IU Indianapolis ScholarWorks :: Browsing by Subject "telehealth"

Browsing by Subject "telehealth"

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Development and Validation of the Tele-Pulmonary Rehabilitation Acceptance Scale
(Daedalus, 2019) Almojaibel, Abdullah A.; Munk, Niki; Goodfellow, Lynda T.; Fisher, Thomas F.; Miller, Kristine K.; Comer, Amber R.; Bakas, Tamilyn; Justiss, Michael D.; Health Sciences, School of Health and Rehabilitation Sciences
BACKGROUND: Using telehealth in pulmonary rehabilitation (telerehabilitation) is a new field of health-care practice. To successfully implement a telerehabilitation program, measures of acceptance of this new type of program need to be assessed among potential users. The purpose of this study was to develop a scale to measure acceptance of using telerehabilitation by health-care practitioners and patients. METHODS: Three objectives were met (a) constructing a modified scale of the technology acceptance model, (b) judging the items for content validity, and (c) judging the scale for face validity. Nine experts agreed to participate and evaluate item relevance to theoretical definitions of domains. To establish face validity, 7 health-care practitioners and 5 patients were interviewed to provide feedback about the scale's clarity and ease of reading. RESULTS: The final items were divided into 2 scales that reflected the health-care practitioner and patient responses. Each scale included 3 subscales: perceived usefulness, perceived ease of use, and behavioral intention. CONCLUSIONS: The 2 scales, each with 3 subscales, exhibited evidence of content validity and face validity. The 17-item telerehabilitation acceptance scale for health-care practitioners and the 13-item telerehabilitation acceptance scale among patients warrant further psychometric testing as valuable measures for pulmonary rehabilitation programs.
Getting the Most Out of Your Telehealth Visits
(Elsevier, 2021-02) Hammond, Flora; Waldman, Wendy; Katta-Charles, Sheryl; Littell, Kyle; Physical Medicine and Rehabilitation, School of Medicine
The Impact of COVID-19 on Neuro-Ophthalmology Office Visits and Adoption of Telemedicine Services
(Wolters Kluwer, 2021-09) Moss, Heather E.; Ko, Melissa W.; Mackay, Devin D.; Chauhan, Divya; Gutierrez, Karen G.; Villegas, Natacha C.; Lai, Kevin E.; Neurology, School of Medicine
Background: The COVID-19 public health emergency (PHE) has significantly changed medical practice in the U.S., including an increase in the utilization of telemedicine. Here, we characterize change in neuro-ophthalmic care delivery during the early COVID-19 PHE, including a comparison of care delivered via telemedicine and in office. Methods: Neuro-ophthalmology outpatient encounters from three practices in the United States (four providers) were studied during the early COVID-19 PHE (March 15, 2020-June 15, 2020) and during the same dates one year prior. For unique patient visits, patient demographics, visit types, visit format, and diagnosis were compared between years and between synchronous telehealth and in-office formats for 2020. Results: There were 1276 encounters for 1167 patients. There were 30% fewer unique patient visits in 2020 vs. 2019 (477 vs. 670) and 55% fewer in office visits (299 vs. 670). Compared to 2019, encounters in 2020 were more likely to be established, to occur via telemedicine and relate to an efferent diagnosis. In 2020, synchronous telehealth visits were more likely to be established compared with in-office encounters. Conclusions: In the practices studied, a lower volume of neuro-ophthalmic care was delivered during the early COVID-19 public health emergency than in the same period in 2019. The type of care shifted toward established patients with efferent diagnoses and the modality of care shifted toward telemedicine.
