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Телемедицина – медицинада жаңа бағыт

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Телемедицина – медицинада жаңа бағыт

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https://www.cochranelibrary.com/central/doi/10.1002/central/CN-00758176/full?highlightAbstract=a%7Cnew%7Ctelemedicine%7Ctelemedicin%7Cin%7Cmedicin%7Cdirect%7Cmedicine%7Cis%7Cdirection

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Ryuzaki M, Nakamoto H, Nishida E, Sone M, Nakajima S, Suzuki Y, et al

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The Blood Pressure Control Crossover Study with Amlodipine vs. Nifedipine CR Monitoring Precise Home Blood Pressure via New Telemedicine System Using Cellular Phone | Cochrane Library

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Ryuzaki M, Nakamoto H, Nishida E, Sone M, Nakajima S, Suzuki Y, et al

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Әлемдегі телемедицинаның дамуы.

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Әлемдегі телемедицинаның дамуы.

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012489.pub2/full?highlightAbstract=the%7Ctelemedicine%7Cdevelopment%7Ctelemedicin%7Cworld%7Cin%7Cof%7Cdevelop

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E‐Health interventions for anxiety and depression in children and adolescents with long‐term physical conditions - Thabrew, H - 2018 | Cochrane Library

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012489.pub2/media/CDSR/CD012489/image_n/nCD012489-AFig-FIG01.png

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Мобильді телемедициналық кешендер. 

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Мобильді телемедициналық кешендер. 

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011845.pub2/full?highlightAbstract=mobil%7Ctelemedicine%7Ctelemedicin%7Ccomplex%7Cmobile%7Ccomplexes

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011845.pub2/media/CDSR/CD011845/image_n/nCD011845-FIG-02.svg

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011942.pub2/full?highlightAbstract=mobil%7Ctelemedicine%7Ctelemedicin%7Ccomplex%7Cmobile%7Ccomplexes

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010508.pub2/full?highlightAbstract=mobil%7Ctelemedicine%7Ctelemedicin%7Ccomplex%7Cmobile%7Ccomplexes

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Telerehabilitation for persons with multiple sclerosis - Khan, F - 2015 | Cochrane Library

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https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012379.pub2/full?highlightAbstract=mobil%7Ctelemedicine%7Ctelemedicin%7Ccomplex%7Cmobile%7Ccomplexes

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Теле-білім беру

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Теле-білім беру

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Comparison of tele-education and conventional CPR training during COVID-19 pandemic | Cochrane Library

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Comparison of Tele-Education and Conventional Cardiopulmonary Resuscitation Training During COVID-19 Pandemic | Cochrane Library

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Comparison of Tele-Education and Conventional Cardiopulmonary Resuscitation Training During COVID-19 Pandemic | Cochrane Library

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Телеконференция өткізу және қатысу мақсаты. 

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Телеконференция өткізу және қатысу мақсаты. 

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REFRESH protocol: a non-inferiority randomised clinical trial comparing internet and teleconference to in-person 'Managing Fatigue' interventions on the impact of fatigue among persons with multiple sclerosis | Cochrane Library

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Телеконференция түрлері және сервер.Телеконференцияға онлайн және офлайн қатысу.

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Телеконференция түрлері және сервер.Телеконференцияға онлайн және офлайн қатысу.

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Telerehabilitation for Post-stroke Patients | Cochrane Library

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Telerehabilitation for Post-stroke Patients | Cochrane Library

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https://doi.org/10.1136/bmjopen-2019-035470

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REFRESH protocol: a non-inferiority randomised clinical trial comparing internet and teleconference to in-person 'Managing Fatigue' interventions on the impact of fatigue among persons with multiple sclerosis - PubMed (nih.gov)

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Affiliations

¹ Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA map208@case.edu.

² School of Occupational Therapy and School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada.

³ Program in Occupational Therapy, University of Minnesota, Minneapolis, Minnesota, USA.

⁴ Department of Occupational Therapy, University of Illinois at Chicago, Chicago, Illinois, USA.

⁵ School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.

