Evidence map›Paper›PMID 32936773›Full record

ArticleJournal of medical Internet research2020

VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study.

Kalpana P Padala, Kerrie B Wilson, C Heath Gauss, Jessica D Stovall, Prasad R Padala

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Physician Attitudes About Veterans Affairs Video Connect Encounters.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  5. Article
  6. Article
  7. Telehealth Access and Substitution in the VHA.Journal of general internal medicine · 2024
    Article
  8. Impacts of COVID-19 on Health and Healthcare for Rural Veterans in Home-Based Primary Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  9. Article
  10. Article
  11. Telehealth Complementary and Integrative Health Therapies During COVID-19 at the U.S. Department of Veterans Affairs.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kalpana P PadalaCentral Arkansas Veterans Healthcare System, North Little Rock, AR, United States.ORCID 0000-0001-6021-0593
Kerrie B WilsonCentral Arkansas Veterans Healthcare System, North Little Rock, AR, United States.ORCID 0000-0002-5699-9103
C Heath GaussCentral Arkansas Veterans Healthcare System, North Little Rock, AR, United States.ORCID 0000-0001-9488-780X
Jessica D StovallCentral Arkansas Veterans Healthcare System, North Little Rock, AR, United States.ORCID 0000-0001-6624-4807
Prasad R PadalaCentral Arkansas Veterans Healthcare System, North Little Rock, AR, United States.ORCID 0000-0003-1921-9806
Central Arkansas Veterans Healthcare System · US

Funding

Transcranial Magnetic Stimulation for Apathy in Mild Cognitive ImpairmentI01RX002638 · VA · CENTRAL ARKANSAS VETERANS HLTHCARE SYS · PI PADALA, PRASAD R. · 2019 to 2024
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Neuromodulation for Exercise Adherence in Older VeteransI01RX002961 · VA · CENTRAL ARKANSAS VETERANS HLTHCARE SYS · PI PADALA, KALPANA P. · 2019 to 2024
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RRD VA I01 RX002638RRD VA I01 RX002961
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has accelerated the need for telehealth at home. Although the Department of Veterans Affairs is a leading provider of telehealth, disparities may exist in reaching older veterans living in rural areas. VA Video Connect (VVC) is a video conferencing app that enables veterans to connect with their health care provider via a secure and private session.

objectiveThe aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic.

methodsA cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans' willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone.

resultsParticipants' mean age was 72.6 (SD 8.3) years, 92% (n=108) were male, 69% (n=81) were Caucasian, 30% (n=35) were African Americans, and 36% (n=42) lived in a rural location. The majority reported having access to the internet (n=93, 77%) and email service (n=83, 70%), but only 56% (n=67) had a camera-equipped device. Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (P=.045) and in those with or less than a high school education compared to those who pursued higher education (P=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (P=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit. In total, 77% (n=27) of the scheduled VVC visits were successful.

conclusionsDespite advances in technology, and willingness on the part of health care systems, there are some lingering issues with capability and willingness to participate in video telehealth visits, particularly among older adults residing in rural areas.

Indexed as

TelemedicineVideoconferencingAgedAppointments and SchedulesArkansasCaregiversCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDelivery of Health CareElectronic MailFemaleHumansMaleMiddle AgedPandemicscapabillityCOVID-19cross-sectionaldisparityelderlyolder adultsruraltelehealthVA Video Connectveteran affairsveterans

Identifiers

PMID32936773
PMCPMC7537724
OpenAlexW3085809227

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.