Trust in telemedicine portals for rehabilitation care: an exploratory focus group study with patients and healthcare professionals

Velsen, Lex van; Wildevuur, Sabine; Flierman, Ina; Schooten, B.W. van; Tabak, Monique; Hermens, Hermie

doi:10.1186/s12911-016-0250-2

Cited by 38 publications

(30 citation statements)

References 37 publications

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“…Each user group will have different personal concerns about mHealth usage, and these will vary across cultures and need to be understood early in the project design phase. A recent study on trust in mHealth found that end-users (physicians) care most about technological reliability, secure data storage and transparent policies, whereas patients care more about level of control, privacy and data preservation [32]. The three types of users experience mHealth in different ways, and so taking any project to scale must be looked at through the lens of each different user.…”

Section: User Considerationsmentioning

confidence: 99%

Integrating mHealth at point of care in low- and middle-income settings: the system perspective

Wallis

Blessing

Dalwai

et al. 2017

Global Health Action

122

121

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While the field represents a wide spectrum of products and services, many aspects of mHealth have great promise within resource-poor settings: there is an extensive range of cheap, widely available tools which can be used at the point of care delivery. However, there are a number of conditions which need to be met if such solutions are to be adequately integrated into existing health systems; we consider these from regulatory, technological and user perspectives. We explore the need for an appropriate legislative and regulatory framework, to avoid ‘work around’ solutions, which threaten patient confidentiality (such as the extensive use of instant messaging services to deliver sensitive clinical information and seek diagnostic and management advice). In addition, we will look at other confidentiality issues such as the need for applications to remove identifiable information (such as photos) from users’ devices. Integration is dependent upon multiple technological factors, and we illustrate these using examples such as products made available specifically for adoption in low- and middle-income countries. Issues such as usability of the application, signal loss, data volume utilization, need to enter passwords, and the availability of automated or in-app context-relevant clinical advice will be discussed. From a user perspective, there are three groups to consider: experts, front-line clinicians, and patients. Each will accept, to different degrees, the use of technology in care – often with cultural or regional variation – and this is central to integration and uptake. For clinicians, ease of integration into daily work flow is critical, as are familiarity and acceptability of other technology in the workplace. Front-line staff tend to work in areas with more challenges around cell phone signal coverage and data availability than ‘back-end’ experts, and the effect of this is discussed.

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Section: User Considerationsmentioning

confidence: 99%

Integrating mHealth at point of care in low- and middle-income settings: the system perspective

Wallis

Blessing

Dalwai

et al. 2017

Global Health Action

122

121

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“…This study, together with other literature, reported that the implementation of eRehabilitation is hampered by a lack of confidence about using hardware or software (15,21) and the fear that eRehabilitation could replace face-to-face contact (13,16,20). Skilled healthcare professionals or informal caregivers are needed to support patients in using complex ICT programs (11,14,20). Healthcare professionals raised concerns about adapting the rehabilitation process when added eRehabilitation (22).…”

mentioning

confidence: 86%

“…Randomized clinical trials (RCTs) showed that eRehabilitation can decrease strokerelated impairments (6,8,9), reduce physical effort required from healthcare professionals, make rehabilitation accessible to larger number of stroke patients (5), make it possible to continue therapy-related cognitive and physical activities after discharge (10), decrease chronic disability, and facilitate home-therapy (11,12). A positive attitude toward the use of eRehabilitation was found among all end-users, including stroke patients, informal caregivers (13)(14)(15) and healthcare professionals (16,17). The use of eRehabilitation has been associated with enjoyment, extra feedback, physical and cognitive benefits and the possibility to address the limitations of the current rehabilitation system, such as limited therapy hours, low motivation and poor adherence to exercise (18).…”

mentioning

confidence: 99%

Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals

Brouns¹,

Meesters²,

Wentink³

et al. 2019

J Rehabil Med

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The use of digital eRehabilitation after stroke (e.g. in serious games, e-consultation and education) is increasing. However, the use of eRehabilitation in daily practice is limited. As a first step in increasing the use of eRehabilitation in stroke care, this study examined which factors influence the willingness of stroke patients, informal caregivers and healthcare professionals to use eRehabilitation. Beliefs about the benefits of eRehabilitation were found to have the largest positive impact on willingness to use eRehabilitation. These benefits included reduced travel time, increased adherence to therapy or motivation, and better health outcomes. The willingness to use eRehabilitation is limited by a lack of knowledge about how to use eRehabilitation. Objective: Despite the increasing availability of eRehabilitation, its use remains limited. The aim of this study was to assess factors associated with willingness to use eRehabilitation. Design: Cross-sectional survey. Subjects: Stroke patients, informal caregivers, health care professionals. Methods: The survey included personal characteristics, willingness to use eRehabilitation (yes/no) and barriers/facilitators influencing this willingness (4-point scale). Barriers/facilitators were merged into factors. The association between these factors and willingness to use eRehabilitation was assessed using logistic regression analyses. Results: Overall, 125 patients, 43 informal caregivers and 105 healthcare professionals participated in the study. Willingness to use eRehabilitation was positively influenced by perceived patient benefits (e.g. reduced travel time, increased motivation, better outcomes), among patients (odds ratio (OR) 2.68; 95% confidence interval (95% CI) 1.34-5.33), informal caregivers (OR 8.98; 95% CI 1.70-47.33) and healthcare professionals (OR 6.25; 95% CI 1.17-10.48). Insufficient knowledge decreased willingness to use eRehabilitation among patients (OR 0.36, 95% CI 0.17-0.74). Limitations of the study include low response rates and possible response bias. Conclusion: Differences were found between patients/informal caregivers and healthcare professionals. However, for both groups, perceived benefits of the use of eRehabilitation facilitated willingness to use eRehabilitation. Further research is needed to determine the benefits of such programs, and inform all users about the potential benefits, and how to use eRehabilitation.

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“…Telemedicine delivers freedom by making it easier for patients and individuals to access medical care. Rather than spending many hours or days traveling to a healthcare center, medical advice and consultation could be obtained more locally, freeing up time and increasing the ease of receiving care ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in clinical setting

Zhang

2016

Experimental and Therapeutic Medicine

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The telemedicine department of a hospital is an emerging branch in upcoming hospitals and may become an essential component of every hospital. It basically utilizes the information technologies along with telecommunication systems in order to provide clinical care and assistance. Furthermore, the branch of telemedicine offers significant opportunities for the process of developmental freedom from illness, early death, and preventable diseases. It advances development by providing relevant drugs and the necessary care aimed to alleviate patient suffering. It is also beneficial for patients in rural remote areas who usually do not have adequate access to advanced hospitals. Telemedicine in these remote areas allows for timely treatment of emergency cases. Thus, it contributes towards remote emergency critical care in order to save lives in crucial cases. Additionally, the emerging advances have now enabled telemedicine to transfer large amounts of clinical informatics data including images, and test reports to the specifically specialized health professionals in some serious cases. However, as in the case of many emerging technologies, organizing information and understanding the field has significant challenges. The present review article aimed to discuss important aspects of the field with regard to the better management of patients in clinical settings.

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Trust in telemedicine portals for rehabilitation care: an exploratory focus group study with patients and healthcare professionals

Cited by 38 publications

References 37 publications

Integrating mHealth at point of care in low- and middle-income settings: the system perspective

Integrating mHealth at point of care in low- and middle-income settings: the system perspective

Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals

Telemedicine in clinical setting

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