PMID- 16334880
OWN - NLM
STAT- MEDLINE
DCOM- 20051223
LR  - 20191026
IS  - 0755-4982 (Print)
IS  - 0755-4982 (Linking)
VI  - 34
IP  - 15
DP  - 2005 Sep 10
TI  - [Videophone assistance and home hospitalization: the ViSaDom program].
PG  - 1059-64
AB  - OBJECTIVE: The purpose of this project was to study the clinical feasibility of 
      videophone-based communication between patients in their homes, and the care 
      teams who work in the Home Hospitalization department (HH). METHODS: This pilot 
      study of videophone users compared them with a group of control patients also in 
      HH. They came from either the adult, maternity or pediatric departments. Patients 
      who met the inclusion criteria and consented to participate in the study were 
      randomly assigned to one of two groups: those who had a videophone installed in 
      their homes (telemedicine group), and those who received the standard HH care 
      (control group). Sixteen patients in the telemedicine group were matched with 16 
      from the control group, according to age, Karnofsky Index score, and the reason 
      for HH admission. RESULTS: The mean videophone call lasted six minutes, and 
      patients averaged 23 calls each over the study period (0.7 calls per patient per 
      working day). The videophone enabled better follow-up of wounds: for example, the 
      nurse could transmit photos from the patient's home for real-time coordination. 
      It was also useful for following patients suffering from pain, for technical 
      nursing care, and for educating patients and their caregivers. Anxiety (measured 
      with the Hospital Anxiety and Depression Scale) diminished during the study 
      period for the telemedicine patients, compared with the control group (p=0.048). 
      Within the telemedicine group, all patients and their families were very 
      satisfied or satisfied with their care and with the communication (15/15), 
      although the staff's level of satisfaction was slightly lower (14/16); there were 
      no significant differences between groups. CONCLUSION: The ViSaDom program 
      indicates that videophone communication is feasible and acceptable and could be a 
      useful tool for improving the quality, efficiency and effectiveness of care.
FAU - Nicolas, L
AU  - Nicolas L
AD  - Reseau d'Hospitalisation Domicile, Departement de Medecine Geriatrique, CHU, 
      Grenoble (38). LNicolas@chu-grenoble.fr
FAU - Franco, A
AU  - Franco A
FAU - Provost, H
AU  - Provost H
FAU - Amico, L
AU  - Amico L
FAU - Berenguer, M
AU  - Berenguer M
FAU - Lombard, F
AU  - Lombard F
FAU - Tyrrell, J
AU  - Tyrrell J
FAU - Couturier, P
AU  - Couturier P
FAU - Bosson, J L
AU  - Bosson JL
FAU - Wernert, S
AU  - Wernert S
FAU - Schnee, D
AU  - Schnee D
FAU - Basset, D
AU  - Basset D
FAU - Chemarin, A
AU  - Chemarin A
FAU - Frossard, M
AU  - Frossard M
LA  - fre
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PT  - Randomized Controlled Trial
TT  - Teleassistance en hospitalisation b domicile: le programme ViSaDom.
PL  - France
TA  - Presse Med
JT  - Presse medicale (Paris, France : 1983)
JID - 8302490
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Data Interpretation, Statistical
MH  - Depression/diagnosis/etiology
MH  - Female
MH  - *Home Care Services, Hospital-Based
MH  - Hospital Departments
MH  - Hospitalization
MH  - Hospitals, University
MH  - Humans
MH  - Karnofsky Performance Status
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic
MH  - Pilot Projects
MH  - *Telemedicine/ethics/instrumentation/legislation & jurisprudence
MH  - Telephone
MH  - Time Factors
EDAT- 2005/12/13 09:00
MHDA- 2005/12/24 09:00
CRDT- 2005/12/13 09:00
PHST- 2005/12/13 09:00 [pubmed]
PHST- 2005/12/24 09:00 [medline]
PHST- 2005/12/13 09:00 [entrez]
AID - S0755-4982(05)84116-8 [pii]
AID - 10.1016/s0755-4982(05)84116-8 [doi]
PST - ppublish
SO  - Presse Med. 2005 Sep 10;34(15):1059-64. doi: 10.1016/s0755-4982(05)84116-8.