Communicating your way to a healthy heart

While researchers expected an improvement among the telemedicine group, based on previous research, they were surprised at the success the control group had, due in large part to clinic nurses, who Bove said “did an excellent job in communicating to patients the importance of preventing cardiovascular disease.”

“Communication between a patient and their primary care provider works for prevention of cardiovascular disease, whether it’s in the office, or over the internet,” said Bove, adding that the telemedicine approach does have some advantages to traditional patient visits.

“With rising healthcare costs, a telemedicine system can encourage communication between patients and their doctors with less cost and time commitment than frequent doctor visits,” he said.

While both urban and rural groups showed marked improvement in their heart health, those in the rural location were found to do slightly better overall than the urban group. Study co-author Carol Homko, R.N., Ph.D., an adjunct faculty member at the School of Medicine, noted that this was most likely because at baseline, those participants had a better understanding and more knowledge of cardiovascular disease than did their urban counterparts.

Several additional research projects regarding telemedicine are currently ongoing at Temple University, including its use in monitoring hypertension, gestational diabetes, head trauma, and gastrointestinal and pulmonary health. Bove and his team are hoping to next study telemedicine’s use in controlling diabetes, given the success that diabetic participants had while enrolled in this study.

“There are myriad different uses for this system, and we’ve been very fortunate to be at the forefront,” said Bove. “This is an excellent way to encourage patients to communicate directly with their primary care physicians and become empowered to ask questions and become proactive in their healthcare.”

Other authors on this study are William P. Santamore, Ph.D., and Mohamed Kashem, M.D., of Temple University Hospital; and Timothy McConnell, Ph.D., Gail Shirk, R.N., Robert Cross, M.D., and Francis Menapace, M.D., of Geisinger Medical Center in Danville, Pa. Bove and Santamore have a consultant relationship with Insight Telehealth, LLC, a partner on this study. Funding was provided by a grant from the Pennsylvania Department of Health.