Evaluating the Effectiveness of Telehealth Nursing Interventions in Chronic Disease Management Programs
Posted: Jul 17, 2023
Abstract
The integration of telehealth technologies into chronic disease management represents one of the most significant transformations in contemporary healthcare delivery. Chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease account for approximately 90% of healthcare costs. This study addresses critical gaps in the existing literature by developing and applying a novel multi-dimensional evaluation framework that captures both quantitative clinical outcomes and qualitative dimensions of the patient experience. Our research questions investigate not only whether telehealth nursing interventions work, but how they work, for whom they work best, and under what conditions they achieve optimal effectiveness. We examine the therapeutic relationships formed through digital interfaces, the impact of continuous health monitoring on patient self-efficacy, and the role of communication patterns in sustaining engagement. The novelty of our approach lies in the integration of computational linguistics with clinical outcomes analysis, allowing us to identify specific communication strategies that correlate with improved health behaviors. Furthermore, we introduce the concept of "digital therapeutic alliance" as a measurable construct in telehealth effectiveness, providing a new lens through which to understand the mechanisms underlying successful remote care delivery.
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