Factors affecting cancer patients’ electronic communication with providers: Implications for COVID-19 induced transitions to telehealth

Wu, Qiwei; Street, Richard L.

doi:10.1016/j.pec.2020.09.036

Cited by 17 publications

(20 citation statements)

References 25 publications

(31 reference statements)

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“…As patients increasingly look to the internet for advice and support, healthcare professionals are in a position to provide high-quality, evidence-based online interventions. These web-based interventions have the potential to aid decision-making, provide advice, promote self-management and enable realtime remote monitoring of symptoms [45,46]. With this in mind, the main findings of this scoping review was the lack of evidence-based and theory-driven web-based interventions, encompassing HNC patient's lived experience for use in clinical practice to aid decision-making and preparedness for treatment.…”

Section: Discussionmentioning

confidence: 99%

Availability and use of web-based interventions for patients with head and neck cancer: a scoping review

Kelly¹,

Gordon²,

Thompson³

et al. 2022

J Cancer Surviv

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Purpose To identify and review the nature, scope and use of web-based interventions for patients with head and neck cancer (HNC). Method A scoping review guided by the methodological framework described by the Joanna Briggs Institute was performed to review empirical studies and websites. Seven electronic databases (CINAHL, Medline, Scopus, Embase, Cochrane, PubMed and PsycInfo) were searched from 2010 to 2020, data extracted and synthesised using thematic analysis. The Google search engine was employed, identifying the first 100 websites, using the search term head and neck cancer. Websites meeting eligibility criteria were assessed using the QUEST analysis tool, and descriptively summarised. Results Thirteen empirical studies and 32 websites were included. As identified by empirical studies, web-based interventions were developed to provide (1) patient information on HNC and related treatments, (2) advice and support during treatment and (3) management strategies promoting adjustment to life with and beyond HNC. The reviewed websites provided minimal information to aid shared decision-making and facilitate preparedness for treatment, with few utilising patient narratives. Web-based interventions for HNC patients were mainly text based and focused on survivorship. Conclusions There is a paucity of theory-based, co-designed web-based interventions using patient narratives. Implications for Cancer Survivors As patients increasingly look to the internet for advice and support, healthcare professionals are in a position to provide high-quality web-based interventions. There is an opportunity to rigorously develop a web-based intervention, containing narratives of peoples’ lives before and after HNC treatment, aiding decision-making, preparedness for treatment and self-management.

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Section: Discussionmentioning

confidence: 99%

Availability and use of web-based interventions for patients with head and neck cancer: a scoping review

Kelly¹,

Gordon²,

Thompson³

et al. 2022

J Cancer Surviv

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“…In telehealth which does not have in-person face-to-face interactions, it is important for providers to explain things so patients can understand easily. How many patients had engaged in electronic communications in the past is a significant predictor of patient–provider communication in the COVID-19-induced transition to telehealth (20). Free clinic patients had barriers to access to electronic communication tools before the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction With Telehealth and Experiences During the COVID-19 Pandemic Among Uninsured Free Clinic Patients

Kamimura

Panahi

Meng

et al. 2021

Journal of Patient Experience

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The COVID-19 pandemic is a significant public health issue especially for underserved populations. Little is known about patient satisfaction with telehealth among free clinic patients or other underserved populations. The purpose of this study is to examine factors associated with patient satisfaction with in-person services and telehealth during the pandemic and describe the experiences during the pandemic among free clinic patients. Data were collected from 628 uninsured English- and Spanish-speaking patients of a free clinic using an online survey from June to August in 2020. Free clinic patients are satisfied both with in-person services and telehealth. Factors associated with satisfaction were slightly different for in-person services and telehealth. The major experiences during the pandemic were related to food/diet and physical inactivity. This study examined a new trend in patient satisfaction and is important because telehealth may be a stepping-stone on how to handle future doctor visits for underserved populations. Furthermore, as the pandemic rapidly develops and changes daily life experiences, the uninsured population faces imminent impacts in various aspects of their life experiences.

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“…The COVID-19 pandemic led to the need for rapid changes in cancer care provision and a search for various digital alternatives to physical outpatient visits [15,16]. Pre-pandemic, Sirintrapun and Lopez described the development of telemedicine in cancer care in 2018, the rationale for which was; the shortage of oncologists, cost efficacy and patient satisfaction [17,18]. The European Society for Medical Oncology (ESMO) issued guidelines for cancer care during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…Evaluation of patients' and healthcare professionals' views on video visits have been performed and high levels of satisfaction reported [11,12,22,25,27]. However, a need for improvements has been identified, such as technical aspects [18,30], training and education for patients and staff [27], as well as the choice of appropriate patients and types of visit for telehealth [19,20,22].…”

Section: Introductionmentioning

confidence: 99%

Rapid Implementation of Telehealth Video Visits in Cancer Care - The Perspectives of Patients and Healthcare Professionals

2022

Int J Nurs Health Care Res

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Background: Due to the COVID-19 pandemic, physical visits were replaced by video visits. The aim of this study was to evaluate the rapid implementation of telehealth video visits in cancer care from the perspectives of patients and healthcare professionals to gain knowledge about when physical visits can be replaced by video visits and to identify the improvements needed to optimize cancer care.Material and Methods: Questionnaires were designed for the purpose of the study and sent out during March 2021 to adult patients (≥ 18 years) who had participated in video visits, healthcare professionals who had conducted video visits and scheduling staff who had scheduled video visits from April to December 2020.Results: 99 patients, 17 healthcare professionals and 14 scheduling staff answered the questionnaires. Although high levels of satisfaction were reported, a need for improvement was identified. Most of the respondents were positive about continuing with video visits, which functioned better with a familiar patient in a follow-up situation, especially for those living far from the hospital, frail patients, and those in need of frequent follow-up. The necessary improvements mainly concerned technical issues pertaining to the digital platform, training and support. Conclusion:Telehealth video visits are a good complement to physical visits and phone calls. There is a need to optimise the use of video visits regarding types of visit (i.e., new visits, during treatment, follow-up, etc.) for selected patients with improved instructions, guidelines and education as well as a safe and user-friendly digital tool.

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Factors affecting cancer patients’ electronic communication with providers: Implications for COVID-19 induced transitions to telehealth

Cited by 17 publications

References 25 publications

Availability and use of web-based interventions for patients with head and neck cancer: a scoping review

Availability and use of web-based interventions for patients with head and neck cancer: a scoping review

Patient Satisfaction With Telehealth and Experiences During the COVID-19 Pandemic Among Uninsured Free Clinic Patients

Rapid Implementation of Telehealth Video Visits in Cancer Care - The Perspectives of Patients and Healthcare Professionals

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