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PubMed2004

Telephone counseling increases cessation rates among young adult smokers.

During June 2000-May 2001, the American Cancer Society conducted a randomized trial of telephone counseling among more than 3,500 current smokers who called to seek assistance in quitting. All eligible callers were randomized to receive either self-help booklets through the mail or booklets and up to 5 sessions of telephone counseling. Approximately 12% (420/3,522) of study participants were 18-25 years of age. Using intent to treat analyses, 3- and 6-month quit rates among both younger and older smokers were significantly higher among those who received telephone counseling than among those who received self-help booklets only. Three-month rates were 20% versus 9% for 18-25 year olds and 15% versus 10% for older adults. Results indicate that younger smokers can benefit from telephone counseling.

Adolescent↗
PubMed1991

Intelligibility of telephone speech for the hearing impaired when various microphones are used for acoustic coupling.

This study set out to systematically measure the effect of using various candidate microphones for acoustic coupling of hearing aids to a telephone receiver. Intelligibility of words was determined for three microphones and three levels of interfering noise for a total of nine conditions. The subjects all had moderate hearing loss. It was found that microphones that exhibit pressure gradient sensitivity can, when properly positioned relative to the telephone receiver, increase intelligibility scores significantly. Results show that comparable listening performance is achieved with a pressure gradient microphone at a 10 dB higher level of interfering noise than with a microphone that is only sensitive to pressure. The results quantify the effect of microphones in acoustic coupling of hearing aids to telephones and point to a possible means for improving some types of hearing aids to facilitate telephone use for the hearing-impaired.

Acoustics↗
PubMed2000

Effects of telephone versus face-to-face interview modes on reports of alcohol consumption.

AIMS AND DESIGN: In order to assess the effects of survey modality on alcohol consumption estimates, data from two surveys using different interview modes (face-to-face and telephone) were compared on several alcohol measures. SETTING AND PARTICIPANTS: Face-to-face survey data were drawn from the 1990 National Alcohol Survey, while the telephone data came from the 1990 Warning Labels Survey. Both surveys used a probability sampling of the US adult general population in the 48 contiguous states. MEASUREMENTS: Measures of alcohol use derived from an identical "graduated frequencies" series included estimates of any drinking in the past 12 months, overall volume, and heavy (5+) drinking days. FINDINGS: Abstention rates did not differ by survey mode, nor did distributions of alcohol consumption by volume and reported frequency of drinking five or more drinks in a day. Multiple regression models including demographic-mode interaction terms were used to examine how mode effects might differ across demographic subgroups. Lower income respondents were under-represented in the telephone sample, and were associated with lower reports of volume and 5+ days, compared to respondents in the face-to-face mode. CONCLUSIONS: The results suggest that although there are few differences in alcohol consumption estimates by interview mode, telephone samples may need to be supplemented or estimates adjusted by income level in order to attain equivalent results.

Alcohol Drinking↗
PubMed1993

Conducting research interviews with elderly people by telephone.

Telephone interviews were employed by nurse researchers as a means of collecting data from elderly people following their discharge from hospital. The paper reviews the literature concerning interviews with elderly patients by telephone and recounts first-hand experience of the method on the basis of over 500 telephone interviews. Although some difficulties were encountered in conducting interviews with the hearing-impaired and the unwell, the method was found to be a cost-effective and useful means of obtaining follow-up data for research purposes. The prime factor in ensuring successful use of the method was the recruitment of subjects via personal interview prior to telephone contact.

Aged↗
PubMed2002

Telephone reminders improve adolescent clinic attendance: a randomized controlled trial.

OBJECTIVES: To measure the effect of telephone reminders on adolescent clinic attendance. METHODS: Clinic bookings of adolescents were randomly assigned to either a telephone reminder one day prior to their appointment, or a routine booking (no reminder). The setting was four general adolescent health clinics within a tertiary public adolescent health care service at the Centre for Adolescent Health. The main outcome measures were clinic non-attendance, reason for non-attendance, and satisfaction with the booking system. RESULTS: One hundred and seventy one adolescent appointments were studied. Of these, 51.5% were female, and 25% of bookings were for new, rather than review appointments. One hundred and one adolescents were randomly allocated to the reminder group, of whom 87% were contacted. The use of reminders (intention to treat analysis) significantly reduced the non-attendance rate from 20% to 8% (odds ratio 0.35; P = 0.03). Non-attendance was three times more likely for a new appointment than for review appointments. 'Forgetting' was the most common explanation given by patients (35%) who did not attend. Seventy-nine per cent of parents reported telephone reminders were helpful at prompting attendance. CONCLUSION: Telephone reminders greatly improved attendance at these adolescent clinics. The background non-attendance rate and the proportion of high-risk patients for non-attendance (new appointments in this setting) will determine whether reminders are more efficiently targeted at specific bookings than used routinely.

