Caregiver Satisfaction with a Video Telehealth Home Safety Evaluation for Dementia
DOI:
https://doi.org/10.5195/ijt.2020.6337Keywords:
Caregivers, Dementia, Safety, TelemedicineAbstract
Family caregivers are vital to telehealth-delivered dementia care. The objective of this mixed methods descriptive study conducted in the VA Bedford Healthcare System was to examine caregiver satisfaction with a video telehealth dementia home safety occupational therapy evaluation. Ten caregivers of Veterans with dementia participated. Ratings of caregiver satisfaction, measured by nine Likert scale items including ability to see and hear, were examined in relation to person and visit-related contextual factors extracted from RA field notes, to develop an in-depth understanding of caregiver experience. Person factors included caregiver age and gender and Veteran cognitive status. Visit-related contextual factors included occurrence of technical glitches. Caregiver visit satisfaction was overall positive, with exceptions related to technological glitches and the presence of the person with dementia during the visit. Veteran cognitive status appeared to influence caregiver satisfaction. Implications of the study are that proactively addressing technical glitches and incorporating dementia stage-specific approaches may optimize caregivers’ telehealth experience.
References
Astell, A. J., Bouranis, N., Hoey, J., Lindauer, A., Mihailidis, A., Nugent, C., Robillard, J. M. (2019) Technology and dementia: The future is now. Dementia and Geriatric Cognitive Disorders, 47(3), 131-139. https://doi.org/10.1159/000497800
Centers for Disease Control (CDC). (2019). Stopping Elderly Accidents, Death and Injury (STEADI) Algorithm. https://www.cdc.gov/steadi/pdf/STEADI-Algorithm-508.pdf
Folstein, M. F., Folstein, S.E., McHugh, P.R. (1975). "Mini-mental state." A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.
Gately, M. E., Trudeau, S. A., & Moo, L. R. (2019). In-home video telehealth for dementia management: Implications for rehabilitation. Current Geriatrics Reports, 8(3), 239-249. https://doi.org/10.1016/0022-3956(75)90026-6
Gately, M. E., Trudeau, S. A., & Moo, L. R. (2020). Feasibility of telehealth-delivered home safety evaluations for caregivers of clients with dementia. OTJR: Occupation, Participation and Health., 40(1), 42-49. https://doi.org/10.1177/1539449219859935
Harris, P. B. (2002). The person with Alzheimer's disease: Pathways to understanding the experience. The Johns Hopkins University Press. http://works.bepress.com/phyllis_harris/5/
Harris, P. B. (2008). Another wrinkle in the debate about successful aging: The undervalued concept of resilience and the lived experience of dementia. International Journal of Aging and Human Development, 67(1), 43-61. https://doi.org/ 10.2190/AG.67.1.c
Hercegovac, S., Kernot, J., & Stanley, M. (2020). How qualitative case study methodology informs occupational therapy practice: A scoping teview. OTJR: Occupation, Participation and Health., 40(1), 6-16. https://doi.org/10.1177/1539449219850123
Horvath, K. J., Hurley, A. C., Duffy, M. E., Gauthier, M., Harvey, R. M., Trudeau, S. A., Cipolloni, P. B., & Smith, S. J. (2005). Caregiver competence to prevent home injury to the care recipient with dementia. Rehabilitation Nursing, 30(5), 189-196. https://doi.org/10.1002/j.2048-7940.2005.tb00109.x
Horvath, K. J., Trudeau, S. A., Rudolph, J. L., Trudeau, P. A., Duffy, M. E., & Berlowitz, D. (2013). Clinical trial of a home safety toolkit for Alzheimer's disease. International Journal of Alzheimer’s Disease, 913606. https://doi.org/10.1155/2013/913606
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177%2F1049732305276687
Kerssens, C., Kumar, R., Adams, A. E., Knott, C. C., Matalenas, L., Sanford, J. A., & Rogers, W. A. (2015). Personalized technology to support older adults with and without cognitive impairment living at home. American Journal of Alzheimer's Disease and Other Dementias, 30(1), 85-97. https://doi.org/10.1177/1533317514568338
Law, M., Cooper, B., Strong, S., Stewart, D., Rigby, P., & Letts, L. (1996). The Person-Environment-Occupation Model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63(1), 9-23. https://doi.org/10.1177/000841749606300103
Lee, C., & Coughlin, J. F. (2015). PERSPECTIVE: Older adults' adoption of technology: An integrated approach to identifying determinants and barriers. Journal of Product Innovation Management, 32(5), 747-759. https://doi.org/10.1111/jpim.12176
Lin, V., Zhang, X., & Dixon, P. (2015). Occupational therapy workforce in the United States: Forecasting nationwide shortages. Physical Medicine and Rehabilitation 7(9), 946-954. https://doi.org/10.1016/j.pmrj.2015.02.012
Lindauer, A., Seelye, A., Lyons, B., Dodge, H. H., Mattek, N., Mincks, K., Kaye, J., & Erten-Lyons, D. (2017). Dementia care comes home: Patient and caregiver assessment via telemedicine. Gerontologist, 57(5), e85-e93. https://doi.org/10.1093/geront/gnw206
Maggi, P., de Almeida Mello, J., Delye, S., Ces, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87. https://doi/10.1177/0008417417714284.
