How therapeutic relationships develop in group-based telehealth and their perceived impact on processes and outcomes of a complex intervention: a qualitative study

BMJ Quality & Safety, Год журнала: 2024, Номер 33(12), С. 795 - 806

Опубликована: Апрель 30, 2024

Background Therapeutic relationships are a key domain in healthcare delivery. While well-understood in-person interventions, how therapeutic develop more complex contexts is unclear. This study aimed to understand (1) developed during the telehealth delivery of group-based, intervention and (2) perceived impact these on processes, such as engagement, patient outcomes, safety satisfaction. Methods qualitative study, nested within randomised controlled trial, used an interpretivist approach explore perceptions 25 participants (18 patients with shoulder pain 7 clinicians) regarding developing delivered via telehealth. Semi-structured interviews were conducted 4 weeks period then analysed through in-depth, inductive thematic analysis. Results We identified six themes: ‘Patients trust clinicians who demonstrate credibility, promoting development relationships’; ‘Simple features approaches shape relationship’, including small talk, time spent together social observation; (3) ‘A sense belonging support fosters connections’, facilitated by providing individualised attention group; (4) ‘Developing can core components’, reflecting challenges faced; (5) ‘Therapeutic facilitate engagement’, enhanced understanding confidence (6) contribute satisfaction’, feeling comfortable reporting intervention-related issues. Conclusions group-based sessions set factors that may require additional skills effort compared interactions. have positive engagement need find balance between building delivering fidelity. Trial registration number ACTRN12621001650886.

Язык: Английский

---

Prohibiting Babel—A call for professional remote interpreting services in pre-operation anaesthesia information

PLoS ONE, Год журнала: 2025, Номер 20(1), С. e0299751 - e0299751

Опубликована: Янв. 17, 2025

Language barriers within clinical settings pose a threat to patient safety. As potential impediment understanding, they hinder the process of obtaining informed consent and uptake critical medical information. This study investigates impact current use interpreters, with particular focus on engaging laypersons as rather than professional interpreters potentially affecting A further objective is explore reliability phone-based telemedicine in terms retention important facts. In three groups (N per group = 30), we compared how using lay or affected non-German speaking patients' subjectively perceived understanding (understood vs. not understood) recollection (recollected recollected) information about general anaesthesia. Proficient German patients served control group. Statistical analyses (χ2 tests binomial) were calculated show differences between groups. All indicated similar, high self-reported levels having understood provided. was stark contrast assessed data. interpreter group, anaesthesia facts low; only around half participants recalled specific For supported by their significantly enhanced elevated same level (fluent German). Moreover, for these patients, providing means before yielded Phone-based safe reliable method communication but Compared improve anaesthesia, thus highlighting importance safety consent.

Язык: Английский

---

Attitudes of German General Practitioners Toward eHealth Apps for Dementia Risk Reduction: Qualitative Interview Study

JMIR Formative Research, Год журнала: 2025, Номер 9, С. e56310 - e56310

Опубликована: Янв. 22, 2025

Background eHealth interventions constitute a promising approach to disease prevention, particularly because of their ability facilitate lifestyle changes. Although rather recent development, might be able promote brain health and reduce dementia risk in older adults. Objective This study aimed explore the perspective general practitioners (GPs) on potentials barriers for health. Understanding GPs allows us identify chances challenges implementing apps reduction. Methods We conducted semistructured expert interviews with 9 working an outpatient setting near Leipzig, Germany. Data were fully transcribed analyzed using process model qualitative content analysis codes categories being constructed inductively deductively. Results found generally favorable but balanced views Eight themes identified elaborated data as follows: “addressing dementia,” “knowledge about “need information,” “potential prevention,” “chances “development “barriers prevention.” talked mostly how when address requirements use prevention. stated that they only addressed once abnormalities already present or less frequently patient relative expressed direct wish, while individual standardized diagnostic during routine check-ups mentioned much frequently. According GPs, knowledge patients was low; therefore, little need information factors prevention GP practices. Most wished quick regarding diagnostics, treatment options, progression disease. lack overview available content. They also fear inducing anxiety talking Conclusions want receive relevant individualized information. Prerequisites app characteristics related design more routinely, assess factors, aid preventive role. Concerns over limited effectiveness, overwhelming patients, clinical practice, targeting low dementia.

Язык: Английский

---

eHealth Literacy and Trust in Health Information Sources

Healthcare, Год журнала: 2025, Номер 13(6), С. 616 - 616

Опубликована: Март 12, 2025

Introduction: The spread of health-related information across the internet necessitates an evaluation public eHealth literacy, trust in different health sources, including healthcare providers, and how literacy is related to sources. Methods: 407 individuals participated a web-based survey Tabuk region Saudi Arabia. Univariate analysis was used evaluate relationships between demographic variables, multiple linear regression measure relationship sources after adjustment for factors. Results: average respondents 27.17 out 40. levels were higher among females, younger age groups, those higher-education category, with chronic disease or currently on medication. For 51.9% participants, physicians workers their main source information, while 40% considered source. None study participants perceived as untrustworthy, social media least trusted not but positively associated specialized websites negatively media. Conclusions: findings suggest that tends prefer other primary regardless levels. A level distrust

