Gail Castaneda

This study aims to: (1) examine gender differences for weight conscious drinking among college students accounting for the broader phenomenon (e.g. including the Alcohol Effects dimension); and (2)...

Purpose: Telerehabilitation (TR) is increasingly being used to meet the rehabilitation needs of individuals living in rural areas. Nevertheless, reports on TR implementation for rural patients remain limited. As part of a broader evaluation, this study investigated barriers and facilitators to the implementation of a national TR program to meet the needs of rural Veterans Health Administration (VHA) patients. Methods: This study applied a qualitative approach to the RE-AIM framework to investigate barriers and facilitators impacting TR implementation. We conducted in-depth, semi-structured interviews with ten program managers and medical directors within the VHA at three time points during the first 18 months of implementation. Interviews were analyzed using thematic analysis. Results: Three themes were identified describing key cultural, infrastructural and logistical, and environmental barriers impacting the reach, adoption, and implementation of TR. Within the themes, facilitators for TR were also identified to include, allowing providers flexibility in implementing TR, mentorship and development of creative approaches to TR training, overcoming infrastructural and logistical TR barriers through championing, and continuous sharing of lessons learned in a community of practice. Discussion: This study explicates salient barriers and facilitators encountered during the first 18 months of implementation of a TR program within a national healthcare system in the United States. Implementing TR to meet the rehabilitation needs of Veterans in resource-limited rural environments requires creative approaches and flexibility, as well as perseverance and consistent championing in order to overcome cultural challenges. This, in combination with infrastructural challenges, such as lack of broadband, adds greater complexity to meeting the needs of rural patients. This study provides new and in-depth understanding of the processes by which TR is implemented in a large healthcare system and points to practical real-world lessons in implementing TR for rural patients.

Annals of International Occupational Therapy | Objective:Home safety evaluations are necessary for home modifications to increase the functioning and safety of patients in their homes. However, in some cases, home safety evaluations may not be feasible because necessary resources or local experts are not available. The goal of this study was to examine the feasibility of conducting home safety evaluations remotely with a telepresence

Date Presented 04/05/19 Two state-of-the-art technological approaches (store-and-forward videos and telepresence robots) were compared for their ability to guide OTs in selecting the appropriate technology for remote home-safety evaluations. When a caregiver is capable of adhering to a strict remote evaluation protocol, a camera can be the simpler application, but a telepresence robot’s video conferencing capabilities allow for real-time interactions and the ability to obtain information from the residents about features of the home. Primary Author and Speaker: Mi Jung Lee Contributing Authors: Gail Castaneda, Sergio Romero

To examine the effect of weight-conscious drinking and compensatory behavior temporality on binge drinking frequency of college freshmen. Participants: Freshmen (n = 1149) from eight US universitie...

Telerehabilitation fills a need and helps ensure treatment adherence for rural and other veterans who find it difficult to access health care.

A multidisciplinary journal that focuses on public health and technology, public health informatics, mass media campaigns, surveillance, and innovation in public health practice and research. Also dedicated to rapid open data sharing during epidemics.