Meiland, F., Innes, A., Mountain, G., Robinson, L., van der Roest, H., Garcia-Casal, J. A., Gove, D., Thyrian, J. R., Evans, S., Droes, R. M., Kelly, F., Kurz, A., Casey, D., Szczesniak, D., Dening, T., Craven, M. P., Span, M., Felzmann, H., Tsolaki, M., & Franco-Martin, M. (2017). Technologies to support community-dwelling persons with dementia: A position paper on issues regarding development, usability, effectiveness and cost-effectiveness, deployment, and ethics. JMIR Rehabilitation and Assistive Technologies, 4(1), e1. https://doi.org/10.2196/rehab.6376
Moo, L. R., Jafri, Z., & Morin, P. J. (2014). Home-based video telehealth for veterans with dementia. Federal Practitioner, 31(12), 36-38. https://www.ncbi.nlm.nih.gov/pubmed/29398887
Pighills, A., Ballinger, C., Pickering, R., & Chari, S. (2016). A critical review of the effectiveness of environmental assessment and modification in the prevention of falls amongst community dwelling older people. British Journal of Occupational Therapy, 79(3), 133-143. https://doi.org/10.1177%2F0308022615600181
Renda M, L. J. (2018). Feasibility and effectiveness of telehealth occupational therapy home modification interventions. International Journal of Telerehabilitation, 10(1), 3-14. https://doi.org/10.5195/ijt.2018.6244
Sanford, J. A., Hoenig, H., Griffiths, P. C., Butterfield, T., Richardson, P., & Hargraves, K. (2009). A comparison of televideo and traditional in-home rehabilitation in mobility impaired older adults. Physical & Occupational Therapy in Geriatrics, 25(3), 1-18. https://doi.org/10.1080/J148v25n03_01
Sriram, V., Jenkinson, C., & Peters, M. (2019). Informal carers' experience of assistive technology use in dementia care at home: A systematic review. BMC Geriatrics, 19(1), 160. https://doi.org/10.1186/s12877-019-1169-0
Stake, R. E. (1995). The art of case study research. SAGE Publishers.
Struckmeyer, L. R., & Pickens, N. D. (2016). Home modifications for people with Alzheimer’s disease: A scoping review. American Journal of Occupational Therapy, 70, 7001270020. https://doi.org/10.5014/ajot.2015.016089
Vaportzis, E., Clausen, M. G., & Gow, A. J. (2017). Older adults perceptions of technology and barriers to interacting with tablet computers: A focus group study. Frontiers in Psychology, 8, 1687. https://doi.org/10.3389/fpsyg.2017.01687
Waller, A., Dilworth, S., Mansfield, E., & Sanson-Fisher, R. (2017). Computer and telephone delivered interventions to support caregivers of people with dementia: A systematic review of research output and quality. BMC Geriatrics, 17(1), 265. https://doi.org/10.1186/s12877-017-0654-6
Wang, S., Bolling, K., Mao, W., Reichstadt, J., Jeste, D., Kim, H. C., & Nebeker, C. (2019). Technology to support aging in place: Older adults' perspectives. Healthcare (Basel), 7(2). https://doi.org/10.3390/healthcare7020060
Worksheet for making the home safer for a person with memory loss. (2019, March). A Guide for Families: Keeping the Person with Memory Loss Safer at Home. https://www.va.gov/Geriatrics/docs/HOME_SAFETY_BOOKLET_March_2019.pdf
Downloads
Published
How to Cite
Issue
Section
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.