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Rush, Kathy L.; Singh, Sarah; Seaton, Cherisse L.; Burton, Lindsay; Li, Eric Ping Hung, 1978-; Jones, Charlotte; Davis, Jennifer Colleen; Hasan, Mohammad Khalad; Kern, Brodie; Janke, Robert

Background and Objectives: Telehealth holds potential for inclusive and cost saving healthcare however, a better understanding of the use and acceptance of telehealth for health promotion among rural older adults is needed. This systematic review aimed to synthesize evidence for telehealth use among rural living older adults and to explore cost effectiveness for health systems and patients. Research Design and Methods: This systematic review was conducted in accordance with PRISMA guidelines. Study designs reporting health promotion telehealth interventions with rural living adults aged 55+ were eligible for review. Following screening and inclusion, articles were quality rated and ranked by level of evidence. Data extraction was guided by the Technology Acceptance Model and organized into outcomes related to ease of use, usefulness, intention to use, and usage behavior along with cost effectiveness Results: Of 2247 articles screened, 42 were included. Positive findings for the usefulness of telehealth for promoting rural older adults’ health were reported in 3 7 studies. Evidence for ease of use and usage behavior was mixed. Five studies examined intention to continue to use telehealth, and in four of these patients preferred telehealth. Telehealth was cost effective for healthcare delivery (as a process) compared to face to face. However, findings were mixed for cost effectiveness with both reports of savings (e.g. reduced travel) and increased costs (e.g. insurance). Discussion and Implications: Telehealth was useful for promoting health among rural living older adults. Technological supports are needed to improve telehealth ease of use and adherence Cost effectiveness of telehealth needs more study, particularly targeting older adults.

Article; Postprint

eng

Vancouver : University of British Columbia Library

10.14288/1.0420428

Health and Social Development, Faculty of (Okanagan); Library, UBC; Management, Faculty of (Okanagan); Medicine, Faculty of; Science, Irving K. Barber Faculty of (Okanagan); Computer Science, Mathematics, Physics and Statistics, Department of (Okanagan); Nursing, School of (Okanagan); Southern Medical Program (Okanagan)

10.1093/geront/gnab141

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