VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study.
Identifieur interne : 000082 ( Main/Exploration ); précédent : 000081; suivant : 000083VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study.
Auteurs : Kalpana P. Padala [États-Unis] ; Kerrie B. Wilson [États-Unis] ; C Heath Gauss [États-Unis] ; Jessica D. Stovall [États-Unis] ; Prasad R. Padala [États-Unis]Source :
- Journal of medical Internet research [ 1438-8871 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Aidants (MeSH), Anciens combattants (psychologie), Anciens combattants (statistiques et données numériques), Arkansas (épidémiologie), Communication par vidéoconférence (MeSH), Courrier électronique (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Prestations des soins de santé (MeSH), Rendez-vous et plannings (MeSH), Santé en zone rurale (statistiques et données numériques), Sujet âgé (MeSH), Télémédecine (MeSH), Études transversales (MeSH).
- MESH :
- psychologie : Anciens combattants.
- statistiques et données numériques : Anciens combattants, Santé en zone rurale.
- épidémiologie : Arkansas, Infections à coronavirus, Pneumopathie virale.
- Adulte d'âge moyen, Aidants, Communication par vidéoconférence, Courrier électronique, Femelle, Humains, Mâle, Pandémies, Prestations des soins de santé, Rendez-vous et plannings, Sujet âgé, Télémédecine, Études transversales.
English descriptors
- KwdEn :
- Aged (MeSH), Appointments and Schedules (MeSH), Arkansas (epidemiology), Caregivers (MeSH), Coronavirus Infections (epidemiology), Cross-Sectional Studies (MeSH), Delivery of Health Care (MeSH), Electronic Mail (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Rural Health (statistics & numerical data), Telemedicine (MeSH), Veterans (psychology), Veterans (statistics & numerical data), Videoconferencing (MeSH).
- MESH :
- geographic , epidemiology : Arkansas.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- psychology : Veterans.
- statistics & numerical data : Rural Health, Veterans.
- Aged, Appointments and Schedules, Caregivers, Cross-Sectional Studies, Delivery of Health Care, Electronic Mail, Female, Humans, Male, Middle Aged, Pandemics, Telemedicine, Videoconferencing.
Abstract
BACKGROUND
The COVID-19 pandemic has accelerated the need for telehealth at home. Although the Department of Veterans Affairs is a leading provider of telehealth, disparities may exist in reaching older veterans living in rural areas. VA Video Connect (VVC) is a video conferencing app that enables veterans to connect with their health care provider via a secure and private session.
OBJECTIVE
The aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic.
METHODS
A cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans' willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone.
RESULTS
Participants' mean age was 72.6 (SD 8.3) years, 92% (n=108) were male, 69% (n=81) were Caucasian, 30% (n=35) were African Americans, and 36% (n=42) lived in a rural location. The majority reported having access to the internet (n=93, 77%) and email service (n=83, 70%), but only 56% (n=67) had a camera-equipped device. Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (P=.045) and in those with or less than a high school education compared to those who pursued higher education (P=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (P=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit. In total, 77% (n=27) of the scheduled VVC visits were successful.
CONCLUSIONS
Despite advances in technology, and willingness on the part of health care systems, there are some lingering issues with capability and willingness to participate in video telehealth visits, particularly among older adults residing in rural areas.
DOI: 10.2196/21561
PubMed: 32936773
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Although the Department of Veterans Affairs is a leading provider of telehealth, disparities may exist in reaching older veterans living in rural areas. VA Video Connect (VVC) is a video conferencing app that enables veterans to connect with their health care provider via a secure and private session.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans' willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Participants' mean age was 72.6 (SD 8.3) years, 92% (n=108) were male, 69% (n=81) were Caucasian, 30% (n=35) were African Americans, and 36% (n=42) lived in a rural location. The majority reported having access to the internet (n=93, 77%) and email service (n=83, 70%), but only 56% (n=67) had a camera-equipped device. Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (P=.045) and in those with or less than a high school education compared to those who pursued higher education (P=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (P=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit. In total, 77% (n=27) of the scheduled VVC visits were successful.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite advances in technology, and willingness on the part of health care systems, there are some lingering issues with capability and willingness to participate in video telehealth visits, particularly among older adults residing in rural areas.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32936773</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>08</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>08</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1438-8871</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>09</Month><Day>30</Day></PubDate></JournalIssue><Title>Journal of medical Internet research</Title><ISOAbbreviation>J Med Internet Res</ISOAbbreviation></Journal><ArticleTitle>VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study.</ArticleTitle><Pagination><MedlinePgn>e21561</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2196/21561</ELocationID><Abstract><AbstractText Label="BACKGROUND">The COVID-19 pandemic has accelerated the need for telehealth at home. Although the Department of Veterans Affairs is a leading provider of telehealth, disparities may exist in reaching older veterans living in rural areas. VA Video Connect (VVC) is a video conferencing app that enables veterans to connect with their health care provider via a secure and private session.