Telecare could enhance homebound seniors’ medicine adherence in keeping with JAMA research

Homebound older adults who participated in a telecare program for 3 months had improved medicine adherence and high quality of life, in keeping with a research revealed in JAMA Community Open


Researchers discovered research members who obtained a telecare program had higher medicine adherence and high quality of life scores in contrast with a management group.

Nevertheless, there wasn’t a statistically important distinction between the telecare group and the management group in self-efficacy, or an individual’s perception of their means to attain a aim. Scores in self-efficacy in each teams improved over time.


The research divided 68 adults in Hong Kong who had been 60 years outdated or older, homebound and owned a smartphone into two teams. Homebound was outlined as going exterior lower than as soon as per week within the earlier six months. 

Individuals within the telecare group had been paired with a nurse who was supported by a social service staff. They obtained weekly telephone calls and video messages about self-care for 3 months between Might and July 2020. The management group solely obtained month-to-month social calls. 

Researchers collected information on self-efficacy, every day residing expertise comparable to grooming, medicine adherence, despair and use of healthcare companies throughout screening for the research and one week after completion.


Round 1.6 million adults ages 65 and older are homebound, which might current healthcare supply challenges, in keeping with an estimate by HHS’ Workplace of the Assistant Secretary for Planning and Analysis in April. 

Telehealth and digital care soared in the course of the COVID-19 pandemic as sufferers and suppliers prevented in-person interactions. Though telehealth utilization is falling now, the telehealth share of medical declare traces elevated 3,552% from August 2019 to August 2020, in keeping with FAIR Well being

Though telehealth packages might be helpful for homebound older adults, there are some limitations to adoption.

“Telecare notably advantages older adults who’re homebound and have restricted entry to customary healthcare companies owing to bodily incapacity and face a worsened scenario in the course of the pandemic,” wrote the research’s authors. 

“Nevertheless, the utilization fee of those telehealth packages amongst older adults who’re homebound was low, with reported challenges that included technical compatibility points and the excessive price of set up and upkeep of dwelling well being monitoring companies.”


The research’s authors conceded that their trial was small and might be restricted as a result of it was reliant on self-reporting. It additionally centered on outcomes, not care coordination, and it may gain advantage from additional research.

Additionally they famous that their definition of homebound might be affected by the COVID-19 pandemic, since many individuals staying at dwelling because of pandemic restrictions could have had fewer well being points than the final homebound inhabitants.

“On this randomized medical trial, members who obtained the telecare program had been statistically no completely different from the management group with respect to modifications in self-efficacy, though scores in each teams improved,” the authors wrote. 

“After the intervention, the telecare group had higher medicine adherence and high quality of life than the management group, though the small pattern measurement could restrict generalizability. A big-scale research is required to verify these outcomes.”

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