Skip to main content

Speaking of Digital Communication: Home-Based Telehealth for Patients and Providers

  • Chapter
  • First Online:
  • 1083 Accesses

Part of the book series: Communicating in Professions and Organizations ((PSPOD))

Abstract

Working with telehealth in healthcare means alternating among ‘consultancy’, ‘advocacy’ and ‘activism’. Telehealth, which can be defined as two-way interaction between a person and a provider using audio-visual telecommunications technology, is a recent area of focus in healthcare. This chapter discusses selected projects from several fields illustrating (1) ‘Store-and-Forward’ cases in which data is sent to a specialist for asynchronous analysis; (2) Remote Patient Monitoring cases, where electronic communication technologies are utilised for the care and support of an individual in a different location; and (3) Mobile Health cases, in which practice and education are supported by mobile communication devices such as cell phones, tablet computers and Personal Digital Assistants (PDAs). We explore these telehealth components and focus on our current interlinking projects in which new forms of mobile health and videoconferencing combine to support efforts by low-income older persons to increase mobility and avoid institutionalisation.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Acierno, R., Knapp, R., Tuerk, P., Gilmore, A., Lejuez, C., Ruggiero, K., Muzzy, W., Egede, L., Hernandez-Tejada, M., & Foa, E. (2017). A Non-inferiority Trial of Prolonged Exposure for Posttraumatic Stress Disorder: In Person Versus Home-Based Telehealth. Behavior Research and Therapy, 89, 57–65.

    Article  Google Scholar 

  • ASHA (American Speech-Language-Hearing Association). (2018). Telepractice. Retrieved December 18, 2018, from https://www.asha.org/practice-portal/professional-issues/telepractice/.

  • ASHA (American Speech-Language-Hearing Association). (n.d.). Telepractice (Practice Portal). Retrieved December 18, 2018, from http://www.asha.org/Practice-Portal/Professional-Issues/Telepractice.

  • Campbell, A., Robertson, M., Gardner, M., Norton, R., Tilyard, M., & Buchner, D. (1997). Randomised Controlled Trial of a General Practice Programme of Home-Based Exercise to Prevent Falls in Elderly Women. British Medical Journal, 315(7115), 1065–1069.

    Article  Google Scholar 

  • Davis, B., Maclagan, M., Ferguson, P., Pope, C., Olson, J., & Fakhry, S. (2018). What We Can Learn from Mismatched and Unexpected Responses to Questions in Interviews with People Who Have TBI. Journal of Interactional Communication Disorders, 8, 183–219.

    Article  Google Scholar 

  • Davis, B., & Mason, P. (2008). Stance-Shift Analysis: Locating Presence and Positions in Online Focus Group Chat. In S. Kelsey & K. S. Amant (Eds.), Handbook of Research on Computer-Mediated Communication. Hershey, PA: ICI Press.

    Google Scholar 

  • Davis, B., Nies, M., Shehab, M., & Shenk, D. (2014). Developing a Pilot E-mobile App for Dementia Caregiver Support: Lessons Learned. Online Journal of Nursing Informatics (OJNI), 18. Retrieved from http://ojni.org/issues/?p=3095.

  • Davis, B., Shehab, M., Shenk, D., & Nies, M. (2015). E-mobile Pilot for Community-Based Dementia Caregivers Identifies Desire for Security. Gerontechnology, 13, 332–336.

    Google Scholar 

  • DHHS (Department of Health and Human Services) National Quality Forum. (2017). Creating a Framework to Support Measure Development for Telehealth. Retrieved October 5, 2018, from http://www.qualityforum.org/Publications/2017/08/Creating_a_Framework_to_Support_Measure_Development_for_Telehealth.aspx.

  • Ferguson, J. (2016). Exploring Speech-Language Pathology Student Clinicians’ Experiences with Telepractice and Face-to-Face Therapy Models. Unpublished MS thesis, University of Nebraska.

    Google Scholar 

  • Granja, C., Janssen, W., & Johansen, M. (2018). Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature. Journal of Medical Internet Research, 20, 1–21. e10235. Retrieved January 3, 2019, from https://8521fb9b84779994b7ab9c24f4ac4b17.pdf.

    Article  Google Scholar 

  • Grogan-Johnson, S., Meehan, R., McCormick, K., & Miller, N. (2015). Results of a National Survey of Preservice Telepractice Training in Graduate Speech-Language Pathology and Audiology Programs. Contemporary Issues in Communication Science and Disorders, 4, 122–137.

    Article  Google Scholar 

  • Hamblen, J., Grubaugh, A., Davidson, T., Borkman, A., Bunnell, B., & Ruggiero, K. (2018). An Online Peer Educational Campaign to Reduce Stigma and Improve Help Seeking in Veterans with Post-traumatic Stress Disorder. Telemedicine Journal and E-Health, 25, 41–47.

    Article  Google Scholar 

  • Henry, B., Ames, L., Block, D., & Vozenilek, J. (2018). Experienced Practitioners’ Views on Interpersonal Skills in Telehealth Delivery. Internet Journal of Allied Health Sciences and Practice, 16, 1–10. Retrieved January 4, 2019, from https://nsuworks.nova.edu/ijahsp/vol16/iss2/2.

    Google Scholar 

  • Henry, B., Block, D., Ciesla, J., McGowan, B., & Vozenilek, J. (2017). Clinician Behaviors in Telehealth Care Delivery: A Systematic Review. Advances in Health Sciences Education, 2, 869–888.

    Article  Google Scholar 

  • Johnstone, B. (2018). Discourse Analysis: Third Edition. Hoboken, NJ.

