Telemedicine and Dementia Care: A Systematic Review of Barriers and Facilitators.
Telemedicine and Dementia Care: A Systematic Review of Barriers and Facilitators.
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DOI：
10.1016/j.jamda.2021.03.015
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发表时间：
2021-07
影响因子：
7.6
通讯作者：
Oh ES
中科院分区：
文献类型：
--
作者：
Yi JS;Pittman CA;Price CL;Nieman CL;Oh ES
越来越多地依赖远程医疗的老年人与认知障碍，需要更好地了解这一独特的患者群体的障碍和促进因素。研究团队于2020年5月1日查询了PubMed、Embase、科克伦图书馆、PsycINFO、CINAHL、Scopus和ClinicalTrials.gov，以获取2010年1月至2020年5月发表的英文研究。我们进行了一项系统性综述的文章，调查使用远程医疗的老年人与阿尔茨海默病和相关痴呆症（ADRD）或轻度认知障碍（MCI），重点是病人和护理伙伴的观点。远程医疗遇到的目的，技术要求，并就感官需求的调查结果进行了提取。采用科克伦协作网的偏倚风险工具进行质量评估。检索得到3551篇摘要，其中审查了90篇文章，纳入了17篇。远程医疗接触的目的包括常规护理、认知评估和远程康复。所有研究都报告了远程医疗的成功实施，得到了患者和护理伙伴满意度的支持，与面对面访问相比，认知评估和诊断结果相似，康复后结果指标有所改善。16项研究依赖于工作人员和护理合作伙伴来导航技术。六项研究报告了参与者报告在远程医疗访问期间难以听到提供者的情况。五项研究排除了视力或听力受损的参与者，因为使用远程医疗技术可能存在困难。没有研究报告技术适应性解释感觉障碍。远程医疗深受患者和护理伙伴的欢迎，但成功的交付需要支持人员和护理伙伴来导航技术。在开发远程医疗系统时，将有感官障碍的老年人排除在外，特别是考虑到这种疾病非常普遍，这可能会进一步加剧这一人群获得护理的情况。使技术适应感官需求对于通过远程医疗促进无障碍痴呆症护理至关重要。远程医疗的成功提供需要支持人员和护理合作伙伴来导航技术。使技术适应感官需求对于通过远程医疗促进无障碍痴呆症护理至关重要。
An increasing reliance on telemedicine for older adults with cognitive impairment requires a better understanding of the barriers and facilitators for this unique patient population. The study team queried PubMed, Embase, the Cochrane Library, PsycINFO, CINAHL, Scopus, and ClinicalTrials.gov on May 1, 2020 for studies in English published from January 2010 to May 2020. We conducted a systematic review of articles investigating the use of telemedicine among older adults with Alzheimer’s disease and related dementia (ADRD) or mild cognitive impairment (MCI) that focused on the patient and care partner perspectives. Telemedicine encounter purpose, technological requirements, and findings regarding sensory needs were extracted. The Cochrane Collaboration’s Risk of Bias Tool was applied for quality assessment. The search yielded 3551 abstracts, from which 90 articles were reviewed and 17 were included. The purpose of telemedicine encounters included routine care, cognitive assessment, and telerehabilitation. All studies reported successful implementation of telemedicine, supported by patient and care partner satisfaction, similar results on cognitive assessment and diagnosis compared to in-person visits, and improvement in outcome measures following rehabilitation. 16 studies relied upon staff and care partners to navigate technologies. Six studies reported participants reporting difficulty hearing the provider during the telemedicine visits. Five studies excluded participants with visual or hearing impairment due to the potential difficulty of using telemedicine technology. No studies reported technological adaptations to account for sensory impairment. Telemedicine is well-received among patients and care partners, but successful delivery incorporates support staff and the care partners to navigate technologies. The exclusion of older adults with sensory impairment, especially given that it is highly prevalent, in developing telemedicine systems may further exacerbate access to care in this population. Adapting technologies for sensory needs is critical to the advancement of accessible dementia care through telemedicine. Successful delivery of telemedicine incorporates support staff and care partners to navigate technologies. Adapting technologies for sensory needs is critical to the advancement of accessible dementia care through telemedicine.
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影响因子：
7.2
作者：
Laver, Kate;Liu, Enwu;Crotty, Maria
通讯作者：
Crotty, Maria
影响因子：
4
作者：
Capozzo, Rosa;Zoccolella, Stefano;Logroscino, Giancarlo
通讯作者：
Logroscino, Giancarlo
影响因子：
3.6
作者：
Jelcic, Nela;Agostini, Michela;Cagnin, Annachiara
通讯作者：
Cagnin, Annachiara
影响因子：
5.2
作者：
Carotenuto, Anna;Rea, Raffaele;Amenta, Francesco
通讯作者：
Amenta, Francesco
痴呆症患者的农村记忆障碍诊所诊断诊断诊断中的远程医疗。
DOI：
10.5770/cgj.15.28
发表时间：
2012-12
期刊：
Canadian geriatrics journal : CGJ
影响因子：
--
作者：
Azad N;Amos S;Milne K;Power B
通讯作者：
Power B