A Pilot Study Assessing the Feasibility of a Remote Telemedicine Delirium Assessment Tool
Title
A Pilot Study Assessing the Feasibility of a Remote Telemedicine Delirium Assessment Tool
Creator
Gudhe R; Busby-Whitehead J; Tirtanadi K; Khairat S; Austin C
Publisher
Journal of the American Geriatrics Society
Date
2019
2019-04
Description
Poster Presentation at the 2019 Annual Meeting of the American Delirium Society
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Objective: Assessment of delirium outside of the hospital setting is currently limited, as clinical assessments for delirium require a face-to-face encounter. This limits the ability to feasibly perform frequent delirium assessments in the post-discharge setting. We sought to examine the acceptability of a remote videoconference-based delirium assessment tool in an older population. Methods: We conducted a prospective pilot study at the UNC Geriatric Specialty Outpatient Clinic from June-August 2018. Investigators utilized HIPAA-compliant doxy.me videoconferencing services on a tablet device to assess subjects for delirium with the 3-minute Diagnostic Interview for Confusion Assessment Method (3D-CAM). Subjects were then assessed face-to-face with the 3D-CAM. We obtained qualitative data on the acceptability of the tablet-based diagnostic tool through surveys and an open-ended interview. We also compared the results of the face-to-face assessments with the remote assessments to assess test validity. Results: We enrolled 30 subjects (median age 77.80 years; 87% female, 100% white and non-Hispanic). Face-to-face delirium assessments were consistent with remotely performed delirium assessments in terms of diagnosis. A bipolar Likert scale revealed overall videoconferencing interface satisfaction with the subject’s average rating of 8.16 and above on a scale of 0-9 with higher scores indicating more satisfaction. A one-way ANOVA revealed no significant difference in mean responses in any domain by age category. Conclusions: The use of telemedicine in assessment of delirium in older adults is promising. Remote videoconferencing-based delirium assessment is an acceptable method for delirium assessment in the clinic setting. Our next step will be to assess the acceptability and validity of this assessment method in the home setting.
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Objective: Assessment of delirium outside of the hospital setting is currently limited, as clinical assessments for delirium require a face-to-face encounter. This limits the ability to feasibly perform frequent delirium assessments in the post-discharge setting. We sought to examine the acceptability of a remote videoconference-based delirium assessment tool in an older population. Methods: We conducted a prospective pilot study at the UNC Geriatric Specialty Outpatient Clinic from June-August 2018. Investigators utilized HIPAA-compliant doxy.me videoconferencing services on a tablet device to assess subjects for delirium with the 3-minute Diagnostic Interview for Confusion Assessment Method (3D-CAM). Subjects were then assessed face-to-face with the 3D-CAM. We obtained qualitative data on the acceptability of the tablet-based diagnostic tool through surveys and an open-ended interview. We also compared the results of the face-to-face assessments with the remote assessments to assess test validity. Results: We enrolled 30 subjects (median age 77.80 years; 87% female, 100% white and non-Hispanic). Face-to-face delirium assessments were consistent with remotely performed delirium assessments in terms of diagnosis. A bipolar Likert scale revealed overall videoconferencing interface satisfaction with the subject’s average rating of 8.16 and above on a scale of 0-9 with higher scores indicating more satisfaction. A one-way ANOVA revealed no significant difference in mean responses in any domain by age category. Conclusions: The use of telemedicine in assessment of delirium in older adults is promising. Remote videoconferencing-based delirium assessment is an acceptable method for delirium assessment in the clinic setting. Our next step will be to assess the acceptability and validity of this assessment method in the home setting.
Subject
Geriatrics & Gerontology
Identifier
n/a
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
URL Address
n/a
Search for Full-text
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Pages
S139–S139
Volume
67
ISSN
0002-8614
Citation
Gudhe R; Busby-Whitehead J; Tirtanadi K; Khairat S; Austin C, “A Pilot Study Assessing the Feasibility of a Remote Telemedicine Delirium Assessment Tool,” NEOMED Bibliography Database, accessed April 26, 2024, https://neomed.omeka.net/items/show/6434.