Язык: Английский

---

Compassion through technology: Digital empathy concept analysis and implications in nursing

Digital Health, Год журнала: 2025, Номер 11

Опубликована: Фев. 1, 2025

Objective Digital empathy is an emerging concept in telehealth nursing, emphasizing emotional engagement and compassionate communication virtual care settings. Despite its importance, digital remains underexplored. This analysis aims to define explore key attributes, antecedents, consequences, challenges, actionable recommendations for practice. Methods Using Walker Avant's eight-step framework, a comprehensive literature review was conducted on nursing. A total of 52 sources were reviewed, comprising 46 research articles, four books, two web pages, published between 2000 2024. Results identifies attributes including authenticity, trust-building, effectiveness, engagement, adaptability, technological proficiency, cultural sensitivity critical meaningful connections telehealth. Antecedents encompass literacy, intelligence, supportive infrastructures, competence, individual, contextual, organizational factors. Consequences include enhanced patient satisfaction, trust, adherence treatment, improved nurse well-being, benefits such as team cohesion reduced staff turnover. Challenges variability, limitations, the lack validated measurement tools highlight barriers effective implementation. Conclusion underscores vital role By incorporating healthcare organizations can enhance outcomes foster supportive, patient-centered environments. Addressing gaps will be pivotal fully realizing Actionable implementing targeted training, developing standardized tools, leveraging artificial intelligence advancements empathetic

Язык: Английский

---

Qualitative insights into planning implementation of FeNO-guided asthma management in primary care

npj Primary Care Respiratory Medicine, Год журнала: 2025, Номер 35(1)

Опубликована: Март 20, 2025

Abstract Fractional exhaled nitric oxide (FeNO) testing is used in primary care some areas of the UK to aid asthma diagnosis but less frequently for managing asthma. A randomised controlled trial (RCT) investigating whether an intervention, including FeNO and a clinical algorithm, improves outcomes patients with This study was conducted explore potential implementation intervention. The aim views those vested interest implementing intervention into reviews. In-depth, semi-structured interviews were online individuals, experience policymaking, healthcare management, National Health Service commissioning, as professionals (HCPs) extended roles, advocates. Inductive thematic analysis nineteen interviews. Findings suggest complex interplay barriers, contextual issues facilitators. Overall, participants perceived FeNO-informed management would enhance care, if appropriately flexibly according context, example planning alongside remote Easier, equitable access funded equipment be needed national implementation. Participants suggested motivation all involved future may increased by guidelines recommending FeNO, use financial incentives champions sharing best practice examples. In conclusion, obstacles reiterated barrier use. Despite facilitating harnessing prominent cost-benefits could persuade decision makers clinicians. lay early foundations development strategy.

Язык: Английский

---

Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study

JMIR Human Factors, Год журнала: 2025, Номер 12, С. e60582 - e60582

Опубликована: Март 24, 2025

Background The rising demand for advanced home care services, driven by an aging population and the preference in place, presents both challenges opportunities. While can improve cost-effectiveness patient outcomes, gaps remain understanding how eHealth technologies optimize these services. tools have potential to offer personalized, coordinated that increases engagement. However, research exploring health professionals’ (HCPs) perspectives on use of their impact HCP-patient relationship is limited. Objective This study aims explore HCPs’ using tools’ relationships. Methods In total, 20 HCPs from 9 clinics specializing were interviewed semistructured interviews. discussions focused experiences with 2 tools: a mobile documentation tool preconsultation form. data analyzed content analysis identify recurring themes. Results identified one main theme: optimizing eHealth; is, enhancing delivery overcoming future care. Two subthemes emerged: (1) delivery, collaboration, adoption barriers (2) streamlining implementation advancing delivery. Five categories also identified: positive benefits, interactions between patients, (3) difficulties tools, (4) integration into daily workflow, (5) directions. Most expressed tool, highlighting improved efficiency, quality, safety. all found form beneficial, patient-related factors limited its utility. Regarding relationships, patients remained unchanged tools. successfully maintained interpersonal skills patient-centered approach while integrating practice. allowed more focused, in-depth discussions, engagement without affecting Difficulties originated tool-related issues, organizational challenges, or complexities, occasionally time available direct interaction. Conclusions underscores importance maintaining relationship. modify techniques, they do not core dynamics relationships patients. most had attitude toward encounter crucial improving user acceptance success implementation. Future development should focus features only efficiency but actively enhance such as facilitating meaningful supporting personalized setting.

Язык: Английский

---

Impact of Digital Health on Patient-Provider Relationships in Respiratory Secondary Care: A Systematic Review of Qualitative and Quantitative Evidence (Preprint)

Journal of Medical Internet Research, Год журнала: 2025, Номер unknown

Опубликована: Янв. 8, 2025

Язык: Английский

---

Digital Health Technologies: Virtual Health and Remote Patient Monitoring

Опубликована: Янв. 1, 2025

Язык: Английский

---

Implementing Generative AI into Health Systems, Hospitals and Your Practice: Preparing for Change

Опубликована: Янв. 1, 2025

Язык: Английский

---