Effect Of Telephone Intervention Research Articles

Impact of a Telephone Intervention on Bowel Preparation Quality for Colonoscopy in the Elderly.

Bowel preparation is the basis of colonoscopy, and adequate bowel preparation is essential to the success of colonoscopy. Studies have been reported that telephone intervention can improve the quality of bowel preparation, while it remains unclear regarding effectiveness with the elderly. The purpose of this study was to evaluate the effect of telephone intervention on the quality of bowel preparation for colonoscopy in elderly outpatients. In total, 162 outpatients older than 65 years were enrolled and randomly divided into a control group and a study group. Patients in the study group were re-educated through telephone by a specific nurse 2 days before colonoscopy, whereas participants in the control group received education only on the day of appointment. The Ottawa score was used to evaluate the quality of bowel preparation between the two groups. In this study, no significant differences were observed in age, gender, body mass index, educational level, smoking and/or alcohol drinking, waiting time to colonoscopy, reasons for colonoscopy, and colonoscopic findings between the control group and the study group. Participants in the study group had higher adequate bowel preparation and compliance than the control group (83.1% vs. 59.5%, p = .03; 96.4% vs. 74.7%, p < .001). Univariate analysis showed that only noncompliance with start time was significantly associated with satisfactory bowel preparation in elderly patients. In conclusion, telephone intervention 2 days before colonoscopy can improve the quality of bowel preparation in the elderly.

Telephone interventions, delivered by healthcare professionals, for educating and psychosocially supporting informal caregivers of adults with diagnosed illnesses

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To evaluate the effectiveness of telephone interventions, delivered by healthcare professionals, when compared to usual care or non-telephone-based support interventions for educating and psychosocially supporting informal carers of people with acute and chronic diagnosed illnesses, on these carers' quality of life, psychosocial and physical well-being. We aim, additionally, to evaluate the cost-effectiveness of telephone interventions.

Influence about compliance of telephone intervention on discharged patients after total hip replacement

Objective To explore the effect of telephone intervention on discharged patients after total hip replacement. Methods 214 participants were assigned to the intervention group including 104cases receiving 6 months of telephone intervention and the control group including 110 cases receiving routine nursing by random number table method. The intervention were taken at 1,2 week and 1,2,3,6 month after patients discharged. The outcome measurements were the self-designed questionnaire of functional exercise compliance and Harris scale at 1, 3, 6 month patients discharged. Results The scores of self-designed questionnaire of functional exercise compliance were (42.24±4.58), (38.55±5.84), (36.98±5.41) at 1, 3, 6 month discharge from hospital in the intervention group, while in the control group was (38.79±5.98), (35.45±6.44), (32.45±6.04) respectively. There were significant between two groups, t value was 3.290, 2.567 and 4.024 respectiveliy, P <0.05. There was no significant of Harris scale's scores between two groups when they discharged. The scores of Harris scale were (66.51±6.64), (75.30± 6.65), (89.44±4.98) at 1, 3, 6 month discharge from hospital in the intervention group, while in the control group was (61.31 ± 6.68), (70.56 ± 8.01), (81.18 ± 6.13) respectively, and it has significant between two groups, t value was 4.232, 3.509 and 8.076, P <0.05. Besides, the scores of self-designed questionnaire of functional exercise compliance were decline and the scores of Harris scale were up along the time patients discharged in two groups (P < 0.05). Conclusions Telephone as a simple, convenient, efficient tool could enhance patients functional exercise compliance and hip function after total hip replacement. Key words: Arthroplasty, replacement, hip; Telephone Intervention; Functional exercise; Compliance

Effects of Telephone Intervention on Inflammatory Cytokines Following Summer Lifestyle Intervention Program

