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Using remote assessment to provide home modification services to underserved elders.

Jon A Sanford1, Tina Butterfield

  • 1Atlanta VA Medical Center, Rehab R and D Center, 1670 Clairmont Road, Decatur, GA 30033, USA. jon.sanford@med.va.gov

The Gerontologist
|June 4, 2005
PubMed
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Remote home assessments, using paper-pencil or televideo, are effective for identifying home safety issues and recommending modifications. This approach can expand access to essential home modification services for underserved populations, especially elders.

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Home modification services are crucial for elder safety and independence.
  • Access to these services is limited, particularly in rural areas, due to specialist capacity.
  • Remote assessment offers a potential solution to bridge this accessibility gap.

Purpose of the Study:

  • To evaluate the feasibility and concordance of remote home assessments with traditional in-home assessments.
  • To determine if remote assessments can provide specialists with adequate information for prescribing home modifications.
  • To document the equivalence of remote and in-home assessment methods.

Main Methods:

  • Comparison of two remote assessment protocols (paper-and-pencil and televideo) against traditional in-home assessments.

Related Experiment Videos

  • Equivalence determined by comparing remote assessments conducted in the same homes as in-home assessments.
  • Data collected by inexperienced individuals and analyzed by specialists for problem identification and solution recommendation.
  • Main Results:

    • High accuracy in problem identification for both remote methods: paper-and-pencil (96.4%) and televideo (87.1%).
    • Significant agreement in solution recommendations between remote and in-home assessments (78.8% and 77.4%, respectively).
    • Both remote assessment protocols demonstrated statistically significant results (p =.000).

    Conclusions:

    • Remote home assessments are a viable method for identifying home mobility and safety issues.
    • These remote methods can effectively guide the prescription of necessary home modifications.
    • Remote assessment can significantly improve access to vital home modification services for underserved elders.