scholarly journals Are Diabetic Older Adults Equally Satisfied with Remote Consultation vs. Face to Face Consultation?

2020 ◽  
Vol 3 ◽  
Author(s):  
Shelby Lanie ◽  
Erin Jefferson ◽  
Brian Henriksen
Keyword(s):  
Older Adults ◽  
Technology Study ◽  
Remote Consultation ◽  
Retrospective Case ◽  
Cross Sectional ◽  
Face To Face ◽  
Commute Time ◽  
Time Distance ◽  
Hearing Difficulty ◽  
Chi Square Analysis

Background and Hypothesis:  The COVID-19 pandemic has likely made remote consultation (RC) a permanent part of healthcare. Older adults could greatly benefit from RC, and current literature indicates older adults are equally satisfied with RC vs. face to face consultation (FTFC). However, there is selection bias in the literature towards adults who feel comfortable enrolling in a technology study. We hope to fill this dearth by surveying diabetic older adults who were strongly encouraged by their physicians to utilize RC during the COVID-19 quarantine. We hypothesize older adults will be less satisfied by RC vs. FTFC.    Experimental Design or Project Methods:  We propose a retrospective case control cross-sectional telephone survey (data collected in RedCap) examining satisfaction with consultation in diabetic older adults who received care via RC during the spring 2020 COVID-19 quarantine. We will compare the RC condition to the FTFC sample (appointments that occurred before quarantine) using an unpaired t test. We also propose measuring commute time/distance and hearing difficulty as possible mediating factors on satisfaction, analyzed with a regression analysis and a chi square analysis respectively    Results:  We expect to see lower satisfaction rates in the RC vs. the FTFC condition. However, we expect this effect to be mediated by patients’ typical commute time/distance to their clinic. We also expect to see lower rates of satisfaction in the RC condition than the FTFC condition for patients with hearing difficulty.    Conclusion and Potential Impact:  The population is continuing to age, suffering from increased rates of diabetes and other chronic conditions that require more frequent, and more burdensome appointments. While RC has incredible potential to help older adults keep important appointments, their satisfaction is an integral part of successful care. This study could help dictate clinical decisions by informing providers and patients on older adults’ satisfaction with RC.  

Patient and clinician satisfaction with video consultations during the COVID-19 pandemic: an opportunity for a new way of working

2020 ◽  
pp. 146531252097367
Author(s):  
Emer Byrne ◽  
Simon Watkinson
Keyword(s):  
Teaching Hospital ◽  
Service Evaluation ◽  
Remote Consultation ◽  
Cross Sectional ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
The Future ◽  
Clinician Satisfaction ◽  
High Level ◽  
Remote Consultations

Objective: To assess satisfaction of patients and clinicians with virtual appointments using Attend Anywhere for their orthodontic consultation and to identify any areas where the technology could be further utilised. Design: Service evaluation involving descriptive cross-sectional questionnaire. Setting: Orthodontic Departments at Royal Blackburn Teaching Hospital and Burnley General Teaching Hospital. Participants: Patients and clinicians involved in video consultations. Methods: Patient- and clinician-specific questionnaires were designed and those involved in virtual clinics were invited to complete these at the end of their consultation. The questionnaires focused on setting up and connecting to the virtual clinic, assessing if the correct types of patients were involved in the clinics and satisfaction with these types of remote consultations. Results: A total of 121 questionnaires (59 patient and 62 clinician) were completed. Of the patients, 93% found the instructions provided to access the consultation easy to follow and 70% of clinicians did not report any connection issues. In 90% of cases, a virtual appointment was seen to be appropriate by the clinician. Respondents showed a high level of satisfaction with 76% of patients saying a remote consultation was more convenient than face-to-face, and 66% reporting they would, if appropriate, like more appointments like this in the future. Conclusion: The overall satisfaction among patients with virtual clinics introduced during the COVID-19 pandemic was generally high. The majority of patients would, where appropriate, prefer more virtual appointments in the future in comparison to face-to-face appointments and it was found to be more convenient for the patient.

scholarly journals Socioeconomic and health characteristics of older adults cared for by a multiprofessional family health team

