Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study.

IF 3.3 Q2 ONCOLOGY JMIR Cancer Pub Date : 2023-11-09 DOI:10.2196/46077
Linda O'Neill, Louise Brennan, Grainne Sheill, Deirdre Connolly, Emer Guinan, Juliette Hussey
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Abstract

Background: The COVID-19 pandemic accelerated the use of telehealth in cancer care and highlighted the potential of telehealth as a means of delivering the much-needed rehabilitation services for patients living with the side effects of cancer and its treatments.

Objective: This mixed methods study aims to explore patients' experiences of telehealth and their preferences regarding the use of telehealth for cancer rehabilitation to inform service development.

Methods: The study was completed in 2 phases from October 2020 to November 2021. In phase 1, an anonymous survey (web- and paper-based) exploring the need, benefits, barriers, facilitators, and preferences for telehealth cancer rehabilitation was distributed to survivors of cancer in Ireland. In phase 2, survivors of cancer were invited to participate in semistructured interviews exploring their experiences of telehealth and its role in cancer rehabilitation. Interviews were conducted via telephone or video call following an interview guide informed by the results of the survey and transcribed verbatim, and reflexive thematic analysis was performed using a qualitative descriptive approach.

Results: A total of 48 valid responses were received. The respondents were at a median of 26 (range 3-256) months after diagnosis, and 23 (48%) of the 48 participants had completed treatment. Of the 48 respondents, 31 (65%) reported using telehealth since the start of the pandemic, 15 (31%) reported having experience with web-based cancer rehabilitation, and 43 (90%) reported a willingness for web-based cancer rehabilitation. A total of 26 (54%) of the 48 respondents reported that their views on telehealth had changed positively since the start of the pandemic. Semistructured interviews were held with 18 survivors of cancer. The mean age of the participants was 58.9 (SD 8.24) years, 56% (10/18) of the participants were female, and 44% (8/18) of the participants were male. Reflexive thematic analysis identified 5 key themes: telehealth improves accessibility to cancer rehabilitation for some but is a barrier for others, lived experiences of the benefits of telehealth in survivorship, the value of in-person health care, telehealth in cancer care and COVID-19 (from novelty to normality), and the future of telehealth in cancer rehabilitation.

Conclusions: Telehealth is broadly welcomed as a mode of cancer rehabilitation for patients living with and beyond cancer in Ireland. However, issues regarding accessibility and the importance of in-person care must be acknowledged. Factors of convenience, time savings, and cost savings indicate that telehealth interventions are a desirable patient-centered method of delivering care when performed in suitable clinical contexts and with appropriate populations.

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在癌症康复中推进远程医疗:来自混合方法研究的患者视角。
背景:新冠肺炎大流行加速了远程医疗在癌症护理中的应用,并突出了远程医疗作为为癌症及其治疗副作用患者提供急需康复服务的一种手段的潜力。目的:本混合方法研究旨在探讨患者的远程医疗体验及其对使用远程医疗进行癌症康复的偏好,为服务发展提供信息。方法:本研究于2020年10月至2021年11月分两个阶段完成。在第一阶段,向爱尔兰癌症幸存者分发了一份匿名调查(网络和纸质),探讨远程医疗癌症康复的需求、益处、障碍、促进者和偏好。在第二阶段,癌症幸存者被邀请参加半结构访谈,探讨他们的远程医疗经验及其在癌症康复中的作用。根据调查结果提供的访谈指南,访谈通过电话或视频通话进行,并逐字逐句转录,使用定性描述性方法进行反射性主题分析。结果:共收到48份有效回复。受访者在诊断后的中位数为26个月(3-256个月),48名参与者中有23人(48%)完成了治疗。在48名受访者中,31人(65%)报告自疫情开始以来使用远程医疗,15人(31%)报告有基于网络的癌症康复经验,43人(90%)报告愿意进行基于网络的癌症康复。48名受访者中,共有26人(54%)表示,自疫情开始以来,他们对远程医疗的看法发生了积极变化。对18名癌症幸存者进行了半结构化访谈。参与者的平均年龄为58.9岁(标准差8.24),56%(10/18)的参与者为女性,44%(8/18)的与会者为男性。反思性主题分析确定了5个关键主题:远程医疗提高了一些人获得癌症康复的机会,但对其他人来说是一个障碍,远程医疗在生存中的益处的生活体验,住院医疗的价值,癌症护理和新冠肺炎中的远程医疗(从新奇到正常),以及远程医疗在癌症康复中的未来。结论:远程医疗作为一种癌症康复模式在爱尔兰受到广泛欢迎,适用于癌症患者和非癌症患者。然而,必须承认可及性问题以及亲自护理的重要性。便利性、时间节约和成本节约的因素表明,当在适当的临床环境和适当的人群中进行远程医疗干预时,远程医疗干预是一种理想的以患者为中心的护理方法。
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来源期刊
JMIR Cancer
JMIR Cancer ONCOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
64
审稿时长
12 weeks
期刊最新文献
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