evaluation of the introduction of a telenursing service. The service used an analogue videophone linked with a physiological monitoring device, which allowed the transmission of data between the patient's home and the hospital. A researcher kept a detailed diary of day-to-day activity for the first year of the project. Computer software for qualitative data analysis was used to code the text and the analysis followed the principles of constant comparison. The diary entries documented how the commercially available equipment was adapted to suit the organization and content of the nurses’ work. The nurses made a number of suggestions to improve the user-friendliness of the equipment. The technology, the existing home care service (the comparison arm of the study) and the randomized controlled trial itself all underwent continuous change. The traditionalrandomized control design of trial has limitations in this situation, and there is a need for more realistic trial designs.

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Stroetmann, Karl A., Peter Gruetzmacher e Veli N. Stroetmann. "Improving quality of life for dialysis patients through telecare". Journal of Telemedicine and Telecare 6, n. 1_suppl (febbraio 2000): 80–83. http://dx.doi.org/10.1258/1357633001934249.

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Home dialysis can improve the care and quality of life for patients with renal failure. We have explored the possibility of extending home care to more patients needing continuous ambulatory peritoneal dialysis (CAPD) using telemedicine. We tested videoconferencing support for five CAPD patients using low-cost ISDN equipment (128 kbit/s). Initial results indicated that it was possible to integrate video-communication into the daily routine of the clinic and the response from patients was surprisingly positive. Selection of appropriate, affordable technology and the ISDN service support by the telecommunications provider proved to be considerably more difficult than anticipated. The first indications also suggest medical advantages for home teledialysis.

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Levy, Shařon, Nat Jack, David Bradley, Moya Morison e Michael Swanston. "Perspectives on telecare: the client view". Journal of Telemedicine and Telecare 9, n. 3 (1 giugno 2003): 156–60. http://dx.doi.org/10.1258/135763303767149960.

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We explored the attitudes and responses of older people to telecare technologies. Questionnaires were given to subjects in three locations: two day hospitals in Tayside (a region of north-east Scotland); five units of sheltered housing run by West Lothian local authority (in central Scotland); and five schemes of a private housing association across Tayside. There were 199 returned questionnaires (a 42% response rate). The sample was divided into two groups according to whether the subjects did agree or did not agree with the statement 'I would welcome technology that helps me to stay in my home even if it means losing some of the freedom and control I currently have'. 'Tele-receptive' individuals ( n = 127) were found to be significantly more likely both to feel excited about new technology and to feel that their age was not a barrier to further learning. The present study suggests that individuals receptive to telecare will tend to be younger (under 80 years) and will be satisfied clients of current health services. They are likely to express a wish to stay at home for as long as possible, even when they would need a lot of help or have to pay for care. They are also keen to use an interactive mode of communication for both social interaction and medical consultation.

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Erkert, Thomas. "High-quality television links for home-based support for the elderly". Journal of Telemedicine and Telecare 3, n. 1_suppl (giugno 1997): 26–28. http://dx.doi.org/10.1258/1357633971930256.

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Since 1991, 17 elderly people have been connected via a broadband video communication system to a telecare centre. The new services used videophones based on domestic television sets, including set-top boxes with cameras and a microphone. The services had the overall aim of promoting the ability of elderly and mobility-impaired people to live independently and to reduce the demand on social service resources required to implement this. Service components included: remote response to emergencies; active information and care; information and assistance service; remote care on demand; remote access to expertise (counselling); training and exercise service; and support for carers. Some 14,000 calls have been made. The important qualitative aspects were: clients’ satisfaction; replacement of direct social contacts; privacy and data protection; and improving the effectiveness of social services. For a successful market implementation of video-based social support and telecare services, it is essential to integrate them into existing outpatient services.

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Xu, Xin, Zheng Ping Jin, Hua Zhang e Ping Zhu. "A Dynamic ID-Based Authentication Scheme Based on ECC for Telecare Medicine Information Systems". Applied Mechanics and Materials 457-458 (ottobre 2013): 861–66. http://dx.doi.org/10.4028/www.scientific.net/amm.457-458.861.

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Recently, the telecare medical information system, which enables various healthcare delivery services, has been paid more and more attention in countries with aging populations. Using the telecare medical information system, it is possible to bring the advantages of telemedical directly into the patients home. At the same time, it faces some common security threats, thus, only authorized users should be granted the access to this system for the privacy concern. There are many authentication schemes studying protection of user medical information. Unfortunately, these schemes are still vulnerable to some common cyber attacks or has inefficient computational and communication cost. To remedy the weaknesses of these schemes, we propose an enhanced scheme based on elliptic curve cryptography to ensure necessary security and reduce computation load in this paper. By security analysis, we also demonstrate that our scheme is secure and efficient. Therefore, our scheme is suitable for telecare medical information system.

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Millán-Calenti, José C., Santiago Martínez-Isasi, Laura Lorenzo-López e Ana Maseda. "Morbidity and medication consumption among users of home telecare services". Health & Social Care in the Community 25, n. 3 (2 agosto 2016): 888–900. http://dx.doi.org/10.1111/hsc.12377.

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Istepanian, Robert S. H., e Lynda Sibson. "The Impact of New Wireless Telecommunication Systems on Home Telecare". Journal of Telemedicine and Telecare 7, n. 1_suppl (gennaio 2001): 84. http://dx.doi.org/10.1177/1357633x010070s144.

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Huang, Fen-Fen, Ai-Hsien Li, Jolene Huang, Yi-Horng Lai, Hsieh-Hua Yang e Chih-Hsiang Lin. "Heart Disease Patient Safety Perceptions in Home Telecare Management System". Advanced Science Letters 19, n. 7 (1 luglio 2013): 1996–98. http://dx.doi.org/10.1166/asl.2013.4638.

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Wilson, L. S., R. W. Gill, I. F. Sharp, J. Joseph, S. A. Heitmann, C. F. Chen, M. J. Dadd, A. Kajan, A. F. Collings e M. Gunaratnam. "Building the Hospital Without Walls - a CSIRO Home Telecare Initiative". Telemedicine Journal 6, n. 2 (giugno 2000): 275–81. http://dx.doi.org/10.1089/107830200415225.

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Lamminen, Heikki, Artur Lugmayr, Samuli Niiranen e Seppo Kalli. "Proposed Model of a Digital Video-Based Home Telecare System". Telemedicine Journal and e-Health 8, n. 4 (dicembre 2002): 387–94. http://dx.doi.org/10.1089/15305620260507521.

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Magrabi, Farah, Nigel H. Lovell, Richard L. Henry e Branko G. Celler. "Designing Home Telecare: A Case Study in Monitoring Cystic Fibrosis". Telemedicine and e-Health 11, n. 6 (dicembre 2005): 707–19. http://dx.doi.org/10.1089/tmj.2005.11.707.

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Collinge, William H. "A conceptual valuation framework (VF) for home telecare system devices". Journal of Assistive Technologies 7, n. 1 (15 marzo 2013): 63–68. http://dx.doi.org/10.1108/17549451311313237.

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Yuen, Hon K., e Charlene Pope. "Oral home telecare for adults with tetraplegia: a feasibility study". Special Care in Dentistry 29, n. 5 (settembre 2009): 204–9. http://dx.doi.org/10.1111/j.1754-4505.2009.00094.x.

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