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Videoconferencing and telementoring about dementia care: evaluation of a pilot model for sharing scarce old age psychiatry resources

Published online by Cambridge University Press:  18 May 2016

Colleen Doyle ,
David Jackson ,
Samantha Loi ,
Sue Malta  and
Kirsten Moore
Colleen Doyle*
Affiliation:
National Ageing Research Institute (NARI), Melbourne, Victoria, Australia
David Jackson
Affiliation:
National Ageing Research Institute (NARI), Melbourne, Victoria, Australia
Samantha Loi
Affiliation:
National Ageing Research Institute (NARI), Melbourne, Victoria, Australia Dementia Behaviour Management Advisory Service (DBMAS), Melbourne, Victoria, Australia
Sue Malta
Affiliation:
National Ageing Research Institute (NARI), Melbourne, Victoria, Australia
Kirsten Moore
Affiliation:
National Ageing Research Institute (NARI), Melbourne, Victoria, Australia Marie Curie Palliative Care Research Department, University College London, London, UK
*
Correspondence should be addressed to: Professor Colleen Doyle, National Ageing Research Institute Ltd, PO Box 2127, Royal Melbourne Hospital, Victoria 3052, Australia. Phone: +61 3 8387 2169; Fax: +61 3 9387 4030. Email: [email protected].
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Abstract

Background:

While videoconferencing, telementoring, and peer support have been shown to enhance services in some instances, there has been no research investigating the use of these technologies in supporting professionals managing clients with dementia. The objective of this research was to evaluate expansion of an old age psychiatry consultation service and pilot test a model to improve medical supervision and clinical governance for staff within regional and remote areas using remote information technology.

Methods:

The design was a mixed methods (qualitative and quantitative) evaluation using before, mid-point and post-implementation semi-structured interviews and questionnaires to examine orientation, acceptance, and impact underpinned by theoretical approaches to evaluation. Education evaluations used a Likert style response template. Participants were 18 dementia service staff, including staff from linked services and old age psychiatrists. Qualitative interviews addressed the pilot implementation including: expectations, experiences, strategies for improving the pilot, and perceived impact on work practice and professional development opportunities.

Results:

There was high satisfaction with the program. The case conference process contributed to perceived improved outcomes for clients, family, and staff. Clinicians perceived improvement in family carer and staff carer stress and their confidence in managing clients with behavioral and psychological symptoms of dementia (BPSD). Thematic analysis indicated that the pilot enhanced professional development, decreased travel time, and improved team cohesion.

Conclusions:

Given the increasing aging population in regional, rural, and remote areas, initiatives using videoconferencing and telementoring will help to develop a confident and skilled workforce. This pilot program was found to be acceptable and feasible. Potential benefits for clients and family carers should be examined in future resesarch.