    Google Scholar 

  • Jorgensen, M., & Phillips, L. (2002). Discourse Analysis as Theory and Method. Thousand Oaks, CA: Sage.

    Book  Google Scholar 

  • Mashima, P., & Doarn, C. (2008). Overview of Telehealth Activities in Speech-Language Pathology. Telemedicine and e-Health, 14, 1101–1117.

    Article  Google Scholar 

  • Meder, A., & Wegner, J. (2015). iPads, Mobile Technologies, and Communication Applications: A Survey of Family Wants, Needs, and Preference. Augmentative and Alternative Communication, 31, 27–36.

    Article  Google Scholar 

  • Miller, E. (2003). The Technical and Interpersonal Aspects of Telemedicine: Effects on Doctor–Patient Communication. Journal of Telemedicine and Telecare, 9, 1–7.

    Article  Google Scholar 

  • Miller, E., & Nelson, E. (2005). Modifying the Roter Interaction Analysis System to Study Provider–Patient Communication in Telemedicine: Promises, Pitfalls, Insights, and Recommendations. Telemedicine and e-Health, 11, 44–55.

    Article  Google Scholar 

  • Molini-Avejonas, D., Silmara Rondon-Melo, S., & Higurea Amato, C. (2015). A Systematic Review of the Use of Telehealth in Speech, Language and Hearing Sciences. Journal of Telemedicine and Telecare, 21(7), 367–376.

    Google Scholar 

  • National Council on Aging. (2016). Highest Tier Evidence-Based Health Promotion/Disease Prevention Programs. Washington, DC: NCOA. Retrieved December 14, 2018, from https://www.ncoa.org/healthy-aging/falls-prevention.

  • Nelson, E., Miller, E., & Larson, K. (2010). Reliability Associated with the Roter Interaction Analysis System (RIAS) Adapted for the Telemedicine Context. Patient Education and Counselling, 7, 72–78.

    Article  Google Scholar 

  • Overby, M. (2017). Stakeholders’ Qualitative Perspectives of Effective Telepractice Pedagogy in Speech-Language Pathology. International Journal of Language & Communication Disorders, 53, 101–112.

    Article  Google Scholar 

  • Pappas, Y., & Seale, C. (2009). The Opening Phase of Telemedicine Consultations: An Analysis of Interaction. Social Science & Medicine, 68, 1229–1237.

    Article  Google Scholar 

  • Pope, C., Davis, B., Distler, M., & Chesnutt, D. (2011). Telehealth Talk: Knowledge Transmission and Knowledge Exchange Models. Oral presentation at COMET 2011, University of Nottingham.

    Google Scholar 

  • Roberts, C., & Sarangi, S. (2005). Theme-Oriented Discourse Analysis of Medical Encounters. Medical Education, 339, 632–640.

    Article  Google Scholar 

  • Stevens, J. and Burns, E. (2015). CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults (3rd ed.). Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Retrieved December 14, 2018, from https://www.cdc.gov/homeandrecreationalsafety/falls/compendium.html.

  • TRC (Telehealth Resource Centers). (2018). A Framework for Defining Telehealth. Retrieved October 1, 2018, from http://www.telehealthtechnology.org/sites/default/files/documents/Telehealth%20Definintion%20Framework%20for%20TRCs.pdf.

  • Turkstra, L., Quinn-Padron, M., Johnson, J., Workinger, M., & Antoniotti, N. (2012). In-Person Versus Telehealth Assessment of Discourse Ability in Adults with Traumatic Brain Injury. Journal of Head Trauma Rehabilitation, 27, 424–432.

    Article  Google Scholar 

  • Van Ravenstein, K., & Davis, B. (2017). Views on Ageing in Place from Relocated Low-Income Housing Residents in the US. Nursing Older People, 29, 38–41.

    Google Scholar 

  • Van Ravenstein, K., & Davis, B. (2018). When More than Exercise Is Needed to Increase Chances of Aging in Place: Qualitative Analysis of a Telehealth Physical Activity Program to Improve Mobility in Low-Income Older Adults. JMIR Aging, 1, 1–8.

    Google Scholar 

  • Walther, J. (2012). Theories of Computer-Mediated Communication and Interpersonal Relations. In M. Knapp & J. Daly (Eds.), The Sage Handbook of Interpersonal Communication (4th ed.). Newbury Park, CA: Sage.

    Google Scholar 

  • Weinstock, R., Brooks, G., Palmas, W., Morin, P., Teresi, J., & Shea, S. (2011). Lessened Decline in Physical Activity and Impairment of Older Adults with Diabetes with Telemedicine and Pedometer Use: Results from the IDEATel Study. Age and Ageing, 40, 98–105.

    Article  Google Scholar 

  • Wu, G., Keyes, L., Callas, P., Ren, X., & Bookchin, B. (2010). Comparison of Telecommunication, Community, and Home-Based Tai Chi Exercise Programs on Compliance and Effectiveness in Elders at Risk for Falls. Archives of Physical Medicine and Rehabilitation, 91, 849–856.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Boyd H. Davis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Davis, B.H., Van Ravenstein, K., Pope, C. (2020). Speaking of Digital Communication: Home-Based Telehealth for Patients and Providers. In: Mullany, L. (eds) Professional Communication. Communicating in Professions and Organizations. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-41668-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-41668-3_8

  • Published:

  • Publisher Name: Palgrave Macmillan, Cham

  • Print ISBN: 978-3-030-41667-6

  • Online ISBN: 978-3-030-41668-3

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics