Exploring Telehealth Readiness in a Resource Limited Setting: Digital and Health Literacy among Older People in Rural India (DAHLIA)

Rasekaba, Tshepo; Pereira, Pratibha; G, Vinaya Rani.; Johnson, Riya; McKechnie, Rebecca; Blackberry, Irene

doi:10.3390/geriatrics7020028

Cited by 22 publications

(13 citation statements)

References 43 publications

(67 reference statements)

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“…Other reasons identified in our research were that targeted classes are regarded as offering safer, achievable and more effectively tailored exercise with a community of peers. This aligns with studies of older people’s engagement with tailored physical activity programs [ 66 – 68 ] and may also explain why older instructors are often preferred [ 69 ].…”

Section: Discussionsupporting

confidence: 76%

“I wouldn’t have joined if it wasn’t online”: understanding older people’s engagement with teleyoga classes for fall prevention

Haynes

Gilchrist

Oliveira

et al. 2022

BMC Complement Med Ther

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Background Yoga-based exercise is a promising strategy for promoting healthy ageing, with the potential to reduce falls and increase physical, cognitive and psychological wellbeing. Teleyoga (real-time yoga provided via interactive videoconferencing) can deliver yoga programs at scale, potentially reducing costs, increasing convenience, and reaching people who cannot attend studio-based classes. But better understanding of how older people perceive and engage with teleyoga is needed to optimise its design, implementation and promotion. Methods This study built on a previous realist process evaluation of the SAGE yoga trial which is testing the effect of a yoga-based exercise program on falls among 700 community-dwelling people aged 60 + years. In this second phase of evaluation we conducted focus groups with participants who had completed the SAGE program online and with the yoga instructors who were delivering it. We also conducted interviews with participants who had withdrawn from the trial. Six program theories developed in the earlier evaluation provided a framework for data analysis, supplemented by inductive coding and an analytical workshop. Results Participants described physical and psychological benefits from the SAGE teleyoga program. While noting that teleyoga cannot facilitate hands-on correction or the same quality of observation or interaction as studio classes, participants were highly appreciative of their yoga instructors’ strategies for optimising visibility, instruction, social connection and therapeutic alliance, and for adapting to constrained home environments. Some participants argued that teleyoga was superior to studio classes due to its accessibility and convenience, its lower exposure to potential embarrassment about physical appearance or capabilities, and a reduced sense of peer competition and distraction. Our program theories applied across studio and online modes of delivery. Conclusion Teleyoga increases accessibility for people in diverse locations and circumstances; it provides a psychologically safer space which combats self-consciousness and unwanted competitiveness; it may enhance embodiment and mindfulness for some; and it has the potential to be offered relatively cheaply at scale which could support free or reduced price classes for people on low incomes and pensions, thereby encouraging a wider population to engage in yoga for healthy ageing and fall prevention.

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Section: Discussionsupporting

confidence: 76%

“I wouldn’t have joined if it wasn’t online”: understanding older people’s engagement with teleyoga classes for fall prevention

Haynes

Gilchrist

Oliveira

et al. 2022

BMC Complement Med Ther

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“…Patients with chronic disease with stable conditions and minor complaints and those with follow-up visits were keen to avail of telehealth services. It can enhance access to high-quality healthcare for rural communities [49], [50].…”

Section: Discussionmentioning

confidence: 99%

Use of telehealth during COVID-19 pandemic in India: literature review

Chandak

Holkar²,

Moghe³

et al. 2023

IJPHS

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COVID-19 has provided an unprecedented opportunity to expand access and coverage to the country's healthcare system via telehealth. Because of the growing need for telemedicine by healthcare providers, the Medical Council of India issued Practice Guidelines in March 2020. Medical specialties like ophthalmology, dermatology, and neurology offered telehealth services during pandemics. Low-middle-income countries like India are highly dependent on out-of-pocket expenses for health services. Thus, there is a need to understand telehealth's accessibility, feasibility and affordability. This review aims to understand trends regarding the access and patient response to telehealth in India during the COVID-19 pandemic. We reviewed published papers to understand better accessibility and patient response to the healthcare delivery systems via telehealth in India. The results of this review showed that patients were satisfied with the use of telehealth. Healthcare providers and patients believe telehealth can be suitable for various healthcare services, including follow-up visits in clinical disciplines and minor health problems. In conclusion, for Telehealth to understand further, quality evidence must be available, and its role in developing integrated parts of the healthcare system to be defined.

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“…Especially during the COVID-19 pandemic when there has been disruption of physical access to care, more research is needed on improving the availability and uptake of virtual care by older persons. With the push for Digital India and telemedicine, research regarding elderly disability in India must also focus on this area to find solutions to make technology accessible to all [ 29 ]. The limitation to technological access is also discussed in terms of resource constraints.…”

Section: Discussionmentioning

confidence: 99%

Access to Geriatric Disability Care in India: A Roadmap for Research

Chidambaram

Sreeganga

Sanjeev³

et al. 2022

IJERPH

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This paper presents an ontological review of the global research on access to geriatric disability care and a roadmap for future research to address the problem in India. First, the dominant research focus is on resources (human, financial, and spatial) that affect access to disability care; there is little focus on informational and technological resources. Second, functional disabilities are the dominant focus of the research, followed by cognitive, mental, and locomotor disabilities; there is little focus on speech, hearing, and visual disabilities. Third, barriers, inhibitors, and catalysts of physical access are the dominant focus, with relatively less focus on virtual access; there is very little emphasis on the drivers to access. Fourth, the primary, although not dominant, focus is on access for urban and rural populations; there is very little focus on access for underserved and indigenous populations. Future research must address these gaps systematically to improve access. This paper adds: (a) a systemic framework for the study of an important, complex, emerging problem; (b) a systematic review of the global research on the problem; and (c) a research roadmap to address the emerging problem in India.

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Exploring Telehealth Readiness in a Resource Limited Setting: Digital and Health Literacy among Older People in Rural India (DAHLIA)

Cited by 22 publications

References 43 publications

“I wouldn’t have joined if it wasn’t online”: understanding older people’s engagement with teleyoga classes for fall prevention

“I wouldn’t have joined if it wasn’t online”: understanding older people’s engagement with teleyoga classes for fall prevention

Use of telehealth during COVID-19 pandemic in India: literature review

Access to Geriatric Disability Care in India: A Roadmap for Research

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