Staff View: The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

Background: The COVID-19 pandemic has fueled the widespread adoption of telemedicine in healthcare, particularly in Sarawak, Malaysia. This study investigates the use and acceptance of Sarawak's inaugural multidisciplinary geriatric telemedicine service, TELEG. Methods: This cross-sectional...

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Main Authors:	Ting, Chuo Yew, Nur Hidayati, Abdul Halim, Ling, Jia Nee, Tiong, Ing Khieng, Nor Izzah, H J Ahmad Shauki, Lee, Yew Fong *, Nor Anizah, Osman, Chai, Gin Wei, Ung, Shin Han, Ang, Melinda
Format:	Article
Published:	BMC 2024
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://eprints.sunway.edu.my/2616/ https://doi.org/10.1186/s12877-024-04676-0
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id	my.sunway.eprints.2616
record_format	eprints
spelling	my.sunway.eprints.26162024-05-18T03:13:50Z http://eprints.sunway.edu.my/2616/ The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia Ting, Chuo Yew Nur Hidayati, Abdul Halim Ling, Jia Nee Tiong, Ing Khieng Nor Izzah, H J Ahmad Shauki Lee, Yew Fong * Nor Anizah, Osman Chai, Gin Wei Ung, Shin Han Ang, Melinda R Medicine (General) RC Internal medicine Background: The COVID-19 pandemic has fueled the widespread adoption of telemedicine in healthcare, particularly in Sarawak, Malaysia. This study investigates the use and acceptance of Sarawak's inaugural multidisciplinary geriatric telemedicine service, TELEG. Methods: This cross-sectional study took place at the Sarawak Heart Centre's geriatric department from July 1, 2021, to April 30, 2022. Convenient sampling included all TELEG-enrolled patients during this period, to achieve minimum sample size of 148. TELEG's utilization was assessed in terms of medication therapy and treatment plan optimization, as well as enhanced healthcare accessibility. Participants' acceptance of TELEG was measured using the Service User Technology Acceptability Questionnaire (SUTAQ) administered through Google Forms. Descriptive statistics percentages illustrated the proportion of participants who found TELEG moderately to highly acceptable. Associations between baseline characteristics and overall acceptance were explored through bivariate analyses, including Pearson's correlation test, independent t-test, and ANOVA. The influence of six SUTAQ dimensions on overall acceptance, multivariable linear regression using enter method was employed. Statistical significance was determined by p-values less than 0.5. Results: Among 180 geriatric patients enrolled in TELEG during the study period, 149 agreed to participate. TELEG led to medication therapy optimization for 88.6% of participants, primarily involving dose adjustment (44.7%), de-prescribing (31.8%), and prescribing (15.9%). Additionally, 53.8% received treatment plan optimization, predominantly in the form of self-care education (56.3%), referrals for further treatment (33.8%), additional laboratory investigations (29.6%), and increased monitoring (26.8%). Among those educated in self-care (n = 40), dietary intake (27.5%), lower limb exercise (25.0%), and COVID-19 vaccination (12.5%) were the most common topics. All participants expressed moderate to high acceptance of TELEG (mean = 4.9, SD = 0.65, on a scale of 1 to 6). Notably, care personnel concern (B = 0.256; p < 0.001) had the most significant impact on overall acceptance. Conclusion: This pioneering study evaluates the utilization and user acceptance of a geriatric telemedicine service in the region, providing valuable insights to support its expansion. Follow-up surveys or interviews to gain insights into users' experiences are crucial to further enhance acceptance. BMC 2024 Article PeerReviewed Ting, Chuo Yew and Nur Hidayati, Abdul Halim and Ling, Jia Nee and Tiong, Ing Khieng and Nor Izzah, H J Ahmad Shauki and Lee, Yew Fong * and Nor Anizah, Osman and Chai, Gin Wei and Ung, Shin Han and Ang, Melinda (2024) The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia. BMC Geriatrics, 24 (133). ISSN 1471-2318 https://doi.org/10.1186/s12877-024-04676-0 10.1186/s12877-024-04676-0
