Browsing by Subject "telehealth"

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    The Enhancers and Barriers of Implementing a Teledentistry Program in a Long-term Care Facility: A Pilot Study
    (2023-03) Fashingbauer, Emily
    Objective: Teledentistry is an emerging care delivery model that has the potential to increase access to dental care to residents of long-term care facilities. This study was to evaluate the enhancers and barriers of implementing teledentistry in a long-term care (LTC) facility by collecting qualitative data from oral health providers, administrators, and residents.Methods: A qualitative study was conducted at a Walker Methodist long-term care facility in Edina, MN via guided interviews based on Leveque’s Theoretical Framework. There was a total of ten participants in the study: three residents and/or their responsible parties, and five providers and two administrators involved with the implementation of teledentistry services at the long-term care facility. Results: Thematic analysis of providers’, administrators’ and residents’ structured interviews revealed seven main themes: internal support and staff education, communication, information technology (IT) support, reliable funding, resident understanding, feasibility, and cost. Conclusion: Enhancers to teledentistry implementation were reliable financial capital and a skilled team of providers willing to work with this population. Barriers revealed were lack of support from organization administration and support staff, poor internal communication, disconnect with the onsite dental clinic and adequate IT support.
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    Investigating Novel Virtual Reality and Telehealth Mindfulness-Based Interventions for Training Interoceptive Awareness
    (2023-10) Haley, Alexander
    Interoception – the ability to sense and integrate internal body signals – plays a critical role in how complex organisms survive and function. It is essential for maintaining stable conditions within the body (e.g., keeping warm), for meeting daily needs within a changing world (e.g., quenching thirst), and for adapting to future needs (e.g., remembering seasonal changes in foraging spots). While research into interoception started more than a hundred years ago, it is not well understood today. Researchers are still mapping out all of the brain and body pathways through which interoception operates. Additionally, research into the most optimal methods for manipulating and measuring interoception is at an early stage. Despite these uncertainties, prior research suggests that a person’s conscious awareness of internal body signals, known as interoceptive awareness, is not a fixed capacity, rather it can be altered through training. This dissertation investigates how mindfulness practices can be combined with emerging technology to train interoceptive awareness. First, we introduce a novel virtual reality (VR) mindfulness-based intervention that is designed for cultivating greater interoceptive awareness. As part of this work, we also introduce a new qualitative methodology to understand users’ experiences of interoceptive awareness in VR. We found that the methodology elicited valuable responses from participants regarding their interoceptive awareness experiences within the novel VR mindfulness-based intervention. Most significantly, our work represents the first attempts to qualitatively investigate a multi-dimensional model of interoceptive awareness in VR. It also establishes a critical foundation for conducting future follow-on comparative studies that can provide more complete design guidelines for how best to train interoceptive awareness in VR. Next, we assessed the efficacy of a novel group telehealth mindfulness intervention, compared to an active control, for enhancing interoceptive awareness. While this second intervention is distinct from the prior VR mindfulness-based intervention, it answers the critical question of whether interoceptive awareness can be trained via a group intervention delivered remotely versus alone in a lab. We found that the remote, group mindfulness intervention can improve interoceptive awareness and that these gains are relatively stable at six and twelve month follow-up time points. Lastly, we confirmed that the telehealth intervention can be delivered by non-mindfulness experts, which points to the promise of scalable, group telehealth mindfulness interventions. Finally, we examine potential predictive factors related to interoceptive awareness outcomes by conducting a hierarchical regression analysis. Knowledge of potential predictive factors is useful for optimizing interventions to enhance interoceptive awareness outcomes for various populations. We found that several factors influence post-intervention interoceptive awareness outcomes. Specifically, the factors of age, baseline mindfulness, and change in mindfulness from baseline to intervention completion significantly influence interoceptive awareness. In terms of baseline mindfulness, current literature has under-investigated this factor even though there is evidence that prior experience with mindfulness is very widespread in the United States. In summary, our work is a first step in the longer journey of weaving together emerging technologies with evidence-based interventions to positively impact public health. By studying two novel interventions individually before pursuing their combination, we hope to establish a solid foundation from which to pursue our larger, long-term vision. This larger vision includes the potential of VR as a powerful computing medium for embodied simulations to leverage telehealth as a critical mode of healthcare delivery to bring evidence-based health interventions outside the confines of traditional healthcare settings. We envision a future where clinicians, computer scientists, artists, and community members co-create immersive, social VR applications that connect geographically distant users to cultivate greater health and wellbeing around the world.