Menopause care delivery in the time of COVID-19: evaluating the acceptability of telehealth services for women with early and usual age menopause

Kozica-Olenski, Samantha; Garth, Belinda; Boyle, Jacqueline; Vincent, Amanda

doi:10.1080/13697137.2022.2127351

Cited by 5 publications

(9 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with other studies of gynaecological services, this study adds to the evidence that telehealth is acceptable and satisfactory to women with many preferring to receive aspects of their care via telehealth, rather than face‐to‐face consultations 4,8,10,21,22 . The benefits of telehealth as reported here, include improved flexibility, access and convenience, reduced personal costs (lost wages, travel and parking fees), safety and perceived equivalent care quality had they attended face‐to‐face 5,8,21 .…”

Section: Discussionsupporting

confidence: 85%

“…With increased telehealth uptake and routine use in practice, considering the role of telehealth postpandemic is crucial. Consistent with recent publications,5,6,8,10 our findings support the ongoing delivery of a hybrid (face-to-face and telehealth) model of care. Women preferred face-to-face consultations for their initial menopause consultation and varied preferences were reported for review consultations, reinforcing the need for flexible service delivery models to meet women's preferences and personal circumstances.…”

supporting

confidence: 91%

“…Effectiveness of telehealth consultations and associated barriers relate to patient, clinician and health service factors, including: patient engagement, social determinants, technology access, health and/or digital literacy, privacy, healthcare processes and infrastructure 4,6,10 . As reported here, women's concerns regarding telehealth included administrative challenges (access to referrals, investigation requests or prescriptions), lack of confidence regarding the identification of health problems, and lack of a physical examination.…”

Section: Discussionmentioning

confidence: 88%

“…This survey comprised part of a mixed‐method study to explore women's and health professionals' experiences of telehealth and menopause care during COVID‐19. The qualitative findings regarding women and clinicians have been published elsewhere 10 …”

Section: Methodsmentioning

confidence: 99%

“…The qualitative findings regarding women and clinicians have been published elsewhere. 10 Women attending the Monash Health menopause service were invited to complete a voluntary anonymous online survey (March-August 2021). English literacy was required.…”

Section: Part 2: Online Consumer Surveymentioning

confidence: 99%

See 4 more Smart Citations

The impact of COVID‐19 on a specialised menopause clinic: Changes in practice and women's experiences

Kozica-Olenski

Ghelani

Boyle

et al. 2023

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

Aims The COVID‐19 pandemic necessitated the rapid change in a dedicated multidisciplinary menopause clinic from in‐person consultations to telehealth. The aim of this study was to explore the impact of COVID‐19 on menopause service delivery and consumer experiences. Methods Two‐part study involving the following. (i) Clinical audit conducted June–July 2019 (pre‐COVID‐19) and June–July 2020 (COVID‐19) assessing practice and service delivery changes. Assessment outcomes included: patient demographics, cause of menopause, presence of menopause symptoms, appointment attendance, medical history, investigations and menopause treatments. (ii) A post‐clinic online survey exploring the acceptability and experience of telehealth, once telehealth models of care had been routinely used in the menopause service (2021). Results Pre‐COVID (n = 156) and COVID‐19 (n = 150) clinic consultations were audited. Menopause care delivery changed significantly from 100% face‐to‐face consultations in 2019 to 95.4% telehealth consultations in 2020. In 2020, fewer women had investigations performed vs 2019 (P < 0.001), although use of menopausal therapies was similar (P < 0.05). Ninety‐four women completed the online survey. Most women (70%) were satisfied with their telehealth consultation and perceived that the doctor effectively communicated with them (76%). Women preferred face‐to‐face consultations for their first menopause clinic visit (69%) and telehealth for review consultations (65%). The majority of women (62%) viewed the continuation of telehealth consultations as ‘moderately’ to ‘extremely useful’ post‐pandemic. Conclusion The COVID‐19 pandemic caused significant changes to menopause service delivery. Telehealth was perceived as feasible and acceptable by women, supporting the continuation of a hybrid service delivery model incorporating telehealth and face‐to‐face consultation to meet the needs of women.

show abstract

Section: Discussionsupporting

confidence: 85%

supporting

confidence: 91%

Section: Discussionmentioning

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Section: Part 2: Online Consumer Surveymentioning

confidence: 99%

See 3 more Smart Citations

The impact of COVID‐19 on a specialised menopause clinic: Changes in practice and women's experiences