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 33-43
Author(s):  
Tatiana Silveira Marzola ◽  
Maycon Sousa Pegorari ◽  
Lislei Jorge Patrizzi ◽  
Suraya Gomes Novais-Shimano
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Work Experience ◽  
Age Groups ◽  
Family Health ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Health Team ◽  
Family Health Team ◽  
Chi Square Analysis

Abstract Introduction: Population aging may give rise to a greater burden of diseases and disabilities, leading to the greater use of health services and the need for studies of the aged population. Health care teams and specialized residency programs constitute a strategy for the monitoring of older adults’ health status. Objective: To investigate the socioeconomic profile and health status of older adults in different age groups cared for by a multiprofessional family health team. Methods: This cross-sectional, quantitative study was conducted with 249 older adults registered in a Family Health Strategy (FHS) program in Uberaba, MG, Brazil. Socioeconomic and health status data were collected through home interviews using a structured questionnaire. Chi-square analysis was used for descriptive and bivariate analyses (p < 0.05). Results: Most older adults aged 60-70 years were functionally independent, married and had a mean monthly income of 1-3 times the Brazilian minimum wage. Older adults aged 70 - 79 years made use of 1 - 3 medications and had morbidities such as depression, cataract and glaucoma. There was a greater proportion of illiterates in the age group 80 years or over. Conclusion: Socioecnomic and health status were associated with age groups. Of note, there was a higher prevalence of medication use and morbidities among older adults aged 70 -79 years. The knowledge of these characteristics helps FHS team members to implement more accurate and customized strategies and interventions to deliver more effective and efficient care to older adults. Moreover, participation in a multiprofessional team provides an interdisciplinary learning and work experience for health professionals.

scholarly journals Reorganisation of primary care for older adults during COVID-19: a cross-sectional database study in the UK

2020 ◽  
Vol 70 (697) ◽  
pp. e540-e547 ◽  
Author(s):  
Mark Joy ◽  
Dylan McGagh ◽  
Nicholas Jones ◽  
Harshana Liyanage ◽  
Julian Sherlock ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Temporal Trends ◽  
Rapid Change ◽  
Home Visits ◽  
Relative Increase ◽  
Cross Sectional ◽  
Sentinel Network ◽  
Database Study ◽  
Face To Face

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has resulted in a rapid change in workload across healthcare systems. Factors related to this adaptation in UK primary care have not yet been examined.AimTo assess the responsiveness and prioritisation of primary care consultation type for older adults during the COVID-19 pandemic.Design and settingA cross-sectional database study examining consultations between 17 February and 10 May 2020 for patients aged ≥65 years, drawn from primary care practices within the Oxford Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) sentinel network, UK.MethodThe authors reported the proportion of consultation type across five categories: clinical administration, electronic/video, face-to-face, telephone, and home visits. Temporal trends in telephone and face-to-face consultations were analysed by polypharmacy, frailty status, and socioeconomic group using incidence rate ratios (IRR).ResultsAcross 3 851 304 consultations, the population median age was 75 years (interquartile range [IQR] 70–82); and 46% (n = 82 926) of the cohort (N = 180 420) were male. The rate of telephone and electronic/video consultations more than doubled across the study period (106.0% and 102.8%, respectively). Face-to-face consultations fell by 64.6% and home visits by 62.6%. This predominantly occurred across week 11 (week commencing 9 March 2020), coinciding with national policy change. Polypharmacy and frailty were associated with a relative increase in consultations. The greatest relative increase was among people taking ≥10 medications compared with those taking none (face-to-face IRR 9.90, 95% CI = 9.55 to 10.26; telephone IRR 17.64, 95% CI = 16.89 to 18.41).ConclusionPrimary care has undergone an unprecedented in-pandemic reorganisation while retaining focus on patients with increased complexity.

scholarly journals Validity of Arm-Span to estimate height in older adults: a secondary analysis of a Colombian cohort, SABE Bogotá study

2019 ◽  
Author(s):  
Miguel Germán Borda Borda ◽  
Carlos Cano-Gutierrez ◽  
María Juliana Lozano ◽  
Samir Aruachan ◽  
Nicolás Castellanos-Perilla ◽  
...  
Keyword(s):  
Older Adults ◽  
Secondary Analysis ◽  
The Elderly ◽  
Limits Of Agreement ◽  
Cross Sectional Survey ◽  
Height Measurement ◽  
Cross Sectional ◽  
Face To Face ◽  
Arm Span ◽  
Final Sample

