“I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults

Little is known about how older adults with a current or recent experience of homelessness navigated the switch to telehealth during the COVID-19 pandemic. We examined the perceptions and use of telehealth in a purposive sample of 37 homeless-experienced older adults in mid-late 2020 through semi-st...

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Main Authors: Ali Zahir BS, Deborah Yip BA, Cheyenne Garcia BA, Ashley Nicole Smith BA, Zena Dhatt BS, Michael Duke PhD, Margot Kushel MD
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/23337214231172650
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author Ali Zahir BS
Deborah Yip BA
Cheyenne Garcia BA
Ashley Nicole Smith BA
Zena Dhatt BS
Michael Duke PhD
Margot Kushel MD
author_facet Ali Zahir BS
Deborah Yip BA
Cheyenne Garcia BA
Ashley Nicole Smith BA
Zena Dhatt BS
Michael Duke PhD
Margot Kushel MD
author_sort Ali Zahir BS
collection DOAJ
description Little is known about how older adults with a current or recent experience of homelessness navigated the switch to telehealth during the COVID-19 pandemic. We examined the perceptions and use of telehealth in a purposive sample of 37 homeless-experienced older adults in mid-late 2020 through semi-structured qualitative interviews. We purposively recruited participants from a larger longitudinal study on homeless-experienced older adults in Oakland, CA. We subjected the data to content analysis. We found that most participants who used telehealth used audio-only phone calls for care. We found that (1) participants experienced challenges accessing the necessary technologies for telehealth, (2) perceptions of telehealth for physical health differed based on the modality (video vs. audio-only), and (3) participants had generally positive perceptions of telehealth for mental healthcare. Our findings suggest that clinicians interacting with homeless-experienced older adults should address the potential skepticism of audio-only telehealth patients, and assess their access to, and knowledge of, video conferencing technology.
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spelling doaj.art-baf6654fcd1d4d9299fa64515c3a84732023-05-06T19:03:40ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-05-01910.1177/23337214231172650“I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older AdultsAli Zahir BS0Deborah Yip BA1Cheyenne Garcia BA2Ashley Nicole Smith BA3Zena Dhatt BS4Michael Duke PhD5Margot Kushel MD6University of California, San Francisco, San Francisco, USAUniversity of California, San Francisco, San Francisco, USAZuckerberg San Francisco General Hospital and Trauma Center, CA, USAZuckerberg San Francisco General Hospital and Trauma Center, CA, USAZuckerberg San Francisco General Hospital and Trauma Center, CA, USAZuckerberg San Francisco General Hospital and Trauma Center, CA, USAZuckerberg San Francisco General Hospital and Trauma Center, CA, USALittle is known about how older adults with a current or recent experience of homelessness navigated the switch to telehealth during the COVID-19 pandemic. We examined the perceptions and use of telehealth in a purposive sample of 37 homeless-experienced older adults in mid-late 2020 through semi-structured qualitative interviews. We purposively recruited participants from a larger longitudinal study on homeless-experienced older adults in Oakland, CA. We subjected the data to content analysis. We found that most participants who used telehealth used audio-only phone calls for care. We found that (1) participants experienced challenges accessing the necessary technologies for telehealth, (2) perceptions of telehealth for physical health differed based on the modality (video vs. audio-only), and (3) participants had generally positive perceptions of telehealth for mental healthcare. Our findings suggest that clinicians interacting with homeless-experienced older adults should address the potential skepticism of audio-only telehealth patients, and assess their access to, and knowledge of, video conferencing technology.https://doi.org/10.1177/23337214231172650
spellingShingle Ali Zahir BS
Deborah Yip BA
Cheyenne Garcia BA
Ashley Nicole Smith BA
Zena Dhatt BS
Michael Duke PhD
Margot Kushel MD
“I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults
Gerontology and Geriatric Medicine
title “I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults
title_full “I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults
title_fullStr “I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults
title_full_unstemmed “I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults
title_short “I Needed for You to See What I’m Talking About”: Experiences With Telehealth Among Homeless-Experienced Older Adults
title_sort i needed for you to see what i m talking about experiences with telehealth among homeless experienced older adults
url https://doi.org/10.1177/23337214231172650
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