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Does Telehealth Delivery of a Dyadic Dementia Care Program Provide a Noninferior Alternative to Face-To-Face Delivery of the Same Program? A Randomized, Controlled Trial
Journal article   Open access   Peer reviewed

Does Telehealth Delivery of a Dyadic Dementia Care Program Provide a Noninferior Alternative to Face-To-Face Delivery of the Same Program? A Randomized, Controlled Trial

Kate Laver, Enwu Liu, Lindy Clemson, Owen Davies, Len Gray, Laura N Gitlin and Maria Crotty
The American journal of geriatric psychiatry, v 28(6), pp 673-682
Jun 2020
DOI: https://doi.org/10.1016/j.jagp.2020.02.009
PMID: 32234275
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1016/j.jagp.2020.02.009View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open

Abstract

Activities of Daily Living Aged Aged, 80 and over Australia Caregivers - psychology Dementia - diagnosis Dementia - therapy Female House Calls Humans Male Occupational Therapy - methods Perception Quality of Life Telemedicine - methods
This study aimed to determine whether delivery of a dyadic intervention using telehealth was noninferior to delivery of the same program using traditional face-to-face delivery through home visits. We conducted a noninferiority randomized controlled trial. Participants had a diagnosis of dementia, were living in the community, and had an informal caregiver who reported difficulties in managing activities of daily living or behavioral symptoms. Participants were randomized to receive either telehealth or home visit delivery of the same intervention program. The primary outcome was the Caregiving Mastery Index, secondary outcomes included caregiver's perceptions of change, activities of daily living function, and type and frequency of behavioral symptoms of persons living with dementia. Therapists delivering the intervention recorded the time spent delivering the intervention as well as travel time. Sixty-three dyads were recruited and randomized. Both groups reported improvements for the primary outcome, however, these were not statistically significant. There were no significant differences between groups for the primary outcome (mean difference 0.09 (95% confidence interval -1.26 to 1.45) or the secondary outcomes at 4 months. Both groups reported significant improvements in caregiver's perceptions of change. The amount of time spent delivering the content of the program was similar between groups, however offering the intervention via telehealth significantly reduced travel time (mean 255.9 minutes versus mean 77.2 minutes, p <0.0001). It is feasible to offer dyadic interventions via telehealth and doing so reduces travel time and results in similar benefits for families.

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62 citations in Web of Science
59 citations in Scopus

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Geriatrics & Gerontology
Gerontology
Psychiatry
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