• J Appl Gerontol · Jun 2011

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

    • Debra G Morgan, Margaret Crossley, Andrew Kirk, Lesley McBain, Norma J Stewart, Carl D'Arcy, Dorothy Forbes, Sheri Harder, Vanina Dal Bello-Haas, and Jenny Basran.
    • University of Saskatchewan, Saskatoon, Saskatchewan, CANADA.
    • J Appl Gerontol. 2011 Jun 1; 30 (3): 304-331.

    AbstractUsing 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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