Case management for frail older adults through tablet computers and Skype

Berner, Jessica; Anderberg, Peter; Rennemark, Mikael; Berglund, Johan

doi:10.3109/17538157.2015.1033528

Cited by 17 publications

(16 citation statements)

References 24 publications

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“…59 If health is a reason for a decline in mastery, a focus should be on establishing how the Internet might provide support so as to counteract a decline in sense of mastery. Conversely, studies have indicated that not knowing how to use the Internet well can be stressor in itself for an older adult, 10,60 which could trigger a decline in mastery.…”

Section: Discussionmentioning

confidence: 99%

“…A study on tablet computers and Skype use by frail older adults indicated that if an older person felt too frail or ill, this was a barrier to starting to use new technology. 10…”

Section: Literature Reviewmentioning

confidence: 99%

“…Similarly, stopping Internet use can be triggered, for example, by the loss of a spouse or being too frail. 10…”

Section: Introductionmentioning

confidence: 99%

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Predictors in starting and stopping Internet use between 2002 and 2012 by Dutch adults 65 years and older

Berner

Aartsen

Deeg

2017

Health Informatics J

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Research has indicated the need to consider the ageing process with technology adoption by older adults. This study examined psychological, health, social and demographic predictors with starting and stopping Internet use by older adults (2002-2012). Data were used from the Longitudinal Aging Study Amsterdam, and Cox regression analyses were done to test predictors over time with starting or stopping Internet use. The results indicated that older adults starting to use the Internet (11.6%) outnumbered those who stopped (3.1%). Psychological, health, social and demographic predictors separately predicted starting and stopping Internet use. Starting use was predicted by lower age, higher education, normal cognition and living alone. The predictors in stopping use were being younger, having a high sense of mastery and being higher educated. The results need to be interpreted as indicative due to the small number of stoppers. Suggestions are made on how to improve usability.

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Section: Discussionmentioning

confidence: 99%

“…A study on tablet computers and Skype use by frail older adults indicated that if an older person felt too frail or ill, this was a barrier to starting to use new technology. 10…”

Section: Literature Reviewmentioning

confidence: 99%

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Predictors in starting and stopping Internet use between 2002 and 2012 by Dutch adults 65 years and older

Berner

Aartsen

Deeg

2017

Health Informatics J

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“…Frailty prevalence measured with the Phenotype of Frailty score was reported to be 15%, 10%, and 7.4% in the USA, 54 Europe, 55 and Japan, 56 respectively. We found that research work in digital health technologies for PLF were mostly concentrated in regions with a high frailty prevalence.…”

Section: Discussionmentioning

confidence: 99%

Digital Health Interventions among People Living with Frailty: A Scoping Review

Linn

Goetzinger

Regnaux

et al. 2021

Journal of the American Medical Directors Association

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Objectives: Digital health interventions (DHIs) are interesting resources to improve various health conditions. However, their use in the older and frail population is still sparse. We aimed to give an overview of DHI used in the frail older population. Design: Scoping review with PRISMA guidelines based on Population, Concept, and Context. Setting and participants: We included original studies in English with DHI (concept) on people described as frail (population) in the clinical or community setting (context) and no limitation on date of publication. We searched 3 online databases (PubMed, Scopus, and Web of Science). Measures: We described DHI in terms of purpose, delivering, content and assessment. We also described frailty assessment and study design. Results: We included 105 studies that fulfilled our eligibility criteria. The most frequently reported DHIs were with the purpose of monitoring (45; 43%), with a delivery method of sensor-based technologies (59; 56%), with a content of feedback to users (34; 32%), and for assessment of feasibility (57; 54%). Efficacy was reported in 31 (30%) studies and usability/feasibility in 57 (55%) studies. The most common study design was descriptive exploratory for new methodology or technology (24; 23%). There were 14 (13%) randomized controlled trials, with only 4 of 14 studies (29%) showing a low or moderate risk of bias. Frailty assessment using validated scales was reported in only 47 (45%) studies. Conclusions and Implications: There was much heterogeneity among frailty assessments, study designs, and evaluations of DHIs. There is now a strong need for more standardized approaches to assess frailty, well-structured randomized controlled trials, and proper evaluation and report. This work will contribute to the development of better DHIs in this vulnerable population.

