Sawyer Linda M, Keller Hallie E, Cervantes Maria D, Howell Teresa F, Scott Robynn J, Dunlap Janette, Cigolle Christine T, Dawson Bonnie D, Sullivan Dennis H
Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, Arkansas, USA.
Geriatrics, North Florida/South Georgia Veterans' Healthcare System, Gainesville, Florida, USA.
J Am Geriatr Soc. 2025 Mar;73(3):910-919. doi: 10.1111/jgs.19204. Epub 2024 Oct 3.
The purpose of this project was to measure satisfaction with virtual comprehensive geriatric assessments (CGA) among older Veterans (OVs).
The CGA involved five different healthcare providers and four one-hour VA Video Connect (VVC) calls. Using specific enrollment criteria, OVs were recruited in four cohorts separated by time. After completing the CGA, participants were asked to complete a 10-statement telephone questionnaire. Before analyses, responses to each statement were dichotomized as Agree (Agree/Strongly agree) or Do not Agree (Neutral/Disagree/Strongly Disagree). Descriptive statistics and Binomial generalized linear models (GLMs) were used to analyze the data.
All 269 enrolled OVs completed all components of the CGA. This included 79, 57, 61, and 72 Veterans in cohorts 1 to 4, respectively. Their average age was 76.0 ± 5.9 years, and they were predominately white (82%), male (94%), and residents of rural settings (64%). Of the 236 (88%) OVs who completed the telephone survey, 57% indicated they were comfortable using VVC and 57% expressed willingness to use VVC again; 44% felt that VVC was easier than going to in-person visits. The OVs in Cohort 1 were more likely to agree with these statements than those in the remaining cohorts, especially Cohorts 2 and 4. Differences in demographics partially explained some of these findings. The majority (89% or higher) of survey participants agreed with the remaining seven survey statements indicating they were satisfied with the CGA program.
OVs were very satisfied with their participation in a program of CGA, although not necessarily the mode of delivery. The percentage of participants who indicated discomfort using VVC for the CGA visits appeared to increase with time. Further work is needed to determine which OVs would be the best candidates to use VVC to complete all or part of a CGA.
本项目旨在衡量老年退伍军人（OVs）对虚拟综合老年评估（CGA）的满意度。
CGA涉及五名不同的医疗保健提供者和四次一小时的退伍军人事务部视频连线（VVC）通话。根据特定的纳入标准，在四个按时间划分的队列中招募OVs。完成CGA后，要求参与者完成一份包含10项陈述的电话调查问卷。在进行分析之前，将对每项陈述的回答分为同意（同意/强烈同意）或不同意（中立/不同意/强烈不同意）。使用描述性统计和二项式广义线性模型（GLMs）分析数据。
所有269名登记的OVs均完成了CGA的所有组成部分。其中队列1至4分别有79名、57名、61名和72名退伍军人。他们的平均年龄为76.0±5.9岁，主要为白人（82%）、男性（94%），且大多居住在农村地区（64%）。在完成电话调查的236名（88%）OVs中，57%表示他们对使用VVC感到自在，57%表示愿意再次使用VVC；44%认为VVC比亲自就诊更便捷。队列1中的OVs比其余队列中的OVs更有可能同意这些陈述，尤其是队列2和4。人口统计学差异部分解释了其中一些结果。大多数（89%或更高）调查参与者同意其余七项调查陈述，表明他们对CGA项目感到满意。
OVs对参与CGA项目非常满意，尽管不一定对其实施方式满意。表示在CGA就诊时使用VVC感到不适的参与者比例似乎随时间增加。需要进一步开展工作以确定哪些OVs是使用VVC完成全部或部分CGA的最佳人选。