Inflammatory cytokines are useful biomarkers in predicting developing diseases in adulthood like cardiovascular disease and may be positively affected by physical activity and weight loss, but may regress without follow‐up intervention.PURPOSETo determine the effects of a 10 month telephone follow‐up after an 8 week summer lifestyle intervention (SLI) on inflammatory cytokines, body composition and physical fitness in obese Hispanic children.METHODS41 overweight or obese students (9‐14yrs) participated in 8 week SLI. After summer camp, students were randomly assigned to two groups: 10 month follow‐up telephone intervention (TI) and control (CON). Blood samples were obtained before (PRE), a week after (POST) and 10 months following the 8 week summer intervention (YEAR) to measure levels of TNF‐α, CRP, and adiponectin.RESULTS8 weeks of SLI significantly improved levels of inflammatory cytokines (P values: PRE vs. POST for all variables were &lt; .03) in both groups. While the improvement in CON returned to PRE values during follow‐up period, TI statistically maintained changes up to 10 months with follow‐up telephone intervention: TNF‐α (PRE:62.7±1.34pg/mL®POST:48.6±1.42®YEAR:53.4±1.25, Mean±SE, P value: PRE vs. YEAR=.0034), CRP (594.6±90.8ng/mL®415.2±102.1®498.3±101.3, P=.022), and adiponectin (8.9±1.47ug/mL®11.4±1.7®10.7±1.6, P=0.046).CONCLUSION8 weeks of SLI reduced levels of TNF‐α and CRP while elevating levels of adiponectin in Hispanic children. Results indicate that telephone intervention is an effective secondary medium in maintaining changes of inflammatory cytokines obtained from intensive treatment.

The effect of telephone intervention on colostomy patients: A systematic evaluation

Objective To systematically review the effect of telephone intervention on colostomy patients.Methods The randomized controlled trials (RCTs) of telephone intervention on colostomy patients were searched in CBM,VIP,CNKI and Wanfang database and analyzed by RevMan5.2 software.Results Nine RCTs were included.Results of systematic evaluation showed that there were statistical difference in the self-care status,obeying doctors' order,satisfaction degree,self management ability,quality of life.Conclusions The effect of telephone intervention on colostomy patients was better than that of the traditional intervention. Key words: Colostomy; Telephone visit; Self-care

An Intervention and Follow-Up Study Following a Suicide Attempt in the Emergency Departments of Four General Hospitals in Shenyang, China

Studies on the effects of interventions in patients who have attempted suicide in China have not reported so far. To describe the basic situation surrounding the interventions and follow-up of patients who have attempted suicide and to determine whether the interventions would be effective in reducing repeat suicide attempts. 239 patients who had attempted suicide were evaluated in the emergency departments of four general hospitals. They were randomized into three groups: cognitive therapy group, telephone intervention group, and control group. Postintervention the participants were evaluated at 3, 6, and 12 months separately by the following measurements: a detailed structured questionnaire, Beck Suicide Ideation Scale (SIS), Hamilton Rating Scale for Depression (HAMD), and a quality-of-life scale. After 12 months, the cumulative dropout rate was 69.5% (n = 57) for the cognitive therapy group, 55.0% (n = 44) for the telephone intervention group, and 64.9% (n = 50) for the control group. One patient (1.2%) in the cognitive therapy group, one patient (1.3%) in the telephone intervention group, and five patients (6.5%) in the control group made at least one subsequent suicide attempt. The rates of repeated attempted suicide among the three groups were not significantly different (χ² = 5.077, p = .08). Five patients (6.1%) received cognitive therapy, and 60 patients (75.0%) received telephone intervention. There were no differences regarding the score of HAMD, a quality-of-life scale, and the rates of subsequent suicide attempt and suicide ideation among the three groups at follow-up. The dropout rates were higher than those reported in developed countries. Most participants in the cognitive therapy group refused to receive cognitive therapy so that the effect of cognitive therapy for these patients cannot be evaluated. The participants in the telephone intervention group had good compliance, but the effect of telephone intervention could not be confirmed, so that more studies are needed in the future. Consequently, interventions cannot be evaluated accurately in their preventing suicide attempts for patients who have attempted suicide in China at present.