</AbstractText><AbstractText Label="OBJECTIVE">The aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic.</AbstractText><AbstractText Label="METHODS">A cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans' willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone.</AbstractText><AbstractText Label="RESULTS">Participants' mean age was 72.6 (SD 8.3) years, 92% (n=108) were male, 69% (n=81) were Caucasian, 30% (n=35) were African Americans, and 36% (n=42) lived in a rural location. The majority reported having access to the internet (n=93, 77%) and email service (n=83, 70%), but only 56% (n=67) had a camera-equipped device. Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (P=.045) and in those with or less than a high school education compared to those who pursued higher education (P=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (P=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit. In total, 77% (n=27) of the scheduled VVC visits were successful.</AbstractText><AbstractText Label="CONCLUSIONS">Despite advances in technology, and willingness on the part of health care systems, there are some lingering issues with capability and willingness to participate in video telehealth visits, particularly among older adults residing in rural areas.</AbstractText><CopyrightInformation>©Kalpana P Padala, Kerrie B Wilson, C Heath Gauss, Jessica D Stovall, Prasad R Padala. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 30.09.2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Padala</LastName><ForeName>Kalpana P</ForeName><Initials>KP</Initials><Identifier Source="ORCID">0000-0001-6021-0593</Identifier><AffiliationInfo><Affiliation>Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Arkansas for Medical Sciences, Little Rock, AR, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wilson</LastName><ForeName>Kerrie B</ForeName><Initials>KB</Initials><Identifier Source="ORCID">0000-0002-5699-9103</Identifier><AffiliationInfo><Affiliation>Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gauss</LastName><ForeName>C Heath</ForeName><Initials>CH</Initials><Identifier Source="ORCID">0000-0001-9488-780X</Identifier><AffiliationInfo><Affiliation>Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Arkansas for Medical Sciences, Little Rock, AR, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stovall</LastName><ForeName>Jessica D</ForeName><Initials>JD</Initials><Identifier Source="ORCID">0000-0001-6624-4807</Identifier><AffiliationInfo><Affiliation>Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Padala</LastName><ForeName>Prasad R</ForeName><Initials>PR</Initials><Identifier Source="ORCID">0000-0003-1921-9806</Identifier><AffiliationInfo><Affiliation>Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Arkansas for Medical Sciences, Little Rock, AR, United States.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>J Med Internet Res</MedlineTA><NlmUniqueID>100959882</NlmUniqueID><ISSNLinking>1438-8871</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001071" MajorTopicYN="N">Appointments and Schedules</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001131" MajorTopicYN="N" Type="Geographic">Arkansas</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="N">Caregivers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034742" MajorTopicYN="N">Electronic Mail</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012423" MajorTopicYN="N">Rural Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="Y">Telemedicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014728" MajorTopicYN="N">Veterans</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D049269" MajorTopicYN="Y">Videoconferencing</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">VA Video Connect</Keyword><Keyword MajorTopicYN="Y">capabillity</Keyword><Keyword MajorTopicYN="Y">cross-sectional</Keyword><Keyword MajorTopicYN="Y">disparity</Keyword><Keyword MajorTopicYN="Y">elderly</Keyword><Keyword MajorTopicYN="Y">older adults</Keyword><Keyword MajorTopicYN="Y">rural</Keyword><Keyword MajorTopicYN="Y">telehealth</Keyword><Keyword MajorTopicYN="Y">veteran affairs</Keyword><Keyword MajorTopicYN="Y">veterans</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>16</Day><Hour>17</Hour><Minute>11</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32936773</ArticleId><ArticleId IdType="pii">v22i9e21561</ArticleId><ArticleId IdType="doi">10.2196/21561</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Arkansas</li></region></list><tree><country name="États-Unis"><region name="Arkansas"><name sortKey="Padala, Kalpana P" sort="Padala, Kalpana P" uniqKey="Padala K" first="Kalpana P" last="Padala">Kalpana P. Padala</name></region><name sortKey="Gauss, C Heath" sort="Gauss, C Heath" uniqKey="Gauss C" first="C Heath" last="Gauss">C Heath Gauss</name><name sortKey="Gauss, C Heath" sort="Gauss, C Heath" uniqKey="Gauss C" first="C Heath" last="Gauss">C Heath Gauss</name><name sortKey="Padala, Kalpana P" sort="Padala, Kalpana P" uniqKey="Padala K" first="Kalpana P" last="Padala">Kalpana P. Padala</name><name sortKey="Padala, Prasad R" sort="Padala, Prasad R" uniqKey="Padala P" first="Prasad R" last="Padala">Prasad R. Padala</name><name sortKey="Padala, Prasad R" sort="Padala, Prasad R" uniqKey="Padala P" first="Prasad R" last="Padala">Prasad R. Padala</name><name sortKey="Stovall, Jessica D" sort="Stovall, Jessica D" uniqKey="Stovall J" first="Jessica D" last="Stovall">Jessica D. Stovall</name><name sortKey="Wilson, Kerrie B" sort="Wilson, Kerrie B" uniqKey="Wilson K" first="Kerrie B" last="Wilson">Kerrie B. Wilson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|wiki= Sante
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|texte= VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study.
}}
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