Designing Telemedicine Systems for Geriatric Patients: A Review of the Usability Studies

Narasimha, Shraddhaa; Madathil, Kapil Chalil; Agnisarman, Sruthy; Rogers, Hunter; Welch, Brandon M.; Ashok, Aparna; Nair, Aswathi; McElligott, James T.

doi:10.1089/tmj.2016.0178

Cited by 146 publications

(124 citation statements)

References 34 publications

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“…Our results incorporated a wide age range of patients surveyed, with 42.3% aged greater than 65 years. The positive perceptions of RASWRs across our patient cohort are encouraging in light of recent concerns regarding the usability of telemedicine in geriatric populations 67. Qualitative data reiterate high levels of patient acceptability.…”

Section: Discussionsupporting

confidence: 60%

Robot-assisted surgical ward rounds: virtually always there

Croghan¹,

Carroll²,

Reade

et al. 2018

BMJ Health Care Inform

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Background While an explosion in technological sophistication has revolutionised surgery within the operating theatre, delivery of surgical ward-based care has seen little innovation. Use of telepresence allowing offsite clinicians communicate with patients has been largely restricted to outpatient settings or use of complex, expensive and static devices. We designed a prospective study ascertaining feasibility and face validity of a remotely controlled mobile audiovisual drone (LUCY) to access inpatients. This device is, uniquely, lightweight, freely mobile and emulates 'human' interaction by swiveling and adjusting height to patients' eye-level. Methods Robot-assisted ward rounds (RASWRs) were conducted over 3 months. A remotely located consultant surgeon communicated with patients/bedside teams via encrypted audiovisual telepresence robot (DoubleRobotics, Burlingame, CA). Likert-scale satisfaction questionnaires, incorporating free-text sections for mixedmethods data collection, were disseminated to patient and staff volunteers following RASWRs. The same cohort completed a linked questionnaire following conventional (gold-standard) rounds, acting as a control group. Data were paired and non-parametric analysis was performed. Results RASWRs are feasible (>90% completed without technical difficulty). The RASWR (n = 52 observations) demonstrated face validity with strong correlations (r > 0.7; Spearman, p-value < 0.05) between robotic and conventional ward rounds among patients and staff on core themes, including dignity/confidentiality/communication/satisfaction with management plan. Patients (96.08%, n = 25) agreed RASWR were a satisfactory alternative when consultant physical presence was not possible. There was acceptance of nursing/non-consultant hospital doctor cohort [100% (n = 11) willing to regularly partake in RASWR]. Conclusion RASWRs receive high levels of patient and staff acceptance, and offer a valid alternative to conventional ward rounds when a consultant cannot be physically present.

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Section: Discussionsupporting

confidence: 60%

Robot-assisted surgical ward rounds: virtually always there

Croghan¹,

Carroll²,

Reade

et al. 2018

BMJ Health Care Inform

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“…37 Devices for the application of telemedicine software should be aligned with the specific needs of their users and tailored to their specific diseases, for example for people with osteoarthritis, tremor, visual and hearing impairments or even those who are illiterate, in order to exploit the potential of the technologies optimally. 21,24,35,38,39 Narasimha et al pointed out in their review of usability studies that the usability of telemedicine applications (e.g. computer or telephone devices) is the main influencing factor for user acceptance.…”

Section: Introductionmentioning

confidence: 99%

Adherence and acceptance of a home-based telemonitoring application used by multi-morbid patients aged 65 years and older

