Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine

Allison Lindauer; Adriana Seelye; Bayard Lyons; Hiroko H. Dodge; Nora Mattek; Katherine Mincks; Jeffrey Kaye; Deniz Erten-Lyons

doi:10.1093/geront/gnw206

Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine

Allison Lindauer, Adriana Seelye, Bayard Lyons, Hiroko H. Dodge, Nora Mattek, Katherine Mincks, Jeffrey Kaye, Deniz Erten-Lyons

Psychiatry & Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

69 Scopus citations

Abstract

Purpose of the Study We evaluated the feasibility and reliability of commonly used clinical dementia assessments when administered via direct-to-home telemedicine videoconferencing. To date, few studies assessed the suitability of these measures when used in this setting. Design and Methods Sixty-six participants (33 patients with Alzheimer's disease (AD) and their 33 caregivers) consented to assessment with a battery of tests in both the clinic setting and via telemedicine. We administered cognitive, behavior, and mood assessments to persons with mild, moderate, and severe AD both in the clinic setting and via direct-to-home telemedicine videoconferencing; test-retest reliability was assessed. We also explored how three caregiver measures performed when administered via telemedicine. Assessments were administered 2 weeks apart. Participant feedback about their experience was solicited. Results Twenty-eight dyads completed the assessments. Reliability was found to be good to excellent in all measures when used with direct-to-home telemedicine. For the most part, participants and clinicians found telemedicine to be a feasible option for assessing cognitive function and caregiver coping. Implications Findings indicate that these measures can be used to assess persons with AD, as well as their caregivers, across the telemedicine platform, directly to their homes. Use of this technology can expand access to care to the millions across the United States with AD and their caregivers.

Original language	English (US)
Pages (from-to)	e85-e93
Journal	Gerontologist
Volume	57
Issue number	5
DOIs	https://doi.org/10.1093/geront/gnw206
State	Published - Oct 1 2017

Bibliographical note

Funding Information:
The project described was funded by the Oregon Health Authority’s State Innovation Model grant, supported by funding Opportunity Number CMS-1G1-12-001 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services and the content provided is solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies. This work was also supported by the National Institute on Aging (P30-AG008017, P30AG024978).

Publisher Copyright:
© The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.

Keywords

Caregiver
Dementia
Telemedicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654345

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title = "Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine",

abstract = "Purpose of the Study We evaluated the feasibility and reliability of commonly used clinical dementia assessments when administered via direct-to-home telemedicine videoconferencing. To date, few studies assessed the suitability of these measures when used in this setting. Design and Methods Sixty-six participants (33 patients with Alzheimer's disease (AD) and their 33 caregivers) consented to assessment with a battery of tests in both the clinic setting and via telemedicine. We administered cognitive, behavior, and mood assessments to persons with mild, moderate, and severe AD both in the clinic setting and via direct-to-home telemedicine videoconferencing; test-retest reliability was assessed. We also explored how three caregiver measures performed when administered via telemedicine. Assessments were administered 2 weeks apart. Participant feedback about their experience was solicited. Results Twenty-eight dyads completed the assessments. Reliability was found to be good to excellent in all measures when used with direct-to-home telemedicine. For the most part, participants and clinicians found telemedicine to be a feasible option for assessing cognitive function and caregiver coping. Implications Findings indicate that these measures can be used to assess persons with AD, as well as their caregivers, across the telemedicine platform, directly to their homes. Use of this technology can expand access to care to the millions across the United States with AD and their caregivers.",

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Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine

Abstract

Bibliographical note

Keywords

UN SDGs

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