Adolescent↗
PubMed1996

Identification of patients requiring out-patient follow-up after transurethral prostatectomy: is there a role for nurse-led screening of post-operative outcomes by telephone?

OBJECTIVE: To determine the most efficient method to follow patients after transurethral prostatectomy (TURP) such that only those patients suffering significant post-operative problems are reviewed. PATIENTS AND METHODS: The study comprised two parts: (1) a retrospective review of the case notes of 100 consecutive patients who underwent TURP under one consultant to determine whether any factors could be identified pre- or post-operatively by which those patients most likely to require clinic review could be selected and; (2) a prospective review of the succeeding 100 patients undergoing TURP, using a telephone 'screening' call made by the urological research nurse 3 months after the operation. Patients who requested follow-up and those patients with malignancy or admitted in high-pressure chronic retention were reviewed in the out-patient department. RESULTS: In the first part, 17 patients (17%) required an out-patient review for malignancy. Only nine patients (11%) with benign histology required further treatment after TURP; this subgroup could not be identified on the basis of their pre- or post-operative symptoms. In the second part, 23 patients were not reviewed by telephone; 14 had carcinoma of the prostate, eight had no telephone and one could not be contacted after seven attempts. Of the remaining 77 contacted by phone, 61 (79%) declined further clinic review and 16 (21%) requested follow-up for persistent problems. A mean of two calls was made per patient and the mean duration of each call was 6.3 min. CONCLUSIONS: Based on pre- or post-operative symptoms at the time of discharge, there is no reliable method of identifying those patients who have a poor result after TURP. Telephone screening of patients at 3 months identified successfully those patients who required an out-patient review and enabled resources to be targeted towards this difficult group of patients.

Aged↗
PubMed2000

Evaluation of a nurse-led telephone clinic in the follow-up of patients with malignant glioma.

The aim of this study was to evaluate nurse-led telephone follow-up (NTF) for patients with high-grade glioma as an alternative to conventional clinic follow-up (CCF) and to assess patient satisfaction with this approach. Patients who were completing primary therapy for high-grade glioma and were suitable for CCF were offered the alternative of nurse-led telephone follow-up. NTF was arranged by the nurse at mutually agreed times. Assessment was by open discussion and a semistructured questionnaire, together with the Barthel Activities of Daily Living Index. Formal medical assessment in the clinic was arranged at 4-month intervals or earlier if indicated. Twenty-two patients were asked to complete a satisfaction questionnaire. Between February 1996 and October 1997, 43 patients with high-grade glioma, one with primitive neuroectodermal tumour and one with oligoastrocytoma agreed to be monitored by NTF. Their median survival from diagnosis was 16 months (95% confidence interval 13-23 months). At the time of analysis, the median time of follow-up by the telephone clinic was 6 months (range 2-21), with symptomatic progressive disease the reason for discontinuation of NTF in all patients. Two-hundred and fifty-four telephone calls were made, of which 234 were routine and 20 non-routine, being initiated by the patients or their carers. NTF was considered as a sufficient replacement for CCF during the stable phase of the disease. There were 41 unscheduled clinic visits, of which 31 were at the time of progression and usually initiated at NTF. The majority of unplanned visits were due to a change in symptoms and would not have been avoided with CCF carried out at the same time intervals. Patient satisfaction was high, with a median satisfaction score of 9, (range 3.6-10 ) on a scale of 0-10. NTF provides an alternative approach to conventional hospital attendance and moves the emphasis away from cancer surveillance to a more patient centred supportive model. It can be carried out without apparent detriment to the patient and is associated with high satisfaction rating.

Adult↗
PubMed1991

[The telephone accident--a contribution to the history of traumatic neuroses].

In the decades after the introduction of the Bell telephone in 1876, a variety of otological and neurological disorders were described as an effect of the sustained use of the telephone. Telephone accidents giving rise to symptoms of traumatic neurosis were conceived of as being caused by electric current, by acoustical trauma or by an emotional shock, reflecting the general discussions concerning the aetiology of traumatic neurosis. With regard to the evidence documenting the anxiety aroused by the experience of the new telecommunicative medium, the disappearance of the phenomena of telephone trauma can be attributed to the habituation to this experience in the process of civilization.

