ArticleBMC health services research2023
Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Factors influencing implementation of telemedicine in rural dementia care services in high-income countries: a scoping review.BMC health services research · 2026Article
- Development of a Specialized Telemedicine Protocol for Cognitive Disorders: The TeleCogNition Project in Greece.Geriatrics (Basel, Switzerland) · 2025Article
- Viewpoints of Healthcare Professionals on Care Delivery Within the Frames of Old-Age Mental Telehealth Services Operating in Low-Resource Settings.Brain sciences · 2025Article
- INTegRated InterveNtion of pSychogerIatric Care: real-world application and implementation of an advanced integrated telehealth system incorporating machine learning.Frontiers in psychology · 2025Article
- Telehealth to increase healthcare access; perspectives of people who use drugs.BMC medical informatics and decision making · 2024Article
- Telehealth memory clinics in primary healthcare: real-world experiences from low-resource settings in Greece.Frontiers in dementia · 2024Article
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23 authors.
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Abstract
backgroundEven though communities in low-resource areas across the globe are aging, older adult mental and cognitive health services remain mainly embedded in tertiary- or secondary hospital settings, and thus not easily accessible by older adults living in such communities. Here, the iterative development of INTegRated InterveNtion of pSychogerIatric Care (INTRINSIC) services addressing the mental and cognitive healthcare needs of older adults residing in low-resource areas of Greece is depicted.
methodsINTRINSIC was developed and piloted in three iterative phases: (i) INTRINSIC initial version conceptualization; (ii) A 5-year field testing in Andros island; and (iii) Extending the services. The INTRINSIC initial version relied on a digital platform enabling videoconferencing, a flexible battery of diagnostic tools, pharmacological treatment and psychosocial support and the active involvement of local communities in service shaping.
resultsΙn 61% of the 119 participants of the pilot study, new diagnoses of mental and/or neurocognitive disorders were established. INTRINSIC resulted in a significant reduction in the distance travelled and time spent to visit mental and cognitive healthcare services. Participation was prematurely terminated due to dissatisfaction, lack of interest or insight in 13 cases (11%). Based on feedback and gained experiences, a new digital platform, facilitating e-training of healthcare professionals and public awareness raising, and a risk factor surveillance system were created, while INTRINSIC services were extended to incorporate a standardized sensory assessment and the modified problem adaptation therapy.
conclusionThe INTRINSIC model may be a pragmatic strategy to improve access of older adults with mental and cognitive disorders living in low-resource areas to healthcare services.
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