Using telehealth to optimize healthy independent living for older adults: A feasibility study

被引:17
作者
Bakas, Tamilyn [1 ]
Sampsel, Debi [1 ]
Israel, Jahmeel [1 ]
Chamnikar, Ameya [2 ]
Bodnarik, Barbara [1 ]
Clark, John Greer [3 ]
Ulrich, Megan Gresham [4 ]
Vanderelst, Dieter [2 ,5 ]
机构
[1] Univ Cincinnati, Coll Nursing, 3110 Vine St,POB 210038, Cincinnati, OH 45219 USA
[2] Univ Cincinnati, Coll Engn & Appl Sci, POB 210072, Cincinnati, OH 45219 USA
[3] Univ Cincinnati, Coll Allied Hlth Sci, POB 210394, Cincinnati, OH 45219 USA
[4] Maple Knoll Communities Inc, 11100 Springfield Pike, Springdale, OH 45246 USA
[5] Univ Cincinnati, Coll Arts & Sci, Edwards 1 45150Q, Cincinnati, OH 45221 USA
关键词
Older adults; Health promotion; Chronic illness; Robotics; DISEASE SELF-MANAGEMENT; TREATMENT FIDELITY; TOOL;
D O I
10.1016/j.gerinurse.2018.04.002
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The purpose of this study was to test feasibility of the Telehealth Community Health Assistance Team (T-CHAT), a nurse-led intervention delivered through a telepresence robot designed to promote healthy independent living among older adults. Using a quasi-experimental design, 21 older adults were divided into a T-CHAT group (n =11) or a waitlist control group (n = 10). The T-CHAT group received 3 weekly health coaching sessions from a nurse practitioner student through the telepresence robot. Data trends were analyzed using two-way repeated measures analysis of covariance (ANCOVA) with baseline values as co-variates: effect sizes using partial eta squared (12). Medium to large improvements in unhealthy days, depressive symptoms, sleep, quality of life, and confidence/self-efficacy were found favoring the T-CHAT group. Recruitment and retention strategies were successful, with lessons learned for future studies. Further research is warranted to refine and test efficacy of the T-CHAT program to promote healthy independent living among older adults. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:566 / 573
页数:8
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