SSc management--In person appointments and remote therapy (SMART): a framework for management of chronic hand conditions

J Hand Ther. 2014 Apr-Jun;27(2):143-50; quiz 151. doi: 10.1016/j.jht.2013.11.004. Epub 2013 Dec 5.

Abstract

The changing health care climate poses unique challenges to managing a chronic and progressive disease like systemic sclerosis (SSc). At our institution, we employ a new model for SSc management that combines "in person" appointments and "remote" therapy (SMART). This program fosters an understanding of the disease process with the goal of improving skills and confidence for self-management and empowering individuals by providing a means of daily self-assessment. Technology is utilized as a means to remotely monitor and assess progress. We present our approach as a framework for long term management of chronic hand conditions. Evidence from a variety of disciplines is cited to support the design and parameters of this model.

Keywords: Chronic hand conditions; Patient centered treatment; Systemic sclerosis.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Appointments and Schedules*
  • Chronic Disease
  • Cohort Studies
  • Exercise Therapy / methods
  • Female
  • Follow-Up Studies
  • Forecasting
  • Hand
  • Humans
  • Office Visits / statistics & numerical data*
  • Patient Education as Topic / methods
  • Patient Education as Topic / trends
  • Randomized Controlled Trials as Topic
  • Recovery of Function
  • Remote Consultation / methods
  • Scleroderma, Systemic / diagnosis
  • Scleroderma, Systemic / therapy*
  • Self Care / methods*
  • Self Care / trends
  • Severity of Illness Index
  • Telemedicine / methods*
  • Telemedicine / statistics & numerical data
  • Treatment Outcome
  • United States