Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/25505
Title: The feasibility of delivering first suspected seizure care using telehealth: A mixed methods controlled study.
Austin Authors: Lewis, Annie K;Harding, Katherine E;Taylor, Nicholas F;O'Brien, Terence J;Carney, Patrick W 
Affiliation: College of Science Health and Engineering, La Trobe University, Kingsbury Drive, Bundoora, VIC 3086, Australia
Department of Neuroscience, The Central Clinical School, Monash University, 99 Commercial Road, Melbourne, Victoria, 3004, Australia
Allied Health Clinical Research Office, Eastern Health, 5 Arnold Street, Box Hill, VIC 3128, Australia
Department of Neurosciences, Eastern Health, 5 Arnold St, Box Hill, VIC 3128, Australia
The Florey Institute of Neuroscience and Mental Health
Neurosciences, Monash University, 21 Chancellors Walk, Clayton, VIC 3800, Australia
Neurology, Alfred Hospital, 55 Commercial Rd, Melbourne, VIC 3004, Australia
Issue Date: 1-Dec-2020
Date: 2020-12-01
Publication information: Epilepsy Research 2020; 169: 106520
Abstract: Prompt access to specialist assessment is critical after a first suspected seizure. We aimed to test the feasibility of providing this service via telehealth, compared with usual care (face-to-face appointment) in patients referred to a first seizure clinic. This feasibility study was a prospective mixed-methods non-randomised controlled design in a single centre. Patients referred to the first seizure clinic chose to receive their consultation by telehealth (intervention group) or face-to-face (usual care). Demand, practicality, acceptability and limited-efficacy testing were assessed using recruitment and routinely collected clinic data, participant surveys and a clinician focus group. Telehealth in the first seizure clinic was feasible; however, internet connection, computer hardware and software, patient confidence and organisational support impacted on practicality. Of patients who were eligible for telehealth, 25 % chose to use telehealth for their appointment, with more women taking up the opportunity. Geography and age were not factors in likelihood of uptake. There was no significant between-group difference found in acceptability and limited efficacy measures conducted. Telehealth is a responsive and convenient way to reach some patients who face barriers in access to specialist neurology assessment following a first suspected seizure.
URI: https://ahro.austin.org.au/austinjspui/handle/1/25505
DOI: 10.1016/j.eplepsyres.2020.106520
Journal: Epilepsy Research
PubMed URL: 33302224
Type: Journal Article
Subjects: Epilepsy
Feasibility
First seizure clinic
Telehealth
Appears in Collections:Journal articles

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