UP-96 Lessons learned with remote research among older adults during COVID-19, a qualitative reflection
Thursday June 27, 2019 from
TBD
Award Winner
Rachel E Gutschon, Canada has been granted the
Presenter

Rachel E Gutschon, Canada

Registered Nurse

Operating Room/Research

Woodstock Hospital

Abstract

Lessons learned with remote research among older adults during COVID-19: A qualitative reflection

Rachel Gutschon2, Maram Khaled1, Hannah Yaremko3, Cassidy H Colhoun4, Kevin Krysiak4, Collette vanDyk1, Stephen M Petis2, Varunkumar (Varun) Bathini5, Maura Marcucci1, Philippe D. Violette1,2,4.

1Health Research Methods Evidence and Impact, McMaster University, Hamilton, ON, Canada; 2Surgery, Woodstock Hospital, Woodstock, ON, Canada; 3Faculty of Science, Western University, London, ON, Canada; 4Surgery, Western University, London, ON, Canada; 5Surgery, University of Saskatchewan, Saskatoon, SK, Canada

This research was supported in part by the 2020 Community Urologist CPD grant.

Introduction: Remote research promises to deliver many benefits such as convenience, cost savings and efficiency.  The COVID-19 pandemic has hastened the trend toward telemedicine and remote research.  However, the remote setting presents a unique set of challenges.  We sought to systematically assess our experience in conducting remote research in one multi-institutional longitudinal study using qualitative methods.

Methods: Co-Tele-Surge is an all-remote prospective study that aims to describe the perioperative cognitive trajectories of older adults (65 and older) who undergo general anesthesia with a one year follow-up.  Concurrently we are conducting the present study using the sample of individuals who either withdrew, declined or were ineligible for participation in Co-Tele-Surge.  We use a modified qualitative descriptive analytic strategy as described by Neergaard et al. (2009).  This approach seeks to identify central themes and subthemes for non-participation among patients who withdrew, declined or were ineligible.

Results: This study analyzes data from 123 individuals who declined to participate (46), were ineligible (55) or withdrew from participation (22) from the Co-TELE-SURGE study. A major theme present in all cohorts included difficulty with technology (28% of declined, 18% of ineligible, 36% of withdrawn). Other predominant themes included; change in clinical course (23% of withdrawn), loss of interest (18% of withdrawn), uninterested (70% of declined) and communication (35% of ineligible).  Table 1 demonstrates the predominant themes and subthemes of each cohort.

Conclusion: The major theme for non-participation with remote research in older adults was barriers to technology across all 3 patient groups. Limitations include uncertainty about whether thematic saturation was attained with current sample.  Understanding barriers to participation can help to better retain and encourage participation in future remote studies involving older adults.


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