Best Practices for the Provision of Virtual Care: A Systematic Review of Current Guidelines

Anvari, Sama; Neumark, Samuel; Jangra, Rhea; Sandre, Anthony R.; Pasumarthi, Keerthana; Xenodemetropoulos, Ted

doi:10.1089/tmj.2022.0004

Cited by 13 publications

(5 citation statements)

References 82 publications

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“…Others do not trust or feel comfortable with online platforms with respect to privacy and confidentiality and some do not have the technology available to them to participate in online care and others. These privacy concerns are reported throughout published literature [ 22 ] and have been described extensively in telemedicine guidelines for years [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Transition to Virtual Care Services during COVID-19 at Canadian Pain Clinics: Survey and Future Recommendations

Debono

Neumark

Buckley

et al. 2023

Pain Research and Management

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Introduction. Due to the COVID-19 pandemic, healthcare centers quickly adapted services into virtual formats. Pain clinics in Canada play a vital role in helping people living with pain, and these clinics remained essential services for patients throughout the pandemic. This study aimed to (1) describe and compare the transition from in-person to virtual pain care services at Canadian pain clinics during the onset of the COVID-19 pandemic and (2) provide postpandemic recommendations for pain care services to optimize the quality of patient care. Materials and Methods. We used a qualitative participatory action study design that included a cross-sectional survey for data collection and descriptive analysis to summarize the findings. Survey responses were collected between January and March of 2021. The survey was administered to the leadership teams of 11 adult pain clinics affiliated with the Chronic Pain Centre of Excellence for Canadian Veterans. Responses were analyzed qualitatively to describe the transition to the virtual pain services at pain clinics. Results. We achieved a 100% response rate from participating clinics. The results focus on describing the transition to the virtual care, current treatment and services, the quality of care, program sustainability, barriers to maintaining virtual services, and future considerations. Conclusions. Participating clinics were capable of transitioning pain care services to the virtual formats and have in-person care when needed with proper safety precautions. The pandemic demonstrated that it is feasible and sustainable for pain clinics to have a hybrid of virtual and in-person care to treat those living with pain. It is recommended that moving forward, there should be a hybrid of both virtual and in-person care for pain clinics. Ministries of Health should continue to develop policies and funding mechanisms that support innovations aimed at holistic healthcare, interdisciplinary teams, and the expansion of clinics’ geographical reach for patient access.

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Section: Discussionmentioning

confidence: 99%

Transition to Virtual Care Services during COVID-19 at Canadian Pain Clinics: Survey and Future Recommendations

Debono

Neumark

Buckley

et al. 2023

Pain Research and Management

Self Cite

View full text Add to dashboard Cite

show abstract

“…[35][36][37][38] Finally, after the global COVID-19 pandemic, the utilization of virtual methods has proved to be a feasible and valuable component of modern-day health care systems. 58,59 It has also caused clinicians and researchers to adapt the way they are running interventions and conducting clinical assessments. 60 Although the use of telehealth continues to evolve, researchers have found that remote assessments of physical functioning have been successful.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, after the global COVID-19 pandemic, the utilization of virtual methods has proved to be a feasible and valuable component of modern-day health care systems 58,59. It has also caused clinicians and researchers to adapt the way they are running interventions and conducting clinical assessments 60.…”

Section: Discussionmentioning

confidence: 99%

The Use of Mobility-Focused Outcome Measures for Young Adults With Cancer Undergoing Chemotherapy

