Acceptability of videoconferencing to preserve the contact between cognitively impaired long-term care residents and their family caregivers: A mixed-methods study.
Marie-Soleil Hardy, Chaimaa Fanaki, Camille Savoie and 9 others
PMID 36155311WHAT IT FOUND
Family caregivers and residents with cognitive impairment generally accepted weekly tablet videocalls during visit restrictions, finding them helpful for seeing familiar faces.
Do not treat this as proof it improves clinical outcomes. Face-to-face contact was still preferred.
Key findings
01Caregiver ratings at three months showed favourable acceptability: positive feelings, ethical fit, perceived benefit, and confidence using tablets, with low perceived burden and opportunity cost.
02Video calls helped families see and talk with residents and show familiar things, but participants still preferred in-person contact.
03Practical barriers included effort to carry conversation, noise, small screens or low sound, residents unable to hold tablets, discomfort when staff stayed present, and confusion or irritation in severe cognitive impairment.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The analysis used only 13 dyads who chose videoconferencing, so it may not represent other residents or caregivers. The study was done during pandemic visit restrictions, so results may not apply when in-person visits are normal. Resident interviews were short and conducted by staff, with staff describing reactions when residents could not answer, which may affect responses. No audio recordings were made, so qualitative findings rely on notes. Acceptability ratings were reported only for caregivers, not residents. The intervention included tablets, weekly scheduling, staff assistance, and caregiver preparation, so the contribution of any single component cannot be separated. No clinical outcomes were measured, so this is not an efficacy study.
Declared interests
The Canadian Institutes of Health Research funded the work with Healthcare Excellence Canada; authors declared no conflict of interest.
The easy way to misread this
Do not read this as evidence that tablet videocalls improve dementia symptoms, mood, or mortality. The study measured acceptability in 13 dyads during pandemic restrictions, and participants preferred in-person contact.