Multi-site videoconferencing for home-based education of older people with chronic conditions: the Telehealth Literacy Project

促进者 远程医疗 电视会议 焦点小组 远程医疗 互联网 互联网接入 医学 读写能力 多媒体 医学教育 护理部 心理学 医疗保健 计算机科学 万维网 教育学 社会学 社会心理学 人类学 经济 经济增长
作者
Annie Banbury,Lynne Parkinson,Susan Nancarrow,Jared Dart,Len Gray,Jennene Buckley
出处
期刊:Journal of Telemedicine and Telecare [SAGE]
卷期号:20 (7): 353-359 被引量:42
标识
DOI:10.1177/1357633x14552369
摘要

We examined the acceptability of multi-site videoconferencing as a method of providing group education to older people in their homes. There were 9 groups comprising 52 participants (mean age 73 years) with an average of four chronic conditions. Tablet computers or PCs were installed in participant’s homes and connected to the Internet by the National Broadband Network (high-speed broad band network) or by the 4G wireless network. A health literacy and self-management programme was delivered by videoconference for 5 weeks. Participants were able to view and interact with all group members and the facilitator on their devices. During the study, 44 group videoconferences were conducted. Evaluation included 16 semi-structured interviews, 3 focus groups and a journal detailing project implementation. The participants reported enjoying home-based group education by videoconference and found the technology easy to use. Using home-based groups via videoconference was acceptable for providing group education, and considered particularly valuable for people living alone and/or with limited mobility. Audio difficulties were the most commonly reported problem. Participants connected with 4G experienced more problems (audio and visual) than participants on the National Broadband Network and those living in multi-dwelling residences reported more problems than those living in single-dwelling residences. Older people with little computer experience can be supported to use telehealth equipment. Telehealth has the potential to improve access to education about chronic disease self-management.
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