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      Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence

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          Abstract

          A scoping review was conducted to map the research evidence on the use of videoconferencing for remote health care provision for older adults in care homes. The review aimed to identify the nature and extent of the existing evidence base. Databases used were Embase, Medline, Web of Science, and Cochrane Library Reviews. The review identified 26 articles for inclusion, of which 14 were case studies, making the most used study design. Papers described videoconferencing as being used for assessment, management of health care, clinical support, and diagnosis, with eight of the papers reporting the use of videoconferencing for more than one clinical purpose. A further eight papers reported the use of videoconferencing for assessment alone. The literature reported the collection of various types of data, with 12 papers describing the use of both qualitative and quantitative data. The outcomes mainly addressed staff satisfaction ( n = 9) and resident satisfaction ( n = 8). Current evidence supports the feasibility of videoconferencing in care homes. However, research needs to be undertaken to establish the contexts and mechanisms that underpin the successful implementation of videoconferencing in care homes and to define useful measures for success.

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          Most cited references60

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          Assessment of generalisability in trials of health interventions: suggested framework and systematic review.

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            Needing smart home technologies: the perspectives of older adults in continuing care retirement communities.

            At present, the vast majority of older adults reside in the community. Though many older adults live in their own homes, increasing numbers are choosing continuing care retirement communities (CCRCs), which range from independent apartments to assisted living and skilled-nursing facilities. With predictions of a large increase in the segment of the population aged 65 and older, a subsequent increase in demand on CCRCs can be anticipated. With these expectations, researchers have begun exploring the use of smart home information-based technologies in these care facilities to enhance resident quality of life and safety, but little evaluation research exists on older adults' acceptance and use of these technologies.
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              A telemedicine system as a care modality for dementia patients in Korea.

              Because dementia is a chronic debilitating disease, there are the issues of the difficulty in continuous long-term care and limited accessibility to medical service. We developed the telemedicine system for dementia patients and aimed to examine the acceptance, reliability, and clinical outcome of our telemedicine service. We established the Dementia Telemedicine Center in connection with two recipient sites in 1996. The reliability of the center, which provides telemedicine, tele-education, and telecounseling services, was tested by comparing assessment via our system with in-person assessment, and the clinical outcome was assessed by rating the changes of behavioral symptoms. There have been 140 registered patients for 2 years. The general acceptance of our system by the patients and caregivers was good, and the consistency rates between the assessment via our telemedicine system and in-person assessment ranged from 76% to 89%. A considerable proportion of dementia patients in nursing homes (46%) showed relative clinical improvements through our service. Our telemedicine system seems to be reliable and effective for the assessment and care of dementia patients. Our future direction is to promote our system as a core model of the home-based care system for dementia patients.
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                Author and article information

                Contributors
                Journal
                Int J Telemed Appl
                Int J Telemed Appl
                IJTA
                International Journal of Telemedicine and Applications
                Hindawi
                1687-6415
                1687-6423
                2017
                10 September 2017
                : 2017
                : 5785613
                Affiliations
                1Centre for Assistive Technology and Connected Healthcare and School of Health and Related Research, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
                2University of Bradford, Bradford, UK
                Author notes

                Academic Editor: Jocelyne Fayn

                Author information
                http://orcid.org/0000-0001-5234-4866
                Article
                10.1155/2017/5785613
                5610821
                29081795
                c5773d4f-4212-4cee-abcf-dd46fc3424b8
                Copyright © 2017 Louise Newbould et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 May 2017
                : 25 July 2017
                : 6 August 2017
                Funding
                Funded by: Abbeyfield Research Foundation
                Funded by: National Institute for Health Research
                Categories
                Review Article

                Medicine
                Medicine

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