Impact of Telehealth on the Delivery of Prenatal Care during the COVID-19 Pandemic: Mixed Methods Study of the Barriers and Opportunities to Improve Health Care Communication in Discussions about Pregnancy and Prenatal Genetic Testing
(JMIR, 2022-12) Craighead, Caitlin G.; Collart, Christina; Frankel, Richard; Rose, Susannah; Misra-Hebert, Anita D.; Tucker Edmonds, Brownsyne; Michie, Marsha; Chien, Edward; Coleridge, Marissa; Goje, Oluwatosin; Ranzini, Angela C.; Farrell, Ruth M.; Obstetrics and Gynecology, School of Medicine
Background: The COVID-19 pandemic brought significant changes in health care, specifically the accelerated use of telehealth. Given the unique aspects of prenatal care, it is important to understand the impact of telehealth on health care communication and quality, and patient satisfaction. This mixed methods study examined the challenges associated with the rapid and broad implementation of telehealth for prenatal care delivery during the pandemic. Objective: In this study, we examined patients’ perspectives, preferences, and experiences during the COVID-19 pandemic, with the aim of supporting the development of successful models to serve the needs of pregnant patients, obstetric providers, and health care systems during this time. Methods: Pregnant patients who received outpatient prenatal care in Cleveland, Ohio participated in in-depth interviews and completed the Coronavirus Perinatal Experiences-Impact Survey (COPE-IS) between January and December 2021. Transcripts were coded using NVivo 12, and qualitative analysis was used, an approach consistent with the grounded theory. Quantitative data were summarized and integrated during analysis. Results: Thematic saturation was achieved with 60 interviews. We learned that 58% (35/60) of women had telehealth experience prior to their current pregnancy. However, only 8% (5/60) of women had used both in-person and virtual visits during this pregnancy, while the majority (54/60, 90%) of women participated in only in-person visits. Among 59 women who responded to the COPE-IS, 59 (100%) felt very well supported by their provider, 31 (53%) were moderately to highly concerned about their child’s health, and 17 (29%) reported that the single greatest stress of COVID-19 was its impact on their child. Lead themes focused on establishing patient-provider relationships that supported shared decision-making, accessing the information needed for shared decision-making, and using technology effectively to foster discussions during the COVID-19 pandemic. Key findings indicated that participants felt in-person visits were more personal, established greater rapport, and built better trust in the patient-provider relationship as compared to telehealth visits. Further, participants felt they could achieve a greater dialogue and ask more questions regarding time-sensitive information, including prenatal genetic testing information, through an in-person visit. Finally, privacy concerns arose if prenatal genetic testing or general pregnancy conversations were to take place outside of the health care facility. Conclusions: While telehealth was recognized as an option to ensure timely access to prenatal care during the COVID-19 pandemic, it also came with multiple challenges for the patient-provider relationship. These findings highlighted the barriers and opportunities to achieve effective and patient-centered communication with the continued integration of telehealth in prenatal care delivery. It is important to address the unique needs of this population during the pandemic and as health care increasingly adopts a telehealth model.
Last Mile: COVID-19, Telehealth, and Broadband Disparities in Rural Indiana
(Indiana University School of Social Work, 2021-06) Funk, Kristin; School of Social Work
This critical review of literature evaluates the impact of COVID-19 on health and mental health care delivery in rural Indiana, specifically the move to increased telehealth services. Telehealth has been a mostly positive experience for patients and providers. However, many Indiana residents are without the option of telehealth due to underdeveloped infrastructure that is necessary to support broadband access. This disparity is evidence of a larger social and health justice issue and illuminates a call to action for social workers on all levels to collaborate with community members, government agencies, and local programs to push the issue towards the public health arena and to promote broadband access as a human right.
The pandemic silver lining: preparing osteopathic learners to address healthcare needs using telehealth
(De Gruyter, 2022-01) Taylor, Jennifer; Wright, Amanda; Summers, Michael; Family Medicine, School of Medicine
Context During the COVID-19 pandemic, many clinicians quickly adapted their way of practicing patient care by offering telehealth and virtual office visits while simultaneously having to minimize direct patient care. The shift in direct clinical learning opportunities provided to third- and fourth-year medical students required a shift in the educational curriculum to develop learner skills around the appropriate use of telehealth in patient care. Objectives The aim of this project was to provide exposure to students so they could learn the telemedicine equipment and best practices, and how to identify infectious diseases to improve access to care and meet the needs of the patient. Methods In July and August of 2020, the Indiana Area Health Education Centers Program partnered with Marian University College of Osteopathic Medicine (MUCOM) to support a 1 day telehealth simulation (online curriculum, group lecture, and two standardized patient encounters) into their clerkship curriculum. We utilized a retrospective pretest-posttest to assess changes in learner knowledge around telehealth after the program. At the conclusion of the telehealth training program, students were asked to complete a retrospective pretest-posttest assessing their level of preparedness to utilize telehealth equipment, their preparedness to demonstrate “telehealth best practices” in a manner consistent with protecting patient (and data) privacy, their confidence to utilize telehealth for identification of infectious diseases, and their confidence to utilize telehealth to identify proper treatment plans. Results A total of 96 learners completed the program in 2020. Posttest results demonstrate a statistically significant (p<0.05) improvement for learners’ self-reported level of preparedness to utilize telehealth equipment, their preparedness to demonstrate “telehealth best practices” in a manner consistent with protecting patient (and data) privacy, their confidence to utilize telehealth for identification of infectious diseases, and their confidence to utilize telehealth to identify proper treatment plans. Conclusions Our telehealth curriculum involving a video, interactive learning session, and two standardized patient experiences provided osteopathic medical learners with realistic simulated case scenarios to work through in effort to improve their knowledge and self-efficacy around the utilization of telehealth in practice.