Effectiveness of telephone interventions as a strategy for glycemic control: an integrative literature review

The objective of this study was to analyze the effectiveness of telephone interventions as a strategy for glycemic control in adult Type 2 Diabetes Mellitus patients. An integrative literature review was undertaken in April and May 2011 through surveys in the Cochrane, PubMed/Medline, Lilacs and Cinahl databases. Nine studies complied with the inclusion criteria, mainly randomized controlled clinical trials. Concerning the time period analyzed in each study, it varied from eight weeks to twelve months. 1294 patients participated in the study, being 671 randomized to telephone follow-ups and 479 to usual care. In eight studies analyzed, glycemic control was based on the levels of glycated hemoglobin (HbA1c). The information found showed that the interventions are effective for glycemic control in patients who have type 2 Diabetes. Self-management was improved and possible complications of the disease were reduced.

Effects of Immediate Telephone Follow-Up with Providers on Sweat Chloride Test Timing after Cystic Fibrosis Newborn Screening Identifies a Single Mutation

To assess whether reporting "possible cystic fibrosis (CF)" newborn screening (NBS) results via fax plus simultaneous telephone contact with primary care providers (PCPs) versus fax alone influenced 3 outcomes: undergoing a sweat chloride test, age at sweat chloride testing, and undergoing sweat testing before age 8 weeks. This was a retrospective cohort comparison of infants born in Wisconsin whose PCP received a telephone intervention (n=301) versus recent historical controls whose PCP did not (n=355). Intervention data were collected during a longitudinal research and quality improvement effort; deidentified comparison data were constructed from auxiliary NBS tracking information. Parametric and nonparametric statistical analyses were performed for group differences. Most infants (92%) with "possible CF" NBS results whose PCP lacked telephone intervention ultimately underwent sweat testing, underlining efficacy for fax-only reporting. Telephone intervention was significantly associated with improvements in the infants undergoing sweat testing at age ≤6 weeks and <8 weeks and a slight, statistically nonsignificant 3.5-day reduction in the infants' age at sweat testing. The effect of telephone intervention was greater for PCPs whose patients underwent sweat testing at community-affiliated medical centers versus those whose patients did so at academic medical centers (P=.008). Reporting "possible CF" NBS results via fax plus simultaneous telephone follow-up with PCPs increases the rate of sweat chloride testing before 8 weeks of age, when affected infants are more likely to receive full benefits of early diagnosis and treatment.

Effects of Telephone Intervention as Supportive Nursing on Self-Care Practices and Qualify of Life for Gynecological Cancer Patients under Chemotherapy

The effects of telephone intervention on self-care practices and quality of life for gynecological cancer patients under chemotherapy was investigated. A non-equivalent control group pre-test post-test quasi-experimental design was used. The subjects were women cancer patients who had received less than two chemotherapy sessions at C university hospital of Chonnam province(26 in the experimental group: 25 in the control group). The patient's self-care practices(Na & Lee, 1999; Jang, 2004) and quality of life(Lee & Jo, 1997) were measured three times. using a questionnaire. The data was analyzed by Repeated Measures ANOVA, the Friedman test, and the Mann-Whitney test using the SPSS window version 12.0 program. This study showed that the score of self-care practices and quality of life for the experimental group under telephone counseling were higher than those of the control group. This study revealed that a telephone intervention as supportive nursing care for women cancer patients under going chemotherapy was effective for self-care practices and qualify of life during the recovery period. Futhermore, this study also suggests that telephone counseling can serve as a continuing nursing supportive intervention for women cancer patients for the upcoming stages of further chemotherapy.

An Analysis of the Effectiveness of Telephone Intervention in Reducing Absences and Improving Grades of College Freshmen

A telephone intervention to reduce student absences was implemented during the 2000–2001 academic year in freshmen English classes at a southern university. A total of 345 students were included in 2 experimental studies. Students in the intervention group who obtained more absences than allotted by class professors received telephone intervention, whereas students with excessive absences in the control group did not receive telephone intervention. Results revealed that students in the intervention groups had significantly fewer absences and higher grades ( p &lt; .01) than students in the control groups during both semesters of the study. Also, more students in the intervention group were retained from the Spring 2001 semester to the Fall 2001 semester as compared to students in the control groups.