Akzeptanz der Telemedizin

Dockweiler, Christoph

doi:10.1007/978-3-662-49504-9_13

Cited by 19 publications

(18 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Die Implementierung von internetgestützter Therapie in die Regelversorgung wurde in einigen europäischen Nachbarländer wie Großbritannien ("Beating the Blues") oder den Niederlanden ("Colour Your Life") bereits umgesetzt [26]. Welche Chancen und Risiken eine Integration in die deutsche Regelversorgung bietet, birgt zum jetzigen Zeitpunkt noch Klärungsbedarf.…”

Section: Ausblickunclassified

Akzeptanz onlinebasierter Therapieangebote bei Patientinnen und Patienten mit leichten bis mittelgradigen depressiven Störungen

2017

Self Cite

View full text Add to dashboard Cite

The actual contribution of E-Mental Health is closely connected to technical and jurisprudential assessments. But also, it significantly depends on evidence-based issues as well as user orientation in research, development and implementation. The results offer an initial theory-based approach to an increased user-oriented technology research in health care, with further diversity criteria to be taken into account in the future.

show abstract

Section: Ausblickunclassified

Akzeptanz onlinebasierter Therapieangebote bei Patientinnen und Patienten mit leichten bis mittelgradigen depressiven Störungen

2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Physicians in Germany show a positive attitude toward future eHealth developments, in general; nonetheless, some voice concerns about immature technology and neglected privacy [21]. However, only half of the established physicians in Germany feel adequately informed about these developments [22].…”

Section: Introductionmentioning

confidence: 99%

“…Second, the attitudes and expectations of the nursing staff, who are in close contact with patients who have used mental health apps or plan to do so, need to be considered. A study that inquired about their views on eHealth development, in general, not specific to e-mental health apps, reported that staff fear a loss of quality in social interaction caused by care robots while benefiting from process improvements due to digital documentation systems [22]. However, their opinions specifically about e-mental health apps are missing.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Expectations of Medical Experts, Students, and Patients Toward Electronic Mental Health Apps: Cross-Sectional Quantitative and Qualitative Survey Study

Mayer¹,

Gronewold²,

Alvarez³

et al. 2019

JMIR Ment Health

View full text Add to dashboard Cite

BackgroundThe acceptability of electronic mental (e-mental) health apps has already been studied. However, the attitudes of medical experts, students, and patients taking into account their knowledge of and previous experiences with e-mental health apps have not been investigated.ObjectiveThe aim of this study was to explore the attitudes, expectations, and concerns of medical experts, including physicians, psychotherapists and nursing staff, students of medicine or psychology, and patients toward e-mental health apps when considering their knowledge of and former experiences with e-mental health apps.MethodsThis cross-sectional quantitative and qualitative survey was based on a self-developed questionnaire. A total of 269 participants were included (104 experts, 80 students, and 85 patients), and 124 eligible participants answered a paper version and 145 answered an identical online version of the questionnaire. The measures focused on existing knowledge of and experiences with e-mental health apps, followed by a question on whether electronic health development was generally accepted or disliked. Further, we asked about the expectations for an ideal e-mental health app and possible concerns felt by the participants. All items were either presented on a 5-point Likert scale or as multiple-choice questions. Additionally, 4 items were presented as open text fields.ResultsAlthough 33.7% (35/104) of the experts, 15.0% (12/80) of the students, and 41.2% (35/85) of the patients knew at least one e-mental health app, few had already tried one (9/104 experts [8.7%], 1/80 students [1.3%], 22/85 patients [25.9%]). There were more advocates than skeptics in each group (advocates: 71/104 experts [68.3%], 50/80 students [62.5%], 46/85 patients [54.1%]; skeptics: 31/104 experts [29.8%], 20/80 students [25.0%], 26/85 patients [30.6%]). The experts, in particular, believed, that e-mental health apps will gain importance in the future (mean 1.08, SD 0.68; 95% CI 0.94-1.21). When asked about potential risks, all groups reported slight concerns regarding data security (mean 0.85, SD 1.09; 95% CI 0.72-0.98). Patient age was associated with several attitudes toward e-mental health apps (future expectations: r=–0.31, P=.005; total risk score: r=0.22, P=.05). Attitudes toward e-mental health apps correlated negatively with the professional experience of the experts (rs(94)=–0.23, P=.03).ConclusionsAs opposed to patients, medical experts and students lack knowledge of and experience with e-mental health apps. If present, the experiences were assessed positively. However, experts show a more open-minded attitude with less fear of risks. Although some risks were perceived regarding data security, the attitudes and expectations of all groups were rather positive. Older patients and medical experts with long professional experience tend to express more skepticism.Trial RegistrationGerman Clinical Trials Register DRKS00013095; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00013095