⁶ School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

⁷ Department of Physical Medicine and Rehabilitation, Cleveland Clinic, Cleveland, Ohio, USA.

Free PMC article

Free PMC article

Affiliations

¹ Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA map208@case.edu.

² School of Occupational Therapy and School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada.

³ Program in Occupational Therapy, University of Minnesota, Minneapolis, Minnesota, USA.

⁴ Department of Occupational Therapy, University of Illinois at Chicago, Chicago, Illinois, USA.

⁵ School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.

⁶ School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

⁷ Department of Physical Medicine and Rehabilitation, Cleveland Clinic, Cleveland, Ohio, USA.

Abstract

Introduction: Multiple sclerosis (MS) is an immune-mediated disease of the central nervous system. It is considered a major cause of non-traumatic disability in young adults. One of the most common and disabling symptoms of MS is fatigue. MS fatigue can impact all aspects of quality of life, including physical, mental and social function. Fortunately, fatigue self-management interventions, such as ' Managing Fatigue: A 6 week energy conservation course', can decrease the impact of fatigue and improve health-related quality of life. The purpose of this study is to compare three modes of delivering the Managing Fatigue intervention-two remote delivery formats (teleconference and internet) and one in-person format-on perceptions of fatigue and its impact on physical, mental and social function.

Methods and analysis: A non-inferiority randomised clinical trial is being conducted to compare the three delivery formats (1:1:1 allocation ratio) among 582 participants with MS living in the Midwestern and Northeastern United States. The hypothesis is that teleconference and internet versions of the intervention are non-inferior to the traditional mode of clinical service delivery (ie, one to one, in person) in terms of the primary outcome of self-reported fatigue impact (ie, Fatigue Impact Scale) and the secondary outcome of health-related quality of life (ie, Multiple Sclerosis Impact Scale). Outcomes are being measured at baseline, 2 months, 3 months and 6 months. The primary analysis tool will be linear mixed effects model. The prespecified inferiority margin for the primary outcome is 10 points. We will also examine whether baseline characteristics (eg, sociodemographic) moderate outcomes of the Managing Fatigue intervention and whether changes in self-efficacy and fatigue self-management behaviours mediate changes in outcomes.

Ethics and dissemination: The protocol is approved centrally by the institutional review board at Case Western Reserve University. Eligible participants give consent before being enrolled and randomised into the study. The study results will be disseminated through relevant advocacy organisations, newsletters to participants, publication in peer-reviewed journals and presentations at scientific conferences.

Trial registration number: NCT03550170; Pre-results.

Keywords: multiple sclerosis; rehabilitation medicine; telemedicine.

Conflict of interest statement

Competing interests: FB has financial relationships with pharmaceutical and devices companies outside the submitted work.

Cited by

Managing Fatigue in Parkinson's Disease: Protocol for a Pilot Randomized Controlled Trial.

Alizadeh N, Packer TL, Sturkenboom I, Eskes G, Warner G. Alizadeh N, et al. Can J Occup Ther. 2022 Jun;89(2):180-189. doi: 10.1177/00084174221085449. Epub 2022 Mar 15. Can J Occup Ther. 2022. PMID: 35287487 Free PMC article.

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Wallin MT, Culpepper WJ, Nichols E, et al. . Global, regional, and national burden of multiple sclerosis 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet Neurol 2019;18:269-85. 10.1016/S1474-4422(18)30443-5 - DOI - PMC - PubMed

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national center for biotechnology information

# data[].attributes.attachment_link.title
REFRESH protocol: a non-inferiority randomised clinical trial comparing internet and teleconference to in-person 'Managing Fatigue' interventions on the impact of fatigue among persons with multiple sclerosis - PubMed

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1 Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA map208@case.edu. 2 School of Occupational Therapy and School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada. 3 Program in Occupational Therapy, University of Minnesota, Minneapolis, Minnesota, USA. 4 Department of Occupational Therapy, University of Illinois at Chicago, Chicago, Illinois, USA.

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Conducting the ACTIVE randomized trial in hospice care: keys to success | Cochrane Library

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https://clinicaltrials.gov/show/NCT04413240