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Cited by 61Telemedicine and Telehealth ImplementationTechnology Use by Older AdultsDementia and Cognitive Impairment Research

Evaluation of Telehealth for Preclinic Assessment and Follow-Up in an Interprofessional Rural and Remote Memory Clinic.

Open access
Morgan, Debra G., Crossley, Margaret, Kirk, Andrew, McBain, Lesley, Stewart, Norma J., D’Arcy, Carl, Forbes, Dorothy, Harder, Sheri +2 more·2011·Journal of Applied Gerontology
DOI 10.1177/0733464810366564PMC PMC4067401
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Abstract

Using data from a sample of 169 patients, this study evaluates the acceptability and feasibility of telehealth videoconferencing for preclinic assessment and follow-up in an interprofessional memory clinic for rural and remote seniors. Patients and caregivers are seen via telehealth prior to the in-person clinic, and followed at 6 weeks, 12 weeks, 6 months, one year, and yearly. Patients are randomly assigned to in-person (standard care) or telehealth for the first follow-up, then alternating between the two modes of treatment, prior to 1-year follow-up. On average, telehealth appointments reduce participants' travel by 426 km per round trip. Findings show that telehealth coordinators rated 85% of patients and 92% of caregiversas comfortable or very comfortable during telehealth. Satisfaction scales completed by patient-caregiver dyads show high satisfaction with telehealth. Follow-up questionnaires reveal similar satisfaction with telehealth and in-person appointments, but telehealth is rated as significantly more convenient. Predictors of discontinuing follow-up are greater distance to telehealth, old-age patient, lower telehealth satisfaction, and lower caregiver burden.

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  • Other researchers have successfully used secure telehealth network housed in a local hospital or clinic where participants could easily travel for interventions such as support group and memory assessment.

    “Other researchers have successfully used secure telehealth network housed in a local hospital or clinic where participants could easily travel for interventions such as support group and memory assessment [42, 43].”

    From Acceptability of the voice your values, an advance care planning intervention in persons living with mild dementia using videoconferencing technology (2022) · cites this paper as [43]

    The Participants section describes a secure telehealth network at health facilities, and the Results report that patients generally traveled much less to a local telehealth site than to in-person appointments. The Discussion finds telehealth feasible and acceptable for memory-clinic preclinic assessment and follow-up. It mentions a telehealth support group only as a recently implemented pilot, not as an intervention whose success had been established; travel to the local site was not easy for every patient. (LLM, conf=0.88)

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Research works printed but not linked: 5

  1. Cammer, A. Unpublished master's thesis. University of Saskatchewan; Saskatoon, Saskatchewan, Canada: 2006. Negotiating culturally incompetent healthcare systems: The process of accessing dementia care in Northern Saskatchewan. Available from http://library2.usask.ca/theses/available/ etd-12192006-160831/
  2. Elliott D. Community age profile, 2006. Sask Trends Monitor. 2007; 24(7):3.
  3. Lanting S, Crossley M, Morgan D, Cammer A. Aboriginal experiences of aging and dementia in a context of sociocultural change: Qualitative analysis of focus groups with aboriginal seniors. in press.
  4. McEachern W, Kirk A, Morgan D, Crossley M, Henry C. Utility of telehealth in following cognition in memory clinic patients from rural and remote areas. Canadian Journal of Neurological Sciences. 2008; 35:643-646. [PubMed: 19235450]
  5. Williams I. What help do GPs want from specialist services in managing patients with dementia? International Journal of Geriatric Psychiatry. 2000; 15:758-761. [PubMed: 10960890]

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Authors
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.
Affiliations
  • University of Saskatchewan (CA)
  • First Nations University of Canada (CA)
  • Western University (CA)
  • Loma Linda University Medical Center (US)
  • University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Corresponding author
Morgan, Debra G.
ORCID
Venue
Journal of Applied Gerontology
Publisher
SAGE Publications
Published
2010-04-07
Volume
30
Issue
3
Pages
304-331
ISSN
  • 0733-4648 (ISSN-L)
  • 1552-4523
DOI
10.1177/0733464810366564
PMC
PMC4067401
OpenAlex
W2086601085
Cited by
61
References
44
Citations by year
2026: 2 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 5 · 2014: 7 · 2013: 5 · 2012: 3
FWCI
3.18
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of Applied Gerontology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Public Health Service (63974-1, 93185-1)
  • Canadian Institutes of Health Research (63974_1, 93185_1)
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, videoconferencing, memory clinics, dementia care, follow-up care, rural and remote health services, older adults, caregivers, patient satisfaction, caregiver burden, travel distance, interprofessional care, feasibility and acceptability

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