Factors Influencing Barriers and Facilitators to In-home Video Telehealth for Dementia Management

Gately, Megan; Tickle-Degnen, Linda; McLaren, Jaye; Ward, Nathan; Ladin, Keren; Moo, Lauren

doi:10.1080/07317115.2021.1930316

Cited by 29 publications

(31 citation statements)

References 60 publications

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“…An overview of each of the seven articles included is provided in Table 1, including details on authorship, study design, the sample population, demographics, use of a control group, the aim of each study, assessments used, and important findings. Overall, the geographic locations of the studies included four studies conducted in Europe (7,9,10,12), two in the United States of America (8,11), and one in Asia (3). Most of the research articles focused on recruiting community-dwelling participants (3,(9)(10)(11), whereas the others recruited participants through convenience samples in clinics, hospitals, care homes, and day centers (7,8,12).…”

Section: Overview Of Studies Includedmentioning

confidence: 99%

“…Overall, the geographic locations of the studies included four studies conducted in Europe (7,9,10,12), two in the United States of America (8,11), and one in Asia (3). Most of the research articles focused on recruiting community-dwelling participants (3,(9)(10)(11), whereas the others recruited participants through convenience samples in clinics, hospitals, care homes, and day centers (7,8,12). All studies were conducted within the COVID-19 context.…”

Section: Overview Of Studies Includedmentioning

confidence: 99%

“…Articles 2 (8), 5 (10), and 7 (12), from Table 1, investigated a number of medical clinics that were in the process of examining the feasibility and implementation of technological interventions for telemedicine services. Articles 1 (7) and 6 (11), as identified in Table 1, evaluated the roles of technology in older adults with memory decline and dementia and explored the potential barriers to technology use that individuals with cognitive decline or impairment may experience. Finally, the researchers attempted to test the benefits of emerging technologies in the third (3) and fourth (9) articles.…”

Section: Overview Of Studies Includedmentioning

confidence: 99%

“…All studies included participants aged 65+. The majority of these studies, excluding Gately et al (11), had both male and female participants. With regards to age, all studies, apart from Zamir et al (12), conducted their work with adults aged at least 70 years and older, whereas the work by Zamir et al (12) included participants aged 65 and over.…”

Section: Overview Of Studies Includedmentioning

confidence: 99%

“…This is perhaps due to the fact that the caregiver is able to support the participant with any troubleshooting. However, most of the studies [i.e., (8,(10)(11)(12)] did praise the implementation of technologically mediated solutions. Iyer et al (8) explored the opinions of older adults with varying levels of cognitive impairment (based on Functional Assessment Staging Tool [FAST] scores) through qualitative interviews and found that although clinicians found video technology services burdensome, patients and caregivers did not.…”

Section: Practitioners' Participants' and Caregivers' Technological Feedbackmentioning

confidence: 99%

See 4 more Smart Citations

A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?

Elbaz

Cinalioglu

Sekhon³

et al. 2021

Front. Neurol.

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Introduction: Older adults with dementia have been significantly at more risk for not receiving the care needed and for developing further mental health problems during COVID-19. Although the rise in telemedicine adoption in the healthcare system has made it possible for patients to connect with their healthcare providers virtually, little is known about its use and effects among older adults with dementia and their mental health.Objective: This systematic review aimed to explore the use, accessibility, and feasibility of telemedicine in older adults with dementia, as well as examine the potential mental health impacts of these technologies, through reviewing evidence from studies conducted during COVID-19.Methods: PubMed, Scopus, and Web of Science databases were searched with the following keywords: (COVID* OR SARS-CoV-2 OR Coronavirus) AND (“mental health” OR Depression OR Stress) AND (Dementia OR Multi-Infarct Dementia OR Vascular Dementia OR Frontotemporal Dementia) AND (elder OR Aging OR Aging OR Aged) AND (Telemedicine OR “Remote Consultation” OR telehealth OR technology).Results: A total of 7 articles from Asia, Europe, and the United States were included in this review. Throughout the studies cognitive and mental health assessments (e.g., MoCA, FAST, etc.) were performed. Despite the barriers, telemedicine was noted as a feasible approach to assist individuals with dementia in connecting with their service providers and family while reducing complications related to travel (e.g., difficulty moving, traffic, distance).Conclusions: Due to the COVID-19 pandemic, finding alternative ways to provide services to older adults with dementia through technology may continue to become more necessary as time goes on.

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Section: Overview Of Studies Includedmentioning

confidence: 99%

Section: Overview Of Studies Includedmentioning

confidence: 99%

Section: Overview Of Studies Includedmentioning

confidence: 99%

Section: Overview Of Studies Includedmentioning

confidence: 99%

Section: Practitioners' Participants' and Caregivers' Technological Feedbackmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?

Elbaz

Cinalioglu

Sekhon³

et al. 2021

Front. Neurol.

View full text Add to dashboard Cite

show abstract

Teaching Geriatrics in Video Telemedicine

Powers,

Moo

2024

Medical Education in Geriatrics

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Patterns of Telemedicine Use in Primary Care for People with Dementia in the Post-pandemic Period

Adler-Milstein,

Gopalan,

Huang

et al. 2024

J GEN INTERN MED

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Background The pandemic rapidly expanded telemedicine, which has persisted as a widely available primary care modality. The uptake of telemedicine among people with dementia specifically in the primary care setting, who have more complex care needs but also benefit from more accessible primary care, is unknown. Objective Among people with dementia, assess uptake of telemedicine-based primary care in the post-pandemic period and determine associations with key socio-demographic characteristics. Design Retrospective observational study. Subjects People with dementia at UCSF and Kaiser Permanente Northern CA (KPNC) with at least one primary care encounter in pre- (3/1/2019-2/29/2020) or post-COVID (3/1/2021-2/28/2022) periods, post-COVID sample: N= 419 individuals (UCSF), N=18,037 (KPNC). Main Measures Encounter modality: in-person, video telemedicine, or telephone telemedicine. Focal socio-demographic characteristics: age, limited English proficiency, socioeconomic status, driving distance to clinic, and caregiver at encounter. Key Results There was a large increase in telemedicine among people with dementia in the post-pandemic period at both sites. At KPNC, those with only in-person primary care visits shrunk from 60.47% (pre) to 26.95% (post). At UCSF, the change was even greater: 98.99% to 35.08%. Across both sites, the only measure significantly associated with use of telemedicine was greater driving distance from home to clinic. At KPNC, those over age 90 were most likely to use telemedicine while patients with limited English proficiency and those with a caregiver at the encounter used telemedicine at lower levels. The relationships were similar at UCSF but not statistically significant. Conclusions Telemedicine use is high for people with dementia in the primary care setting in the post-pandemic period. Those with longer drives to clinic and the oldest patients were most likely to use telemedicine, likely due to challenges traveling to appointments. Still, not all people with dementia used telemedicine equally—particularly those with limited English proficiency.

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Factors Influencing Barriers and Facilitators to In-home Video Telehealth for Dementia Management

Cited by 29 publications

References 60 publications

A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?

A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?

Teaching Geriatrics in Video Telemedicine

Patterns of Telemedicine Use in Primary Care for People with Dementia in the Post-pandemic Period

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