institution	Sunway University
building	Sunway Campus Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Sunway University
content_source	Sunway Institutional Repository
url_provider	http://eprints.sunway.edu.my/
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Ting, Chuo Yew Nur Hidayati, Abdul Halim Ling, Jia Nee Tiong, Ing Khieng Nor Izzah, H J Ahmad Shauki Lee, Yew Fong * Nor Anizah, Osman Chai, Gin Wei Ung, Shin Han Ang, Melinda The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia
description	Background: The COVID-19 pandemic has fueled the widespread adoption of telemedicine in healthcare, particularly in Sarawak, Malaysia. This study investigates the use and acceptance of Sarawak's inaugural multidisciplinary geriatric telemedicine service, TELEG. Methods: This cross-sectional study took place at the Sarawak Heart Centre's geriatric department from July 1, 2021, to April 30, 2022. Convenient sampling included all TELEG-enrolled patients during this period, to achieve minimum sample size of 148. TELEG's utilization was assessed in terms of medication therapy and treatment plan optimization, as well as enhanced healthcare accessibility. Participants' acceptance of TELEG was measured using the Service User Technology Acceptability Questionnaire (SUTAQ) administered through Google Forms. Descriptive statistics percentages illustrated the proportion of participants who found TELEG moderately to highly acceptable. Associations between baseline characteristics and overall acceptance were explored through bivariate analyses, including Pearson's correlation test, independent t-test, and ANOVA. The influence of six SUTAQ dimensions on overall acceptance, multivariable linear regression using enter method was employed. Statistical significance was determined by p-values less than 0.5. Results: Among 180 geriatric patients enrolled in TELEG during the study period, 149 agreed to participate. TELEG led to medication therapy optimization for 88.6% of participants, primarily involving dose adjustment (44.7%), de-prescribing (31.8%), and prescribing (15.9%). Additionally, 53.8% received treatment plan optimization, predominantly in the form of self-care education (56.3%), referrals for further treatment (33.8%), additional laboratory investigations (29.6%), and increased monitoring (26.8%). Among those educated in self-care (n = 40), dietary intake (27.5%), lower limb exercise (25.0%), and COVID-19 vaccination (12.5%) were the most common topics. All participants expressed moderate to high acceptance of TELEG (mean = 4.9, SD = 0.65, on a scale of 1 to 6). Notably, care personnel concern (B = 0.256; p < 0.001) had the most significant impact on overall acceptance. Conclusion: This pioneering study evaluates the utilization and user acceptance of a geriatric telemedicine service in the region, providing valuable insights to support its expansion. Follow-up surveys or interviews to gain insights into users' experiences are crucial to further enhance acceptance.
format	Article
author	Ting, Chuo Yew Nur Hidayati, Abdul Halim Ling, Jia Nee Tiong, Ing Khieng Nor Izzah, H J Ahmad Shauki Lee, Yew Fong * Nor Anizah, Osman Chai, Gin Wei Ung, Shin Han Ang, Melinda
author_facet	Ting, Chuo Yew Nur Hidayati, Abdul Halim Ling, Jia Nee Tiong, Ing Khieng Nor Izzah, H J Ahmad Shauki Lee, Yew Fong * Nor Anizah, Osman Chai, Gin Wei Ung, Shin Han Ang, Melinda
author_sort	Ting, Chuo Yew
title	The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia
title_short	The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia
title_full	The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia
title_fullStr	The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia
title_full_unstemmed	The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia
title_sort	use of a multi-disciplinary geriatric telemedicine service (teleg) and its acceptance at a tertiary care centre in malaysia
publisher	BMC
publishDate	2024
url	http://eprints.sunway.edu.my/2616/ https://doi.org/10.1186/s12877-024-04676-0
_version_	1800100327427407872
score	13.211869

The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

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