Telehealth home monitoring of solitary persons with mild dementia

Glenn E. Smith, Angela M. Lunde, Julie C. Hathaway, Kristin S. Vickers

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Medication safety is a special concern for the 30% to 40% of dementia patients who live alone at the time of diagnosis, and it plays an important part in relocation decisions. Televideo monitoring could improve medication self-administration accuracy and improve mood for persons with mild dementia who live alone or spend a significant amount of their day alone. The authors used 2-way interactive video technology to monitor medication compliance of 8 persons with mild dementia. They conducted more than 4000 contacts with these persons and found adequate technical outcome in 82% of calls. End medication compliance was 81% in the video-monitored group compared to 66% in the controls (P < .05). Comparison of compliance from initial to end ratings revealed that video-monitored participants' compliance remained stable while unmonitored patients' compliance fell 12 percentage points, consistent with expectations for dementia. This difference was also significant. Quantitative and qualitative outcome data from this project are presented.

Original languageEnglish (US)
Pages (from-to)20-26
Number of pages7
JournalAmerican Journal of Alzheimer's Disease and Other Dementias
Volume22
Issue number1
DOIs
StatePublished - 2007

Keywords

  • Dementia
  • Home health
  • Medication
  • Safety
  • Telemedicine

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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