Published on February 4, 2008
Communication Modalities in Telehealth Support of Rural Community Integration: Communication Modalities in Telehealth Support of Rural Community Integration Debra Larsen, Ph.D., B. Hudnall Stamm, Ph.D. & Kelly Davis, M.S. Idaho State University Institute of Rural Health Introduction: Introduction The overall goal of Idaho RC was to provide self-directed support for integration efforts of individuals with disabilities. Global functional assessments of strengths and difficulties Cooperative consumer-driven integration planning Monthly life status reviews Service coordination and information provision Technological support of these activities Slide3: Technological support of these activities Beamer Video phones were connected to land lines in participants’ homes Participants were instructed how to use the equipment. This presentation will review post hoc analyses of telehealth communication patterns. Background: Background MONTHLY DATA COLLECTION Participants reported information relevant to personal quality of life using: Beck Depresion Inventory, 2nd Edition Life Status Review SF-12 Health Survey Method: Method Participants included 23 individuals, ranging in age from 15 to 78. A total of 62 monthly phone contacts were completed via video phone, cell phone or traditional land-line telephone. Results & Discussion: Results & Discussion Although video phones were provided free of charge to all participants with land line access in their homes, as well as instruction on how to use the telehealth equipment, participants preferred other modes of communication: 49% of contacts made via land-line 36 % of contacts made via cell phone 14.5% of calls were video based Results & Discussion: Results & Discussion Despite video phone availability to all participants, multiple barriers to this type of telehealth communication modality were identified including: Inability to access the video phone when not at home (6%) Cell phone as a primary phone (13%) Cell phone use by professionals (17%), and Equipment difficulties (19%) Results & Discussion: Results & Discussion While utilization of video phones was low, those using this form of communication reported being satisfied and benefiting from telehealth use. High satisfaction (mean= 8.9/10; SD=2.40) Easier access to care (mean=73/100; SD=17) Results & Discussion: Results & Discussion Regardless of monthly communication modality, participants reported improvement across multiple life domains: Finances (F2,6= 12.04; p = .01) Housing (F2,6=6.69; p = .03) Transportation (F2,6=7.85; p = .02) Medical concerns (F2,6=8.31; p = .02) Slide10: CONCLUSIONS Cell phone use and individual preferences limit video phone utilization Positive integration outcomes despite communication method Specific disabilities (e.g. visual impairment) make video phones impractical as a support Acknowledgements: Acknowledgements For further information see: http://www.isu.edu/departments/irh/research.htm Or email [email protected] This project is supported by the Center for Medicaid and Medicare Services (#18-P-91537/0 and #11-P-92045/0) through the Idaho Department of Health and Welfare and, in part, by grant # 1 D1B TM 00042-01 from the Department of Health and Human Services (DHHS) Health Resources and Services Administration, Office for the Advancement of Telehealth. The contents are the sole responsibility of the authors and do not necessarily represent the official views of the Center for Medicaid and Medicare or DHHS.