Pandemic Telehealth Utilization and Radiology as a Career Choice
(Elsevier, 2021-08) Hammond, Kevin B.; Gunderman, Richard B.; Radiology and Imaging Sciences, School of Medicine
The COVID-19 pandemic has contributed to a dramatic increase in reliance on telehealth in medicine. Guidelines around social distancing, as well as quarantine and isolation practices, have nudged many patients and physicians to forego face-to-face interaction and begin relying on virtual visits. As other medical fields shift to a telehealth model of patient care, increasingly resembling the computer-based model of diagnostic radiology, fewer medical students are likely to eschew radiology careers based on a perceived lack of patient contact.
Providing Therapeutic Materials to Families with Children Participating in Telehealth Services: Caregiver and Therapist Perception of Impact on Telehealth Services
(2021-04-27) Benich, Jacob; Zeigler, Jayson; Department of Occupational Therapy, School of Health and Human Sciences; Blain, Barb
Telehealth has been a lesser-known service delivery option for occupational therapy for many years. As a result of the COVID-19 pandemic, telehealth has now become mainstream and had even been utilized as a complete replacement for in-person treatment at certain points during the pandemic. The telehealth sessions at the capstone site, a private Pediatric therapy clinic, have been found to be limited by what materials the family has in their home. At the clinic, every therapeutic item one could think of is available for use, but when stuck at home, families must use what they have. This capstone project sought to provide care packages with therapeutic materials to families receiving telehealth to determine if both their own and their therapist’s perception of telehealth changed. A non-standardized survey was utilized for data collection, and slight improvements had been found for the caregiver perception of telehealth, with little change in the therapist perception. Further exploration of results and implications on OT and telehealth are discussed as well.
Reaching underserved people during the pandemic
(MA Healthcare Limited, 2022-05-02) Taylor, Jennifer; Behrens, Sandra; Donahue, Ronald; Family Medicine, School of Medicine
Background: As the COVID-19 crisis evolved, many emergency medical technicians (EMTs) and community paramedics (CPs) were already positioned to engage with both the community and the health system. Aim: This project, based in Indiana, USA, aimed to provide resources for EMTs and CPs to build knowledge and skills necessary to use promising practices related to COVID-19 and provide culturally competent care using telehealth to improve access to care for underserved populations during the pandemic. Methods: Between May 2020 and April 2021, EMT and CP participants completed a retrospective pre-test and post-test assessing self-efficacy around best practices related to COVID-19 and culturally competent care using telehealth. Findings: Forty-nine EMTs and CPs completed the project and results demonstrate a significant (P<0.05) improvement in self-reported level of preparedness to demonstrate best practices related to COVID-19 culturally competent care using telehealth. Conclusion: The project identified a potentially effective strategy for increasing practitioner self-efficacy, resulting in a more effective system for caring for vulnerable individuals during a pandemic.
Reverse-Surge Planning During the COVID-19 Pandemic: A Cautionary Ramp-up for the Otolaryngologist
(Sage, 2020-12) Shipchandler, Taha Z.; Nesemeier, B. Ryan; Barnes, Kaitlyn J.; Kelly, Leah R.; Schmalbach, Cecelia E.; Ting, Jonathan Y.; Otolaryngology -- Head and Neck Surgery, School of Medicine
As the coronavirus disease 2019 (COVID-19) pandemic continues to evolve through the United States and other countries, differing rates of progression and decline are occurring based on varied population densities. While some health systems are reaching a steady state of new patient cases, others are seeing a leveling off or decline, allowing for restoration of normal practices. This “reverse-surge” planning and implementation process is a colossal undertaking for health systems trying to reacquire patient access and financial stability while preserving necessary resources and maintaining precautions for another potential surge. For the otolaryngologist, reverse-surge planning involves additional workflow adjustments in the outpatient and operating room settings given the abundance of COVID-19 virus in the upper aerodigestive tract. As the reverse-surge best practices are still under development, open communication between otolaryngology colleagues and health system leadership is paramount to optimize efficiency and maintain an adequate measure of safety for patients and our health care teams.

Browsing by Subject "telehealth"

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