Patient and provider perspectives on home telecare: Preliminary results from a randomized controlled trial

Mair, Frances S; Goldstein, Pauline; May, Carl; Angus, Robert; Shiels, Christopher; Hibbert, Derek; O’Connor, Julie; Boland, Angela; Roberts, Chris; Haycox, Alan; Capewell, Simon

doi:10.1258/1357633054461976

Cited by 54 publications

(46 citation statements)

References 7 publications

(10 reference statements)

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“…Differences in perceptions between patients and providers, whereby patients show a higher readiness to use telecare, were found in previous research [25]. Providers show more scepticism about the “faceless counselling” and assume lower patient compliance with tele-nurse advice [26, 27].…”

Section: Discussionmentioning

confidence: 89%

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Odnoletkova

Buysse

Nobels

et al. 2016

BMC Med Inform Decis Mak

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BackgroundDespite advances in diagnosis and treatment of type 2 diabetes, suboptimal metabolic control persists. Patient education in diabetes has been proved to enhance self-efficacy and guideline-driven treatment, however many people with type 2 diabetes do not have access to or do not participate in self-management support programmes. Tele-education and telecoaching have the potential to improve accessibility and efficiency of care, but there is a slow uptake in Europe. Patient and provider acceptance in a local context is an important pre-condition for implementation. The aim of the study was to explore the perceptions of patients, nurses and general practitioners (GPs) regarding telecoaching in type 2 diabetes.MethodsMixed-method study embedded in a clinical trial, in which a nurse-led target-driven telecoaching programme consisting of 5 monthly telephone sessions of +/− 30 min was offered to 287 people with type 2 diabetes in Belgian primary care. Intervention attendance and satisfaction about the programme were analysed along with qualitative data obtained during post-trial semi-structured interviews with a purposive sample of patients, general practitioners (GPs) and nurses. The perceptions of patients and care providers about the intervention were coded and the themes interpreted as barriers or facilitators for adoption.ResultsOf 252 patients available for a follow-up analysis, 97.5 % reported being satisfied. Interviews were held with 16 patients, 17 general practitioners (GPs) and all nurses involved (n = 6). Themes associated with adoption facilitation were: 1) improved diabetes control; 2) need for more tailored patient education programmes offered from the moment of diagnosis; 3) comfort and flexibility; 4) evidence-based nature of the programme; 5) established cooperation between GPs and diabetes educators; and 6) efficiency gains. Most potential barriers were derived from the provider views: 1) poor patient motivation and suboptimal compliance with “faceless” advice; 2) GPs’ reluctance in the area of patient referral and information sharing; 3) lack of legal, organisational and financial framework for telecare.ConclusionsNurse-led telecoaching of people with type 2 diabetes was well-accepted by patients and providers, with providers being in general more critical in their reflections. With increasing patient demand for mobile and remote services in healthcare, the findings of this study should support professionals involved in healthcare policy and innovation.Trial registration NCT01612520, registered prior to recruitment on 4th June 2012.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-016-0383-3) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 89%

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Odnoletkova

Buysse

Nobels

et al. 2016

BMC Med Inform Decis Mak

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“…In general, patients consistently report more positive views of telehealth, including home telecare, than do service providers [22]. Although most studies that examine patient satisfaction with telehealth, including telerehabilitation, report high satisfaction rates, the main area of dissatisfaction reported is generally with technical difficulties [23].…”

Section: Discussionmentioning

confidence: 99%

“…Despite recognizing the importance of the patient’s perspective, it remains absent from many studies [20], as was similarly reported by Mair et al in 2000 [21]. In telehealth, the patient’s perspective is generally documented through the concept of satisfaction and is reported using questionnaires and surveys, primarily addressing the technical aspects of using the technology and the communication between the participants [22]. …”

Section: Introductionmentioning

confidence: 99%

The Patient’s Perspective of in-Home Telerehabilitation Physiotherapy Services Following Total Knee Arthroplasty

Kairy

Tousignant

Leclerc

et al. 2013

IJERPH

109

142

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This study aimed at exploring patients’ perceptions regarding telerehabilitation services received post total knee replacement. In this qualitative embedded single case study, semi-structured interviews were conducted with five patients who had previously received in-home telerehabilitation post total knee arthroplasty. Participants were asked to reflect on their 8-week rehabilitation process and on their experience with the home telerehabilitation program. Interviews were transcribed and a qualitative thematic analysis was conducted. Six overarching themes emerged from the patients’ perceptions: (1) improving access to services with reduced need for transportation; (2) developing a strong therapeutic relationship with therapist while maintaining a sense of personal space; (3) complementing telerehabilitation with in-person visits; (4) providing standardized yet tailored and challenging exercise programs using telerehabilitation; (5) perceived ease-of-use of telerehabilitation equipment; and (6) feeling an ongoing sense of support. Gaining a better understating of the patient’s experience in telerehabilitation will be essential as programs continue to be developed and implemented.

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“…However, there was no difference in perceptions of accessibility. Although there were significant differences between the perceptions of the users group and the non-users group, all respondents had a positive perception of service benefits [13,20,21,33,34]. In other words, people had positive expectations for mobile health monitoring services.…”

Section: Discussionmentioning

confidence: 99%

Perception of Influencing Factors on Acceptance of Mobile Health Monitoring Service: A Comparison between Users and Non-users

Lee

Rho

2013

Healthc Inform Res

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ObjectivesTo improve and promote mobile health monitoring services, this study investigated the perception of various factors influencing the acceptance of services between users and non-users.MethodsThis study drew 9 variables from studies related to mobile health monitoring services and the unified theory of acceptance and the use of technology model. A total of 219 samples were collected by a paper-based survey from users (n = 106) and non-users (n = 113). Analysis was carried out using a two-independent samples t-test.ResultsThe findings indicate that users have a more positive perception of service benefits than non-users. Although there were difference between users and non-users, all respondents had a positive perception of the service benefits. After users used the service, they were less concerned about the risks involved with it. However, both users and non-users had a high negative perception of service risk. Users also had a more positive perception of intimacy and communication associated with the services than non-users. Both users and non-users had a high behavioral intention to use the services. Finally, this study observed that older subjects tended to recognize the higher value of the services.ConclusionsThis study provides insights to improve and invigorate mobile health monitoring services. This study also offers insights into how to increase the number of users of mobile health monitoring services in South Korea.

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Patient and provider perspectives on home telecare: Preliminary results from a randomized controlled trial

Cited by 54 publications

References 7 publications

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

The Patient’s Perspective of in-Home Telerehabilitation Physiotherapy Services Following Total Knee Arthroplasty

Perception of Influencing Factors on Acceptance of Mobile Health Monitoring Service: A Comparison between Users and Non-users

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