Telemedicine and Dementia Care: A Systematic Review of Barriers and Facilitators
Open accessAbstract
Objectives An increasing reliance on telemedicine for older adults with cognitive impairment requires a better understanding of the barriers and facilitators for this unique patient population.Design The study team queried PubMed, Embase, the Cochrane Library, PsycINFO, CINAHL, Scopus, and ClinicalTrials.gov on May 1, 2020, for studies in English published from January 2010 to May 2020.Setting and participants We conducted a systematic review of articles investigating the use of telemedicine among older adults with Alzheimer's disease and related dementia (ADRD) or mild cognitive impairment (MCI) that focused on the patient and care partner perspectives.Methods Telemedicine encounter purpose, technological requirements, and findings regarding sensory needs were extracted. The Cochrane Collaboration's Risk of Bias Tool was applied for quality assessment.Results The search yielded 3551 abstracts, from which 90 articles were reviewed and 17 were included. The purpose of telemedicine encounters included routine care, cognitive assessment, and telerehabilitation. All studies reported successful implementation of telemedicine, supported by patient and care partner satisfaction, similar results on cognitive assessment and diagnosis compared to in-person visits, and improvement in outcome measures following rehabilitation. Sixteen studies relied on staff and care partners to navigate technologies. Six studies reported participants reporting difficulty hearing the provider during the telemedicine visits. Five studies excluded participants with visual or hearing impairment because of the potential difficulty of using telemedicine technology. No studies reported technological adaptations to account for sensory impairment.Conclusions and implications Telemedicine is well received among patients and care partners, but successful delivery incorporates support staff and the care partners to navigate technologies. The exclusion of older adults with sensory impairment, especially given that it is highly prevalent, in developing telemedicine systems may further exacerbate access to care in this population. Adapting technologies for sensory needs is critical to the advancement of accessible dementia care through telemedicine.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A systematic review of telehealth for dementia care, including routine care, cognitive assessment and rehabilitation, found that telehealth delivered results similar to those of in-person services.
“A systematic review of telehealth for dementia care, including routine care, cognitive assessment and rehabilitation, found that telehealth delivered results similar to those of in-person services.712”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [712]
The Abstract (Results) identifies routine care, cognitive assessment, and telerehabilitation and reports results similar to in-person visits for cognitive assessment and diagnosis. The Results (Intervention Characteristics) report improvement after telerehabilitation, but do not establish that rehabilitation outcomes—or routine care generally—were similar to in-person services. (LLM, conf=0.87)
Experimental — accuracy not yet measuredA systematic review of telehealth for dementia care, including routine care, cognitive assessment, and rehabilitation, found that telehealth delivered results similar to those of in-person services.
“A systematic review of telehealth for dementia care, including routine care, cognitive assessment and rehabilitation, found that telehealth delivered results similar to those of in‐person services. 856”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [856]
The Abstract (Results; page not specified) reports similar results to in-person visits for cognitive assessment and diagnosis. The Results (Intervention Characteristics; page not specified) report improvement after telerehabilitation, but do not establish that rehabilitation outcomes were similar to in-person services. The claim extends the in-person comparison across all the care types reviewed. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
1 retracted
Dementia prevention, intervention, and care: 2020 report of the Lancet Commission
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30367-6 · Cited by 10,430 · see citing works
RetractedPreferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164 · see citing works
Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,577 · see citing works
