Development and Validation of the Protocol for Administering Telehealth Home (PATH) Assessments

Authors

  • Cicily McBride 1Spalding University, Auerbach School of Occupational Therapy, Louisville, Kentucky, USA
  • Sara Story Valparaiso University, College of Nursing and Health Professions, Valparaiso, Indiana, USA
  • Jana Cason Spalding University, Auerbach School of Occupational Therapy, Louisville, Kentucky, USA

DOI:

https://doi.org/10.5195/ijt.2023.6545

Keywords:

Aging in place, Home safety assessment, Occupational therapy, PATH protocol, Remote assessment, Synchronous home assessment, Telehealth

Abstract

Home safety assessments and subsequent modifications can prevent hospitalization, institutionalization, and death among older adults. Telehealth has been shown to be an effective means to administer home safety assessments. However, a structured approach to synchronous telehealth home assessments has not been examined. This study involved development and validation of a structured telehealth home assessment protocol. The Protocol for Administering Telehealth Home (PATH) assessment was developed based on literature review, clinical experience with in-person and telehealth home assessments, and interviews with content experts. Six older adults participated in the validation phase of the protocol using a quasi-experimental, mixed-methods, one-group research design. The validation process resulted in modifications to the protocol to enhance its utility in practice. The PATH protocol provides a valid, structured approach to conducting synchronous telehealth home assessments and can be used by occupational therapists to administer home assessments for older adults desiring to age in place.

  

Author Biographies

Sara Story, Valparaiso University, College of Nursing and Health Professions, Valparaiso, Indiana, USA

Dr. Story earned a Bachelor of Science in Health Science and a Masters of Occupational Therapy from Spalding University. She was awarded a Doctorate in Occupational Therapy from the University of St. Augustine in 2011 and earned a Doctorate in Leadership (EDD) from Spalding University in 2020. Dr. Story is board-certified in gerontology through the American Occupational Therapy Association (AOTA) and a Certified Aging in Place Specialist (CAPS) through the National Association of Home Builders (NAHB). She has maintained her status as a clinician to bring the current clinical practice to the classroom. Her primary areas of practice include gerontology and mental health with a research interest in aging in place, community mobility, and mental health services. She has delivered presentations at the state and national level.

Jana Cason, Spalding University, Auerbach School of Occupational Therapy, Louisville, Kentucky, USA

Dr. Cason holds a Doctor of Health Science degree in Occupational Therapy from the University of Indianapolis and joined the Spalding faculty in 2004. She is the immediate past chair of the American Occupational Therapy Association’s Technology Special Interest Section (2013-2016) and immediate past chair of the American Telemedicine Association’s Telerehabilitation Special Interest Group (2014-2016). She is the senior associate editor of the International Journal of Telerehabilitation and has authored numerous refereed articles, book chapters, and standards and guidelines documents related to telehealth. Dr. Cason was inducted as a Fellow of the American Occupational Therapy Association in 2013. Her primary areas of teaching are physical health and wellness, research, and measurement of OT outcomes in varied service delivery contexts.

References

American Occupational Therapy Association. (2015). Occupational therapy code of ethics (2015). American Journal of Occupational Therapy, 69(Suppl. 3), 6913410030. https://doi.org/10.5014/ajot.2015.696S03

American Occupational Therapy Association [AOTA]. (2018). Telehealth in occupational therapy. American Journal of Occupational Therapy, 72(supplement 2), 1-18. https://doi.org/ 10.5014/ajot.2013.67S69

American Occupational Therapy Association. (2020). Occupational Therapy Practice Framework: Domain and Process—Fourth Edition. American Journal of Occupational Therapy, 74(Suppl. 2), 7412410010. https://doi.org/10.5014/ajot.2020.74S2001

Breeden, L. E. (2016). Occupational therapy home safety intervention via telehealth. International Journal of Telerehabilitation, 8(1), 29-40. https://doi.org/ 10.5195/ijt.2016.6183

Carnemolla, P. & Bridge, C. (2019). Housing design and community care: How home modifications reduce care needs of older people and people with disability. International Journal of Environmental Research and Public Health, 16(11), 1-12. https://doi.org/10.3390/ijerph16111951

Castillo, D., Trevino, L., Suarez, R., Arreola-Castanedra, G., Fierro, C. & Lin, M. (2020, March 26). Aging in place: Measuring quality of life of the aging population [Presentation].

Cubanski, J. & Neuman, T. (2022, June 17). FAQs on Medicare financing and trust fund solvency. Kaiser Family Foundation. https://www.kff.org/medicare/issue-brief/faqs-on-medicare-financing-and-trust-fund-solvency

Dahl-Popolizio, S., Carpenter, H., Coronado, M., Popolizio, N. J., & Swanson, C. (2020). Telehealth for the provision of occupational therapy: Reflections on experiences during the COVID-19 pandemic. International Journal of Telerehabilitation, 12(2), 77-92. https://doi.org/10.5195/ijt.2020.6328

Gately, M. E., Tickle-Degnen, L., Trudeau, S. A., Ward, N., Ladin, K., & Moo, L. A. (2020a). Caregiver satisfaction with a video telehealth home safety evaluation for dementia. International Journal of Telerehabilitation, 12(2), 35-42. https://doi.org/10.5195/ijt.2020.6337

Gately, M. E., Trudeau, S. A., & Moo, L. R. (2020b). Feasibility of telehealth-delivered home safety evaluations for caregivers of clients with dementia. Occupational Therapy Journal of Research, 40(1), 42-49. https://doi.org/10.1177/15394492198599

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage. StatPearls Publishing.

