Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings
Abstract Background Even though communities in low-resource areas across the globe are aging, older adult mental and cognitive health services remain mainly embedded in tertiary- or secondary hospital settings, and thus not easily accessible by older adults living in such communities. Here, the iter...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09583-5 |
| _version_ | 1797801533353492480 |
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| author | Antonios Politis Theofanis Vorvolakos Evaggelia Kontogianni Maria Alexaki Eleni-Zacharoula (Eliza) Georgiou Eleutheria Aggeletaki Maria Gkampra Maria Delatola Antonis Delatolas Apostolos Efkarpidis Elissavet Thanopoulou Konstantinos Kostoulas Vassiliki Naziri Anna Petrou Kalliopi Savvopoulou Kostas Siarkos Rigas Filippos Soldatos Vasileios Stamos Kim-Huong Nguyen Iracema Leroi Dimitrios Kiosses Konstantinos Tsimpanis Panagiotis Alexopoulos |
| author_facet | Antonios Politis Theofanis Vorvolakos Evaggelia Kontogianni Maria Alexaki Eleni-Zacharoula (Eliza) Georgiou Eleutheria Aggeletaki Maria Gkampra Maria Delatola Antonis Delatolas Apostolos Efkarpidis Elissavet Thanopoulou Konstantinos Kostoulas Vassiliki Naziri Anna Petrou Kalliopi Savvopoulou Kostas Siarkos Rigas Filippos Soldatos Vasileios Stamos Kim-Huong Nguyen Iracema Leroi Dimitrios Kiosses Konstantinos Tsimpanis Panagiotis Alexopoulos |
| author_sort | Antonios Politis |
| collection | DOAJ |
| description | Abstract Background Even though communities in low-resource areas across the globe are aging, older adult mental and cognitive health services remain mainly embedded in tertiary- or secondary hospital settings, and thus not easily accessible by older adults living in such communities. Here, the iterative development of INTegRated InterveNtion of pSychogerIatric Care (INTRINSIC) services addressing the mental and cognitive healthcare needs of older adults residing in low-resource areas of Greece is depicted. Methods INTRINSIC was developed and piloted in three iterative phases: (i) INTRINSIC initial version conceptualization; (ii) A 5-year field testing in Andros island; and (iii) Extending the services. The INTRINSIC initial version relied on a digital platform enabling videoconferencing, a flexible battery of diagnostic tools, pharmacological treatment and psychosocial support and the active involvement of local communities in service shaping. Results Ιn 61% of the 119 participants of the pilot study, new diagnoses of mental and/or neurocognitive disorders were established. INTRINSIC resulted in a significant reduction in the distance travelled and time spent to visit mental and cognitive healthcare services. Participation was prematurely terminated due to dissatisfaction, lack of interest or insight in 13 cases (11%). Based on feedback and gained experiences, a new digital platform, facilitating e-training of healthcare professionals and public awareness raising, and a risk factor surveillance system were created, while INTRINSIC services were extended to incorporate a standardized sensory assessment and the modified problem adaptation therapy. Conclusion The INTRINSIC model may be a pragmatic strategy to improve access of older adults with mental and cognitive disorders living in low-resource areas to healthcare services. |
| first_indexed | 2024-03-13T04:51:55Z |
| format | Article |
| id | doaj.art-d28bb31fc05843b3becbc8714981b58d |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-13T04:51:55Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-d28bb31fc05843b3becbc8714981b58d2023-06-18T11:10:20ZengBMCBMC Health Services Research1472-69632023-06-0123111110.1186/s12913-023-09583-5Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findingsAntonios Politis0Theofanis Vorvolakos1Evaggelia Kontogianni2Maria Alexaki3Eleni-Zacharoula (Eliza) Georgiou4Eleutheria Aggeletaki5Maria Gkampra6Maria Delatola7Antonis Delatolas8Apostolos Efkarpidis9Elissavet Thanopoulou10Konstantinos Kostoulas11Vassiliki Naziri12Anna Petrou13Kalliopi Savvopoulou14Kostas Siarkos15Rigas Filippos Soldatos16Vasileios Stamos17Kim-Huong Nguyen18Iracema Leroi19Dimitrios Kiosses20Konstantinos Tsimpanis21Panagiotis Alexopoulos22Department of Psychiatry, Eginition Hospital, National and Kapodistrian University of AthensDepartment of Psychiatry, School of Health Sciences, University General Hospital of Alexandroupolis, Democritus University of Thrace, University CampusDepartment of Psychiatry, Eginition Hospital, National and Kapodistrian University of AthensPrimary Healthcare Center of AndrosMental Health Services, University General Hospital of Patras, Department of Medicine, School of Health