Telehealth Intervention Programs for Seniors: An Observational Study of a Community-Embedded Health Monitoring Initiative

Hamilton, Taya; Johnson, Liam; Quinn, Brian T.; Coppola, Jean F.; Sachs, David P.L.; Migliaccio, John; Phipps, Colette; Schwartz, Jennifer; Capasso, Marikay; Carpenter, Mae; Putrino, David

doi:10.1089/tmj.2018.0248

Cited by 18 publications

(20 citation statements)

References 31 publications

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“…Table 1 lists the ancillary data extracted from the studies analyzed in reverse chronological order as follows: 2020 [ 26 ], 2019 [ 5 , 26 - 34 ], 2018 [ 4 , 15 , 16 , 35 - 46 ], 2017 [ 14 , 47 - 56 ], 2016 [ 19 , 57 - 63 ], and 2015 [ 64 - 76 ].…”

Section: Resultsmentioning

confidence: 99%

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

et al. 2020

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Background Rising telehealth capabilities and improving access to older adults can aid in improving health outcomes and quality of life indicators. Telehealth is not being used ubiquitously at present. Objective This review aimed to identify the barriers that prevent ubiquitous use of telehealth and the ways in which telehealth improves health outcomes and quality of life indicators for older adults. Methods This systematic review was conducted and reported in accordance with the Kruse protocol and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Reviewers queried the following four research databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed (MEDLINE), Web of Science, and Embase (Science Direct). Reviewers analyzed 57 articles, performed a narrative analysis to identify themes, and identified barriers and reports of health outcomes and quality of life indicators found in the literature. Results Reviewers analyzed 57 studies across the following five interventions of telehealth: eHealth, mobile health (mHealth), telemonitoring, telecare (phone), and telehealth video calls, with a Cohen κ of 0.75. Reviewers identified 14 themes for barriers. The most common of which were technical literacy (25/144 occurrences, 17%), lack of desire (19/144 occurrences, 13%), and cost (11/144 occurrences, 8%). Reviewers identified 13 medical outcomes associated with telehealth interventions. The most common of which were decrease in psychological stress (21/118 occurrences, 18%), increase in autonomy (18/118 occurrences, 15%), and increase in cognitive ability (11/118 occurrences, 9%). Some articles did not report medical outcomes (18/57, 32%) and some did not report barriers (19/57, 33%). Conclusions The literature suggests that the elimination of barriers could increase the prevalence of telehealth use by older adults. By increasing use of telehealth, proximity to care is no longer an issue for access, and thereby care can reach populations with chronic conditions and mobility restrictions. Future research should be conducted on methods for personalizing telehealth in older adults before implementation. Trial Registration PROSPERO CRD42020182162; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020182162. International Registered Report Identifier (IRRID) RR2-10.2196/15490

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Section: Resultsmentioning

confidence: 99%

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

et al. 2020

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“…2 With cases exponentially rising and straining health care systems both in New York City 3 and worldwide, health authorities recommended that health institutions explore alternatives to face-to-face triage to avoid unnecessary health visits and prevent further spread of the disease. 4 Considering that telemedicine has proven effective in managing chronic and respiratory diseases 5,6 while lessening the burden on emergency departments (EDs), [7][8][9] its integration with remote patient monitoring (RPM) became a compelling solution to use during the pandemic. RPM involves the asynchronous transmission of health care data between physically distant patients and health care providers to aid in clinical management 9,10 and it has been shown to be a viable alternative to traditional in-person care in terms of hospital readmission and symptom detection.…”

mentioning

confidence: 99%

“…4 Considering that telemedicine has proven effective in managing chronic and respiratory diseases 5,6 while lessening the burden on emergency departments (EDs), [7][8][9] its integration with remote patient monitoring (RPM) became a compelling solution to use during the pandemic. RPM involves the asynchronous transmission of health care data between physically distant patients and health care providers to aid in clinical management 9,10 and it has been shown to be a viable alternative to traditional in-person care in terms of hospital readmission and symptom detection. 6,11,12 The value of using RPM to deliver care to patients during the COVID-19 pandemic was recently described, 13 as it is low-cost, scalable, and has bidirectional features, which foster communication between patients and health care providers in an environment devoid of contamination.…”

mentioning

confidence: 99%

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Tabacof

Kellner

Breyman

et al. 2021

Telemedicine and e-Health

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Background: Coronavirus disease 2019 (COVID-19) poses a global public health emergency, overwhelming health systems worldwide and forcing rapid adoption of telemedicine strategies. Introduction: The COVID-19 Precision Recovery Program (PRP) is a remote patient monitoring (RPM) clinical program that was deployed by a New York health system to perform physiologic and symptomatic monitoring for patients with confirmed or suspected COVID-19 diagnoses. Methods: The present cross-sectional descriptive study reports retrospective data collected from the PRP during the COVID-19 crisis in New York. Results: One hundred twelve patients were included; mean (standard deviation) age was 49 (17.6) years and 60.7% were female. Most prevalent reported comorbidities were hypertension (36.3%), hypercholesterolemia (26.5%), and diabetes (17.7%). Less than half (44.6%) had a positive polymerase chain reaction COVID test (PCR-test), 33% had an unknown COVID status, and 17.9% had a negative test result. The most commonly reported symptoms included dyspnea (55.4%) and anxiety (55.4%). Anxiety was ranked as the most severe symptom (9.8%), followed by difficulty concentrating (4.5%). Symptom presentation did not significantly differ based on PCR-test status. Discussion: RPM can be a valuable tool for delivering care to patients with confirmed or suspected COVID-19 diagnoses. Considering similarities in symptom presentation between PCR-test statuses, access to COVID-related clinical care should not be based on PCR-test results. Conclusions: RPM has strong potential to assist in the effective management of suspected COVID-19 patients.

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“…net), have been rapidly deployed to safely monitor the physical and mental wellbeing of patients who are generally high health risk, COVID-positive or COVID-possible (https://www.mountsinai.org/about/newsroom/2020/mountsinai-uses-remote-patient-monitoring-to-rapidly-respond-to-covid-19-pr) . RPM has previously been shown to vastly reduce the rates of ER visits and re-hospitalizations in individuals managing multiple complex conditions (Hamilton et al 2020) and during this time of crisis they are a powerful tool to maintain a high standard of care for people with disabilities.…”

Section: Adjusting For Social Distancing and Disabilitymentioning

confidence: 99%

Ensuring equity for people living with disabilities in the age of COVID-19

Jumreornvong

Tabacof

Cortes

et al. 2020

Disability & Society

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People with disabilities are at higher risk of severe illness from COVID-19. They may also suffer from lack of accessible emergency preparedness plans, communication and healthcare. Protective measures for people with disabilities should be endorsed and prioritized at a community level to adjust for social distancing. Repositories of local resources for emergency outreach in this time are also crucial. Telemedicine offers an innovative and safe way for health providers to care for people with disabilities to access many critical services without placing themselves or their caregivers at increased risk of contracting COVID-19. Communication strategies for critical information about resources for people with disabilities should be accessible. United States hospitals and government agencies should make allocation guideline proposals accessible to people with disabilities and incorporate bias training.

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Telehealth Intervention Programs for Seniors: An Observational Study of a Community-Embedded Health Monitoring Initiative

Cited by 18 publications

References 31 publications

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Ensuring equity for people living with disabilities in the age of COVID-19

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