Video-Telemedicine in a Memory Disorders Clinic: Evaluation and Management of Rural Elders with Cognitive Impairment

Abstract

VTM is emerging as an effective way to provide consultation and care to rural residents who may not have access to specialty services and can be integrated into current clinical settings.

The Telehealth Satisfaction Scale: Reliability, Validity, and Satisfaction with Telehealth in a Rural Memory Clinic Population

“…The factor loading for item 4, regarding ease of getting to the telehealth department (0.54) was lower than for other items, but still well above recommended cut-offs. 31 Compared to earlier studies examining satisfaction with telemedicine in memory clinic settings, [16][17][18] this study includes a larger sample size (n = 223 vs. 11, 15, and 99 respectively) and provides evidence of scale reliability and validity. Results from our previous analyses of telehealth in the RRMC provided additional evidence for the validity of the TeSS.…”

“…Azad et al 16 did not report overall satisfaction scores, but 92% of participants were satisfied with the session, and 95% would use videoconferencing again. The informal feedback collected by Barton et al 17 indicated patient and provider satisfaction with the neurological and cognitive assessment conducted via telehealth. Poon et al 18 evaluated a 12-session cognitive assessment and intervention program delivered by videoconferencing or face to face.…”

“…Of the few studies that have reported on patient satisfaction with telehealth in programs aimed at individuals with memory problems, 16,17,18 none has reported on the psychometric properties of the user satisfaction scales used. For example, a study exploring the feasibility of telemedicine in a rural memory disorder clinic 16 used a 19-item questionnaire to assess patient satisfaction in a sample of 99 patients.…”

“…Responses to the 10 items with the highest average rating are reported, but no information about the scale's reliability and validity is provided. Barton et al 17 gathered informal feedback on satisfaction with telehealth from 15 patients in a memory disorders clinic but no standardized measure was used. An evaluation of a telemedicine-delivered cognitive intervention for older persons with memory problems 18 used an 11-item user satisfaction questionnaire, but the sample was small (n = 11) and no information about the scale items or psychometric properties was reported.…”

Using Telemedicine Technologies in Radiology for Low-Density Area

“…Телепатронаж (как форма пациент-центрированной телемедицины) наиболее эффективен у пациентов с деградацией когнитивной функции 276 , особенно проживающих в районах с низ-кой плотностью населения. При этом комбинированно применяются телефония, программные видеоконференции и специализированные веб-сайты (для дистанционного обучения и ин-формирования как самих пациентов, так и лиц, оказывающим непосредственный уход и по-мощь).…”