TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation
Objective To develop a conceptual model for effective use of telehealth in the management of chronic health conditions, and to use this to develop and evaluate an intervention for people with two exemplar conditions: raised cardiovascular disease risk and depression. Design The model was base...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Published: |
BMJ Publishing Group Ltd
2015
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| Online Access: | https://eprints.nottingham.ac.uk/44863/ |
| _version_ | 1848797016073699328 |
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| author | Salisbury, Chris Thomas, Clare O'Cathain, Alicia Rogers, Anne Elizabeth Pope, Catherine Yardley, Lucy Hollinghurst, Sandra Fahey, Tom Lewis, Glyn Large, Shirley Edwards, Louisa Rowsell, Alison Segar, Julia Brownsell, Simon Montgomery, Alan A. |
| author_facet | Salisbury, Chris Thomas, Clare O'Cathain, Alicia Rogers, Anne Elizabeth Pope, Catherine Yardley, Lucy Hollinghurst, Sandra Fahey, Tom Lewis, Glyn Large, Shirley Edwards, Louisa Rowsell, Alison Segar, Julia Brownsell, Simon Montgomery, Alan A. |
| author_sort | Salisbury, Chris |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objective
To develop a conceptual model for effective use of telehealth in the management of chronic health conditions, and to use this to develop and evaluate an intervention for people with two exemplar conditions: raised cardiovascular disease risk and depression.
Design
The model was based on several strands of evidence: a metareview and realist synthesis of quantitative and qualitative evidence on telehealth for chronic conditions; a qualitative study of patients’ and health professionals’ experience of telehealth; a quantitative survey of patients’ interest in using telehealth; and review of existing models of chronic condition management and evidence-based treatment guidelines. Based on these evidence strands, a model was developed and then refined at a stakeholder workshop. Then a telehealth intervention (‘Healthlines’) was designed by incorporating strategies to address each of the model components. The model also provided a framework for evaluation of this intervention within parallel randomised controlled trials in the two exemplar conditions, and the accompanying process evaluations and economic evaluations.
Setting
Primary care.
Results
The TElehealth in CHronic Disease (TECH) model proposes that attention to four components will offer interventions the best chance of success: (1) engagement of patients and health professionals, (2) effective chronic disease management (including subcomponents of self-management, optimisation of treatment, care coordination), (3) partnership between providers and (4) patient, social and health system context. Key intended outcomes are improved health, access to care, patient experience and cost-effective care.
Conclusions
A conceptual model has been developed based on multiple sources of evidence which articulates how telehealth may best provide benefits for patients with chronic health conditions. It can be used to structure the design and evaluation of telehealth programmes which aim to be acceptable to patients and providers, and cost-effective. |
| first_indexed | 2025-11-14T19:57:10Z |
| format | Article |
| id | nottingham-44863 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:57:10Z |
| publishDate | 2015 |
| publisher | BMJ Publishing Group Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-448632020-05-04T17:03:01Z https://eprints.nottingham.ac.uk/44863/ TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation Salisbury, Chris Thomas, Clare O'Cathain, Alicia Rogers, Anne Elizabeth Pope, Catherine Yardley, Lucy Hollinghurst, Sandra Fahey, Tom Lewis, Glyn Large, Shirley Edwards, Louisa Rowsell, Alison Segar, Julia Brownsell, Simon Montgomery, Alan A. Objective To develop a conceptual model for effective use of telehealth in the management of chronic health conditions, and to use this to develop and evaluate an intervention for people with two exemplar conditions: raised cardiovascular disease risk and depression. Design The model was based on several strands of evidence: a metareview and realist synthesis of quantitative and qualitative evidence on telehealth for chronic conditions; a qualitative study of patients’ and health professionals’ experience of telehealth; a quantitative survey of patients’ interest in using telehealth; and review of existing models of chronic condition management and evidence-based treatment guidelines. Based on these evidence strands, a model was developed and then refined at a stakeholder workshop. Then a telehealth intervention (‘Healthlines’) was designed by incorporating strategies to address each of the model components. The model also provided a framework for evaluation of this intervention within parallel randomised controlled trials in the two exemplar conditions, and the accompanying process evaluations and economic evaluations. Setting Primary care. Results The TElehealth in CHronic Disease (TECH) model proposes that attention to four components will offer interventions the best chance of success: (1) engagement of patients and health professionals, (2) effective chronic disease management (including subcomponents of self-management, optimisation of treatment, care coordination), (3) partnership between providers and (4) patient, social and health system context. Key intended outcomes are improved health, access to care, patient experience and cost-effective care. Conclusions A conceptual model has been developed based on multiple sources of evidence which articulates how telehealth may best provide benefits for patients with chronic health conditions. It can be used to structure the design and evaluation of telehealth programmes which aim to be acceptable to patients and providers, and cost-effective. BMJ Publishing Group Ltd 2015-02-06 Article PeerReviewed Salisbury, Chris, Thomas, Clare, O'Cathain, Alicia, Rogers, Anne Elizabeth, Pope, Catherine, Yardley, Lucy, Hollinghurst, Sandra, Fahey, Tom, Lewis, Glyn, Large, Shirley, Edwards, Louisa, Rowsell, Alison, Segar, Julia, Brownsell, Simon and Montgomery, Alan A. (2015) TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation. BMJ Open, 5 (2). e006448/1-e006448/11. ISSN 2044-6055 http://bmjopen.bmj.com/content/5/2/e006448 doi:10.1136/bmjopen-2014-006448. doi:10.1136/bmjopen-2014-006448. |
| spellingShingle | Salisbury, Chris Thomas, Clare O'Cathain, Alicia Rogers, Anne Elizabeth Pope, Catherine Yardley, Lucy Hollinghurst, Sandra Fahey, Tom Lewis, Glyn Large, Shirley Edwards, Louisa Rowsell, Alison Segar, Julia Brownsell, Simon Montgomery, Alan A. TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation |
| title | TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation |
| title_full | TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation |
| title_fullStr | TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation |
| title_full_unstemmed | TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation |
| title_short | TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation |
| title_sort | telehealth in chronic disease: mixed-methods study to develop the tech conceptual model for intervention design and evaluation |
| url | https://eprints.nottingham.ac.uk/44863/ https://eprints.nottingham.ac.uk/44863/ https://eprints.nottingham.ac.uk/44863/ |