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“…Patients have expressed some concerns about privacy and security and ease of use of the technology [37,38]. Some studies have reported less enthusiasm for video consultations among older people [39,40]. Qualitative studies have reported concerns over technical issues such as pixilation or audio quality and quality of care, for instance, because of the lack of physical examination [9,38,41,42].…”

Section: Introductionmentioning

confidence: 99%

Video Consultations Between Patients and Clinicians in Diabetes, Cancer, and Heart Failure Services: Linguistic Ethnographic Study of Video-Mediated Interaction (Preprint)

Shaw¹,

Seuren²,

Wherton³

et al. 2020

Preprint

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BACKGROUND Video-mediated clinical consultations offer potential benefits over conventional face-to-face in terms of access, convenience, and sometimes cost. The improved technical quality and dependability of video-mediated consultations has opened up the possibility for more widespread use. However, questions remain regarding clinical quality and safety. Video-mediated consultations are sometimes criticized for being not as good as face-to-face, but there has been little previous in-depth research on their interactional dynamics, and no agreement on what a good video consultation looks like. OBJECTIVE Using conversation analysis, this study aimed to identify and analyze the communication strategies through which video-mediated consultations are accomplished and to produce recommendations for patients and clinicians to improve the communicative quality of such consultations. METHODS We conducted an in-depth analysis of the clinician-patient interaction in a sample of video-mediated consultations and a comparison sample of face-to-face consultations drawn from 4 clinical settings across 2 trusts (1 community and 1 acute care) in the UK National Health Service. The video dataset consisted of 37 recordings of video-mediated consultations (with diabetes, antenatal diabetes, cancer, and heart failure patients), 28 matched audio recordings of face-to-face consultations, and fieldnotes from before and after each consultation. We also conducted 37 interviews with staff and 26 interviews with patients. Using linguistic ethnography (combining analysis of communication with an appreciation of the context in which it takes place), we examined in detail how video interaction was mediated by 2 software platforms (Skype and FaceTime). RESULTS Patients had been selected by their clinician as <i>appropriate</i> for video-mediated consultation. Most consultations in our sample were technically and clinically unproblematic. However, we identified 3 interactional challenges: (1) opening the video consultation, (2) dealing with disruption to conversational flow (eg, technical issues with audio and/or video), and (3) conducting an examination. Operational and technological issues were the exception rather than the norm. In all but 1 case, both clinicians and patients (deliberately or intuitively) used established communication strategies to successfully negotiate these challenges. Remote physical examinations required the patient (and, in some cases, a relative) to simultaneously follow instructions and manipulate technology (eg, camera) to make it possible for the clinician to see and hear adequately. CONCLUSIONS A remote video link alters how patients and clinicians interact and may adversely affect the flow of conversation. However, our data suggest that when such problems occur, clinicians and patients can work collaboratively to find ways to overcome them. There is potential for a limited physical examination to be undertaken remotely with some patients and in some conditions, but this appears to need complex interactional work by the patient and/or their relatives. We offer preliminary guidance for patients and clinicians on what is and is not feasible when consulting via a video link. INTERNATIONAL REGISTERED REPORT RR2-10.2196/10913

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Case management for frail older adults through tablet computers and Skype

Abstract: Using Skype and tablet PCs do have potential for frail older adults, but need to be tested further.

Cited by 17 publications

References 24 publications

Predictors in starting and stopping Internet use between 2002 and 2012 by Dutch adults 65 years and older

Predictors in starting and stopping Internet use between 2002 and 2012 by Dutch adults 65 years and older

Digital Health Interventions among People Living with Frailty: A Scoping Review

Video Consultations Between Patients and Clinicians in Diabetes, Cancer, and Heart Failure Services: Linguistic Ethnographic Study of Video-Mediated Interaction (Preprint)

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