Differences in Challenges to Using Telehealth Among Older Adult Video and Telephone Users With Frailty: Retrospective Observational Study
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View abstract on PubMed
Summary
This summary is machine-generated.Video visits require technology access and comfort, with only a quarter of frail older veterans completing them. Success depended on technology availability, usability, and user confidence, alongside better physical and cognitive health.
Area Of Science
- Gerontology
- Health Services Research
- Telemedicine
Background
- The COVID-19 pandemic accelerated the adoption of video care, potentially widening health access disparities.
- High-need, high-risk older adults, particularly those with frailty, faced challenges in accessing healthcare via video visits.
Purpose Of The Study
- To assess the capability of high-need, high-risk older veterans in utilizing video visits for healthcare.
- To identify factors correlating with the successful completion of video visits among this demographic.
Main Methods
- Veterans in a Frailty Intervention and Treatment (FIT) clinic received comprehensive baseline assessments.
- The study analyzed patient groups based on visit type: video, telephone, reached but no visit, or unable to contact.
- Statistical tests (t-test, chi-square) were employed to compare variables and identify predictors of video visit completion versus telephone visits.
Main Results
- Of 110 patients, 65 agreed to a televisit, with 19 (29.2%) completing a video visit and 37 (57%) a telephone visit.
- Successful video visit completers were more likely to have computer/internet access, email proficiency, and confidence in internet use.
- Video visit users also demonstrated higher health literacy, better cognitive function (MoCA score ≥26), and fewer mobility issues compared to telephone visit users.
Conclusions
- Video visit completion among frail older veterans is contingent upon technology access, usability, and user confidence.
- Only approximately 25% of frail older veterans successfully completed video visits, primarily those with existing technological resources and comfort.
- Future strategies should involve screening for video visit suitability and enhancing access to user-friendly home telehealth technologies for older adults.
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