Effect of a Telecare Case Management Program for Older Adults Who Are Homebound During the COVID-19 Pandemic

Wong, Arkers Kwan Ching; Wong, Frances Kam Yuet; Chow, Karen Kit Sum; Wong, Siu Man; Lee, Paul H.

doi:10.1001/jamanetworkopen.2021.23453

Cited by 34 publications

(34 citation statements)

References 49 publications

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“…The Omaha system was adopted to identify the needs and chief complaints of an individual in four domains: environmental, psychosocial, physiological, and health-related behavior ( 25 ). It was found to be applicable for older adults in the community and proven valid for local use ( 20 ). Following an assessment, the nurse engaged and empowered the participants to set self-help goals and realistic action plans, and provided psychological support by giving positive verbal encouragement during the conversation.…”

Section: Methodsmentioning

confidence: 99%

A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults

Wong

Bayuo

et al. 2022

Front. Psychiatry

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SignificanceUsing mHealth apps alone at home without the support of healthcare experts could mean that older adults might not fully utilize the functions of the apps, recognize their benefits, and sustain their use. Incorporating an integrated health-social partnership model to support the app usage when further help is needed by the older adults might maximize the apps' benefits in the long term.ObjectivesThis study aimed to examine the benefits of adding nursing interaction supported by a health-social partnership model in the use of mHealth, and the sustained beneficial effects on psychological outcomes, including quality of life, self-efficacy, and depression, among older adults after the completion of the program.MethodsA three-arm, randomized controlled trial design was adopted. Community-dwelling older adults with chronic pain, hypertension, or diabetes, were randomly assigned to either the mHealth, mHealth with interactivity, or control group. Subjects in both the mHealth and the mHealth with interactivity groups received the mHealth application. In addition, the mHealth with interactivity group received support from a nurse case manager, who was supported by a health-social partnership team. mHealth apps and services from a nurse case manager were not provided to the control group. The primary outcome measure was quality of life, and secondary outcomes were self-efficacy and depression. Data were collected at pre-intervention (T1), post-intervention (T2), and at 3 months post-intervention to measure the sustained effect of the program.ResultsThere were 74 mHealth+I, 71 mHealth, and 76 control group subjects enrolled in the program. No statistically significant between-group, within-group, and interaction effects between group and time in both physical component summary (PCS) and mental component summary (MCS) scores were found among the three groups. The mHealth group showed an improvement in PCS and depression scores from T1 to T2, sustained at T3; while the mHealth+I group demonstrated improved self-efficacy from T1 to T2, with a decrease at T3.ConclusionAdding nurse-directed telephone calls may be of little to no benefit at all in the long term. Future studies may consider a longer intervention period to build and sustain quality of life and self-efficacy levels among community-dwelling older adults.Clinical trial registrationwww.ClinicalTrials.gov, identifier: NCT03878212.

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Section: Methodsmentioning

confidence: 99%

A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults

Wong

Bayuo

et al. 2022

Front. Psychiatry

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“…The key characteristics of the studies included in the review are summarized in Table 1. Overall, seven studies were included in this review; two focused on the effectiveness of telehealth [21,22], three focused on the experiences of patients and providers [23][24][25], and two focused on the use of telehealth [26,27]. Wong et al [21] conducted a pilot randomized controlled trial whereby they randomized 68 patients to the control arm (n=34) and the intervention arm (n=34).…”

Section: Resultsmentioning

confidence: 99%

“…Overall, seven studies were included in this review; two focused on the effectiveness of telehealth [21,22], three focused on the experiences of patients and providers [23][24][25], and two focused on the use of telehealth [26,27]. Wong et al [21] conducted a pilot randomized controlled trial whereby they randomized 68 patients to the control arm (n=34) and the intervention arm (n=34). The intervention arm received weekly case management from a nurse through telephonic communication and video messages covering self-care.…”

Section: Resultsmentioning

confidence: 99%

“…Key outcome measures are summarized in Table 1. Wong et al [21] determined the effectiveness of a telecare case management program within three months for older adults with a mean age of 71.8 (SD: 6.1). The primary outcome measure, self-efficacy, did not differ between the telecare group and control group.…”

Section: Resultsmentioning

confidence: 99%

“…In this systematic review of 7 studies, we reviewed the evidence about telehealth use for the provision of geriatric care during the COVID-19 pandemic. We found that two studies focused on different hybrid telehealth [21,22], demonstrating measurable benefits in geriatric patients. Both these studies were conducted in high-income countries.…”

Section: Discussionmentioning

confidence: 99%

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Telehealth use and Models for Geriatric Patients Since the COVID-19 Pandemic: A Systematic Review

Ajaz

Bouchama

Khalid

et al. 2022

JAMMR

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Introduction: The gaps in geriatric care provision has become prominent with the onset of the coronavirus disease 2019 (COVID-19 pandemic). Despite the potential capability of the telehealth model to address the specific needs of geriatric patients, only a few geriatric guidelines have focused on the telehealth model during the pandemic. The following systematic review explores the current evidence of telehealth use and applications in geriatric care, which emerged post the COVID-19 pandemic. Methods: Three databases, including PubMed, Cochrane, and Google Scholar, were searched by three independent reviewers to identify relevant studies. Results: Seven studies were included in this review; two focused on the effectiveness of telehealth, three focused on the experiences of patients and providers, and two focused on the use of telehealth. Telehealth did not underperform compared to traditional care models in terms of self-efficacy, patient convenience, reduction in deferred care, increased efficiency of healthcare delivery, reduced travel issues, and improved health education. However, common challenges were disparities in access in favor of urban, cognitively sound, and younger geriatric patients. Conclusion: The current systematic review reported the latest evidence on telehealth use and access across geriatric care since the onset of the COVID-19 pandemic. Telemedicine is gaining support from literature for being non-inferior to traditional healthcare methods, as observed in our findings.

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The Urgent Need for Rigorous Studies of Telehealth for Older Adults Who Are Homebound

Moo

Schwartz

2021

JAMA Netw Open

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Effect of a Telecare Case Management Program for Older Adults Who Are Homebound During the COVID-19 Pandemic

Cited by 34 publications

References 49 publications

A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults

A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults

Telehealth use and Models for Geriatric Patients Since the COVID-19 Pandemic: A Systematic Review

The Urgent Need for Rigorous Studies of Telehealth for Older Adults Who Are Homebound

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