Health Literacy and Clear Communication Best Practices for Telemedicine

Coleman, Cliff

doi:10.3928/24748307-20200924-01

Cited by 30 publications

(28 citation statements)

References 19 publications

(36 reference statements)

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“…In particular, HCPs should take care to correct patients’ misconceptions about wonder drugs in their daily consultations/care/health education. A number of health communication strategies have been demonstrated to help individuals understand health information [ 59 , 60 ]. For example, the teach-back method prompts patients to “show” the provider the information being communicated (repeat her or his understanding of the information back to the HCPs) and to receive clarifying feedback, which is a non-stigmatising way of enhancing and confirming the patient’s understanding [ 61 , 62 ].…”

Section: Discussionmentioning

confidence: 99%

“…For example, the teach-back method prompts patients to “show” the provider the information being communicated (repeat her or his understanding of the information back to the HCPs) and to receive clarifying feedback, which is a non-stigmatising way of enhancing and confirming the patient’s understanding [ 61 , 62 ]. The “clear communication” strategy suggests using plain language, focusing on 1–3 key messages, repeating or summarising key messages and suggestions, and using multiple teaching channels (e.g., visual aids and written summaries) [ 60 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

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Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

et al. 2022

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Background Telehealth and online health information provide patients with increased access to healthcare services and health information in chronic disease management of older patients with chronic diseases, addressing the challenge of inadequate health resources and promoting active and informed participation of older patients in chronic disease management. There are few qualitative studies on the application of telehealth and online health information to chronic disease management in older patients. Chronic obstructive pulmonary disease is one of the most common chronic diseases in older adults. Telehealth is widely used in the management of chronic obstructive pulmonary disease. The purpose of this study was to explore the perceptions and experiences of older patients and healthcare providers in the application of telehealth and online health information to chronic disease management of chronic obstructive pulmonary disease. Methods A qualitative descriptive study with data generated from 52 individual semi-structured interviews with 29 patients [Law of the People’s Republic of China on the protection of the rights and interests of older people (2018 Revised Version) = >60 years old] with chronic obstructive pulmonary disease and 23 healthcare providers. The inductive thematic analysis method was used for data analysis. Results Four themes and 16 sub-themes were identified in this study. Four themes included: faced with a vast amount of online health information, essential competencies and personality traits ensuring older patients’ participation and sustained use, user experience with the use of technology, being in a complex social context. Conclusion The ability of patients to understand health information should be fully considered while facilitating access to online health information for older patients. The role of health responsibility and user experience in older patients’ participation and sustained use of telehealth and online health information needs to be emphasised. In addition, the complex social context is a determining factor to be considered, particularly the complex impact of a reliance on offspring and social prejudice on the behaviour of older adults using telehealth and online health information.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

et al. 2022

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“…The disadvantages of using telemedicine relate to medical confidentiality and concern over hacking information systems, the inability to provide lifesaving care or to conduct certain tests immediately, and the inability to undergo a physical checkup, as well as obstacles related to clinician–patient relations [ 6 ]. The use of telemedicine depends, to a large extent, on the level of eHealth literacy of the specific individual [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

Dopelt

Avni

Haimov-Sadikov

et al. 2021

IJERPH

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The COVID-19 pandemic mandating isolation, quarantine, and social distancing has accelerated and expanded the use of telemedicine. This study examines the extent of the use of telemedicine and the relationship between eHealth literacy and satisfaction with using telemedicine during the pandemic. A total of 156 participants from a clinic in a peripheral community in southern Israel completed an online questionnaire. We found that 85% knew how to use the internet for health information, but only one third felt safe using it to make health decisions. Furthermore, 93% used the internet for technical needs, such as renewing prescriptions or making a doctor’s appointment. Even lower use for telemedicine was found (38%) for consultation or treatment sessions. A positive association was found between eHealth literacy and satisfaction variables with using telemedicine (rp = 0.39, p < 0.001). Although respondents understood the benefits of telemedicine, they were not satisfied nor interested in online sessions after the epidemic’s end, preferring a meeting involving personal interaction. Young people and academics benefit more from telemedicine, thereby creating usage gaps and potentially increasing existing inequality. We recommend developing intervention programs, especially among vulnerable populations, to strengthen eHealth literacy and remove barriers causing skepticism about the use of telemedicine during and after the pandemic.

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“…Building empathy with older adults and proctoring successful usability sessions requires several complementary strategies. First, when working with intended users of HIT, it is crucial to apply the more general "universal communication precautions protocol" that is used in communicating with patients [26]. The universal communications precautions approach outlines standard steps to optimize communication and understanding whilst avoiding implicit bias.…”

Section: Empathetic Approach and Trust-buildingmentioning

confidence: 99%

“…-Apply a universal communication precautions protocol when testing with older adult patients which include clear agenda-setting, avoiding technical jargon, speaking slowly and clearly, avoiding information overload, and using a Teach Back method to check understanding [26]. -Assess potential challenges vulnerable older adults will face when testing a version of the HIT application.…”

Section: Recommendationmentioning

confidence: 99%

Overcoming Challenges to Inclusive User-based Testing of Health Information Technology with Vulnerable Older Adults: Recommendations from a Human Factors Engineering Expert Inquiry

et al. 2022

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Objectives: Involving representative users in usability testing of health information technology (HIT) is central to user-centered design. However, (vulnerable) older adults as representative users have unique requirements. Aging processes may affect physical capabilities and cognitive skills, which can hamper testing with this demographic and may require special attention and revised protocols. This study was performed to provide expert-based recommendations for HIT user-testing with (vulnerable) older adults to support inclusive HIT design and evaluation. Methods: First, we conducted a structured workshop with ten experts in HIT implementation and research, recruited through purposeful sampling, to generate insights into how characteristics of older adults may influence user-testing. Next, five Human Factor researchers experienced in HIT user-testing with (vulnerable) older adults validated the results and provided additional textual insights to gain consensus on the most important recommendations. A thematic analysis was performed on the resulting inquiries. Applied codes were based on the User-Centered Design framework. Results: The analysis resulted in nine recommendations for user-testing of HIT with older adults, divided into three main themes: (1) empathetic approach and trust-building, (2) new requirements for testing and study design, and (3) adjustments to usability evaluation methods. For each theme a checklist of relevant items to follow-up on the recommendation is provided. Conclusions: The recommendations generated through expert inquiry contribute to more effective usability testing of HIT with older adults. This provides an important step towards improved accessibility of HIT amongst older adults through inclusive user-centered design.

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Health Literacy and Clear Communication Best Practices for Telemedicine

Cited by 30 publications

References 19 publications

Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

Overcoming Challenges to Inclusive User-based Testing of Health Information Technology with Vulnerable Older Adults: Recommendations from a Human Factors Engineering Expert Inquiry

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