[Not Available].

Platform trials focus on the perpetual testing of many interventions in a disease or a setting. These trials have lasting organizational, administrative, data, analytic, and operational frameworks making them highly efficient. The use of adaptation often increases the probabilities of allocating participants to better interventions and obtaining conclusive results.

Effectiveness of Self-guided Tailored Implementation Strategies in Integrating and Embedding Internet-Based Cognitive Behavioral Therapy in Routine Mental Health Care: Results of a Multicenter Stepped-Wedge Cluster Randomized Trial.

Background: Internet-based cognitive behavioral therapy (iCBT) services for common mental health disorders have been found to be effective. There is a need for strategies that improve implementation in routine practice. One-size-fits-all strategies are likely to be ineffective.

Organisational implementation climate in implementing internet-based cognitive behaviour therapy for depression.

Background: Internet-based Cognitive Behaviour Therapy (iCBT) for depression have been implemented in routine care across Europe in varying ways, at various scales and with varying success. This study aimed to advance our understanding of organisational implementation climate from the perspectives of implementers and mental health service deliverers.

Methods: Qualitative and quantitative methods were combined to study the concept of organisational implementation climate in mental health care settings.

Transformations of practice in online exercise training for patients with COPD led by physiotherapists - a qualitative study.

Purpose: The aim of this study was to characterize the practice of telemediated training for patients with very severe Chronic Obstructive Pulmonary Disease (COPD) and to inform the development of clinical/professional practice.

Methods: Inspired by ethnographic methodology, participating observation, informal and formal interviews were conducted with patients (11), their partners (4), and physiotherapists (6) at sites where the telemediated training was practiced. Postphenomenology was used as theoretical and analytical framework.

Tailored implementation of internet-based cognitive behavioural therapy in the multinational context of the ImpleMentAll project: a study protocol for a stepped wedge cluster randomized trial.

Background: Internet-based Cognitive Behavioural Therapy (iCBT) is found effective in treating common mental disorders. However, the use of these interventions in routine care is limited. The international ImpleMentAll study is funded by the European Union's Horizon 2020 programme.

Telemediated Training in the Home as a Part of the Everyday Life and Practice With Very Severe Chronic Obstructive Pulmonary Disease.

Patients with very severe chronic obstructive pulmonary disease (COPD) conduct their everyday lives under shortness of breath. The aim of this study was to explore telemediated exercise training to patients at home, with the conduct of everyday life as a theoretical framework. Based on ethnographic fieldwork involving a hospital, two municipalities, and homes of 11 patients from 2013 to 2017, this article shows how telemediated training became part of patients' and partners' everyday lives and the prioritization of time and resources for basic activities.

Impact Assessment of an Innovative Integrated Care Model for Older Complex Patients with Multimorbidity: The CareWell Project.

Objectives: To evaluate the impact in terms of use of health services, clinical outcomes, functional status, and patient's satisfaction of an integrated care program, the CareWell program, for complex patients with multimorbidity, supported by information and communication technology platforms in six European regions.

Data Sources: Primary data were used and the follow-up period ranged between 8 and 12 months.

Study Design: A quasi-experimental study, targeting chronic patients aged 65 or older, with 2 or more conditions - one of them necessarily being diabetes, congestive heart failure or congestive obstructive pulmonary disease.

Informed Choice for Participation in Down Syndrome Screening: Development and Content of a Web-Based Decision Aid.

Background: In Denmark, all pregnant women are offered screening in early pregnancy to estimate the risk of having a fetus with Down syndrome. Pregnant women participating in the screening program should be provided with information and support to allow them to make an informed choice. There is increasing interest in the use of Web-based technology to provide information and digital solutions for the delivery of health care.

Early telemedicine training and counselling after hospitalization in patients with severe chronic obstructive pulmonary disease: a feasibility study.

Background: An essential element in the treatment of patients with chronic obstructive pulmonary disease (COPD) is rehabilitation, of which supervised training is an important part. However, not all individuals with severe COPD can participate in the rehabilitation provided by hospitals and municipal training centres due to distance to the training venues and transportation difficulties. The aim of the study was to assess the feasibility of an individualized home-based training and counselling programme via video conference to patients with severe COPD after hospitalization including assessment of safety, clinical outcomes, patients' perceptions, organisational aspects and economic aspects.

A model for assessment of telemedicine applications: mast.

Objectives: Telemedicine applications could potentially solve many of the challenges faced by the healthcare sectors in Europe. However, a framework for assessment of these technologies is need by decision makers to assist them in choosing the most efficient and cost-effective technologies. Therefore in 2009 the European Commission initiated the development of a framework for assessing telemedicine applications, based on the users' need for information for decision making.

The Story of MedCom.

This chapter describes the development of the electronic communication in Denmark and the background behind the Danish project organisation MedCom. Since 1996, there has been an IT-strategy in the healthcare sector by the Danish government, which has been under constant development. These strategies have laid the foundation for MedCom, which was established in 1994 in order to build a Danish Healthcare Data Network.

E-health in the Scandinavian countries.

For more than 10 years the Scandinavian countries have been focusing on utilizing information technology to increase efficiency in the delivery of healthcare services. Over the last 3 years all three countries have built closed secure IP-based healthcare networks that cover nearly all aspects of the national healthcare sector. The next step is to connect the national networks and integrate them into one large Scandinavian healthcare network.

The cost benefit of electronic patient referrals in Denmark: summary report.

This summary report is written by ACCA and MedCom in collaboration with the European Commission Information Society Directorate-General.

MedCom: Danish health care network.

The Danish Ministry of Health founded MedCom back in 1994. MedCom is acting as an umbrella project organisation, gathering health providers, health care professionals and industry in coordinated, nationwide projects, all aiming to reach large-scale dissemination in few years. Almost all Danish health care organisations and IT-vendors are participating in the projects and today more than 2,500 health institutions are communicating around 2.