A Formative Mixed-Methods Study of Emotional Responsiveness in Telepalliative Care.
Background: It is unknown whether telemedicine-delivered palliative care (tele-PC) supports emotionally responsive patient–clinician interactions. Objectives: We conducted a mixed-methods formative study at two academic medical centers in rural U.S. states to explore the acceptability, feasibility,...
| Publicado en: | Journal of Palliative Medicine Vol. 25; no. 8; pp. 1258 - 1268 |
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| Autores principales: | , , , , , , , , , |
| Formato: | interview research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158271551&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158271551 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10966218 C1U jtl: Journal of Palliative Medicine issn: 10966218 maglogo: N pubinfo: dt: Aug2022 vid: 25 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 158271551 158271551 158271551 10.1089/jpm.2021.0589 158271551 ppf: 1258 ppct: 10 formats: tig: atl: A Formative Mixed-Methods Study of Emotional Responsiveness in Telepalliative Care. aug: au: Hutchinson, Rebecca N. Anderson, Eric C. Ruben, Mollie A. Manning, Noah John, Liam Daruvala, Ava Rizzo, Donna M. Eppstein, Margaret J. Gramling, Robert Han, Paul K.J. affil: Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, Maine, USA. sug: subj: Telemedicine Palliative Care Physician-Patient Relations Emotions Support, Psychosocial Human Multimethod Studies Academic Medical Centers United States United States Aged Rural Health Funding Source Aged: 65+ years ab: Background: It is unknown whether telemedicine-delivered palliative care (tele-PC) supports emotionally responsive patient–clinician interactions. Objectives: We conducted a mixed-methods formative study at two academic medical centers in rural U.S. states to explore the acceptability, feasibility, and emotional responsiveness of tele-PC. Design: We assessed clinicians' emotional responsiveness through questionnaires, qualitative interviews, and video coding. Results: We completed 11 tele-PC consultations. Mean age was 71 years, 30% did not complete high school, 55% experienced at least moderate financial insecurity, and 2/3 rated their overall health poorly. All patients rated tele-PC as equal to, or better than, in-person PC at providing emotional support. There was a tendency toward higher positive and lower negative emotions following the consultation. Video coding identified 114 instances of patients expressing emotions, and clinicians detected and responded to 98% of these events. Conclusion: Tele-PC appears to support emotionally responsive patient–clinician interactions. A mixed-methods approach to evaluating tele-PC yields useful, complementary insights. pubtype: Academic Journal doctype: interview research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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