Case study: the Interact home telehealth project

Katalinic, Owen M; Young, Ashley; Doolan, Denise L.

doi:10.1177/1357633x13506513

Cited by 25 publications

(48 citation statements)

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“…Recent work [ 6 ] has also reported that participants connected via 4G mobile data services experience more audio and visual difficulties than participants on the NBN. Earlier work [ 7 ] reported similar problems with 3G connectivity in areas of poor signal strength. Since NBN rollout has been slow and patchy, current (and likely future) telehealth services will continue to rely on 3G/4G mobile services.…”

Section: Discussionmentioning

confidence: 65%

Home Telehealth Video Conferencing: Perceptions and Performance

Taylor

Morris²,

Pech³

et al. 2015

JMIR mHealth uHealth

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BackgroundThe Flinders Telehealth in the Home trial (FTH trial), conducted in South Australia, was an action research initiative to test and evaluate the inclusion of telehealth services and broadband access technologies for palliative care patients living in the community and home-based rehabilitation services for the elderly at home. Telehealth services at home were supported by video conferencing between a therapist, nurse or doctor, and a patient using the iPad tablet.ObjectiveThe aims of this study are to identify which technical factors influence the quality of video conferencing in the home setting and to assess the impact of these factors on the clinical perceptions and acceptance of video conferencing for health care delivery into the home. Finally, we aim to identify any relationships between technical factors and clinical acceptance of this technology.MethodsAn action research process developed several quantitative and qualitative procedures during the FTH trial to investigate technology performance and users perceptions of the technology including measurements of signal power, data transmission throughput, objective assessment of user perceptions of videoconference quality, and questionnaires administered to clinical users.ResultsThe effectiveness of telehealth was judged by clinicians as equivalent to or better than a home visit on 192 (71.6%, 192/268) occasions, and clinicians rated the experience of conducting a telehealth session compared with a home visit as equivalent or better in 90.3% (489/540) of the sessions. It was found that the quality of video conferencing when using a third generation mobile data service (3G) in comparison to broadband fiber-based services was concerning as 23.5% (220/936) of the calls failed during the telehealth sessions. The experimental field tests indicated that video conferencing audio and video quality was worse when using mobile data services compared with fiber to the home services. As well, statistically significant associations were found between audio/video quality and patient comfort with the technology as well as the clinician ratings for effectiveness of telehealth.ConclusionsThese results showed that the quality of video conferencing when using 3G-based mobile data services instead of broadband fiber-based services was less due to failed calls, audio/ video jitter, and video pixilation during the telehealth sessions. Nevertheless, clinicians felt able to deliver effective services to patients at home using 3G-based mobile data services.

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Section: Discussionmentioning

confidence: 65%

Home Telehealth Video Conferencing: Perceptions and Performance

Taylor

Morris²,

Pech³

et al. 2015

JMIR mHealth uHealth

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“…In-depth interviews were conducted by the first author (J.W.) using an interview schedule [18,20] based on the research questions which allowed the interviewer to be prepared. However, there was participant freedom to express views with his/her own words and as a result the interview diverged from the interview guide and explored experiences of and feelings towards participant's experiences concerning access to use of an iPad [3].…”

Section: Data Generationmentioning

confidence: 99%

“…There are data to suggest these devices may be effective in improving: memory, an individual's sense of control, communication and overall independence [4,15,16]. There is very little evidence, if any, concerning the use of tablet technology use by stroke survivors [17,18].…”

Section: Introductionmentioning

confidence: 98%

Tablet technology during stroke recovery: a survivor’s perspective

White

Janssen

Jordan

et al. 2014

Disability and Rehabilitation

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Incorporating tablet technology into the delivery of stroke rehabilitation appears to be feasible and acceptable at a patient level. This process has the potential to improve participation in therapeutic and or leisure; however further evaluation towards the impact of tablet technology on patient outcome and quality of life is required. Implications for Rehabilitation The use of tablet technology provides a platform to increase the variety and intensity of stroke therapy, both in the hospital setting and following discharge from hospital, facilitating physical, cognitive and social activity. Stroke survivors experienced increased participation in therapeutic activities, increased socialization and less inactivity and boredom through access to tablet technology. Tablet technology is feasible and acceptable at a patient level, providing preliminary support for the use of interactive computer devices during stroke recovery.

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“…Participants may have forgotten about the messaging system or found it too complex to use as multiple steps needed to be followed. Other tablet-based therapy studies with stroke patients have used teleconferences to stay in touch with patients [23,29], although this requires a high-quality internet connection that may not be available to all stroke survivors [20,23,29]. Other studies have opted to use face-to-face meetings [19] or group therapy sessions instead of relying on technology [17].…”

Section: Discussionmentioning

confidence: 99%

“…The ubiquity of smartphones, mobile application (apps), and mobile-tablet computers has brought along with it an interest in leveraging this technology for the purposes of providing stroke rehabilitation. There have been numerous studies focusing on mobile tablets as rehabilitation platforms for a variety of post-stroke deficits including communication [14–22], cognition [16,23,24], fine-motor skills [25–28]. Stroke survivors have typically expressed high satisfaction with tablet-based stroke therapies [14,15,18,20,24,25,27–29] and have pointed to therapy independence [18,25,29] and the convenience of being able to engage in therapy at home [15,18] as specific positive aspects.…”

Section: Introductionmentioning

confidence: 99%

RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation

et al. 2019

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IntroductionStroke survivors frequently experience a range of post-stroke deficits. Specialized stroke rehabilitation improves recovery, especially if it is started early post-stroke. However, resource limitations often preclude early rehabilitation. Mobile technologies may provide a platform for stroke survivors to begin recovery when they might not be able to otherwise. The study objective was to demonstrate the feasibility of RecoverNow, a tablet-based stroke recovery platform aimed at delivering speech and cognitive therapy.MethodsWe recruited a convenience sample of 30 acute stroke patients to use RecoverNow for up to 3 months. Allied health professionals assigned specific applications based on standard of care assessments. Participants were encouraged to take home the RecoverNow tablets upon discharge from acute care. The study team contacted participants to return for a follow-up interview 3 months after enrollment. The primary outcome of interest was feasibility, defined using 5 facets: recruitment rate, adherence rate, retention rate, the proportion of successful follow-up interventions, and protocol deviations. We tracked barriers to tablet-based care as a secondary outcome.ResultsWe successfully recruited 30 of 62 eligible patients in 15 weeks (48% recruitment rate). Participants were non-adherent to tablet-based therapy inside and outside of acute care, using RecoverNow for a median of 12 minutes a day. Retention was high with 23 of 30 patients participating in follow-up interviews (77% retention rate) and all but 3 of the 23 interviews (87%) were successfully completed. Only 2 major protocol deviations occurred: one enrollment failure and one therapy protocol violation. Barriers to tablet-based care were frequently encountered by study participants with many expressing the assigned applications were either too easy or too difficult.ConclusionsAcute stroke patients are interested in attempting tablet-based stroke rehabilitation and are easily recruited early post-stroke. However, tablet-based therapy may be challenging due to patient, device and system-related barriers. Reducing the frequency of common barriers will be essential to keeping patients engaged in tablet-based therapy.

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Case study: the Interact home telehealth project

Cited by 25 publications

References 0 publications

Home Telehealth Video Conferencing: Perceptions and Performance

Home Telehealth Video Conferencing: Perceptions and Performance

Tablet technology during stroke recovery: a survivor’s perspective

RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation

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