Wang, G., Ma, R., Qiao, G., Wada, K., Aizawa, Y., & Satoh, T. (2015) · Integrative Medicine International · doi:10.1159/000368408 · Cited by 18,759 · see citing works
Dementia prevention, intervention, and care
Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., Ballard, C., Banerjee, S., Burns, A., Cohen-Mansfield, J., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31363-6 · Cited by 6,072 · see citing works
Ferguson, N. M., Laydon, D. J., Nedjati-Gilani, G. L., Imai, N., Ainslie, K. E. C., Baguelin, M., Bhatia, S., Boonyasiri, A., Cucunubá, Z. M., Cuomo-Dannenburg, G., et al. (2020) · Spiral (Imperial College London) · doi:10.25561/77482 · Cited by 3,453 · see citing works
Telehealth transformation: COVID-19 and the rise of virtual care
Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., Curtis, S., Roman, M., Poon, E. G., Ferranti, J., et al. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa067 · Cited by 1,581 · see citing works
Assessment and management of behavioral and psychological symptoms of dementia
Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015) · BMJ · doi:10.1136/bmj.h369 · Cited by 1,247 · see citing works
Hearing Loss Prevalence and Risk Factors Among Older Adults in the United States
Lin, F. R., Thorpe, R. J., Gordon-Salant, S. M., & Ferrucci, L. (2011) · The Journals of Gerontology Series A · doi:10.1093/gerona/glr002 · Cited by 894 · see citing works
Eubank, S., Eckstrand, I. A., Lewis, B. L., Venkatramanan, S., MARATHE, M. V., & Barrett, C. L. (2020) · Bulletin of Mathematical Biology · doi:10.1007/s11538-020-00726-x · Cited by 882 · see citing works
Tech Adoption Climbs Among Older Adults
Perrin, M. A. A. A. (2017) · Cited by 609 · see citing works
Babulal, G. M., Quiroz, Y. T., Albensi, B. C., Arenaza‐Urquijo, E., Astell, A. J., Babiloni, C., Bahar‐Fuchs, A., Bell, J., Bowman, G. L., Brickman, A. M., et al. (2019) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2018.09.009 · Cited by 528 · see citing works
Self-citationTelemedicine in the Time of Coronavirus
Calton, B. A., Abedini, N. C., & Fratkin, M. D. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.03.019 · Cited by 464 · see citing works
Goodman‐Casanova, J. M., Dura-Perez, E., Parra, J. G., Cuesta‐Vargas, A., & Mayoral, F. (2020) · Journal of Medical Internet Research · doi:10.2196/19434 · Cited by 315 · see citing works
Technology Adoption by Older Adults: Findings From the PRISM Trial
Mitzner, T. L., Savla, J., Boot, W. R., Sharit, J., Charness, N., Czaja, S. J., & Rogers, W. A. (2019) · The Gerontologist · doi:10.1093/geront/gny113 · Cited by 311 · see citing works
Effects of hearing and vision impairments on the Montreal Cognitive Assessment
Dupuis, K., Pichora-Fuller, M. K., Chasteen, A. L., Marchuk, V., Singh, G., & Smith, S. L. (2014) · Aging Neuropsychology and Cognition · doi:10.1080/13825585.2014.968084 · Cited by 276 · see citing works
Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment
Cullum, C. M., Hynan, L. S., Grosch, M. C., Parikh, M., & Weiner, M. (2014) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617714000873 · Cited by 265 · see citing works
Telemedicine and telecare for older patients—A systematic review
van den Berg, N., Schumann, M., Kraft, K., & Hoffmann, W. (2012) · Maturitas · doi:10.1016/j.maturitas.2012.06.010 · Cited by 251 · see citing works
Ellis, R. D., & Allaire, J. C. (1999) · Human Factors: The Journal of the Human Factors and Ergonomics Society · doi:10.1518/001872099779610996 · Cited by 243 · see citing works
Older Adults' Perceptions of Home Telehealth Services
Cimperman, M., Brenčić, M. M., Trkman, P., & Stanonik, M. D. L. (2013) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2012.0272 · Cited by 228 · see citing works
Living with dementia: increased level of caregiver stress in times of COVID-19
Cohen, G., Russo, M. J., Campos, J., & Allegri, R. (2020) · International Psychogeriatrics · doi:10.1017/s1041610220001593 · Cited by 224 · see citing works
Lai, F. H., Yan, E. W.-H., Yu, K. K.-Y., Tsui, W.-S., Chan, D. T.-H., & Yee, B. K. (2020) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.07.019 · Cited by 181 · see citing works
The Prevalence of Concurrent Hearing and Vision Impairment in the United States
Swenor, B. K., Ramulu, P. Y., Willis, J. R., Friedman, D. S., & Lin, F. R. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.1880 · Cited by 174 · see citing works
The Association between Vision Impairment and Incidence of Dementia and Cognitive Impairment
Shang, X., Zhu, Z., Wang, W., Ha, J., & He, M. (2021) · Ophthalmology · doi:10.1016/j.ophtha.2020.12.029 · Cited by 174 · see citing works