Europe↗
PubMed2002

Providing telephone advice from the emergency department.

Emergency departments frequently receive telephone calls from the general public. Callers sometimes request detailed instruction or medical advice. The growth of managed care produced expanded use of telephone-based medical information as a part of managed care ED demand management. Although the suboptimal accuracy of on-site triage is well documented in the medical literature, the accuracy of telephone-based medical advice is poorly studied. Case law indicates that the expectations for the medical outcomes of those receiving telephone-based medical advice will not be significantly less than those for on-site ED triage. This American College of Emergency Physicians Policy Resource and Education Paper (PREP) explores these issues.

Emergency Service, Hospital↗
PubMedDate not supplied

Resurfacing the care in nursing by telephone: lessons from ambulatory oncology.

The practice of providing telephone mediated advice and assistance is often described as "telephone triage" in relevant literature. The decision-making processes required for priority-setting and the provision of advice have been found to be complex and multifaceted. Conceptualization of this valuable patient care activity as a linear "triage" function serves to make invisible the nursing care provided. This article explores the current practice of providing telephone mediated advice and assistance in the following 2 distinct nursing care settings: emergency departments and ambulatory oncology centers. Examination of this activity in these 2 settings provides a forum to discuss and critique legally and fiscally driven prescriptive protocol use to inform decision-making. The effectiveness of experiential knowledge coupled with the strengths of nurse-patient relationships suggests that a need exists to highlight the caring aspects of telephone mediated assistance.

Ambulatory Care↗
PubMed2001

Benefit of a digital feedback suppression system for acoustical telephone communication.

Because hearing instruments have traditionally performed poorly during acoustical telephone use, the benefit of using a Digital Feedback Suppression (DFS) system for acoustical telephone communication was evaluated. For this purpose a special speech test based on the method and material of the Oldenburg Sentence Test was developed, presenting the speech signal via a telephone receiver. The correct coupling of the receiver and the hearing aid was monitored by means of a probe microphone. The word score was determined for two different settings of the hearing aid: (1) DFS activated (2) DFS deactivated. The difference in word score between these two conditions is an indication of the benefit provided by the DFS system. For almost all subjects, speech recognition at the telephone could be improved using the DFS system. This is a significant contribution in increasing end-user overall satisfaction with hearing aids.

Acoustic Stimulation↗
PubMedDate not supplied

SEMG-controlled telephone interface for people with disabilities.

This paper proposes the development of a surface electromyographic (SEMG)-controlled telephone interface for the disabled. The system is composed of three major components: (1) a SEMG receiving/signal-processing module; (2) a row-column scanning interface for the telephone dialling pad; and (3) a main controller, the Intel-8951 microprocessor. The design concept was based on the idea of using a SEMG generated by the disabled and converting it into a trigger pulse. This could allow convenient control of the dialing motion in the row-column scanning keys of a telephone dialling pad. People with disabilities are competent for certain kinds of work such as being a telephone operator. The increase of opportunities to perform a job for the disabled would help them live independently.

Adult↗
PubMed2003

Is telephone assessment a valid tool in rehabilitation research and practice?

PURPOSE: To determine if face-to-face and telephone administration of questionnaires produce comparable results in rehabilitation research studies. METHOD A total of 80 participants who used eyeglasses as their primary visual assistive device agreed to participate. All completed the Life Orientation Test and the Psychosocial Impact of Assistive Devices Scale. Approximately half of the participants completed the forms after being approached by an interviewer and then were contacted by telephone 2 weeks later to complete the forms a second time. The other half of the participants initially completed the forms over the telephone and then met with an interviewer 2 weeks later and completed the forms face-to-face. RESULTS: For the forms used no statistically significant differences were found between groups or over time. CONCLUSION: For some questionnaires telephone administration may provide a convenient and cost-effective method of data collection. However, it should not be automatically assumed that all questionnaires will yield the same results regardless of the mode of administration used.

Adolescent↗
PubMed2003

Quantification of lead in telephone cord: use of x-ray photoelectron spectroscopy technique.

