Advertisement

Applied Psychophysiology and Biofeedback

, Volume 26, Issue 3, pp 195–204 | Cite as

Biofeedback Via Telehealth: A New Frontier for Applied Psychophysiology

  • Raymond A. Folen
  • Larry C. James
  • Jay E. Earles
  • Frank Andrasik
Article

Abstract

Psychophysiological diagnostic and therapeutic methods, to include biofeedback, have been found to be empirically effective in the treatment of a variety of physical disorders. In many areas of the country, however, certified biofeedback practitioners are not well distributed, limiting patient access to this treatment modality. Psychologists at Tripler Army Medical Center have pioneered efforts to develop and provide these needed services via a telehealth venue. Such capability significantly improves access to care, particularly for patient's located at considerable distance from the provider. As the telecommunications infrastructure in rural and remote areas is often quite basic, such a system must be capable of operating within these limited parameters. The system developed by the authors provides real-time video and audio interactivity and allows the therapist to monitor and control biofeedback equipment located at the remote site. The authors discuss the clinical applications, the technology, and relevant practical and ethical issues.

biofeedback via telehealth telehealth telemedicine behavioral telehealth 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. Allaert, F. A., & Dusserre, L. (1995). Legal requirements for tele-assistance and telemedicine. MEDINFO 95 Proceedings, 8(2), 1593-1595.Google Scholar
  2. Armstrong, M. L. (1998). Telecommunications for health professionals: Providing successful distance education and telehealth. New York: Springer.Google Scholar
  3. Bashshur, R. L., Sanders, J. H., & Shannon, G. W. (1997). Telemedicine: Theory and practice. Springfield, IL: Charles C. Thomas.Google Scholar
  4. Coiera, E. (1997). Guide to medical informatics, the internet and telemedicine. New York: Oxford.Google Scholar
  5. Cowings, P. S., Toscano, W. B., Kamiya, J., Miller, N. E., & Sharp, J. C. (1985). Autogenic-feedback training as a preventive method for space adaptation syndrome (NASA Flight Experiment #3AFT23. Spacelab-3).Google Scholar
  6. Progress Report I. NASA Conference Publication #2429: Spacelab 3 Mission Science Review, pp. 84-89.Google Scholar
  7. Crump, W. J., & Pfeil, T. (1995). A telemedicine primer. Archives of Family Medicine, 4, 796-803.Google Scholar
  8. Darkins, A. W., & Cary, M. A. (2000). Telemedicine and telehealth: Principles, policies, performance, and pitfalls. New York: Springer.Google Scholar
  9. James, L., & Folen, R. (1999). Behavioral telehealth: Using telemedicine to expand behavioral medicine services. Journal of Healthcare Information Management, 13(4), 17-25.Google Scholar
  10. Jerome, L. W., DeLeon, P. H., James, L. C., Folen, R. A., Earles, J., & Gedney, J. J. (2000). The coming of age of telecommunications in psychological research and practice. American Psychologist, 55, 407-421.Google Scholar
  11. Nickelson, D. (1996). Behavioral telehealth: Emerging practice, research and policy opportunities. Behavioral Sciences and The Law, 14, 443-457.Google Scholar
  12. Nickelson, D. (1998). Telehealth and the evolving health care system: Strategic opportunities for professional psychology. Professional Psychology: Research and Practice, 29(6), 527-535.Google Scholar
  13. Norton, S. A., Lindborg, C. E., & Delaplain, C. B. (1993). Consent and privacy in telemedicine. Hawaii Medical Journal, 52(12), 340-341.Google Scholar
  14. Schwartz, M. (1995). Biofeedback: A practitioner's guide. (2nd ed.). New York: Guildford Press.Google Scholar
  15. Strode, S., Gustke, S., & Allen, A. (1999). Updates linking evidence and experience. JAMA, 281, 1066-1068.Google Scholar

Copyright information

© Plenum Publishing Corporation 2001

Authors and Affiliations

  • Raymond A. Folen
    • 1
  • Larry C. James
    • 2
  • Jay E. Earles
    • 1
  • Frank Andrasik
    • 3
  1. 1.Center of Excellence in Professional Psychology, Department of PsychologyTripler Army Medical CenterHonolulu
  2. 2.Department of PsychologyWalter Reed Army Medical CenterWashington
  3. 3.Institute for Human and Machine CognitionUniversity of West FloridaPensacola

Personalised recommendations