Boutoleau-Bretonnière, C., Pouclet-Courtemanche, H., Gillet, A., Bernard, A., Deruet, A. L., Gouraud, I., Mazoue, A., Lamy, E., Rocher, L., Kapogiannis, D., et al. (2020) · Journal of Alzheimer's Disease · doi:10.3233/jad-200604 · Cited by 151 · see citing works
Jorgensen, L., Palmer, C. V., Pratt, S. R., et al. (2015) · Journal of the American Academy of Audiology · doi:10.3766/jaaa.15006 · Cited by 107 · see citing works
Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine
Lindauer, A., Seelye, A. M., Lyons, B. E., Dodge, H. H., Mattek, N., Mincks, K., Kaye, J. A., & Erten‐Lyons, D. (2016) · The Gerontologist · doi:10.1093/geront/gnw206 · Cited by 106 · see citing works
Overcoming Additional Barriers to Care for Deaf and Hard of Hearing Patients During COVID-19
McKee, M. M., Moran, C., & Zazove, P. (2020) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2020.1705 · Cited by 101 · see citing works
The Diagnostic Accuracy of Telegeriatrics for the Diagnosis of Dementia via Video Conferencing
Helen, E., Gerard, J., Martin‐Khan, M., Flicker, L. A., Wootton, R., Loh, P. K., Edwards, H. E., Byrne, G. J., Klein, K., & Gray, L. (2015) · Cited by 96 · see citing works
Bowen, M., Edgar, D. F., Hancock, B., Haque, S. M., Shah, R., Buchanan, S., Iliffe, S., Maskell, S., Pickett, J., Taylor, J., et al. (2016) · Health Services and Delivery Research · doi:10.3310/hsdr04210 · Cited by 95 · see citing works
Barton, C., Morris, R., Rothlind, J., & Yaffe, K. (2011) · Telemedicine and e-Health · doi:10.1089/tmj.2011.0083 · Cited by 90 · see citing works
Parikh, M., Grosch, M. C., Graham, L. L., Hynan, L. S., Weiner, M., Shore, J. H., & Cullum, C. M. (2013) · The Clinical Neuropsychologist · doi:10.1080/13854046.2013.791723 · Cited by 89 · see citing works
Hearing Loss in a Memory Disorders Clinic
Gold, M. (1996) · Archives of Neurology · doi:10.1001/archneur.1996.00550090134019 · Cited by 82 · see citing works
Laver, K., Liu, E., Clemson, L. M., Davies, O., Gray, L., Gitlin, L. N., & Crotty, M. (2020) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.02.009 · Cited by 81 · see citing works
Human factors considerations in implementing telemedicine systems to accommodate older adults
Stronge, A. J., Rogers, W. A., & Fisk, A. D. (2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307779701158 · Cited by 79 · see citing works
Home-Based Video Telemedicine for Dementia Management
Moo, L. R., Gately, M., Jafri, Z., & Shirk, S. D. (2019) · Clinical Gerontologist · doi:10.1080/07317115.2019.1655510 · Cited by 77 · see citing works
Cagnin, A., Jelcic, N., Agostini, M., Meneghello, F., Parise, S., Galano, A., Tonin, P., Dam, M., & Busse, C. (2014) · Clinical Interventions in Aging · doi:10.2147/cia.s68145 · Cited by 76 · see citing works
Reed, N. S., Betz, J., Kendig, N., et al. (2017) · JAMA · doi:10.1001/jama.2017.6905 · Cited by 75 · see citing works
Telemedicine: a Valuable Tool in Neurodegenerative Diseases
Adams, J., Myers, T. L., Waddell, E. M., Spear, K. L., & Schneider, R. B. (2020) · Current Geriatrics Reports · doi:10.1007/s13670-020-00311-z · Cited by 73 · see citing works
Age-related hearing loss in older adults with cognitive impairment
Nirmalasari, O., Mamo, S. K., Nieman, C. L., et al. (2016) · International Psychogeriatrics · doi:10.1017/s1041610216001459 · Cited by 70 · see citing works
Self-citationTelehealth Rehabilitation for Cognitive Impairment: Randomized Controlled Feasibility Trial
Burton, R. L., & O’Connell, M. E. (2018) · JMIR Research Protocols · doi:10.2196/resprot.9420 · Cited by 64 · see citing works
Cognitive Assessment of Patients With Alzheimer's Disease by Telemedicine: Pilot Study
Carotenuto, A., Rea, R., Traini, E., Ricci, G., Fasanaro, A. M., & Amenta, F. (2018) · JMIR Mental Health · doi:10.2196/mental.8097 · Cited by 64 · see citing works
Morgan, D. G., Crossley, M., Kirk, A., McBain, L., Stewart, N. J., D’Arcy, C., Forbes, D., Harder, S., Bello-Haas, V. D., & Basran, J. (2011) · Journal of Applied Gerontology · doi:10.1177/0733464810366564 · Cited by 61 · see citing works
Telemedicine in a Rural Memory Disorder Clinic—Remote Management of Patients with Dementia
Azad, N. A., Amos, S., Milne, K., & Power, B. (2012) · Canadian Geriatrics Journal · doi:10.5770/cgj.15.28 · Cited by 59 · see citing works
Personal Sound Amplifiers for Adults with Hearing Loss
Mamo, S. K., Reed, N. S., Nieman, C. L., et al. (2015) · The American Journal of Medicine · doi:10.1016/j.amjmed.2015.09.014 · Cited by 59 · see citing works
Self-citationApplication of the Progressively Lowered Stress Threshold Model Across the Continuum of Care
