Browsing by Author "Bates, Joanna"
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- ItemThe essence of telehealth readiness in rural communities: an organizational perspective.(2005-04-28) Jennett, Penny; Jackson, Andora; Ho, Kendall; Healy, Theresa; Kazanjian, Arminee; Woollard, Robert; Haydt, Susan; Bates, JoannaThis paper examines telehealth readiness from an organizational perspective and explores the essence of telehealth readiness among four domains namely patients practitioners the public and organizations in rural Canadian communities Because readiness is a necessary requirement for the successful implementation of an innovation it is important to identify and ensure core factors of readiness before costly investments are made The findings presented here derive from a qualitative phenomenological research approach involving semistructured telephone interviews with four key informants respondents The data identified four categories of readiness in an organizational setting core readiness engagement structural readiness and nonreadiness Understanding organizational readiness within rural and remote communities is an important step for the successful implementation of telehealth services into existing systems of health care
- ItemRandomized trial of a virtual cardiac rehabilitation program delivered at a distance via the Internet.(2014-11-22) Lear, Scott A; Singer, Joel; Banner-Lukaris, Davina; Horvat, Dan; Park, Julie E; Bates, Joanna; Ignaszewski, Andrew
- ItemA readiness model for telehealth is it possible to pre-determine how prepared communities are to implement telehealth?(2004-11-11) Jennett, Penny; Bates, Joanna; Healy, Theresa; Ho, Kendall; Kazanjian, Arminee; Woollard, Robert; Jackson, Andora; Haydt, SusanTelehealth readiness can be defined as the degree to which users health care organizations and the health system itself are prepared to participate and succeed in its application This project developed a readiness model for rural remote locations in Canada Specifically defined groups or communities with shared characteristics within a rural geographical community i e practitioners patients the public and health care organizations participated in key informant interviews awareness sessions focus groups and face to face interviews The data were examined and organized keeping in mind Weiss Program s Theory of Change This approach allowed concrete and abstract factors to be considered The model that emerged suggests that there are four types of readiness for each of the defined communities core engagement structural and non readiness The communities share some readiness factors and risks but also exhibit unique elements This finding is critical to acknowledge when the goal is to implement a useful effective and sustainable telehealth system within remote settings Study results hold a key to understanding why technology systems have failed in the past in spite of dedicating considerable human and financial resources towards their implementation Notations of these findings will be helpful in future telehealth implementations within rural and isolated areas
- ItemA study of a rural community's readiness for telehealth.(2003-11-05) Jennett, Penny; Jackson, Andora; Healy, Theresa; Ho, Kendall; Kazanjian, Arminee; Woollard, Robert; Haydt, Susan; Bates, JoannaA qualitative approach was used to explore the readiness of a rural community for the implementation of telehealth services There were four domains of interest patient practitioner public and organization Sixteen semistructured telephone interviews three to five in each domain were carried out with key informants and recorded on audio tape Two community awareness sessions were held which were followed by five audio taped focus groups with five to eight people in each in the practitioner patient and public domains In addition two in depth interviews were conducted with community physicians Analysis of the data suggested that there were four types of community readiness core engagement structural and non readiness The level of readiness varied across domains There were six main themes core readiness structural readiness projection of benefits assessment of risk awareness and education and intra group and inter group dynamics The results of the study can be used to investigate the readiness of rural and remote communities for telehealth which should improve the chance of successful implementation
- ItemUtilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study.(2007-07-02) Zutz, Amber; Ignaszewski, Andrew; Bates, Joanna; Lear, Scott ALess than 25 of eligible patients attend cardiac rehabilitation programs CRP with geographical proximity being a predominant barrier Therefore we undertook a pilot study to assess the feasibility and safety of using the Internet as a medium for delivery of an interactive virtual CRP vCRP to patients at a distance Fifteen patients on the waiting list for a local hospital based CRP were randomized to either an Internet based vCRP or observational control The vCRP consisted of on line intake forms one on one chat sessions with a nurse dietitian and exercise specialist downloadable exercise heart rate monitoring education and data monitoring of blood pressure weight and glucose Participants were assessed for exercise capacity risk factors and lifestyle behaviors at baseline and at 12 weeks Those in the vCRP logged onto the Internet based CRP an average of 4 2 times per week There were no adverse events in the vCRP participants The vCRP group significantly improved their HDL C triglycerides total cholesterol HDL C ratio exercise capacity as assessed in metabolic equivalents weekly physical activity and exercise specific self efficacy p Under 0 05 There were no significant improvements in the control group Improvements in the vCRP group were similar to historical controls in a standard CRP Feedback from exit interviews of the vCRP participants was unanimously positive This Internet based CRP resulted in clinically significant improvements in risk factors and exercise capacity similar to that of a standard CRP The high user acceptance indicated that this program may have the potential to effectively manage patients who do not have access to traditional hospital based CRP
- ItemWhat Do Patients Talk About? A Qualitative Analysis of Online Chat Sessions with Healthcare Specialists During a "Virtual" Cardiac Rehabilitation Program.(0000-00-00) Mendell, Joanna; Bates, Joanna; Banner-Lukaris, Davina; Horvat, Dan; Kang, Bindy; Singer, Joel; Ignaszewski, Andrew; Lear, Scott AINTRODUCTION Cardiac rehabilitation programs CRPs are effective at reducing cardiovascular disease CVD risk yet attendance in these programs remains low due to geographic constraints In a previously conducted randomized trial we demonstrated that a virtual CRP vCRP delivered over the Internet reduced risk for CVD The current investigation has reviewed the online chat sessions between participants and healthcare providers HCP to describe the content of discussions during the vCRP intervention MATERIALS AND METHODS Participants were recruited from two geographically isolated areas in British Columbia Canada without in person CRP or a cardiologist serving the area The vCRP among other elements included scheduled one on one chat sessions with a dietician exercise specialist and nurse to mimic standard CRP consultations The chat sessions were reviewed for content and themes Multiple chat sessions between participants and a single care provider were also analyzed to describe how chat content progressed through multiple sessions RESULTS A total of 38 participants participated in the vCRP intervention From the 122 chat sessions between participants and HCP during the vCRP the main themes identified were Managing Health and Lifestyle Continuity of Care and Getting Care from a Distance Within each theme sub themes were also identified CONCLUSIONS The vCRP chat sessions fulfilled the role of face to face consultations with HCP that are standard in hospital based CRP and addressed patient concerns facilitating remote patient provider interaction and covering topics on exercise diet and positive behavior changes to limit risk factors for future heart problems