Technologies and Clinical Videoconferencing Infrastructures: A Guide to Selecting Appropriate Systems

Tuerk, Peter W.; Shore, Peter; Ronzio, Joseph L.

doi:10.1007/978-3-319-08765-8_1

Cited by 5 publications

(9 citation statements)

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“…One well-written resource that can get you started down the telehealth path is Tuerk and Shore book “ Clinical Videoconferencing in Telehealth Program Development and Practice ” (7). Examples given are from a mental health perspective but are applicable to other conditions.…”

Section: Discussionmentioning

confidence: 99%

Is Telehealth Right for Your Practice and Your Patients With Asthma?

Brown

Schmitz²,

Scott

et al. 2017

Journal of Patient Experience

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Introduction:Telehealth services are becoming increasingly used to provide care to patients living in rural areas. Little is known about the patient satisfaction with the provision of these services.Methods:A prospective cohort pilot study was developed to evaluate the use of telehealth for the delivery of asthma education services in the rural, medically underserved community of Oakes, North Dakota. A certified asthma educator used real-time, audio-visual telehealth technology to meet with patients the local community pharmacy. Patients met with the educator monthly for the first three months of the study, and once every three months thereafter. Patient satisfaction was measured using a five item survey.Results:Eighteen patients completed the study (90 percent completion rate). Patient satisfaction scores were relatively high, typically between 4 and 5 on a 5-point scale.Conclusions:Participants in a rural, medically underserved community found the community pharmacy location and the telehealth technology a convenient means to access a specialty provider for asthma education.

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Section: Discussionmentioning

confidence: 99%

Is Telehealth Right for Your Practice and Your Patients With Asthma?

Brown

Schmitz²,

Scott

et al. 2017

Journal of Patient Experience

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“…During an introductory training, we will familiarise the therapists and supervisors participating in the study and cover (1) an introduction to the research project, (2) a detailed description of the study procedures, (3) a step-by-step instruction on the handling of video consultations (eg, room setup and technical aspects), (4) an introduction to the intervention and (5) a familiarisation with the respective general practice 26–30. For enrolling and preparing practices, study team members will visit each practice twice.…”

Section: Methods and Analysismentioning

confidence: 99%

“…In advance, they will receive detailed information about the study and their right to withdraw it without the obligation to give reasons. To adequately prepare for the emerging field of telemedicine, the study manual for MHS will be based on existing recommendations for telepsychiatry 26 28–30. Moreover, MHS will be supported by a weekly supervision which will be led by a senior consultant both in psychiatry and psychosomatic medicine from the Department of General Internal Medicine and Psychosomatics, Heidelberg University.…”

Section: Ethics and Disseminationmentioning

confidence: 99%

Mental health specialist video consultations for patients with depression or anxiety disorders in primary care: protocol for a randomised controlled feasibility trial

et al. 2019

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IntroductionMost people suffering from depression and anxiety disorders are entirely treated in primary care. Due to growing challenges in ageing societies, for example, patients’ immobility and multimorbidity, the transition to specialised care becomes increasingly difficult. Although the co-location of general practitioners and mental health specialists improves the access to psychosocial care, integrated in-person approaches are not practical for rural and single-doctor practices with limited personnel and financial resources. Treating primary care patients via internet-based video consultations by remotely located mental health specialists bears the potential to overcome structural barriers and provide low-threshold care. The aim of this randomised controlled feasibility trial is to investigate the feasibility of implementing of mental health specialist video consultations in primary care practices.Methods and analysisFifty primary care patients with significant depression and/or anxiety symptomatology will be randomised in two groups receiving either the treatment as usual as provided by their general practitioner or up to five video consultations conducted by a mental health specialist. The video consultations focus on (1) systematic diagnosis plus proactive monitoring using validated clinical rating scales, (2) the establishment of an effective working alliance and (3) a stepped-care algorithm within integrated care adjusting treatments based on clinical outcomes. We will investigate the following outcomes: effectiveness of the recruitment strategies, patient acceptance of randomisation, practicability of the technical and logistical processes related to implementing video consultations in the practices’ workflows, feasibility of the data collection and clinical parameters.Ethics and disseminationThis trial has undergone ethical scrutiny and has been approved by the Medical Faculty of the University of Heidelberg Ethics Committee (S-634/2018). The findings will be disseminated to the research community through presentations at conferences and publications in scientific journals. This feasibility trial will prepare the ground for a large-scale, fully powered randomised controlled trial.Trial registration numberDRKS00015812.

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“…Before you engage in remote research, you must be in contact with each participant to assess their appropriateness/suitability for remote contact. Videoconferencing for remote research is the closest analogue to in person and, therefore, has numerous advantages [ 10 ]. Some nonverbal cues are available, visual mouth cues can help with those who have hearing loss, and rapport can be easily established when used for dementia care [ 1 ].…”

Section: Before You Engage In Remote Research Assess the Ict Readinementioning

confidence: 99%

“…We have not encountered anyone able to tell us if their internet exceeds the recommended 1024 kbps bandwidth for videoconferencing. The researcher may not be able to identify or control for bandwidth issues available for participants at home; however, if the researcher has access to a bandwidth of 1024 kbps, it will ensure an acceptable quality for up to 3 connections (researcher and 2 participants) [ 10 ]. A screening question we have found useful is: do you have a computer, tablet, or smartphone that you use to connect with others?…”

Section: Before You Engage In Remote Research Assess the Ict Readinementioning

confidence: 99%

Going From Zero to 100 in Remote Dementia Research: A Practical Guide

et al. 2021

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Remote approaches for dementia research are required in the era of COVID-19, but moving a research program from in person to remote involves additional considerations. We recommend using outcome measures that have psychometric properties for remote delivery, and we recommend against adapting in-person scales for remote delivery without evidence for psychometric equivalency. We suggest remote research designs that maximize benefit for participants, which could have implications for control groups. Researchers should plan for flexibility in their methods for remote research and must not assume all participants will be able to videoconference; telephone-only research is possible. We recommend performing an assessment of information communication technology infrastructure and prior exposure to this technology with each participant before making a final choice on remote methods for research. In general, researchers should adapt their methods for remote research to each participant rather than requesting participants to adapt to the researchers. Screening for sensory loss should be conducted, and the impact of this on the use of technology for remote research should be considered. In this viewpoint, we detail how individualized training is required prior to engaging in remote research, how training plans interact with cognitive impairments and, finally, the steps involved in facilitating technology-based remote data collection.

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Technologies and Clinical Videoconferencing Infrastructures: A Guide to Selecting Appropriate Systems

Cited by 5 publications

References 0 publications

Is Telehealth Right for Your Practice and Your Patients With Asthma?

Is Telehealth Right for Your Practice and Your Patients With Asthma?

Mental health specialist video consultations for patients with depression or anxiety disorders in primary care: protocol for a randomised controlled feasibility trial

Going From Zero to 100 in Remote Dementia Research: A Practical Guide

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