Table 6.
Main research focus and overview of confirmed (+) and not confirmed (–) hypothesis for articles included in effect review of randomized controlled trials of electronic symptom reporting, by health service innovation category and patient groupa.
| Patient group | Consultation support | Monitoring with clinical support |
Self-management with clinical support |
Therapy |
| Cancer | 3 articles (2 excluded): More symptoms identified and discussed [36,37]++, [38]- |
0 articles (1 excluded) | ||
| Respiratory and lung diseases: asthma | 3 articles (4 excluded): Improved asthma outcome (symptoms or quality of life): Children: [44]+ Adults: [47]+ Both: [48]- |
1 article: Improved asthma-related quality of life [57]+ |
||
| Respiratory and lung diseases: COPDb | 1 article (2 excluded): Reduced health care use [49]- |
1 article: Reduced dyspnea [58]+c |
||
| Respiratory and lung diseases: other | 2 articles: Maximized lung transplant-related health outcomes [55]+ Self-care in management of minor respiratory symptoms [56]+ |
|||
| Cardiovascular disease | 2 articles (1 excluded): Improved hypertension [52]- Reduced health care use and costs [54]- |
|||
| Psychiatry | 0 articles (1 excluded) | 4 articles: Symptom reduction for (1) social phobia [59]+c, (2) depression [61]+c More effective cognitive behavior therapy for patients with (1) panic disorder [60]+c, (2) irritable bowel syndrome [62]- |
1 article: More effective cognitive behavioral therapy for bereaved people with complicated grief [65]+ |
|
| Diabetes | 1 article (1 excluded) Quality of care [63]+ |
|||
| Mixed | 1 article: More symptoms identified and discussed [40]- |
|||
| Number of articles excluded due to low quality | 3 | 8 | 1 | 0 |
a Articles were identified in a comprehensive search in Medline, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials, and IEEE Xplore from 1990 to November 2011, and were published in the time period 2002–2011.
b Chronic obstructive pulmonary disease.
c Hypothesis was to demonstrate equivalence between intervention and control.