Telehealth access among hematology patients during the COVID-19 pandemic in Australia: a cross-sectional survey

Zomerdijk, Nienke; Jongenelis, Michelle; Turner, Jane; Huntley, Kathryn; Smith, Andrew; Short, Camille E.

doi:10.1080/10428194.2021.2023743

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…The COVID-19 pandemic has been a major catalyst for widespread deployment of TH to reduce travel across jurisdictions and minimise foot traffic through healthcare services. 6 – 8 However, TH which has been utilised for more than 20 years to deliver care, 9 offers additional benefits such as reduction of financial burden, 10 social disruption and psychosocial distress; enhanced monitoring to mitigate treatment-related toxicities, initiate timely interventions and education; expansion of clinical care and research reach, improved efficiencies and flexibility for integrated care delivery. 11 , 12 Data supports the use of TH, with comparable outcomes to standard models of care.…”

Section: Introductionmentioning

confidence: 99%

Telehealth in cancer care during the COVID-19 pandemic

et al. 2022

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Introduction The Victorian COVID-19 Cancer Network (VCCN) Telehealth Expert Working Group aimed to evaluate the telehealth (TH) experience for cancer patients, carers and clinicians with the rapid uptake of TH in early 2020 during the COVID-19 pandemic. Methods We conducted a prospective multi-centre cross-sectional survey involving eight Victorian regional and metropolitan cancer services and three consumer advocacy groups. Patients or their carers and clinicians who had TH consultations between 1 July 2020 and 31 December 2020 were invited to participate in patient and clinician surveys, respectively. These surveys were opened from September to December 2020. Results The acceptability of TH via both video (82.9%) and phone (70.4%) were high though acceptability appeared to decrease in older phone TH users. Video was associated with higher satisfaction compared to phone (87.1% vs 79.7%) even though phone was more commonly used. Various themes from the qualitative surveys highlighted barriers and enablers to rapid TH implementation. Discussion The high TH acceptability supports this as a safe and effective strategy for continued care and should persist beyond the pandemic environment, where patient preferences are considered and clinically appropriate. Ongoing support to health services for infrastructure and resources, as well as expansion of reimbursement eligibility criteria for patients and health professionals, including allied health and nursing, are crucial for sustainability.

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Section: Introductionmentioning

confidence: 99%

Telehealth in cancer care during the COVID-19 pandemic

et al. 2022

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“…3,18 Moreover, the literature published during the pandemic indicates patient satisfaction with telehealth care and a desire to continue with telehealth after the pandemic. 19 Despite the effectiveness of telehealth and patients' positive views toward it, uptake among mental health professionals was low before the pandemic. 13 Clinician attitudes toward telehealth are a central factor in the adoption of ongoing telehealth use.…”

Section: Introductionmentioning

confidence: 99%

“…3,18 Moreover, the literature published during the pandemic indicates patient satisfaction with telehealth care and a desire to continue with telehealth after the pandemic. 19…”

Section: Introductionmentioning

confidence: 99%

Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Cooper,

Gilchrist,

Beatty

et al. 2024

Journal of Psychosocial Oncology Research and Practice

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Objective: In response to COVID-19, psycho-oncology clinicians moved to a model of telephone and videoconference treatment in Australia. The Psycho-oncology Co-operative Research Group (PoCoG) identified a paucity of evidence available to guide adaptation of therapy for remote delivery. This research aimed to develop consensus for evidence-based guidelines on ways to adapt psychological therapies in psycho-oncology for remote delivery. Methods: A national expert advisory group (N = 11) was convened consisting of psycho-oncology clinicians and clinical researchers. An iterative codesign methodology was used to draft psycho-oncology telehealth guidelines. Australian psycho-oncology clinicians participated in a Delphi consensus process to guide the content included in the guidelines. Content was presented under six domains: (i) screening and outcome measures, (ii) formulation, (iii) safety considerations, (iv) resource adaptation, (v) adaptations to therapy, and (vi) example case studies. Participants rated items based on importance, therapeutic appropriateness, and/or usefulness. Consensus was defined as >80% agreement. Results: Thirty-two psycho-oncology clinicians with telehealth experience participated in three Delphi rounds. Agreement was reached on (i) the importance of including screening and outcome measures (90%) and items (n = 5) related to how best to facilitate this; (ii) the importance of addressing provision of a formulation (100%), although only 2/6 strategies presented to facilitate formulation reached consensus; (iii) the appropriateness of proposed risk assessment and management strategies (84%); (iv) therapeutic appropriateness of simplifying resources (100%), including 3/5 visual optimization strategies; and (v) common behavioral components of therapy (n=5). Conclusions: Providing guidance to psycho-oncology clinicians for integrating telehealth into routine clinical practice must go beyond logistical considerations. These consensus-based guidelines provide support to clinicians for adaptation of psycho-oncology therapy to telehealth and will ensure evidence-based practice.

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Finding My Way from clinical trial to open access dissemination: comparison of uptake, adherence, and psychosocial outcomes of an online program for cancer-related distress

Beatty

Kemp

Koczwara

2022

Support Care Cancer

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Purpose Few digital psycho-oncology programs have been adopted into routine practice; how these programs are used after trial completion remains unexplored. To address this, the present study transitioned our evidence-based 6-module CBT-based program, Finding My Way, into open access (OA) after completion of the RCT, and compared uptake, usage, and psychosocial outcomes to the earlier RCT. Methods Recruitment was passive, via promotion through (1) media and social media releases, (2) public lectures, (3) radio interviews and podcasts, and (4) clinician-initiated referral. Measures included number of enrolled users, number of modules completed, and pre- and optional post-measures of distress and quality of life (QOL). Results Uptake was lower in OA (n = 120; 63% of RCT). Usage was markedly lower: 1.5 modules were completed on average (vs 3.7 in RCT), and only 13% completed a ‘therapeutic dose’ of 4 + modules (vs. 50% in RCT). Research attrition was high; n = 13 completed post-measures. OA users were more sociodemographically and clinically diverse than RCT users, had higher baseline distress (OA Mpre = 36.7, SD = 26.5; RCT Mpre = 26.5, SD = 21.7), and reported larger pre-post reductions than their RCT counterparts (OA Mpost = 23.9, SD = 20.7; RCT Mpost = 21.2, SD = 21.2). Moderate improvements in mental QOL occurred during OA (Mpre = 37.3, SD = 12.6; Mpost = 44.5, SD = 12.1), broadly replicating RCT findings. Conclusion Findings that OA users were more medically and sociodemographically diverse and distressed at baseline than their RCT counterparts, and — despite having lower usage of the program — achieved larger changes from baseline to post-program, will help to shape future intervention design, tailoring, and dissemination.

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Telehealth access among hematology patients during the COVID-19 pandemic in Australia: a cross-sectional survey

Cited by 4 publications

References 12 publications

Telehealth in cancer care during the COVID-19 pandemic

Telehealth in cancer care during the COVID-19 pandemic

Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Finding My Way from clinical trial to open access dissemination: comparison of uptake, adherence, and psychosocial outcomes of an online program for cancer-related distress

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