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Center for Excellence in Assisted Living

Center for Excellence in Assisted Living CEAL@UNC

Advancing the well-being of the people who live and work in assisted living through research, practice, and policy.

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Journal of Urban Health

“What Good Is That?”-Perspectives of Using Telehealth to Discuss Serious Illness with Urban-Dwelling Low-Income Older Adults in Assisted Living

Oct 1, 2025
This qualitative study of 46 residents from 3 Medicaid-funded AL communities examined telehealth acceptance among low-income residents. Four themes emerged: the primary benefit (convenience), barrier (technology access and literacy), resident preference (ranging from enthusiasm to skepticism, but generally distasteful), and concerns (mistrust of providers). Overall, telehealth can improve convenience, but additional supports are needed to foster trust and effective therapeutic relationships.

“What Good Is That?”-Perspectives of Using Telehealth to Discuss Serious Illness with Urban-Dwelling Low-Income Older Adults in Assisted Living

October 1, 2025 by Lea Efird-Green

This qualitative study of 46 residents from 3 Medicaid-funded AL communities examined telehealth acceptance among low-income residents. Four themes emerged: the primary benefit (convenience), barrier (technology access and literacy), resident preference (ranging from enthusiasm to skepticism, but generally distasteful), and concerns (mistrust of providers). Overall, telehealth can improve convenience, but additional supports are needed to foster trust and effective therapeutic relationships.

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