Speech pathology service enhancement for people with head and neck cancer living in rural areas: Using a concept mapping approach to inform service change

Foley, Jasmine; Ward, Elizabeth C.; Burns, Clare L.; Nund, Rebecca L.; Wishart, Laurelie R; Graham, Nicky; Patterson, Corey; Ashley, Amy; Fink, Julie; Tiavaasue, Emily; Comben, Wendy

doi:10.1002/hed.26850

Cited by 7 publications

(10 citation statements)

References 70 publications

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“…Methods such as concept mapping have been successfully used by our team to determine service redesign priorities. 22 A strength of this study is that it included representation of a broad range of allied health departments, across multiple settings and clinical areas. It also captured the views of clinicians, managers, and administrators of these services with a range of telehealth experience, including prior low or no telehealth use.…”

Section: Discussionmentioning

confidence: 99%

Beyond forced telehealth adoption: A framework to sustain telehealth among allied health services

et al. 2022

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Introduction As COVID-19 restrictions reduce globally, services will determine what components of care will continue via telehealth. We aimed to determine the clinician, service, and system level factors that influence sustained use of telehealth and develop a framework to enhance sustained use where appropriate. Methods This study was conducted across 16 allied health departments over four health service facilities (Brisbane, Australia). It used a multi-method observational study design, involving telehealth service activity data from hospital administrative databases and qualitative interviews with allied health staff (n = 80). Data were integrated and analysed using Greenhalgh's Non-adoption, Abandonment, Scale-up, Spread, and Sustainability framework. Results Increased telehealth use during the peak COVID period reverted to in-person activity as restrictions eased. Telehealth is unlikely to be sustained without a clear strategy including determination of roles and responsibilities across the organisation. Clinician resistance due to forced adoption remains a key issue. The main motivator for clinicians to use telehealth was improved consumer-centred care. Benefits beyond this are needed to sustain telehealth and improvements are required to make the telehealth experience seamless for providers and recipients. Data were synthesised into a comprehensive framework that can be used as a blueprint for system-wide improvements and service enhancement or redesign. Discussion Sustainability of telehealth activity beyond the peak COVID period is unlikely without implementation strategies to address consumer, clinician, service, and system factors. The framework can inform how these strategies can be enacted. Whilst developed for allied health disciplines, it is likely applicable to other disciplines.

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Section: Discussionmentioning

confidence: 99%

Beyond forced telehealth adoption: A framework to sustain telehealth among allied health services

et al. 2022

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“…Sorting, labelling and rating of discreet statements generated through either qualitative interviews or focus groups are aggregated and transformed into quantitative data using rapid multivariate statistical methods and hierarchical cluster analysis to generate concept maps. The effect of which is that consensus emerges organically from the data 23–25. An aCMA will involve six stages 24–26.…”

Section: Methodsmentioning

confidence: 99%

“…The effect of which is that consensus emerges organically from the data 23–25. An aCMA will involve six stages 24–26. The methodology will be used to enable stakeholders, including residents with mild to moderate cognitive impairment and dementia, to identify RACF mental health issues and care practices they find relevant and important and will be modified accordingly to adjust for the complex problem-solving skills needed in traditional models of CM.…”

Section: Methodsmentioning

confidence: 99%

Prototype development of the Mental Health benchmarking Industry Tool for residential aged Care (MHICare Tool): a protocol paper of a two-stage sequential and mixed methods codesign study

Brimelow,

Brooks,

Sriram

et al. 2024

BMJ Open

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ObjectivesCurrent mental health practices for people living in residential aged care (RAC) facilities are poor. In Australia, there are no mechanisms to monitor and promote mental health for people living in RAC, including those who experience changed behaviours and psychological symptoms. The aim of this study is to improve current practices and mental health outcomes for people living in RAC facilities by codesigning a Mental Health benchmarking Industry Tool for residential aged Care (MHICare Tool).MethodsA two-stage sequential and mixed methods codesign methodology will be used. Stage 1 will include qualitative interviews and focus groups to engage with residents, family/care partners and RAC staff to ascertain mental healthcare practices and outcomes of greatest significance to them. Adapted concept mapping methods will be used to rank identified issues of concern in order of importance and changeability, and to generate draft quality indicators. Stage 2 will comprise a Delphi procedure to gain the wider consensus of expert panel views (aged care industry, academic, clinical) on the performance indicators to be included, resulting in the codesigned MHICare Tool.Ethics and disseminationThis study has been reviewed and approved by the University of Queensland Human Research Ethics Committee (HREC/2019002096). This project will be carried out according to the National Statement on Ethical Conduct in Human Research (2007). The study’s findings will be published in peer-reviewed journals and disseminated at national and international conferences and through social media.ConclusionThis protocol reports structured methods to codesign and develop a mental health performance indicator tool for use in Australian RAC.

