2.50
Hdl Handle:
http://hdl.handle.net/10755/158940
Type:
Presentation
Title:
Feasibility of Telehealth for Children with Complex Health Conditions
Abstract:
Feasibility of Telehealth for Children with Complex Health Conditions
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Cady, Rhonda, M.S., R.N.
P.I. Institution Name:University of Minnesota
Title:Health Informatics
Contact Address:420 Delaware Ave SE, MMC 609, Minneapolis, MN, 55455, USA
Contact Telephone:952-412-2108
Co-Authors:R.G. Cady, S.M. Finkelstein, Health Informatics, University of Minnesota, Minneapolis, MN; A.M. Kelly, Pediatrics, University of Minnesota, Minneapolis, MN;
Purpose: Evaluate the feasibility of home-based, interactive video to deliver advanced practice nurse care coordination and case management (CC/CM). Theoretical Framework: Changing the delivery mode of care coordination and case management from telephone to video is an enabling factor of Andersen's Behavioral Model of Health Services that could impact health behavior. Subjects: Advanced practice nurses from the U Special Kids Program at the University of Minnesota, and families of children with complex health conditions living throughout the state of Minnesota. Method: Over a six month period, two advanced practice nurses conducted twenty-three scheduled video sessions with a convenience sample of 3 urban and 2 rural families. The objective of these sessions was to evaluate the ease and quality of the connection; they were not initiated in response to a change in the child's condition. A seven question survey was completed after each session. Results: Establishing a connection was rated easy for 91% of sessions. All sessions with an internet upload speed of 384 kbps or greater (78%) were rated as having clear audio and video quality. Of these successfully transmitted cases, 83% provided the same information as telephone CC/CM and 17% provided additional clinical information. Three additional unscheduled video sessions were initiated by the nurses in response to a change in the child's condition. These unscheduled sessions were rated as providing more information than telephone CC/CM. Conclusion: Interactive video home telehealth is feasible with an internet upload speed of 384 kbps or greater. Three unscheduled video sessions provide preliminary validation that home-based, interactive video could increase the effectiveness of telephone-based CC/CM programs for children with complex health conditions. Evaluation of this technology within a randomized controlled trial using Andersen's Behavioral Model of Health Services is the next logical step.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFeasibility of Telehealth for Children with Complex Health Conditionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158940-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Feasibility of Telehealth for Children with Complex Health Conditions</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cady, Rhonda, M.S., R.N.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Minnesota</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Health Informatics</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">420 Delaware Ave SE, MMC 609, Minneapolis, MN, 55455, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">952-412-2108</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cadyx010@umn.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">R.G. Cady, S.M. Finkelstein, Health Informatics, University of Minnesota, Minneapolis, MN; A.M. Kelly, Pediatrics, University of Minnesota, Minneapolis, MN;</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Evaluate the feasibility of home-based, interactive video to deliver advanced practice nurse care coordination and case management (CC/CM). Theoretical Framework: Changing the delivery mode of care coordination and case management from telephone to video is an enabling factor of Andersen's Behavioral Model of Health Services that could impact health behavior. Subjects: Advanced practice nurses from the U Special Kids Program at the University of Minnesota, and families of children with complex health conditions living throughout the state of Minnesota. Method: Over a six month period, two advanced practice nurses conducted twenty-three scheduled video sessions with a convenience sample of 3 urban and 2 rural families. The objective of these sessions was to evaluate the ease and quality of the connection; they were not initiated in response to a change in the child's condition. A seven question survey was completed after each session. Results: Establishing a connection was rated easy for 91% of sessions. All sessions with an internet upload speed of 384 kbps or greater (78%) were rated as having clear audio and video quality. Of these successfully transmitted cases, 83% provided the same information as telephone CC/CM and 17% provided additional clinical information. Three additional unscheduled video sessions were initiated by the nurses in response to a change in the child's condition. These unscheduled sessions were rated as providing more information than telephone CC/CM. Conclusion: Interactive video home telehealth is feasible with an internet upload speed of 384 kbps or greater. Three unscheduled video sessions provide preliminary validation that home-based, interactive video could increase the effectiveness of telephone-based CC/CM programs for children with complex health conditions. Evaluation of this technology within a randomized controlled trial using Andersen's Behavioral Model of Health Services is the next logical step.</td></tr></table>en_GB
dc.date.available2011-10-26T21:32:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:32:46Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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