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Title: EHealth Technologies in Inflammatory Bowel Disease: A Systematic Review.
Austin Authors: Jackson, Belinda D ;Gray, Kathleen;Knowles, Simon R;De Cruz, Peter P 
Affiliation: Health and Biomedical Informatics Centre (HABIC), University of Melbourne, Melbourne, Australia
Gastroenterology and Hepatology
Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia
Department of Mental Health, St Vincent's Hospital, Melbourne, Australia
Department of Psychiatry, The University of Melbourne, Melbourne, Australia
Department of Gastroenterology, Royal Melbourne Hospital, Melbourne, Australia
Medicine (University of Melbourne)
Issue Date: Sep-2016
Date: 2016-02-29
Publication information: Journal of Crohn's & Colitis 2016; 10(9): 1103-21
Abstract: Electronic-health technologies (eHealth) such as Web-based interventions, virtual clinics, smart-phone applications, and telemedicine are being used to manage patients with inflammatory bowel disease (IBD). We aimed to: (1) Evaluate the impact of eHealth technologies on conventional clinical indices and patient-reported outcome measures (PROs) in IBD; (2) assess the effectiveness, cost-effectiveness and feasibility of using eHealth technologies to facilitate the self-management of individuals with IBD, and; (3) provide recommendations for their design and optimal use for patient care. Relevant publications were identified via a literature search, and 17 publications were selected based on predefined quality parameters. Six randomized controlled trials and nine observational studies utilizing eHealth technologies in IBD were identified. Compared with standard outpatient-led care, eHealth technologies have led to improvements in: Relapse duration [(n = 1) 18 days vs 77 days, p < 0.001]; disease activity (n = 2); short-term medication adherence (n = 3); quality of life (n = 4); IBD knowledge (n = 2); healthcare costs (n = 4); the number of acute visits to the outpatient clinic due to IBD symptoms (n = 1), and; facilitating the remote management of up to 20% of an IBD cohort (n = 2). Methodological shortcomings of eHealth studies include heterogeneity of outcome measures, lack of clinician/patient input, lack of validation against conventional clinical indices and PROs, and limited cost-benefit analyses. EHealth technologies have the potential for promoting self-management and reducing the impact of the growing burden of IBD on health care resource utilization. A theoretical framework should be applied to the development, implementation, and evaluation of eHealth interventions.
DOI: 10.1093/ecco-jcc/jjw059
ORCID: 0000-0002-3399-7236
Journal: Journal of Crohn's & Colitis
PubMed URL: 26928960
Type: Journal Article
Subjects: EHealth
inflammatory bowel disease
remote consultation
Appears in Collections:Journal articles

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