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In-Home Video Telehealth for Dementia Management: Implications for Rehabilitation

  • Physical Therapy and Rehabilitation (O Addison, Section Editor)
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Abstract

Purpose of Review

The progressive nature of dementia requires ongoing care delivered by multidisciplinary teams, including rehabilitation professionals, that is individualized to patient and caregiver needs at various points on the disease trajectory. Video telehealth is a rapidly expanding model of care with the potential to expand dementia best practices by increasing the reach of dementia providers to flexible locations, including patients’ homes. We review recent evidence for in-home video telehealth for patients with dementia and their caregivers with emphasis on implications for rehabilitation professionals.

Recent Findings

Eleven studies were identified that involved video visits into the home targeting patients with dementia and/or their family caregivers. The majority describe protocolized interventions targeting caregivers in a group format over a finite, pre-determined period. For most, the discipline of the interventionist was unclear, though two studies included rehabilitation interventions. While descriptions of utilized technology were often lacking, many reported that devices were issued to participants when needed and that technical support was provided by study teams. Positive caregiver outcomes were noted but evidence for patient-level outcomes and cost data are mostly lacking.

Summary

More research is needed to demonstrate implementation of dementia best care practices through in-home video telehealth. Though interventions delivered using in-home video telehealth appear to be effective in addressing caregivers’ psychosocial concerns, the impact on patients and the implications for rehabilitation remain unclear. Larger, more systematic inquiries comparing in-home video telehealth to traditional visit formats are needed to better define best practices.

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Acknowledgments

The authors would like to acknowledge Nicole Bookout, Science Research & Instruction Librarian at Tufts University, for assisting with search design and completing searches.

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  1. Tufts University, 574 Boston Avenue, Medford, MA, 02155, USA

    Megan E. Gately

  2. Bedford VA Medical Center—GRECC, Bedford, MA, USA

    Megan E. Gately & Lauren R. Moo

  3. American Occupational Therapy Association, Bethesda, MD, USA

    Scott A. Trudeau

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Correspondence to Megan E. Gately.

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Gately, M.E., Trudeau, S.A. & Moo, L.R. In-Home Video Telehealth for Dementia Management: Implications for Rehabilitation. Curr Geri Rep 8, 239–249 (2019). https://doi.org/10.1007/s13670-019-00297-3

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