Abstract Background Body composition and height changes with aging which brings challenges in order to obtain accurate measures in this population, height measurement is of great importance both in nutritional and clinical assessment in the elderly, and it has been widely used for obtaining values such as body mass index, the aim of this study was to assess the validity of arm span to estimate height in Colombian older adults. Methods This is a secondary analysis of the SABE-Bogota study (2012); which is a cross-sectional survey conducted in older adults over the age of 60; with a final sample n=1,436. Spearman`s Rho correlation coefficient was used to assess concurrent validity, while limits of agreement were set through Bland-Altman plots. Criterion validity was performed comparing face-to-face measured height with arm-span estimated height with linear regressions (R2 and SEE). Results There was a significant correlation between measured height and arm span estimated height of 0.856 (CI 95% 0.842-0.870; p<0.0001). Limits of agreement ranged between -7.65 and 11.14cm. R2values ranged between 0.3 and 0.8, SEE was lower in males between 60 and 79 years of age. Conclusions Alternatives to estimate height in older adults are necessary. Our results suggest that the arm span is a valid measure for the estimation of measured height in Colombian older adults.

Quality of life among disabled older adults without cognitive impairment and its relation to attendance in day care centres

2012 ◽  
Vol 33 (4) ◽  
pp. 627-643 ◽  
Author(s):  
ESTHER IECOVICH ◽  
AYA BIDERMAN
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Day Care ◽  
Longitudinal Research ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Quasi Experimental ◽  
Day Care Centres

ABSTRACTDay care centres intend to improve the quality of life of disabled older adults. The aims of the paper are to: (a) examine the extent to which users of day care centres experience higher levels of quality of life compared to their peers who are non-users; and (b) to explore the relationships between the length of use and frequency of weekly attendance at day care centres and quality of life. This is a case-control study with a sample of 817 respondents, of whom 417 were users of day care centres and 400 were non-users, matched by age, gender and family physician. The study was conducted in 12 day care centres in the southern region of Israel. Data collection included face-to-face interviews using a structured questionnaire. Quality of life was found to be significantly related to the use of day care centres, but length and frequency of attendance were insignificant in explaining quality of life among users of day care centres. The study demonstrated that users of day care centres have a higher quality of life, but in a cross-sectional study we cannot prove causality. Therefore, more research using quasi-experimental and longitudinal research designs is necessary to assess causality between use and attendance at day care centres on users' quality of life.

scholarly journals Evaluation of Race as a Predictor of Fear of Falling in Black Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 235-235
Author(s):  
Selena Washington ◽  
Susan Stark ◽  
Makenna Synder ◽  
Yi-Ling Hu ◽  
Brittany Minor
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Randomized Clinical Trials ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Health Concern ◽  
Cross Sectional ◽  
Mobility Performance ◽  
Chi Square Analysis

Abstract Fear of falling (FOF) is a common issue and health concern reported by adults 65 years of age and older.There is mixed evidence about potential disparity in fall incident rates due to race and FOF, and it is unclear if and under what circumstance falls rates and risks differ by racial ethnicity. The purpose of this study is to determine if race predicts fear of falling in older adults at greater risk for falls; and to examine the relationship between activities of daily living (ADL) and mobility performance measures with FOF. A cross-sectional observational study was used to examine predictors of FOF among community dwelling-older adults using data from two longitudinal randomized clinical trials (RCT). Participants (N=259) had a mean age of 75.7 ±7.4, 78.8% female, 80.64% Black, and 77.03% White or Other, with ≥ 1 fall in the last 12 months. Subjects completed a demographic profile; the Tinetti and Short Falls Efficacy Scale to assess FOF; and activities of daily living (ADL) and mobility performance scales to assess function. The chi square analysis revealed Black older adults were two times more likely to report FOF (OR = 2.17, 95% CI = 1.14, 4.15; p=.05) in comparison to White older adults. The regression analysis demonstrated that race is a significant factor to predict FOF (OR = .67, 95% CI = 1.21, 3.24; p=.05); and the descriptive analysis revealed significantly worse ADL and mobility function scores within the high FOF group.