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“…Furthermore, this methodology provides flexibility for participants as the activities can be conducted at different timings and through different modalities (e.g., online and in‐person). Finally, several health services research had successfully employed this methodology to explore service changes (Foley et al., 2021; Wutzke et al., 2017). This study received ethical approvals from the National Healthcare Group Domain Specific Review Board (Singapore) and The University of Queensland (Australia), and all participants provided informed consent.…”

Section: Methods and Proceduresmentioning

confidence: 99%

Identifying prioritised actions for improving dysphagia services in Singapore: Insights from concept mapping with patients and caregivers

Poon,

Ward,

Burns

2023

Intl J Lang & Comm Disor

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BackgroundPerson‐centred services are inherently related to patients/caregivers’ needs. However, the extent to which dysphagia services within Singapore meet consumer needs is largely unknown. Involving patients/caregivers in service evaluation/redesign deepens the understanding of consumer needs. This process also increases the success of implementing service enhancements through relevant and meaningful change.AimThis study aimed to identify aspects of dysphagia services, within acute and subacute settings in Singapore, perceived as highly important and easy to change by patients/caregivers.Methods & ProceduresUsing concept mapping methodology, 5 patients and 11 caregivers reflected on their experiences of receiving dysphagia care and proposed 59 unique suggestions to improve dysphagia services within Singapore. Then, each individual sorted the suggestions into groups based on similarity and rated each statement for its perceived importance and changeability for service enhancement. Data were analysed using multidimensional scaling, hierarchical cluster analysis, and bivariate analysis to generate clusters of conceptually similar suggestions and a prioritised list of suggestions for service enhancement.ResultsTwelve clusters were identified, with most rated as more important than changeable for service improvement. Participants prioritised 23 (39%) of the suggestions as highly important and easy to change, and these focused on ensuring effective communication among consumers and healthcare team, enhancing patients and carers’ access to support at home, increasing patients and carers’ access to educational resources, and improving service quality and access through technology.ConclusionThese findings provide future directions on how to develop and implement dysphagia services in Singapore to better meet the needs of patients/caregivers.WHAT THIS PAPER ADDSWhat is already known on this subject Little is known about patients and caregivers’ experiences and expectations of receiving dysphagia services in Singapore. Consulting them in service review and improvement deepens understanding of their needs and increases the success of implementing meaningful service enhancements.What this study adds to existing knowledge This study shows that patients and caregivers in Singapore identified a wide range of dysphagia service issues and prioritised a list of suggestions for service improvement. They prioritised four key areas for service optimisation: ensuring effective communication among consumers and healthcare team, enhancing patients and carers’ access to support at home, increasing patients and carers’ access to educational resources, and improving service quality and access through technology.What are the clinical implications of this work? This research highlights the importance of considering the consumers’ perspectives in service review and redesign. Patients and caregivers in Singapore identified four prioritised areas for service enhancements. These findings provide future directions on how to develop and implement dysphagia services in Singapore to better meet the needs of patients and caregivers.

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Speech pathology service enhancement for people with head and neck cancer living in rural areas: Using a concept mapping approach to inform service change

Cited by 7 publications

References 70 publications

Beyond forced telehealth adoption: A framework to sustain telehealth among allied health services

Beyond forced telehealth adoption: A framework to sustain telehealth among allied health services

Prototype development of the Mental Health benchmarking Industry Tool for residential aged Care (MHICare Tool): a protocol paper of a two-stage sequential and mixed methods codesign study

Identifying prioritised actions for improving dysphagia services in Singapore: Insights from concept mapping with patients and caregivers

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