Investigating the preferences of older people for telehealth as a new model of health care service delivery: A discrete choice experiment

Kaambwa, Billingsley; Ratcliffe, Julie; Shulver, Wendy; Killington, Maggie; Taylor, Alan; Crotty, Maria; Carati, Colin; Tieman, Jennifer; Wade, Victoria; Kidd, Michael

doi:10.1177/1357633x16637725

Cited by 66 publications

(72 citation statements)

References 79 publications

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“…Telerehabilitation can eliminate the need for travel, leading to considerable cost-and time-savings for patients (Levy, Silverman, Jia, Geiss, & Omura, 2015) and thus may potentially address the needs of those who are unwilling or unable to travel to physical therapy clinics in-person. This might include people who have limited time, live in a remote area, lack transportation, or have disabling conditions that make it difficult to attend clinics in-person (Kaambwa et al, 2017;Ward, Schmidt, Lappan, & Battafarano, 2016). For clinicians, the increased convenience and accessibility of telerehabilitation means that they can potentially reach a wider range of clientele who may otherwise be unable to attend clinics in-person (Lawford, Delany, Bennell, & Hinman, 2018a).…”

Section: Technology Provide S Opp Ortunitie S For Remotely-deliverementioning

confidence: 99%

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Hinman

Lawford

Bennell

2018

J Appl Biobehavioral Res

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Purpose The burden of musculoskeletal conditions, particularly osteoarthritis (OA), is expected to increase in coming decades as the world's population ages, and obesity rates continue to rise. Self‐management via lifestyle interventions, such as exercise and physical activity, is integral to minimizing pain and maintaining physical function, yet access to qualified health professionals for evidence‐based advice and support is difficult for many people. This article discusses how technology provides new opportunities for delivering physiotherapy services remotely to people with persistent joint pain, through telephone, and internet‐mediated video conferencing. Methods The evidence for effectiveness of such service models is reviewed. Key challenges to implementation are discussed, and future directions for research in the field are highlighted. Results There is emerging evidence that the provision of care via telephone and internet‐mediated video technologies is effective for, and acceptable to, people with OA. Advantages include its convenience and accessibility, as well as the “hands‐off” nature of consultations. Challenges include patient safety and privacy and workforce willingness and capacity to deliver care via non‐traditional methods. Conclusions Using technology to deliver physiotherapy services to people with OA is feasible and acceptable to users; however, further research is required to expand the evidence‐base for remotely‐delivered physiotherapy service models.

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Section: Technology Provide S Opp Ortunitie S For Remotely-deliverementioning

confidence: 99%

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Hinman

Lawford

Bennell

2018

J Appl Biobehavioral Res

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“…Discrete choice experiments (DCEs) offer a way of eliciting preferences for the characteristics or attributes of an intervention; they also provide information on the trade‐offs (the decision to sacrifice the benefits of one attribute in favour of another) that respondents are prepared to make between attributes. DCEs have been used in health‐care settings to improve the design and delivery of patient services . Their use also extends to cancer screening programmes; a systematic review identified 22 stated preference studies published between 1990 and 2013 addressing breast, cervical and colorectal cancer screening …”

Section: Introductionmentioning

confidence: 99%

Preferences for interventions designed to increase cervical screening uptake in non‐attending young women: How findings from a discrete choice experiment compare with observed behaviours in a trial

Campbell

Gray

Watson

et al. 2019

Health Expectations

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Background: Young women's attendance at cervical screening in the UK is continuing to fall, and the incidence of invasive cervical cancer is rising. Objectives:We assessed the preferences of non-attending young women for alternative ways of delivering cervical screening.Design: Postal discrete choice experiment (DCE) conducted during the STRATEGIC study of interventions for increasing cervical screening uptake. Attributes included action required to arrange a test, location of the test, availability of a nurse navigator and cost to the National Health Service.Setting and participants: Non-attending young women in two UK regions. Main outcome measures:Responses were analysed using a mixed multinomial logit model. A predictive analysis identified the most preferable strategy compared to current screening. Preferences from the DCE were compared with observed behaviours during the STRATEGIC trial. Results:The DCE response rate was 5.5% (222/4000), and 94% of respondents agreed screening is important. Preference heterogeneity existed around attributes with strong evidence for test location. Relative to current screening, unsolicited selfsampling kits for home use appeared most preferable. The STRATEGIC trial showed this same intervention to be most effective although many women who received it and were screened, attended for conventional cytology instead. Conclusions:The DCE and trial identified the unsolicited self-sampling kit as the most preferred/effective intervention. The DCE suggested that the decision of some | 203 CAMPBELL Et AL.

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“…Patient viewpoints are important. Kaambwa et al 34 found in their study of older people that patients had strong preference for telehealth services that targeted individuals living in remote regions without easy access to clinic. Our previous research 16 demonstrated that distance to travel to a hospital was not the sole reason leading to the acceptability of Skype consultations and that preference is multifactorial.…”

Section: Discussionmentioning

confidence: 99%

Use of virtual consultations in an orthopaedic rehabilitation setting: how do changes in the work of being a patient influence patient preferences? A systematic review and qualitative synthesis

et al. 2020

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ObjectivesTo systematically review qualitative studies reporting the use of virtual consultations within an orthopaedic rehabilitation setting and to understand how its use changes the work required of patients.MethodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement, we conducted a systematic review of papers to answer the research question ‘How do changes in the work of being a patient when using communication technology influence patient preferences?’ Electronic databases were searched for studies meeting the inclusion criteria in April 2020.ResultsThe search strategy identified 2057 research articles from the database search. A review of titles and abstracts using the inclusion criteria yielded 21 articles for full-text review. Nine studies were included in the final analysis. Six studies explored real-time video conferencing and three explored telephone consultations. The use of communication technology changes the work required of patients. Such changes will impact on expectations for care, resources required of patients, the environment of receiving care and patient–clinician interactions. This adjustment of the work required of patients who access orthopaedic rehabilitation using communication technology will impact on their experience of receiving care. It is proposed that changes in the work of being a patient will influence preferences for or against the use of communication technology consultations for orthopaedic rehabilitation.ConclusionWe found that the use of communication technology changes the work of being a patient. The change in work required of patients can be both burdensome (it makes it harder for patients to access their care) and beneficial (it makes it easier for patients to access their care). This change will likely to influence preferences. Keeping the concept of patient work at the heart of pathway redesign is likely to be a key consideration to ensure successful implementation.PROSPERO registration numberCRD42018100896.

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Investigating the preferences of older people for telehealth as a new model of health care service delivery: A discrete choice experiment

Abstract: Background

Cited by 66 publications

References 79 publications

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Preferences for interventions designed to increase cervical screening uptake in non‐attending young women: How findings from a discrete choice experiment compare with observed behaviours in a trial

Use of virtual consultations in an orthopaedic rehabilitation setting: how do changes in the work of being a patient influence patient preferences? A systematic review and qualitative synthesis

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