Talbot, Richard;
Harris, Charlottte;
Warren, Jason D;
Varley, Rosemary;
Volkmer, Anna;
(2024)
Barriers and facilitators to implementing telehealth interventions for people with primary progressive aphasia (PPA) and dementia: a systematic review.
Presented at: International Aphasia Rehabilitation Conference (IARC) 2024, Brisbane, Australia.
Preview |
Text
SR.RT IARC 2024 poster FINAL2.pdf - Accepted Version Download (1MB) | Preview |
Abstract
Background: There is evidence supporting behavioural therapies such as speech and language therapy to manage symptoms of PPA and dementia. Access to behavioural therapies is dependent on individual factors (e.g. travel or therapy support) and geography. One way to increase access and availability is via synchronous telehealth. This study describes a systematic review of the current literature on synchronous telehealth interventions for people with PPA and dementia. / Aims: To identify barriers and facilitators in implementing synchronous telehealth interventions for people with PPA and dementia. / Method: A systematic search was conducted to extract peer-reviewed research studies reporting barriers and facilitators to implementation of synchronous telehealth for people with PPA and dementia. Deductive thematic analysis was used to extract themes in-line with the Theoretical Domains Framework (TDF) Themes which do not correspond with TDF domains are described using narrative synthesis. / Results: Telehealth intereventions are accessible to people with PPA & dementia. Improved reporting and specificity is needed in future studies to increase applicability and replicability of findings. Using an implementation framework helps to comprehensively identify implementation issues. Providing resource (e.g. equipment, training) will help to overcome digital exclusion. Weaving social opportunities into telehealth interventions improves engagement and uptake. Results point to a need to move a beyond barriers and facilitators model to explore therapists beliefs about on-line interventions and telehealth for people with PPA and dementia. / Conclusion: Using the TDF domains to investigate implementation barriers and facilitators in remote interventions for people with PPA and dementia will inform the development of future interventions. Reducing barriers will support people with PPA and dementia to access essential behavioural therapies to help them live better, for longer.
Archive Staff Only
 |
View Item |
