ArticleJAMIA open2019
Making connections: nationwide implementation of video telehealth tablets to address access barriers in veterans.
Article in JAMIA open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
100 citing papers in PubMed, 2 syntheses or guidelines pooled it, 154 citations in OpenAlex.
- Lessons Learned About Digital Health Tool Acceptability Among Rural Older Adults: Systematic Review Guided by the Technology Acceptance Model.JMIR aging · 2026Pooled it
- Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- Trial
- Implementation of Direct-to-Patient Mobile Teledermatology in VA.Journal of general internal medicine · 2024Trial
- Video-Enhanced Care Management for Medically Complex Older Adults with Cognitive Impairment.Journal of the American Geriatrics Society · 2021Trial
- Factors influencing implementation of telemedicine in rural dementia care services in high-income countries: a scoping review.BMC health services research · 2026Article
- The telehealth engagement measure: a proportions-based measure of care delivered via video and phone for research, clinical, and policy assessments.JAMIA open · 2026Article
- Supporting Access to Care Through Peripheral Devices and Patient-Generated Health Data: Qualitative Study.Journal of medical Internet research · 2026Article
- Association Between Telehealth Delivery and Same-day Access to Integrated Mental Health in a National VA Sample.Journal of general internal medicine · 2026Article
- Willingness for video visits for non-emergent health issues, mental health, or specialty visits.Frontiers in digital health · 2026Article
- Characteristics of Rural Veterans Using VA Video-to-Home Telehealth or Community Care Network for Mental Healthcare.Psychiatric research and clinical practice · 2026Article
- Variation in Telehealth Use for Patients With Incident Atrial Fibrillation Across the Veterans Health Administration: Retrospective Cohort Study.Journal of medical Internet research · 2025Article
- A partner-informed approach to prioritizing social risks for research in a learning health system.Learning health systems · 2025Article
- Differences in Challenges to Using Telehealth Among Older Adult Video and Telephone Users With Frailty: Retrospective Observational Study.Journal of medical Internet research · 2025Observational
- Exploring maintenance rehabilitation in adults with chronic conditions: a scoping review of the literature.Disability and rehabilitation · 2025Article
- Article
- Race, Genetics, and Social Determinants of Health in Transthyretin Cardiac Amyloidosis: A Literature Review and Call to Action.Current cardiology reports · 2025Review
- Phone-only mental health care within the Department of Veterans Affairs: Associations with rurality, age, sex, and clinical severity.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Recommendations for permanent sleep telehealth: an American Academy of Sleep Medicine position statement.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Use of mobile applications and mental health services among veterans who received internet-connected tablets.JAMIA open · 2024Article
40 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundVideo telehealth technology has the potential to enhance access for patients with clinical, social, and geographic barriers to care. We evaluated the implementation of a US Department of Veterans Affairs (VA) initiative to distribute tablets to high-need Veterans with access barriers.
methodsIn this mixed methods implementation study, we examined tablet adoption (ie, facility-level tablet distribution rates and patient-level tablet utilization rates) and reach (ie, sociodemographic and clinical characteristics of tablet recipients) between 5/1/16 and 9/30/17. Concurrently, we surveyed 68 facility telehealth coordinators to determine the most common implementation barriers and facilitators, and then conducted interviews with telehealth coordinators and regional leadership to identify strategies that facilitated tablet distribution and use.
results86 VA facilities spanning all 18 geographic regions, distributed tablets to 6 745 patients. Recipients had an average age of 56 years, 53% lived in rural areas, 75% had a diagnosed mental illness, and they had a mean (SD) of 5 (3) chronic conditions. Approximately 4 in 5 tablet recipients used the tablet during the evaluation period. In multivariate logistic regression, tablet recipients were more likely to use their tablets if they were older and had fewer chronic conditions. Implementation barriers included insufficient training, staffing shortages, and provider disinterest (described as barriers by 59%, 55%, and 33% of respondents, respectively). Site readiness assessments, local champions, licensure modifications, and use of mandates and incentives were identified as strategies that may influence widespread implementation of home-based video telehealth.
conclusionVA's initiative to distribute video telehealth tablets to high-need patients appears to have successfully reached individuals with social and clinical access barriers. Implementation strategies that address staffing constraints and provider engagement may enhance the impact of such efforts.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.