show abstract

“…The use in clinical practice will depend on the compliance with the newly developed intervention. 40 Other researchers, for instance, Lang et al 41 explored non-compliance with a telemedical intervention for multimorbid patients over 65 years and discovered that missing additional benefits of the intervention, missing content variety and no interest in telemedical care were the main reasons for drop-outs and/or not using the intervention at all. Studies with patients suffering from heart failure or chronic obstructive pulmonary disease testing telemedical interventions have a drop-out rate of around 20% and almost one-third of the patients refuse to participate.…”

Section: Methods and Analysismentioning

confidence: 99%

Monitoring of Palliative Care Symptoms and Concerns in Specialized Palliative Home Care Using an Electronic Version of the Integrated Palliative care Outcome Scale (Palli-MONITOR): protocol for a mixed-methods study

et al. 2021

View full text Add to dashboard Cite

IntroductionOver the last decades, patient-reported outcome (PRO) measures have been developed to better understand the patient’s perspective and enable patient-centred care. In palliative care, the Integrated Palliative care Outcome Scale (IPOS) is recommended as a PRO tool. Its implementation in specialised palliative home care (SPHC) would benefit from an electronic version validated for the setting.Following the Medical Research Council (MRC) guidance, the study Palli-MONITOR is developing (phase 1) and testing the feasibility (phase 2) of implementing the electronic version of IPOS (eIPOS) in the SPHC setting to inform a cluster-randomised phase 3 trial.Methods and analysisPalli-MONITOR is a multicentre, sequential mixed-methods, two-phase development and feasibility study. The study consists of four substudies. In phase 1 (MRC development phase), qualitative patient interviews and focus groups with SPHC professionals are used to identify barriers and facilitators of eIPOS (substudy I). Substudy II tests the equivalence of eIPOS and IPOS in a crossover randomised controlled trial. Phase 2 (MRC feasibility/piloting phase) includes a quasi-experimental study with two control groups (substudy III), and qualitative interviews as well as focus groups to explore the feasibility and acceptability of the developed intervention (substudy IV).Qualitative data will be analysed with thematic analysis following the framework approach. Quantitative analysis uses a two-way intraclass correlation coefficients model for the equivalence testing. Quantitative analysis of the quasi-experimental study will focus on the primary outcomes, recruitment rates and completeness of eIPOS. Secondary outcomes will include intraindividual change in palliative symptoms and concerns, quality of life and symptom burden.Ethics and disseminationApproval of the ethics committee of the Ludwig Maximilian University Munich was received for all study parts. Results and experiences will be presented at congresses and in written form. Additionally, participating SPHC teams will receive summarised results.Trial registration numberNCT03879668.

show abstract

Akzeptanz der Telemedizin

Cited by 19 publications

References 26 publications

Akzeptanz onlinebasierter Therapieangebote bei Patientinnen und Patienten mit leichten bis mittelgradigen depressiven Störungen

Akzeptanz onlinebasierter Therapieangebote bei Patientinnen und Patienten mit leichten bis mittelgradigen depressiven Störungen

Acceptance and Expectations of Medical Experts, Students, and Patients Toward Electronic Mental Health Apps: Cross-Sectional Quantitative and Qualitative Survey Study

Monitoring of Palliative Care Symptoms and Concerns in Specialized Palliative Home Care Using an Electronic Version of the Integrated Palliative care Outcome Scale (Palli-MONITOR): protocol for a mixed-methods study

Contact Info

Product

Resources

About