Browsing by Author "Wong, Richard"

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    Augmented video consultations in care homes during the covid-19 pandemic
    (Royal College of General Practitioners, 2022-06-28) Ochieng, Lorraine; Salehi, Mahan; Ochieng, Rebecca; Nijhof, Dewy; Wong, Richard; Gupta, Vinay; Prasad, Rishabh; Ochieng, B.
    Background: The COVID-19 pandemic necessitated an unprecedented implementation of remote consultations in UK primary care services. Specifically, older adults in care homes had a high need for infection prevention due to their existing health conditions. GP practices in the East Midlands incorporated augmented video consultations with the potential to support remote healthcare assessments for older adults at care homes. Aim: To explore GPs and care home staff experiences of the use of augmented video consultation as a mechanism to perform remote examinations of older adults in care homes. Design and setting: Qualitative interviews were conducted with GPs and care home staff during May-August 2020. Method: A convenience sample of GPs (n=5), nurses (n=12) and senior health care assistants (n=3) were recruited using a purposive approach. Data was collected through semi-structured telephone interviews and was analysed using framework analysis. Results: Findings from participants indicated that augmented video consultation enables real-time patient examinations to aid diagnosis; and promotes person-centred care in meeting the needs of older adults. The participants also discussed the challenges of video consultations for patients with cognitive impairment and those under end-of-life care. Conclusion: Augmented video consultations show great potential in terms of GPs providing primary care services for care homes. However, healthcare staff must be involved in the development of the technology, and consideration should be given to the needs of older adults with cognitive impairment and those under end-of-life care. It is also vital that training is available to encourage confidence and competency in implementing the technology.
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    A Case Study of a Pilot Smart Home Monitoring System with Older Adults Living Alone in East Midlands
    (Athens Institute for Education and Research, 2023-06-16) Chaudhry, Ismail; Chamley, Carol; Nijhof, Dewy; Ochieng, Rebecca; Rogerson, Louise; Wong, Richard; Prasad, Rishabh; Ochieng, B.
    The aim of this project was to examine older adults and their next-of-kins’ experiences of using smart home technology. The technology unobtrusively monitors the older adult’s physical functional ability to undertake their daily activities at home. Using a case study approach, the participants comprised three family units: three older adults with a history of long-term co-morbidities and who lived alone, along with their next-of-kin (n=4). The older adults were all female aged between 72- 82 years of age, while the four next-of-kin were all females aged between 40 and 55 years of age. Participants experiences of using the smart home technology was evaluated at three- and eight-months post installation via in-depth one-to-one interviews with the older adults and their next-of-kin. The older adults described how the smart home sensors reduced their levels of anxiety because they were ‘not feeling alone’. Likewise, their next-of-kin described how the sensors gave them an insight to their older relatives’ activities of daily living, as well as the challenges they experienced. The findings highlighted the benefit of smart home technologies in terms of helping older adults and their next-of-kin monitor their daily activities, reduce social isolation, and adopt positive health and behavioural changes.
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    Using AI-based Technology To Enhance Discharge to Assess Services
    (CPC, 2024-08-30) Wardell, George; McLorg, Alizée; Das, Debayan; Flashman, Clive; Gongora, Mario; Leveque, Rachna; Maluf, Adriano; Ochieng, B.; Wong, Richard