A Comparison of Video-Based Resident-Family Communication in a Nursing Home and a Congregate Living Facility

Objective: To explore user perceptions of videophone communication in different long-term care settings by comparing interview transcripts of a study involving residents of a congregate living facility (CLF) and family members with findings of a case study involving a resident of a skilled nursing facility (SNF) and family member. Methods: Semistructured interviews by telephone and in person were conducted with residents and family members, with both studies using an interview guide with similar questions. Results: All themes found in the SNF study were also identified in the CLF data. There was consistency between studies in preferences for videophones (over telephones) for affective-oriented conversations and perceptions of acceptable usability. Both yielded generally acceptable technical quality, although 2 of 8 CLU participants' concerns were likely barriers to adoption. Conclusion: Consistency in findings lends validity to the earlier SNF findings and suggests some degree of reliability across these settings. Additional insights were gained in the CLF study, a new context in the resident-family videophone communication literature. The theoretical framework of social presence and communication bandwidth holds promise as applied, but further explication and operationalization are needed.