et al. 2020

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Introduction Currently, there are only a small number of comprehensive study results on adherence and acceptance of telemonitoring applications (TMAs) regarding multi-morbid older patients. The ATMoSPHAERE study aimed to develop an information and communication platform for an intersectoral networking of, for example, general practitioners, therapists, social services and the multi-morbid older patient. Methods The study presented was designed as a longitudinal bicentric intervention study which focused on multi-morbid patients aged ≥65 years using home-based telemedical measurement and input devices. The development and testing of this TMA aimed to optimise patients’ health care through intersectoral networking of all treating actors. Quantitative methods of data collection and analysis were used. Results Patients who completed the study were significantly younger than drop-outs and non-participants. The mental health of study patients significantly improved between the beginning and end of TMA use. The main reason for non-participation in the study was the high time expenditure when participating in the study. No perceived (information) benefits for health and insufficient content variety were the main reasons for drop-out. Appropriateness and handling of TMAs must be aligned with the needs of the heterogeneous user group of multi-morbid patients in order to increase acceptance and the added value of TMAs. Telemonitoring hardware should be oriented on functional capabilities of the older target group. Telemonitoring software content requires an individual, disease-specific approach for patients. The TMA should be unobtrusively integrated into usual daily life and be used to an appropriate extent according to the underlying disease in order to avoid stressing patients. With regard to adherence concerning TMAs, it is crucial to provide a contact person who is always available for patients having problems handling TMAs. Health concerns and questions can thus be addressed early, providing a feeling of safety in the care process. Discussion User acceptance of TMAs is an essential indicator and driver for use and for future implementation efforts in health care. In order to achieve maximum user centricity in development processes, patients must be involved as experts, co-designers and future users, considering their needs and perceptions.

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“…Research suggests that, amongst those who have experienced concussions, a symptom common among domestic abuse victims, females are more likely to develop computer-screen intolerance due to brain-related photosensitivity issues. In other words, though technology-based solutions exist, due to lack of tailored design and consideration of older users [74][75][76], these solutions may have limited utility and functionality for older females. All of these barriers, in turn, can contribute to the most vulnerable of the population left with little to no access to services [2,46,50,62], especially factoring in the digital divide experienced by people who face both health disparities and economic hardships which may further exacerbates these individuals' unmet healthcare needs [77][78][79].…”

Section: Study Protocol Registration: Prospero Crd42020194003mentioning

confidence: 99%

Evidence-based health solutions for challenges women face during pandemics like COVID-19: A systematic review protocol

Wagers

Lopez

et al. 2020

Preprint

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Background One of the most vulnerable populations to COVID-19 is women. Multiple factors associated with violence against women (i.e. sexual assault, domestic violence, homelessness) create an increased vulnerability for women during the COVID pandemic. Women also constitute the majority of older nursing home residents and healthcare workers (e.g., nurses), who have the most pronounced exposure to COVID-19. These factors combined with resource restraints like rationing and lack of access to healthcare can further exacerbate women’s physical and psychological health issues. While literature has well-documented challenges that women face during COVID-19, there is a lack of evidence-based solutions that have the potential to mitigate these difficulties. Therefore, to address this issue, we aim to conduct a systematic review of the literature to: (1) identify interventions designed for women in the context of pandemics, (2) describe the characteristics and effects of these interventions concerning the distinctive traits of women and pandemics, and (3) present evidence-based health solutions for women to mitigate challenges they face amid and beyond COVID-19. Methods A systematic review of literature will be conducted on databases including PubMed, PsycINFO on the EBSCO platform, CINAHL on the EBSCO platform, and Scopus, based on a search strategy developed in consultation with an experienced medical librarian. Titles, abstracts, and full-text articles will be screened against eligibility criteria developed a priori. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be adopted as the reporting framework, and data extracted (e.g., intervention details) will be evaluated by a multidisciplinary research team. Results NA for now—This is a protocol study. Conclusions Findings of this study will fill an important void in the literature. Considering that, in times of pandemic, women are especially subject to grim health disparities, like pronounced exposure to COVID-19, reproductive health issues, elevated domestic violence, increased mental health challenges, and lack of access to healthcare services, the need for evidence-based health solutions that could address these unique challenges is of paramount importance. A comprehensive understanding of the characteristics and effects of health solutions available to women in the context of pandemics can also help researchers identify areas of improvement regarding intervention design and development. This may further safeguard women’s health and wellbeing amid pandemics like COVID-19 and beyond. Study Protocol Registration: PROSPERO CRD42020194003

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Designing Telemedicine Systems for Geriatric Patients: A Review of the Usability Studies

Cited by 146 publications

References 34 publications

Robot-assisted surgical ward rounds: virtually always there

Robot-assisted surgical ward rounds: virtually always there

Adherence and acceptance of a home-based telemonitoring application used by multi-morbid patients aged 65 years and older

Evidence-based health solutions for challenges women face during pandemics like COVID-19: A systematic review protocol

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