Edward,

Nayiga,

Nicolau

et al. 2024

Rehabilitation Oncology

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Background: Young adults living with cancer face many unique challenges during treatment and throughout survivorship. Chemotherapy is a standard anticancer treatment that has been known to lead to negative side effects on health including loss of muscle mass, strength, and physical function (ie, physical mobility). This scoping review aimed to explore what, how, and when mobility-focused outcome measures are being used during chemotherapy treatments for young adults living with cancer to examine changes in physical mobility. Methods: Five databases were searched. To be included in this review, studies must have included young adults (age 18-40) living with cancer, who were receiving chemotherapy treatment and used any form of physical mobility measurement during treatment. Duplicates were removed, and all screening and data extraction were performed by 2 or more independent reviewers. Results: A total of 1734 studies were screened, and four studies were included in this review. Three studies included a self-reported activity log. All studies assessed physical mobility using types of performance-based outcome measures such as accelerometers, muscle strength tests, cycle ergometer testing, or the 6- minute walk test. Assessments were conducted in person by study personnel in 2 studies. Outcomes were assessed throughout the chemotherapy cycle, including preadministration, over the first 7 days, weekly, and months into treatment. Conclusion: Although a scarcity of available literature exists, this review highlights the potential for screening and monitoring changes in mobility for young adults with cancer. Clinical application of the measures highlighted in this review shows promise in guiding appropriate interventions and informing changes in treatment dosage. Future research should build upon existing work to address the limited availability of mobility measures validated in this population.

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“…On the basis of this evidence, it is reasonable and efficient to equip undergraduates in communication skills training for health care professionals with the possibility to practice with virtual patient-health care provider encounters. Accordingly, with the rise in video consultations, the use of simulated virtual patients may gain additional legitimacy, as it provides learners with a cost-efficient and readily available means to practice video consultations, in accordance with the best practices for the provision of virtual care [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

Artificial Intelligence Supporting the Training of Communication Skills in the Education of Health Care Professions: Scoping Review

Stamer¹,

Steinhäuser²,

Flägel³

2023

J Med Internet Res

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Background Communication is a crucial element of every health care profession, rendering communication skills training in all health care professions as being of great importance. Technological advances such as artificial intelligence (AI) and particularly machine learning (ML) may support this cause: it may provide students with an opportunity for easily accessible and readily available communication training. Objective This scoping review aimed to summarize the status quo regarding the use of AI or ML in the acquisition of communication skills in academic health care professions. Methods We conducted a comprehensive literature search across the PubMed, Scopus, Cochrane Library, Web of Science Core Collection, and CINAHL databases to identify articles that covered the use of AI or ML in communication skills training of undergraduate students pursuing health care profession education. Using an inductive approach, the included studies were organized into distinct categories. The specific characteristics of the studies, methods and techniques used by AI or ML applications, and main outcomes of the studies were evaluated. Furthermore, supporting and hindering factors in the use of AI and ML for communication skills training of health care professionals were outlined. Results The titles and abstracts of 385 studies were identified, of which 29 (7.5%) underwent full-text review. Of the 29 studies, based on the inclusion and exclusion criteria, 12 (3.1%) were included. The studies were organized into 3 distinct categories: studies using AI and ML for text analysis and information extraction, studies using AI and ML and virtual reality, and studies using AI and ML and the simulation of virtual patients, each within the academic training of the communication skills of health care professionals. Within these thematic domains, AI was also used for the provision of feedback. The motivation of the involved agents played a major role in the implementation process. Reported barriers to the use of AI and ML in communication skills training revolved around the lack of authenticity and limited natural flow of language exhibited by the AI- and ML-based virtual patient systems. Furthermore, the use of educational AI- and ML-based systems in communication skills training for health care professionals is currently limited to only a few cases, topics, and clinical domains. Conclusions The use of AI and ML in communication skills training for health care professionals is clearly a growing and promising field with a potential to render training more cost-effective and less time-consuming. Furthermore, it may serve learners as an individualized and readily available exercise method. However, in most cases, the outlined applications and technical solutions are limited in terms of access, possible scenarios, the natural flow of a conversation, and authenticity. These issues still stand in the way of any widespread implementation ambitions.

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Best Practices for the Provision of Virtual Care: A Systematic Review of Current Guidelines

Cited by 13 publications

References 82 publications

Transition to Virtual Care Services during COVID-19 at Canadian Pain Clinics: Survey and Future Recommendations

Transition to Virtual Care Services during COVID-19 at Canadian Pain Clinics: Survey and Future Recommendations

The Use of Mobility-Focused Outcome Measures for Young Adults With Cancer Undergoing Chemotherapy

Artificial Intelligence Supporting the Training of Communication Skills in the Education of Health Care Professions: Scoping Review

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