Facilitating telehealth for older adults during the <scp>COVID</scp>‐19 pandemic and beyond: Strategies from a Singapore geriatric center

Tan, Li Feng; Teng, Vanda Ho Wen; Seetharaman, Santhosh Kumar; Yip, Alexander Wenjun

doi:10.1111/ggi.14017

Cited by 43 publications

(30 citation statements)

References 5 publications

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“…For older adults with diabetes, attending medical appointments may be difficult or impractical. In such cases, teleconsultations may be a suitable alternative [70][71][72]. Remote blood glucose monitoring linked to web-based cloud technologies allows for the transfer of continuous glucose monitoring (CGM) data directly to healthcare professionals (e.g.…”

Section: Tzd Thiazolidinedionementioning

confidence: 99%

Diabetes and Frailty: An Expert Consensus Statement on the Management of Older Adults with Type 2 Diabetes

et al. 2021

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Prognosis and appropriate treatment goals for older adults with diabetes vary greatly according to frailty. It is now recognised that changes may be needed to diabetes management in some older people. Whilst there is clear guidance on the evaluation of frailty and subsequent target setting for people living with frailty, there remains a lack of formal guidance for healthcare professionals in how to achieve these targets.

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Section: Tzd Thiazolidinedionementioning

confidence: 99%

Diabetes and Frailty: An Expert Consensus Statement on the Management of Older Adults with Type 2 Diabetes

et al. 2021

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“…There is now a growing optimism on the global use of telehealth services in several specialties, and the field of geriatrics is no exception. Various models for the provision of telehealth services to older people have emerged during the pandemic and their strengths/opportunities highlighted [ 10 ]. However, weaknesses and threats to telehealth readiness among older people have also emerged [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Telehealth Use in Geriatrics Care during the COVID-19 Pandemic—A Scoping Review and Evidence Synthesis

Doraiswamy

Jithesh

Mamtani

et al. 2021

IJERPH

121

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Introduction: Globally, the COVID-19 pandemic has affected older people disproportionately. Prior to the pandemic, some studies reported that telehealth was an efficient and effective form of health care delivery, particularly for older people. There has been increased use of telehealth and publication of new literature on this topic during the pandemic, so we conducted a scoping review and evidence synthesis for telehealth use in geriatric care to summarize learning from these new data. Methods: We searched PubMed, Embase, and the World Health Organization’s COVID-19 global research database for articles published between 1 January and 20 August 2020. We included 79 articles that met our inclusion criteria. The information collected has been synthesized and presented as descriptive statistics. Strengths, weaknesses, opportunities, and threats (SWOT) have also been discussed. Results: The articles included in our review provide some evidence of effective provision of preventive, curative, and rehabilitative telehealth services for older people, but they highlight a greater focus on curative services and are mostly concentrated in high-income countries. We identified convenience and affordability as the strengths of telehealth use in geriatric care. Weaknesses identified include the inability of telehealth to cater to the needs of older people with specific physical and cognitive limitations. While the threats of increasing inequity and the lack of standardization in the provision of age-friendly telehealth services remain, we identified opportunities for technologic advancements driven by simplicity and user-friendliness for older people. Conclusion: Telehealth offers futuristic promise for the provision of essential health care services for older people worldwide. However, the extent of these services via telehealth appears to be currently limited in low and low-middle income countries. Optimizing telehealth services that can be accessed by older people requires greater government investments and active engagement by broader participation of older people, their caregivers, physicians and other health care providers, technology experts, and health managers.

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“…Telemedicine programs may offer the possibility to deal with these aspects related to the social distancing [ 10 , 25 ]. In the last months, several initiative focused on telehealth in community-dwelling older adults have been set up, also solicited by national health authorities, to offer adequate support to this frail population [ 26 , 27 ]. For example, Beauchet et al developed a telephone screening test named “Evaluation SOcioGERiatrique” (ESOGER) which included assessment of: (1) COVID-19 manifestation; (2) frailty; (3) psychological distress; (4) social isolation and (5) caregivers’ burden, to early detect homebound older adults at risk of negative outcomes [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Validation and implementation of telephone-administered version of the Multidimensional Prognostic Index (TELE-MPI) for remote monitoring of community-dwelling older adults

et al. 2021

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Background During the recent lockdown measures adopted by national authorities to contain the COVID-19 pandemic, many vulnerable older patients with chronic conditions, normally followed in ambulatory setting, needed to be monitored and managed in alternative ways, including telemedicine. Aims In the framework of a telemedicine program, we aimed to validate and implement a telephone-administered version of the Multidimensional Prognostic Index (TELE-MPI) among community-dwelling older outpatients. Method From March 9 to May 11, 2020, 131 older patients (82.1 years; 74% females) were interviewed using a telephonebased survey to calculate the TELE-MPI. The standard MPI was performed face-to-face three months apart. The Bland-Altman methodology measured the agreement between the two tools. Multivariate logistic regression models were built to ascertain the prognostic value of TELE-MPI and TELE-MPI classes (low, moderate, or severe risk) on negative outcomes occurring during the lockdown period. Results Mean MPI and TELE-MPI values were 0.523 and 0.522, respectively. Lower and upper 95% limits of agreement were − 0.122 and + 0.124, respectively, with only 4.6% of observations outside the limits. Each 0.1 increase of TELE-MPI score was significantly correlated with higher incidence of psychiatric disorders [odd ratio (OR): 1.57; 95% confidence interval (CI) 1.27, 1.95] and falls (OR: 1.41; 95% CI 1.08, 1.82) in community-dwelling-older adults. Discussion TELE-MPI showed a strong agreement with the standard MPI and was able to predict psychiatric disorders and falls during lockdown period. Conclusion TELE-MPI may represent a useful way to follow by remote the health status of older adults.

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Facilitating telehealth for older adults during the COVID‐19 pandemic and beyond: Strategies from a Singapore geriatric center

Cited by 43 publications

References 5 publications

Diabetes and Frailty: An Expert Consensus Statement on the Management of Older Adults with Type 2 Diabetes

Diabetes and Frailty: An Expert Consensus Statement on the Management of Older Adults with Type 2 Diabetes

Telehealth Use in Geriatrics Care during the COVID-19 Pandemic—A Scoping Review and Evidence Synthesis

Validation and implementation of telephone-administered version of the Multidimensional Prognostic Index (TELE-MPI) for remote monitoring of community-dwelling older adults

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