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Two linked telehealth trials found small benefits with increased costs and raised questions about the most appropriate methods for future development and evaluation of telehealth.

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Chris Salisbury 1,*, Alicia O’Cathain 2, Clare Thomas 1, Louisa Edwards 1, Alan A Montgomery 3, Sandra Hollinghurst 1, Shirley Large 4, Jon Nicholl 2, Catherine Pope 5, Anne Rogers 5, Glyn Lewis 6, Tom Fahey 7, Lucy Yardley 8, Simon Brownsell 2, Padraig Dixon 1, Sarah Drabble 2, Lisa Esmonde 2, Alexis Foster 2, Katy Garner 1, Daisy Gaunt 9, Kim Horspool 2, Mei-See Man 1, Alison Rowsell 10, Julia Segar 11

1 Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK
2 School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK
3 Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK
4 NHS England South (Wessex), Southampton, UK
5 Faculty of Health Sciences, University of Southampton, Southampton, UK
6 Division of Psychiatry, University College London, London, UK
7 HRB Centre for Primary Care Research, Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland
8 Department of Psychology, University of Southampton, Southampton, UK
9 Bristol Randomised Trials Collaboration, School of Social and Community Medicine, University of Bristol, Bristol, UK
10 Centre for Applications of Health Psychology, School of Psychology, University of Southampton, Southampton, UK
11 Centre for Primary Care, University of Manchester, Manchester, UK
* Corresponding author Email: C.Salisbury@bristol.ac.uk

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