Harkey, L. C., Jung, S. M., Newton, E. R., & Patterson, A. (2020). Patient satisfaction with telehealth in rural settings: A systematic review. International Journal of Telerehabilitation, 12(2), 53-64. https://doi.org/10.5195/ijt.2020.6303

Health and Human Services. (2021, January 13). Getting patients set up with telehealth technology. https://telehealth.hhs.gov/providers/preparing-patients-for-telehealth/getting-patients-set-up-with-new-technology/#find-out-about-the-patients-available-technology

Hoel, V., Von Zweck, C., Ledgerd, R., & World Federation of Occupational Therapists. (2021). Was a global pandemic needed to adopt the use of telehealth in occupational therapy? WORK, 68(1), 13-20. https://doi.org/10.3233/WOR-205268

Kim, K., Gollamudi, S. S., & Steinhubl, S. (2017). Digital technology to enable aging in place. Experimental Gerontology, 88, 25-31. https://doi.org/10.1016/j.exger.2016.11.013

Lau, G. W.C., Yu, M. L., Brown, T., & Locke, C. (2018) Clients’ perspectives of the effectiveness of home modification recommendations by occupational therapists. Occupational Therapy in Health Care, 32(3), 230-250. https://doi.org/10.1080/07380577.2018.1491085

Let’s Talk Interactive. (2021, March 29). What are the telehealth hardware requirements? https://letstalkinteractive.com/blog/what-are-the-telehealth-hardware-requirements

Lindstrom, D., Sithong, C., & Sullivan, K. (2019). Home for Life Design (HFLD) home assessment psychometric study: Inter-rater reliability of a home-safety assessment tool. American Journal of Occupational Therapy, 73(4_Supplement_1), 7311500056. https://doi.org/10.5014/ajot.2019.73S1-PO8023

Lockwood, K. J., Harding, K. E., Boyd, J. N., & Taylor, N. F. (2020). Home visits by occupational therapists improve adherence to recommendations: Process evaluation of a randomized controlled trial. Australian Occupational Therapy Journal, 67(4), 287-296. https://doi.org/10.1111/1440-1630.12651

Nobakht, Z., Rassafiani, M., Hosseini, S. A., & Ahmadi, M. (2017). Telehealth in occupational therapy: A scoping review. International Journal of Therapy and Rehabilitation, 24(12), 534–538. https://doi.org/10.12968/IJTR.2017.24.12.534

Read, J., Jones, N., Fegan, C., Cudd, P., Simpson, E., Mazumdar, S., & Ciravegna, F. (2020). Remote home visit: Exploring the feasibility, acceptability and potential benefits of using digital technology to undertake occupational therapy home assessments. British Journal of Occupational Therapy, 83(10), 648-658. http://doi.org/10.1177/0308022620921111

Renda, M. & Lape, J. E. (2018). Feasibility and effectiveness of telehealth occupational therapy home modification interventions. International Journal of Telerehabilitation, 10(1), 3-14. http://dx.doi.org/10.5195/ijt.2018.6244

Romero, S., Lee, M. J., Simic, I., Levy, C., & Sanford, J. (2018). Development and validation of a remote home safety protocol. Disability and Rehabilitation, 13(2), 166-172. http://dx.doi.org/10.1080/17483107.2017.1300345

Siebert, C., Smallfield, S., & Stark, S. (2014). Occupational therapy practice guidelines for home modifications. AOTA Press.

Stark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: A systematic review. American Journal of Occupational Therapy, 71(2), 7102290010. https://doi.org/10.5014/ajot.2017.018887

Stevens, J. A., & Lee, R. (2018). The potential to reduce falls and avert costs by clinically managing fall risk. American Journal of Preventive Medicine, 55(3), 290–297. https://doi.org/10.1016/j.amepre.2018.04.035

Werner, R. M., & Konetzka, R. T. (2022). Reimagining financing and payment of long-term care. Journal of the American Medical Directors Association, 23(2), 220–224. https://doi.org/10.1016/j.jamda.2021.11.030

Zoom. (2022). Reimagine care, collaboration & innovation. https://explore.zoom.us/en/industry/healthcare/

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Published

2023-05-11

How to Cite

McBride, C., Story, S., & Cason, J. (2023). Development and Validation of the Protocol for Administering Telehealth Home (PATH) Assessments. International Journal of Telerehabilitation, 15(1). https://doi.org/10.5195/ijt.2023.6545

Issue

Section

Remote Home Assessments

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