The Impact of an Application of TelerehabilitationTechnology on Caregiver Burden
The objective of this research was to assess the effects of an application of telerehabilitation reducing time and financial obligation on caregiver burden among eleven caregivers of elderly persons with Parkinson’s disease. Clients (care receivers) participated in speech therapy delivered via videophones in their homes; the protocol required 16 treatments delivered four times a week for four weeks. At the conclusion of treatment, caregivers completed a structured interview about the impact of telerehabilitation on time and financial aspects of the burden of care. On average, this speech therapy protocol delivered by videophones saved 48 hours of time, more than 92 hours of work time, and $1024 for each caregiver. Savings were significant and previous research demonstrated nearly equal outcomes using the videophone delivery method. Implications for practice and research are discussed.
Keywords: Telerehabilitation, Speech Therapy, Parkinson’s Disease
Caserta, M., Lund, D., & Wright, S.. (1996). Exploring the caregiver burden inventory (CBI): Further evidence for a multidimensional view of burden. International Journal of Aging and Human Development, 43:21-34.
Chio, A, Gauthier, A, Calvo, A, Ghiglione, P, & Mutani, R. (2005). Caregiver burden and patients’ perception of a burden in ALS. Neurology, 64:1780-1782.
Evercare/NAC study reveals that half of caregivers are spending 10 percent of their income to care for an older loved one. (2007, November). Retrieved November 20, 2007, from http://www.medicalnewstoday.com/articles/89330.php
Grunfeld, E., Coyle, D., Whelan,T., Clinch, J., Reyno, L., Earle, C., (2004). Family caregiver burden: Results of a longitudinal study of breast cancer patients and their principle caregivers. Canadian Medical Association Journal,170:1795-1901.
Hauser, J. & Kramer, B. (2004). Family caregivers in palliative care. Clinics in Geriatric Medicine, 20: 671-688.
Hunt, C. (2003). Concepts in caregiver research.. Journal of Nursing Scholarship, 1: 27-32.
Levine, C. (2000). Always on Call: When Illness Turns Families into Caregivers. New York: United Hospital Fund of New York
Mahoney, D., Mutschler, P., & Tarlow, B. (2008). Real world implementation lessons and outcomes from the worker interactive networking (WIN) project: Workplace-based online caregiver support and remote monitoring of elders at home. Telemedicine and eHealth, 14(3), 224-234.
Novak, M. & Guest, C. (1989). Application of a multidimensional caregiver burden inventory. The Gerontologist, 29: 798-803.
Parks, S. & Novielli, K. (2000). A practical guide to caring for caregivers.
American Family Physician, 62: 2613-2623.
Phillips, J. (1997). Return on Investment in Training and Performance Improvement Programs. Houston, Texas: Gulf Publishing Company
Schrag, A, Hovris, A, Morley, D, Quinn, N, & Jahanshahi, M. (2006). Caregiver-burden in Parkinson’s disease is closely associated with psychiatric symptoms, falls, and disability. Parkinsonism and Related Disorders, 12: 35-41.
Tindall, L., Huebner, R. Stemple, J., & Kleinert, H. (2008). Videophone-Delivered Voice Therapy: A Comparative Analysis of Outcomes to Traditional Delivery for Adults with Parkinson’s Disease. Telemedicine and eHealth, 14(10):1070-1077.
Zarit, S., Reever, K., Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20: 649-655.
Copyright (c) 2009 Lyn R. Tindall, Ruth A. Huebner
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.