Sciences, University of PatrasNursing Services Department, General Hospital of Syros “Vardakeio and Proio”Primary Healthcare Center of XanthiPrimary Healthcare Center of TinosPrimary Healthcare Center of TinosNursing Services Department, General Hospital of Syros “Vardakeio and Proio”Primary Heathcare Center of ChalandritsaPrimary Heathcare Center of ChalandritsaPrimary Healthcare Center of SoufliNursing Services Department, General Hospital of Syros “Vardakeio and Proio”Primary Healthcare Center of ErymanthiaDepartment of Psychiatry, Eginition Hospital, National and Kapodistrian University of AthensDepartment of Psychiatry, Eginition Hospital, National and Kapodistrian University of AthensPrimary Healthcare Center of ErymanthiaGlobal Brain Health Institute, School of Medicine, Trinity College Dublin, The University of Dublin, Lloyd Building Trinity College DublinGlobal Brain Health Institute, School of Medicine, Trinity College Dublin, The University of Dublin, Lloyd Building Trinity College DublinCognition, and Psychotherapy Lab, Department of Psychiatry, Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell MedicineDepartment of Informatics and Telecommunications, National and Kapodistrian University of AthensMental Health Services, University General Hospital of Patras, Department of Medicine, School of Health Sciences, University of PatrasAbstract Background Even though communities in low-resource areas across the globe are aging, older adult mental and cognitive health services remain mainly embedded in tertiary- or secondary hospital settings, and thus not easily accessible by older adults living in such communities. Here, the iterative development of INTegRated InterveNtion of pSychogerIatric Care (INTRINSIC) services addressing the mental and cognitive healthcare needs of older adults residing in low-resource areas of Greece is depicted. Methods INTRINSIC was developed and piloted in three iterative phases: (i) INTRINSIC initial version conceptualization; (ii) A 5-year field testing in Andros island; and (iii) Extending the services. The INTRINSIC initial version relied on a digital platform enabling videoconferencing, a flexible battery of diagnostic tools, pharmacological treatment and psychosocial support and the active involvement of local communities in service shaping. Results Ιn 61% of the 119 participants of the pilot study, new diagnoses of mental and/or neurocognitive disorders were established. INTRINSIC resulted in a significant reduction in the distance travelled and time spent to visit mental and cognitive healthcare services. Participation was prematurely terminated due to dissatisfaction, lack of interest or insight in 13 cases (11%). Based on feedback and gained experiences, a new digital platform, facilitating e-training of healthcare professionals and public awareness raising, and a risk factor surveillance system were created, while INTRINSIC services were extended to incorporate a standardized sensory assessment and the modified problem adaptation therapy. Conclusion The INTRINSIC model may be a pragmatic strategy to improve access of older adults with mental and cognitive disorders living in low-resource areas to healthcare services.https://doi.org/10.1186/s12913-023-09583-5TelemedicineDementiaMild cognitive impairmentOld-age depressionRemote areas |
| spellingShingle | Antonios Politis Theofanis Vorvolakos Evaggelia Kontogianni Maria Alexaki Eleni-Zacharoula (Eliza) Georgiou Eleutheria Aggeletaki Maria Gkampra Maria Delatola Antonis Delatolas Apostolos Efkarpidis Elissavet Thanopoulou Konstantinos Kostoulas Vassiliki Naziri Anna Petrou Kalliopi Savvopoulou Kostas Siarkos Rigas Filippos Soldatos Vasileios Stamos Kim-Huong Nguyen Iracema Leroi Dimitrios Kiosses Konstantinos Tsimpanis Panagiotis Alexopoulos Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings BMC Health Services Research Telemedicine Dementia Mild cognitive impairment Old-age depression Remote areas |
| title | Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings |
| title_full | Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings |
| title_fullStr | Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings |
| title_full_unstemmed | Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings |
| title_short | Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings |
| title_sort | old age mental telehealth services at primary healthcare centers in low resource areas in greece design iterative development and single site pilot study findings |
| topic | Telemedicine Dementia Mild cognitive impairment Old-age depression Remote areas |
| url | https://doi.org/10.1186/s12913-023-09583-5 |
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