Keywords

videoconferencingtelementoringold age psychiatrydementiaeducationtraining
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 9 , September 2016 , pp. 1567 - 1574
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Abrahamian, H., Schuller, A., Mauler, H., Prager, R. and Irsigler, K. (2002). Transfer of knowledge from the specialist to the generalist by video-conferencing - potential impact on diabetes care. Journal of Telemedicine and Telecare, 8, 350–355.Google Scholar
Bowen, G. A. (2005). Preparing a qualitative research-based dissertation: lessons learned. The Qualitative Report, 10, 208–222.Google Scholar
Braun, V., and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi: 10.1191/1478088706qp063oa.CrossRefGoogle Scholar
Del Prato, D., Bankert, E., Grust, P. and Joseph, J. (2011). Transforming nursing education: a review of stressors and strategies that support students’ professional socialization. Advances in Medical Education and Practice, 2, 109–116.CrossRefGoogle ScholarPubMed
Dole, J. A. and Sinatra, G. M. (1998). Reconceptualizing change in the cognitive construction of knowledge. Educational Psychologist, 33, 109–128.Google Scholar
Draper, B., Melding, P. and Brodaty, H. (eds.). (2005). Psychogeriatric Service Delivery: An International Perspective. Oxford: Oxford University Press.CrossRefGoogle Scholar
Frank, J. W. et al. (2015). Evaluation of a telementoring intervention for pain management in the Veterans health administration. Pain Medicine, 16, 1090–1101. doi: 10.1111/pme.12715.CrossRefGoogle ScholarPubMed
Garzonis, K., Mann, E., Wyrzykowska, A. and Kanellakis, P. (2015). Improving patient outcomes: effectively training healthcare staff in psychological practice skills: a mixed systematic literature review. Europe's Journal of Psychology, 11, 535–556. doi: 10.5964/ejop.v11i3.923.Google Scholar
Grol, R. P., Bosch, M. C., Hulscher, M. E., Eccles, M. P. and Wensing, M. (2007). Planning and studying improvement in patient care: the use of theoretical perspectives. The Milbank Quarterly, 85, 93–138.Google Scholar
King, D., Mavromaras, K. and Wei, Z. E. A. (2012). The Aged Care Workforce. Canberra: Australian Government Department of Health and Ageing.Google Scholar
Kirkpatrick, D. (2007). Four Levels of Evaluation. Virginia: American Society for Training and Development.Google Scholar
Lama, C. (2009). Dementia Initiative National Evaluation: Overview and Summary of Main Findings. Canberra: Australian Government Department of Health and Ageing.Google Scholar
Malta, S. (2012). Using online methods to interview older adults about their romantic and sexual relationships. In Leontowisch, M. (ed.), Researching Later Life and Ageing: Expanding Qualitative Research Horizons (pp. 146–172). London: Palgrave Macmillan.Google Scholar
Mayring, P. (2000). Qualitative content analysis. Qualitative Social Research, 1, 20.Google Scholar
Moffatt, J. J. and Eley, D. S. (2011). Barriers to the up-take of telemedicine in Australia – a view from providers. Rural Remote Health, 11, 1581.Google Scholar
Nilsen, L. L. (2011). Workplace learning among general practitioners and specialists: the use of video-conferencing as a tool. Journal of Workplace Learning, 23, 501–517. doi: http://dx.doi.org/10.1108/13665621111174861.Google Scholar
Perry, M., Draskovic, I., Vernooij-dassen, M., Van Achterberg, T. and Olde Rikkert, M. (2011). Effects of educational interventions on primary dementia care: a systematic review. International Journal of Geriatric Psychiatry, 26, 1–11. doi: 10.1002/gps.2479.Google Scholar
Polit, D. F. and Beck, C. T. (2013). Essentials of Nursing Research: Appraising Evidence for Nursing Practice. Philadelphia: Lipincott Williams and Wilkins.Google Scholar
Promes, S. B. et al. (2009). Gaps in procedural experience and competency in medical school graduates. Academic Emergency Medicine, 16, S58–S62. doi: 10.1111/j.1553-2712.2009.00600.x.Google Scholar
Rampatige, R., Dunt, D., Doyle, C., Da, S. and Van Dort, P. (2009). The effect of continuing professional education on health care outcomes: lessons for demntia care. International Psychogeriatrics, 21, S34–S43.CrossRefGoogle Scholar
Salgia, R. J., Mullan, P. B., Mccrdy, H., Sales, A., Moseley, R. H. and Su, G. L. (2014). The educational impact of the specialty care access network-extension of community healthcare outcomes program. Journal of Telemedicine and E-Health, 20, 1004–1008. doi: 10.1089/tmj.2013.0302.Google Scholar
Spector, A., Orrell, M. and Goyder, J. (2013). A systematic review of staff training interventions to reduce the behavioural and psychological symptoms of dementia. Ageing Research Reviews, 12, 354–364. doi: 10.1016/j.arr.2012.06.005.Google Scholar
Tamar, K. and lliffe, S. (2012). Tailored education rather than financial incentives are effective educational interventions for primary dementia care. International Journal of Geriatric Psychiatry, 27, 764–765. doi: 10.1002/gps.2777.CrossRefGoogle ScholarPubMed
Tsolaki, M. et al. (2010). Consensus statement on dementia education and training in Europe. Journal of Nutrition, Health and Aging, 14, 131–135.CrossRefGoogle ScholarPubMed
Tullo, E. and Allan, L. (2011). What should we be teaching medical students about dementia? International Psychogeriatrics, 23, 1044–1050. doi: 10.1017/S1041610211000536.Google Scholar