Perceived Voice Disorders in Older Adults and Impact on Social Interactions

2021 ◽  
pp. 1-8
Author(s):  
Connie K. Porcaro ◽  
Clare Singer ◽  
Boris Djokic ◽  
Ali A. Danesh ◽  
Ruth Tappen ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Interactions ◽  
Social Engagement ◽  
Leisure Activities ◽  
Treatment Strategies ◽  
Voice Disorders ◽  
Community Dwelling ◽  
Vocal Performance ◽  
Older Individuals ◽  
Cross Sectional

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.

Potentially Inappropriate Medications Use in A Population of Iraqi Geriatric Outpatients According to Beers Criteria

2019 ◽  
Vol 10 (02) ◽  
Author(s):  
Ola Albaghdadi ◽  
Salam , Mohammad Hassan Morteza, Firas A Ahjel ◽  
Mohammad Hassan Morteza ◽  
Firas Aziz Rahi
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Public Health Issue ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Face To Face ◽  
Inappropriate Drugs ◽  
Elderly Outpatients ◽  
Inappropriate Medications

Aims: Elderly in Iraq kept suffering multiple burdens, as they are a truly fragile and vulnerable segment. A major public health issue among elderly is adverse drug reactions. This study is aimed at contributing in overcoming this treatment gap by determining the prevalence of inappropriate medications used by a group of Iraqi elderly outpatients. Methods: A cross-sectional, questionnaire-based study was conducted in a sample of 85 Iraqi elderly aged ≥65 years of either gender. Participants had face-to-face interviews to answer a comprehensive questionnaire. Each drug taken by the patient was evaluated according to Beers criteria. Results: Females constituted 45.9% of the total. The average age was 69.9 years (± 4.6). Nearly 30% of the patients had 3 different diseases, and 17.8% had ≥4 different ones, with cardiovascular diseases were the most prevalent. Polypharmacy was notably identified in 47.1% of the total studied population. Twenty-eight out of 85 patients did not know the actual reason of taking at least one of their medications, and 42% were not taking their drugs as directed. Remarkably, 43.5% of patients were recognized as taking at least one medication to be avoided in elderly people according to the Beers criteria. The most common inappropriate drugs were glyburide, and proton-pump inhibitors. Conclusion: There was an obvious absence of any role of pharmacists in the health care system for our studied population. Health care professionals are encouraged to review the medications prescribed for geriatric patients using updated safety guidelines to prevent the risks associated with potentially inappropriate medications.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

KNOWLEDGE, ATTITUDE AND PRACTICE OF MOTHERS HAVING THEIR DAUGHTERS AGED 1 TO 26 YEARS OLD TOWARDS HPV VACCINATION AGAINST CERVICAL CANCER IN AN BINH WARD, NINH KIEU DISTRIC, CAN THO CITY

2014 ◽  
pp. 133-139
Author(s):  
Duc Tam Lam ◽  
Vu Quoc Huy Nguyen
Keyword(s):  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Hpv Vaccination ◽  
Common Disease ◽  
Cross Sectional ◽  
Face To Face ◽  
Correct Knowledge ◽  
Attitude And Practice ◽  
Can Tho City ◽  
Knowledge Attitude And Practice

Backgroud: Cervical cancer is a common disease after breast cancer. That is caused by Human papillomavirus (HPV) and now, we have HPV vaccin to prevent the disease with objectives: to determine rate of correct knowledge, attitudes and practice towards HPV vaccination against cervical cancer of mothers who have daughters aged 1 to 26 years old in An Binh ward, Ninh Kieu district, Can Tho city and to determine the relationship between correct knowledge and correct attitudes and correct behaviors towards vaccination against cervical cancer of these mothers. Materials and method: Cross-sectional, community survey on 410 mothers who are interviewed face to face by using a questionnaire. Results: The rate of correct knowledge, attitude and practice towards HPV vaccination against cervical cancer is 4.4%; 89.5%; 12.2%; respectively. There’s a correlation between correct knowledge and correct behaviors towards vaccination against cervical cancer among mothers (p<0.05), but no correlation between correct knowledge and correct attitudes. Conclusion: the rate of mothers who have correct knowledge and behaviors is relatively low but whose correct attitude is high. Therefore, may be they want to know more information about vaccination against cervical cancer so that it should have appropriate information-education-counseling and health care campaign to community. Keywords: Knowledge, Attitude, practice, vaccine, Human papillomavirus, cervical

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