Kozica-Olenski

Ghelani

Boyle

et al. 2023

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

show abstract

The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review

Shin,

Hamovitch,

Gatov

et al. 2023

Preprint

View full text Add to dashboard Cite

BackgroundThe Non-adoption, Abandonment, Scale-up, Spread, Sustainability (NASSS) framework (2017) was established as an evidence-based, theory-informed tool to predict and evaluate the success of implementing health and care technologies. While the NASSS is gaining popularity, its use has not been systematically described. Literature reviews on the applications of popular implementation frameworks such as RE-AIM and CFIR have enabled their advancement in the implementation science field. Similarly, we sought to advance the science of implementation and application of theories, models, and frameworks (TMFs) in research by exploring the application of the NASSS in the five years since its inception.ObjectiveWe aim to understand the characteristics of studies that used the NASSS, how it was used, and the lessons learned from its application.MethodsWe conducted a scoping review following the Joanna Briggs Institute methodology. We searched the following databases on December 20, 2022: Ovid MEDLINE, EMBASE, PsychINFO, CINAHL, Scopus, Web of Science, and LISTA. We used typologies and frameworks to characterize evidence to address our aim.ResultsThis review included 57 studies, which were a mix of qualitative (n=28), mixed/multi-methods (n=13), case studies (n=6), observational (n=3), experimental (n=3), and other designs (e.g., quality improvement) (n=4). The four most common types of digital applications being implemented were telemedicine/virtual care (n=24), personal health devices (n=10), digital interventions, such as internet Cognitive Behavioural Therapies (n=10), and knowledge generation applications (n=9). Studies used the NASSS to inform study design (n=9), data collection (n=35), analysis (n=41), data presentation (n=33), and interpretation (n=39). Most studies applied the NASSS retrospectively to implementation (n=33). The remainder applied the NASSS prospectively (n=15) or concurrently (n=8) with implementation. We also collated reported barriers and enablers to implementation. We found the most reported barriers fell within the Organization and Adopter System domains, and the most frequently reported enablers fell within the Value Proposition domain. Eighteen studies highlighted the NASSS as a valuable and practical resource, particularly for unravelling complexities, comprehending implementation context, understanding contextual relevance in implementing health technology, and recognizing the NASSS’ adaptable nature to cater to researchers’ requirements.ConclusionsMost studies used the NASSS retrospectively, which may be attributed to the framework’s novelty. However, this finding highlights the need for prospective and concurrent application of the NASSS within the implementation process. In addition, almost all included studies reported multiple domains as barriers and enablers to implementation, indicating that implementation is a highly complex process that requires careful preparation to ensure implementation success. Finally, we identified a need for better reporting when using the NASSS in implementation research to contribute to the collective knowledge in the field.

show abstract

Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review

Haydon,

Fowler,

Taylor

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

Background There are numerous benefits to delivering care via video consultations (VCs). Yet, the willingness of health care professionals (HCPs) to use video as a modality of care is one of the greatest barriers to its adoption. Decisions regarding whether to use video may be based on assumptions and concerns that are not necessarily borne of evidence. To effectively address psychological barriers to VC, it is essential to gain a better understanding of specific factors (eg, attitudes, beliefs, and emotions) that influence HCPs’ VC use. Objective This study’s aim was to conduct a systematic literature review of psychological factors in HCPs that impair or promote VC use. Methods Databases were searched in February 2023 for peer-reviewed primary research papers on VCs that discussed psychological factors of health professionals affecting the use of video to deliver health services. A psychological factor was defined as an intraindividual influence related to, or in reaction to, VC use—in this case, the individual being an HCP. Search terms included variations on “telehealth,” “clinician,” and psychological factors (eg, attitude and beliefs) in combination. Peer-reviewed papers of all methodological approaches were included if they were in an Australian setting and the full text was available in English. Studies where the main intervention was another digital health modality (eg, remote monitoring and telephone) were excluded. Studies were also excluded if they only reported on extrinsic factors (eg, environmental or economic). Information extracted included author, year, medical specialty, psychological component mentioned, explanation as to why the psychological factor was related to VC use, and exemplar quotes from the paper that correspond to a psychological component. Each extracted psychological factor was classified as a positive, negative, ambivalent, or neutral perspective on VC, and a thematic analysis then generated the factors and themes. Theories of behavior were considered and discussed to help frame the interaction between themes. Results From 4592 studies, data were extracted from 90 peer-reviewed papers. Cognitive and emotional motivators and inhibitors, such as emotional responses, self-efficacy, attitudes, and perceived impact on the clinician as a professional, all interact to influence HCP engagement in VCs. These factors were complex and impacted upon one another. A cyclical relationship between these factors and intention to engage in VCs and actual use of VCs was found. These findings were used to form the psychological attributes of VC engagement (PAVE) model. Evidence suggests that HCPs fall within 4 key user categories based on the amount of cognitive and practical effort needed to deliver VCs. Conclusions Although further research is needed to validate the current findings, this study provides opportunity for more targeted interventions that address psychological factors impeding effective use of VCs.

show abstract

Menopause care delivery in the time of COVID-19: evaluating the acceptability of telehealth services for women with early and usual age menopause

Cited by 5 publications

References 17 publications

The impact of COVID‐19 on a specialised menopause clinic: Changes in practice and women's experiences

The impact of COVID‐19 on a specialised menopause clinic: Changes in practice and women's experiences

The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review

Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review

Contact Info

Product

Resources

About