Table 2.
Technology/assistance in addition to “normal” video consultation | Assessment criteria | ||||||
|
Efficacy | NHSa capital cost | NHS delivery cost | Patient setup | Clinician training and guidance | Safetyb | |
Kubi + tablet | Good for outcome measures that did not require tracking; tracking poor due to time lag | £437c for Kubi plus £110 for Lenovo tablet | £40 | Issues with device not holding charge, on/off button, Wi-Fi connection, instructions | Simple; the clinician calls the patient and can easily go from one patient to the next | Unable to view patient when not tracking; potential to lose sight of loss of balance/falls. Data security not an issue, as this approach involves continued use of standard software | |
Pivo | |||||||
|
Recorded | Good for all outcome measures; patient must transfer data file | £85 | £26 | Issues with connection, instructions | Simple | Data security unknown; more exploration needed |
|
Live | Good for all outcome measures, but patient contacts clinician | £85 | £26 | Issues with connection, instructions | Patient must call clinician; issues with instructions | Data security unknown; more exploration needed |
Wide-angle webcam | Good for all outcome measures, but only works for laptop or personal computer | £190 | £26 | Only works for laptop or personal computer, but simple | Simple | Data security not an issue, as this approach involves continued use of standard software | |
Facebook TV Portal | Only works for upper body (feet not in picture); unable to effectively track faster walking; only usable in patient’s TV room | £140 | £26 | Requires Wi-Fi–connected smart TV; issues with instructions | Simple; the patient can be added to the clinician’s mobile contacts to make a WhatsApp call | Data security—some concerns related to using WhatsApp | |
Mobile phone | |||||||
|
Friend using mobile phone | Good for all outcome measures if a friend is available | £0 | £0 | Need to be able to call a friend | Simple | Data security not an issue, as this approach involves continued use of standard software |
|
Mobile phone holder | Patient may leave field of view during tracking | £26 | £26 | Simple | Simple | Data security not an issue, as this approach involves continued use of standard software |
aNHS: National Health Service.
bAll technologies have safety considerations regarding space and collision with furniture.
c1 British pound=US $1.39.