Tele-health services for the elderly: A novel southern Italy family needs-oriented model

J Telemed Telecare. 2016 Sep;22(6):356-62. doi: 10.1177/1357633X15604290. Epub 2015 Sep 16.

Abstract

Introduction: The world population is aging. By 2050, the global population aged over 65 years will have doubled, leading to big societal challenges for ensuring healthy, independent, and productive lives for older people. Thus, innovative local and national initiatives for e-health services are growing in an attempt to overcome such problems.

Methods: We examined the effects of a telehealth system, i.e. tele-monitoring of vital parameters and neurological/psychological tele-counseling, within a family-centred service provided by a local day centre. We evaluated the clinical and neurobehavioral symptoms of 18 elderly patients (aged 65 years and over) and the care burden of their 20 caregivers, besides the usability of the tool.

Results: The one-way repeated analysis revealed a significant worsening in daily living activities (p < 0.01 and p = 0.02, respectively for Activities of Daily Living (ADL) and Independent IADL (IADL)) versus a significant improvement of the patients' psychiatric condition (p < 0.001), besides a significant gradual reduction of the caregivers burden (p < 0.001). Health status perception increased through time (from an average score of 5.67 ± 1.08 at baseline to 7.72 ± 1.32 at the end of the study).

Discussion: It appears that a telehealth system integrated in a local health care service may significantly improve elderly persons' behaviour, and also reduce the caregivers' burden.

Keywords: Elderly-care model; system usability; tele-monitoring system.

Publication types

  • Evaluation Study

MeSH terms

  • Activities of Daily Living
  • Adult Day Care Centers
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Attitude of Health Personnel
  • Caregivers / psychology
  • Female
  • Geriatric Assessment
  • Health Services for the Aged*
  • Health Status
  • Humans
  • Internet
  • Italy
  • Male
  • Mental Disorders / therapy*
  • Pilot Projects
  • Telemedicine / methods*
  • Treatment Outcome