Increasing the use of video telehealth in residential aged care homes: A mixed-methods evaluation of a practical telehealth training program to support telehealth implementation

Abstract

Introduction

Telehealth in Residential Aged Care Homes (RACHs) is recommended to improve access to specialist health services. Successful telehealth adoption depends on reliable technical infrastructure, a skilled workforce, and revised models of care. This study aimed to evaluate the impact of a telehealth training program on RACH staff's knowledge and skills, telehealth uptake, related challenges and how to sustain its use.

Method

A quasi-experimental design study. After delivering an onsite training program, we conducted t-tests with pre- and post-surveys, analysed feedback from training consultants, and performed follow-up interviews with RACH's senior managers.

Results

From August 2023 to October 2024, 41 RACHs received onsite telehealth training, primarily attended by nurses (88%). Survey results showed significant improvements in perceived telehealth knowledge, skills and confidence. A key motivator for implementing telehealth was enabling family members to attend consultations, while the major barrier was transitioning external health providers from phone to video consultations. In followup data, senior staff reported increases in telehealth activity and staff's confidence in using it, but potential for more activity. They wanted ongoing support, particularly to improve external providers' capability and willingness to use telehealth, indicating sustained telehealth adoption requires more than just access to equipment and training in RACHs.

Discussion

Telehealth training can be effective in increasing knowledge, skills and confidence to use telehealth in RACHs. However, RACHs need ongoing training and support, especially given workforce challenges and staff retention issues. Engaging all stakeholders, particularly external service providers is crucial to ensure that telehealth-supported models of care are well integrated within the broader health system.