Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

Telemed J E Health

Journal/Book/Conference Title

Telemedicine journal and e-health

PubMed ID


DOI of Published Version



The purpose of this article is to describe the results of a clinical trial in which telephonic case management was evaluated as a supplement to substance abuse treatment. An interactive voice response system (IVR) was developed by the research team for use in the case management of randomly assigned participants in a clinical trial research project. The features of the software program facilitated a double caseload for the case manager as well as real-time data capture. At intake, no significant differences were found between participants in the telecommunication condition and the general project. Thus, the effectiveness of random assignment was supported. An IVR was useful for case management services, was less costly, and showed acceptability to clients. A reduction in time expenditure by using telecommunication occurred within three activity areas. Telecommunication facilitated client interaction and the use of case management, and it reduced provider time expenditure. As an alternative strategy, telecommunication case management can enhance cost effectiveness improvements.


Adult, Case Management/organization & administration, Cost-Benefit Analysis, Female, Humans, Iowa, Male, Patient Compliance/psychology, Professional-Patient Relations, Program Evaluation, Remote Consultation, Software, Substance-Related Disorders/psychology/therapy, Telephone/economics/standards, Therapy, Computer-Assisted/organization & administration, Time Factors, Workload

Journal Article Version

Version of Record

Published Article/Book Citation

Telemedicine journal and e-health, 6:4 (2000) pp.401-407. DOI:10.1089/15305620050503870.


Copyright © Mary Ann Liebert, Inc., 2000. Posted by permission.

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Nursing Commons