Variations in Non-parental Home-based Care: Fitting Supports to Caregivers' Interests and Needs

Telemedicine uses telecommunications technology as a tool to deliver health care to populations with limited access to care. Telemedicine has been tested in multiple clinical settings, demonstrating at least equivalency to in-person care and high levels of patient and health professional satisfaction. Teleoncology has been demonstrated to improve access to care and decrease health care costs. Teleconsultations may take place in a synchronous, asynchronous, or blended format. Examples of successful teleoncology applications include cancer telegenetics, bundling of cancer-related teleapplications, remote chemotherapy supervision, symptom management, survivorship care, palliative care, and approaches to increase access to cancer clinical trials. Telepathology is critical to cancer care and may be accomplished synchronously and asynchronously for both cytology and tissue diagnoses. Mobile applications support symptom management, lifestyle modification, and medication adherence as a tool for home-based care. Telemedicine can support the oncologist with access to interactive tele-education. Teleoncology practice should maintain in-person professional standards, including documentation integrated into the patient’s electronic health record. Telemedicine training is essential to facilitate rapport, maximize engagement, and conduct an accurate virtual exam. With the appropriate attachments, the only limitation to the virtual exam is palpation. The national telehealth resource centers can provide interested clinicians with the latest information on telemedicine reimbursement, parity, and practice. To experience the gains of teleoncology, appropriate training, education, as well as paying close attention to gaps, such as those inherent in the digital divide, are essential.

Dying at home of Covid-19: Meeting the need for home-based care

Preventive Medicine ◽

10.1016/j.ypmed.2020.106409 ◽

2020 ◽

pp. 106409

Author(s):

Cara Kiernan Fallon ◽

Madison K. Kilbride

Keyword(s):

Home Based ◽

Dying At Home ◽

Home Based Care ◽

At Home

Effects of Home-Based Care Inter-Professional Education on Students’ Outcomes: Mahasarakham University Experiences

Medical Science Educator ◽

10.1007/s40670-021-01244-8 ◽

2021 ◽

Author(s):

Chanuttha Ploylearmsang ◽

Sirinart Tongsiri ◽

Mathee Pirikannont ◽

Tharinee Srisaknok

Keyword(s):

Professional Education ◽

Home Based ◽

University Experiences ◽

Home Based Care

Palliative home-based care to pediatric cancer patients: characteristics and healthcare delivered

Supportive Care in Cancer ◽

10.1007/s00520-021-06412-5 ◽

2021 ◽

Author(s):

Íñigo de Noriega ◽

Alberto García-Salido ◽

Ricardo Martino ◽

Blanca Herrero

Keyword(s):

Cancer Patients ◽

Pediatric Cancer ◽

Home Based ◽

Pediatric Cancer Patients ◽

Home Based Care

What Do Veterans Want? Understanding Veterans’ Preferences for PTSD Treatment Delivery

Military Medicine ◽

10.1093/milmed/usz035 ◽

2019 ◽

Vol 184 (11-12) ◽

pp. 686-692 ◽

Cited By ~ 3

Author(s):

Leslie A Morland ◽

Stephanie Y Wells ◽

Lisa H Glassman ◽

Kathleen M Grubbs ◽

Margaret-Anne Mackintosh ◽

...

Keyword(s):

Female Veterans ◽

Age Group ◽

Treatment Delivery ◽

Ptsd Treatment ◽

Choice Preference ◽

Male Veterans ◽

Home Based ◽

First Choice ◽

Home Based Care ◽

The Impact

Abstract Introduction Home-based delivery of psychotherapy may offer a viable alternative to traditional office-based treatment for post-traumatic stress disorder (PTSD) by overcoming several barriers to care. Little is known about patient perceptions of home-based mental health treatment modalities. This study assessed veterans’ preferences for treatment delivery modalities and how demographic variables and trauma type impact these preferences. Materials and Methods Veterans with PTSD (N = 180) participating in a randomized clinical trial completed a clinician-administered PTSD assessment and were asked to identify their modality preference for receiving prolonged exposure: home-based telehealth (HBT), office-based telehealth (OBT), or in-home-in-person (IHIP). Ultimately, modality assignment was randomized, and veterans were not guaranteed their preferred modality. Descriptive statistics were used to examine first choice preference. Chi-square tests determined whether there were significant differences among first choice preferences; additional tests examined if age, sex, and military sexual trauma (MST) history were associated with preferences. Results The study includes 135 male veterans and 45 female veterans from all military branches; respondents were 46.30 years old, on average. Veterans were Caucasian (46%), African-American (28%), Asian-American (9%), American Indian or Alaskan Native (3%), Native Hawaiian or Pacific Islander (3%), and 11% identified as another race. Veterans experienced numerous trauma types (e.g., combat, sexual assault), and 29% had experienced MST. Overall, there was no clear preference for one modality: 42% of veterans preferred HBT, 32% preferred IHIP, and 26% preferred OBT. One-sample binomial tests assuming equal proportions were conducted to compare each pair of treatment options. HBT was significantly preferred over OBT (p = 0.01); there were no significant differences between the other pairs. A multinomial regression found that age group significantly predicted veterans’ preferences for HBT compared to OBT (odds ratio [OR] = 10.02, 95% confidence interval [CI]: 1.63, 61.76). Older veterans were significantly more likely to request HBT compared to OBT. Veteran characteristics did not differentiate those who preferred IHIP to OBT. Because there were fewer women (n = 45), additional multinomial regressions were conducted on each sex separately. There was no age group effect among the male veterans. However, compared to female Veterans in the younger age group, older female Veterans were significantly more likely to request HBT over OBT (OR = 10.66, 95% CI: 1.68, 67.58, p = 0.012). MST history did not predict treatment preferences in any analysis. Conclusions Fewer than 50% of the sample preferred one method, and each modality was preferred by at least a quarter of all participants, suggesting that one treatment modality does not fit all. Both home-based care options were desirable, highlighting the value of offering a range of options. The use of home-based care can expand access to care, particularly for rural veterans. The current study includes a diverse group of veterans and increases our understanding of how they would like to receive PTSD treatment. The study used a forced choice preference measure and did not examine the strength of preference, which limits conclusions. Future studies should examine the impact of modality preferences on treatment outcomes and engagement.

Home-based care for children with chronic illness

The Journal of Perinatal & Neonatal Nursing ◽

10.1097/00005237-199106000-00011 ◽

1991 ◽

Vol 5 (1) ◽

pp. 71-79 ◽

Cited By ~ 6

Author(s):

Kathy S. Katz ◽

Cindy Baker ◽

Deborah Osborn

Keyword(s):

Chronic Illness ◽

Home Based ◽

Home Based Care

Designing a web-application to support home-based care of childhood CKD stages 3-5: Qualitative study of family and professional preferences

BMC Nephrology ◽

10.1186/1471-2369-15-34 ◽

2014 ◽

Vol 15 (1) ◽

Cited By ~ 16

Author(s):

Veronica M Swallow ◽

Andrew G Hall ◽

Ian Carolan ◽

Sheila Santacroce ◽

Nicholas JA Webb ◽

...

Keyword(s):

Qualitative Study ◽

Web Application ◽

Home Based ◽

Home Based Care ◽

Professional Preferences