Smith, M., Hall, G. R., Gerdner, L. A., & Buckwalter, K. C. (2006) · Nursing Clinics of North America · doi:10.1016/j.cnur.2005.09.006 · Cited by 58 · see citing works
Capozzo, R., Zoccolella, S., Frisullo, M. E., Barone, R., Dell’Abate, M. T., Barulli, M. R., Musio, M., Accogli, M., & Logroscino, G. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-200589 · Cited by 57 · see citing works
Dang, S., Gómez-Orozco, C., van Zuilen, M. H., & Levis, S. (2017) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2017.0089 · Cited by 56 · see citing works
Creation of an Interprofessional Teledementia Clinic for Rural Veterans: Preliminary Data
Powers, B., Homer, M., Morone, N. E., Edmonds, N., & Rossi, M. I. (2017) · Journal of the American Geriatrics Society · doi:10.1111/jgs.14839 · Cited by 54 · see citing works
Stewart, S. E., O’Riley, A. A., Edelstein, B. A., et al. (2011) · Clinical Gerontologist · doi:10.1080/07317115.2011.626515 · Cited by 51 · see citing works
Comparing Factors Associated With eHealth Literacy Between Young and Older Adults
Yang, E., Chang, S. J., Ryu, H., Kim, H. J., & Jang, S. J. (2020) · Journal of Gerontological Nursing · doi:10.3928/00989134-20200707-02 · Cited by 49 · see citing works
In-Home Video Telehealth for Dementia Management: Implications for Rehabilitation
Gately, M., Trudeau, S. A., & Moo, L. (2019) · Current Geriatrics Reports · doi:10.1007/s13670-019-00297-3 · Cited by 43 · see citing works
Tso, J., Farinpour, R., Chui, H. C., & Liu, C. Y. (2016) · Frontiers in Neurology · doi:10.3389/fneur.2016.00225 · Cited by 37 · see citing works
Assessing Cognitive Function in Older Adults Using a Videoconference Approach
Castanho, T. C., Amorim, L., Moreira, P. S., Mariz, J. A., Palha, J. A., Sousa, N., & Santos, N. C. (2016) · EBioMedicine · doi:10.1016/j.ebiom.2016.08.001 · Cited by 27 · see citing works
The effect of telemedicine on the duration of treatment in dementia patients
Cheong, C.-K., Lim, K., Jang, J., & Jhoo, J. H. (2015) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x14566571 · Cited by 26 · see citing works
Adapting Telemonitoring Technology Use for Older Adults: A Pilot Study
Williams, K. N., Pennathur, P., Bossen, A., & Gloeckner, A. (2015) · Research in Gerontological Nursing · doi:10.3928/19404921-20150522-01 · Cited by 24 · see citing works
Tshiswaka, D. I., Clay, S. L., Chiu, C., et al. (2015) · Disability and Rehabilitation Assistive Technology · doi:10.3109/17483107.2015.1090487 · Cited by 15 · see citing works
The Diagnostic Accuracy of Telegeriatrics for the Diagnosis of Dementia via Video Conferencing
Martin-Khan, M., Flicker, L., Wootton, R., Loh, P.-K., Edwards, H., Varghese, P., Byrne, G. J., Klein, K., & Gray, L. C. (2012) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2012.03.004 · Cited by 13 · see citing works
Meyer, C., Koh, S. S., Hill, A. J., Conway, E., Ryan, B., McKinnon, E., & Pachana, N. A. (2019) · Dementia · doi:10.1177/1471301219850703 · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212 · see citing works
2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536 · see citing works
Philippe, T. J., Sikder, N., Jackson, A., Koblanski, M. E., Liow, E., Pilarinos, A., & Vasarhelyi, K. (2022) · JMIR Mental Health · doi:10.2196/35159 · Cited by 436 · see citing works
- Authors
- Yi, J. S., Pittman, C. A., Price, C. L., Nieman, C. L., & Oh, E. S.
- Affiliations
- Johns Hopkins University (US)
- Howard University (US)
- Towson University (US)
- Corresponding author
- Nieman, Carrie L.
- Venue
- Journal of the American Medical Directors Association
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 22
- Issue
- 7
- Pages
- 1396-1402.e18
- ISSN
- 1525-8610 (ISSN-L)
- PMC
- PMC8292189
- OpenAlex
- W3152666921
- Cited by
- 143
- References
- 63
- Citations by year
- 2026: 24 · 2025: 37 · 2024: 36 · 2023: 20 · 2022: 22 · 2021: 4
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Medical Directors Association (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Howard (Howard University) (submittedVersion)
- Funders
- National Institute on Deafness and Other Communication Disorders
- National Institute on Aging
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- telemedicine, dementia care, Alzheimer's disease and related dementias, mild cognitive impairment, older adults, barriers and facilitators, care partners, patient satisfaction, telerehabilitation, cognitive assessment, sensory impairment, hearing loss, visual impairment, accessible technology, health care access
- MeSH terms
- Aged, Alzheimer Disease, Humans, Telemedicine, Cognitive Dysfunction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
