Evidence map›Paper›PMID 35830331›Full record

ArticleJMIR aging2022

Understanding the Experience of Geriatric Care Professionals in Using Telemedicine to Care for Older Patients in Response to the COVID-19 Pandemic: Mixed Methods Study.

Wenwen Chen, Ashley Flanagan, Pria Md Nippak, Michael Nicin, Samir K Sinha

Open access · goldAbstract read
In one paragraph

Article in JMIR aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Wenwen ChenSchool of Health Services Management, Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-9021-1674
Ashley FlanaganNational Institute on Ageing, Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-7202-8342
Pria Md NippakSchool of Health Services Management, Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-8943-0696
Michael NicinNational Institute on Ageing, Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-0819-9451
Samir K SinhaNational Institute on Ageing, Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-4984-8590
Ted Rogers Centre for Heart Research · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeriatric care professionals were forced to rapidly adopt the use of telemedicine technologies to ensure the continuity of care for their older patients in response to the COVID-19 pandemic. However, there is little current literature that describes how telemedicine technologies can best be used to meet the needs of geriatric care professionals in providing care to frail older patients, their caregivers, and their families.

objectiveThis study aims to identify the benefits and challenges geriatric care professionals face when using telemedicine technologies with frail older patients, their caregivers, and their families and how to maximize the benefits of this method of providing care.

methodsThis was a mixed methods study that recruited geriatric care professionals to complete an online survey regarding their personal demographics and experiences with using telemedicine technologies and participate in a semistructured interview. Interview responses were analyzed using the Consolidated Framework for Implementation Research (CFIR).

resultsQuantitative and qualitative data were obtained from 30 practicing geriatric care professionals (22, 73%, geriatricians, 5, 17%, geriatric psychiatrists, and 3, 10%, geriatric nurse practitioners) recruited from across the Greater Toronto Area. Analysis of interview data identified 5 CFIR contextual barriers (complexity, design quality and packaging, patient needs and resources, readiness for implementation, and culture) and 13 CFIR contextual facilitators (relative advantage, adaptability, tension for change, available resources, access to knowledge, networks and communications, compatibility, knowledge and beliefs, self-efficacy, champions, external agents, executing, and reflecting and evaluating). The CFIR concept of external policy and incentives was found to be a neutral construct.

conclusionsThis is the first known study to use the CFIR to develop a comprehensive narrative to characterize the experiences of Ontario geriatric care professionals using telemedicine technologies in providing care. Overall, telemedicine can significantly enable most of the geriatric care that is traditionally provided in person but is less useful in providing specific aspects of geriatric care to frail older patients, their caregivers, and their families.

Indexed as

aging populationConsolidated Framework for Implementation ResearchCOVID-19digital healthelderly caregeriatric caregeriatric care professionalsolder adultspandemictechnology usabilitytelehealthtelemedicinevirtual care visit

Identifiers

PMID35830331
PMCPMC9369613
OpenAlexW4285009193

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.