There have been historic concerns that lead has existed as a plasticizer in telephone lines, causing health hazards, especially for children, who frequently mouth, chew, and swallow non-food items. The acid environment of the mouth may leach lead from the surface into the saliva under non-destructive conditions. Thus, distinguishing the amount of lead in the surface versus the inside of the polyvinyl chloride (PVC) material covering the phone cord line is very important in assessing health hazards. Using X-ray Photoelectron Spectroscopy (XPS), we measured lead in the PVC covers of telephone cords that connect the handheld part of the phone to the base. Lead was detected in both the inner and outer surface of an older (approximately 12 years) cord (1.3 atomic percent in inner surface; 0.4 atomic percent in the outer surface). However, when we tested four popular brands of newer cords (currently available in the market), there was no detectable lead. This study demonstrates that XPS is a useful technique that can distinguish lead contents between surface versus inner core of plasticized telephone cords. Telephone cords and other plasticized materials that may leach lead should be screened to establish safety.

Environmental Monitoring↗
PubMed2006

Telephone use: what benefit do cochlear implant users receive?

This study evaluated the use of landline and mobile phones in an international sample of cochlear implant users. A custom-designed survey was mailed to cochlear implant users from four different countries. A link to the survey was posted on the MED-EL website, with responses from a further six countries. Results from 196 surveys show that there is a significant shift from pre-operative non-use of a telephone to use of a telephone post-operatively. Seventy-one percent of MED-EL cochlear implant users are able to use a landline telephone to some extent and 54% are able to use a mobile phone to some extent. Talking to familiar speakers about familiar topics is the easiest listening condition on the telephone, and it is easier to recognize a voice using the landline. Many respondents found it difficult to make a call without some assistance. Most respondents could manage to call someone in an emergency, even on a mobile phone. Data obtained should provide useful information in the counselling and rehabilitation of cochlear implant recipients and candidates.

Adolescent↗
PubMed1984

Effects of an advance telephone call in a personal interview survey.

During October and November 1982, 1,260 Medicare-eligible senior citizens were interviewed in a survey focusing on health care of the elderly. As part of the survey, an experiment was conducted in each of the three survey sites to determine the effects of an advance telephone call to schedule an appointment for a personal interview. One random half sample in each site was sent a lead letter, followed by a telephone call to schedule a personal interview. The other half sample was sent a lead letter followed by a personal contact, with no intervening telephone call. Telephoning to arrange an appointment for a personal interview resulted in a 20 percent saving in data collection costs with only a 1 percent decrease in response rate.

Aged↗
PubMed1993

Comparison of patient telephone survey with traditional surveillance and monthly physician questionnaires in monitoring surgical wound infections.

OBJECTIVE: To evaluate the utility of patient telephone surveys in further improving the detection of surgical wound infections (SWIs) postdischarge in the setting of ongoing traditional surveillance system and monthly physician surveys. DESIGN: Prospective surveillance study of randomly selected patients undergoing surgery in inpatient or outpatient settings. SETTING: Tertiary care suburban hospital. RESULTS: Five hundred one patients were randomly selected for telephone contact, of whom 189 (38%) were successfully contacted after three attempts. Eighteen (9.5%) patients reported one or more signs or symptoms of possible SWI. However, none of these patients required antibiotic therapy, was hospitalized with an SWI, or reported by his or her physician (based on the monthly questionnaire) to have had an SWI. Total time spent contacting patients was 47 hours and 48 minutes, or 15 minutes per each successful telephone contact. CONCLUSIONS: Patient telephone surveys as conducted in this study were inefficient and failed to substantially improve the rate of detection of SWIs over traditional surveillance system and monthly physician questionnaires.

Evaluation Studies as Topic↗
PubMed2005

Intensive telephone follow-up to a hospital-based disease management model for patients with diabetes mellitus.

The objective of this study was to evaluate the value of an intensive telephone follow-up as an additional component of a diabetes disease management program already shown to be effective in improving glycemic control, adherence with American Diabetes Association (ADA) standards of care, and health-related quality of life (HRQOL). The study involved a randomized controlled trial. The intervention group received a series of 12 weekly phone calls reinforcing base education and self-management skills. Five hundred and seven consenting patients, age 18 years or older, with type 1 or type 2 diabetes mellitus referred to the hospital- based disease management program who had telephones and were able to complete surveys in English or Spanish were enrolled. Outcomes were evaluated at 3 and 12 months follow- up. Adherence to ADA standards of care, specifically annual eye exams, physician foot exams, foot self-exams, and pneumonia vaccination were significantly better with the added telephone intervention, but there were no differences between the groups on glycemic control, HRQOL, or patient satisfaction. The effectiveness of the disease management program was replicated with sustained improvement in glycemic control, HRQOL, and adherence to ADA standards. The additional telephone intervention further improved adherence to ADA guidelines for self-care and medical care but did not affect glycemic control or HRQOL.

Adult↗