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  4. The Effectiveness of Telehealth and Telecare: Psychological and Social Outcomes of the Whole System Demonstrator Project




The Effectiveness of Telehealth and Telecare: Psychological and Social Outcomes of the Whole System Demonstrator Project



Speaker: Shashi Hirani, Senior Lecturer in Health Psychology, Health Services Research and Management Division, City University London

Location: Room AG11, City University London, College Building, St John Street, EC1V 4PB

Each year the the Division of Health Services Research and Management at City University London runs a series of events and seminars which provide a platform for academics, practitioners and service users to discuss developments on best practice and help promote social inclusion for disabled people and others at risk of social exclusion, through research, teaching and consultancy. Previous topics have included: welfare at work, disability services in an age of austerity, challenges for the third sector, insurance and social inclusion.

Rapid advances in technological innovations, such as increased processing power within increasingly smaller devices, improved user interfaces and near ubiquitous telecommunications, have provided health care services with the potential to transform the manner in which they deliver and manage the care they provide. Recent research on telehealth devices in the management of long-term conditions such as diabetes and heart failure has indicated that there may still be quite a distance for health services to travel, before providers can deliver a service that fully utilises the potential of current (and developmental) technologies and gain the patient centred benefits and the health service efficiencies promised from the systems.

This talk will discuss, (i) a possible topology for tele-assistive devices currently utilised in service delivery, along with imminent advancements in the pipeline; (ii) recent findings from the Whole Systems Demonstrator project (WSD) - a Department of Health sponsored RCT evaluation of the efficacy of telehealth and telecare in long- term conditions and social care,  and (iii) the lessons that can be learnt from the WSD evaluation to better manage the introduction of telehealth/telecare into health and social care services - emphasising the importance of user acceptability and the role of self-management theory in making these endeavours successful.

Shashi Hirani's research interests include the use of assistive technologies in health and social care, patients' and service user cognitive representations of their illness and treatments, carer and care-giving support and the design, development, delivery and evaluation of self-management interventions in chronic health conditions.
Current projects include: the Whole Systems Demonstrator Project; an RCT to investigate the effectiveness of a self-management intervention and personalised genetic risk information to reduce risk of coronary heart disease in patients with Type 2 diabetes; and a pilot Investigation of Aphasia Therapy delivered via Internet Video Conferencing Technology.


Steventon A, Bardsley M, Billings J, Dixon J, Hirani SP, Cartwright M, Rixon L, Doll H, Knapp M, Rogers A, Fitzpatrick R, Hendy J, Newman SP. Impact of telehealth on use of secondary care and mortality according to routine operational data sets: findings from the Whole Systems Demonstrator cluster randomised trial, BMJ2012;344:e3874

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When & where

1.00pm - 2.15pmTuesday 11th June 2013

Contact Details

Doria Pilling

City, University of London
Northampton Square
United Kingdom
+44 (0)20 8992 4302

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