Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence

Newbould, Louise; Mountain, Gail; Hawley, Mark; Ariss, Steven

doi:10.1155/2017/5785613

Cited by 17 publications

(26 citation statements)

References 54 publications

(199 reference statements)

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“…Indeed, the use of telemedicine has been shown to be helpful during times of crises such as outbreaks (Ohannessian, 2014). Videoconferencing has also been previously been shown to be feasible in managing the medical and psychiatric care needs of older adults in care homes (Newbould et al 2017). With the current restrictions on travel and entry into long-stay facilities, this is a particularly relevant means of providing care.…”

Section: Discussionmentioning

confidence: 99%

Ordinary care in extraordinary times

Patel

Gannon

Cryan

et al. 2020

Ir. j. psychol. Med.

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The Coronavirus Disease 2019 (COVID-19) has accounted for more than 25,000 cases in Ireland with approximately 28% of the clusters in nursing homes as of June 2020. The older population is the most vulnerable to serious complications from this illness and over 90% of deaths due to COVID-19 to date have been in patients over the age of 65. Continuing to provide routine care within nursing homes in these challenging times is an essential part of ensuring that presentations to hospitals for non-essential reasons are minimized. In this article, we describe a project being undertaken by a rural Psychiatry of Old Age service in the north-west of Ireland. We aim to provide ordinary care in extraordinary times by using mobile tablets within the nursing homes and long-stay facilities in our region for remote video consultations during the COVID-19 crisis.

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Section: Discussionmentioning

confidence: 99%

Ordinary care in extraordinary times

Patel

Gannon

Cryan

et al. 2020

Ir. j. psychol. Med.

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“…Of the respondents that reported using videoconferencing, 78% came from care home managers in urban geographical locations and 22% were in rural. This is an interesting given that theory suggests videoconferencing would be of most benefit to those geographically isolated [43] and suggests that the uptake of videoconferencing may be influenced by more than geographical factors [25].…”

Section: Discussionmentioning

confidence: 99%

“…Where concerns had been raised regarding the benefits of technology or videoconferencing, these were used to inform response categories (for example, reasons for why homes may not want to implement videoconferencing), as well as to identify other possible factors that may influence uptake and effectiveness. The findings from the scoping review [25], notes from the SIG and the interviews (See Supplementary) were used to inform/refine the response categories for the survey. This ensured that the most pertinent factors were represented in the survey, with the categories being exhaustive [35].…”

Section: Methodsmentioning

confidence: 99%

“…A scoping review previously undertaken identified relevant research to inform survey content. The most popular research design reported in the search yield was case studies, exploring the feasibility of videoconferencing in different care home contexts [25]. All (26) papers identified in the review reported on outcomes post-implementation of videoconferencing and consequently no information was identified regarding the knowledge/attitude of staff and residents pre-implementation.…”

Section: Introductionmentioning

confidence: 99%

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Remote Health Care Provision in Care Homes in England: An Exploratory Mixed Methods Study of Yorkshire and the Humber

et al. 2019

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An increasing demand for care homes in the UK, has necessitated the evaluation of innovative methods for delivering more effective health care. Videoconferencing may be one way to meet this demand. However, there is a lack of literature on the provision of videoconferencing in England. This mixed-methods study aimed to map current attitudes, knowledge and provision of videoconferencing in the Yorkshire and Humber region of England. Qualitative interviews with care home managers, a scoping review and field notes from a Special Interest Group (SIG) informed the development of a descriptive convenience survey which was sent out to care home managers in the Yorkshire and Humber region of England. The survey had a 14% (n = 124) response rate. Of those who responded, 10% (n = 12) reported using videoconferencing for health care; with over 78% (n = 97) of respondents’ care homes being based in urban areas. Approximately 62% (n = 77) of the 124 respondents had heard of videoconferencing for health care provision. Of those who reported not using videoconferencing (n = 112), 39% (n = 48) said they would consider it but would need to know more. The top ranked reason for not introducing videoconferencing was the belief that residents would not be comfortable using videoconferencing to consult with a healthcare professional. The main reason for implementation was the need for speedier access to services. Those already using videoconferencing rated videoconferencing overall as being very good (50%) (n = 6) or good (42%) (n = 5). Those who were not using it in practice appeared sceptical before implementing videoconferencing. The main driver of uptake was the home’s current access to and satisfaction with traditionally delivered health care services.

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“…No studies have examined the effectiveness of the nurse-led ACE model with the addition of VTC in reducing ED presentations from RACFs. Reviews and meta-syntheses of VTC in RACFs indicate limitations to studies, inconsistent outcome measures and the need for more large-scale implementation studies [25,29]. The aim of the Partnerships in Aged-Care Emergency services using Interactive Telehealth (PACE-IT) project is to determine whether the introduction of VTC can further reduce overall transfers of residents to ED.…”

Section: Introductionmentioning

confidence: 99%

PACE-IT study protocol: a stepped wedge cluster randomised controlled trial evaluating the implementation of telehealth visual assessment in emergency care for people living in residential aged-care facilities

Sunner

Giles

Parker

et al. 2020

BMC Health Serv Res

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Background: Transfer of residential aged-care facility (RACF) residents to Emergency Departments (ED) is common, risky and expensive. RACF residents who present to ED are more likely to have hospital readmissions, longer stays and face major risks related to hospital acquired complications. Aged Care Emergency services (ACE) is a nurse led, protocol-guided, telephone RACF/ED outreach model that has been shown to be effective in reducing hospitalisation and length of hospital stay for RACF residents in the Hunter New England Local Health District, New South Wales (NSW). The Partnerships in Aged-Care Emergency services using Interactive Telehealth (PACE-IT) project enhances ACE by incorporating interactive video assessment and consultation. The PACE-IT project's primary aim is to assess whether augmentation of ACE services through the addition of protocol-guided interactive Visual Telehealth Consultation (VTC) for clinical decision-making, plus telephone follow-up, reduces RACF resident transfers to ED. Methods: A stepped-wedge cluster randomised controlled trial will be conducted. The intervention will be delivered sequentially to 8 clusters; each cluster comprises one ED and two RACFs in NSW, Australia. The 16 RACFs in the study will be selected for order of implementation using a computer-generated randomisation sequence. A 2-step randomisation process will be undertaken, randomising the hospital EDs first and then randomising the RACFs aligned with each hospital. The PACE-IT intervention comprises: an initial phone call

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Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence

Cited by 17 publications

References 54 publications

Ordinary care in extraordinary times

Ordinary care in extraordinary times

Remote Health Care Provision in Care Homes in England: An Exploratory Mixed Methods Study of Yorkshire and the Humber

PACE-IT study protocol: a stepped wedge cluster randomised controlled trial evaluating the implementation of telehealth visual assessment in emergency care for people living in residential aged-care facilities

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