Emily Freeman, Rachel Paul, Megan Dorsey, Adriana Nigaglioni Rivera, Jennifer A Reeves, Tessa Madden
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We calculated Area Deprivation Index (ADI) percentiles to characterize neighborhood environment. We compared characteristics between patients choosing video and telephone using Poisson regression and performed analyses stratified by ADI to test for effect modification.</p><p><strong>Results: </strong>Between March 2021 and June 2022, we enrolled 149 patients in the telehealth group: 146 (98%) were included in the analysis. Seventy percent of respondents chose telephone. Higher ADI, Black race, and lower educational level (<4 years college) were associated with choosing telephone in the unadjusted analysis. However, after stratifying by ADI, only lower educational level remained associated with choice of telephone among respondents from more deprived neighborhoods (aRR 1.46, 95% CI 1.01-2.11). We observed no differences in TUQ scores between respondents choosing telephone and video.</p><p><strong>Conclusion: </strong>When given the option, more patients selected telephone than video for telehealth contraceptive counseling. No demographic characteristics were associated with choice of telephone among patients with a higher ADI. Offering telephone-based telehealth may improve access for people seeking contraceptive services.</p><p><strong>Implications: </strong>We found that telephone-based telehealth is preferable for some patients, which may reflect differences in access to or comfort with video technology. We observed that higher ADI, Black race, and lower education level were associated with choice of telephone, although not after stratifying by ADI. Utilization of telephone-based telehealth may improve access for some patients and lead to more equitable-based health care.</p>","PeriodicalId":93955,"journal":{"name":"Contraception","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Demographic differences between patients selecting video or telephone for contraceptive counseling via telehealth.\",\"authors\":\"Emily Freeman, Rachel Paul, Megan Dorsey, Adriana Nigaglioni Rivera, Jennifer A Reeves, Tessa Madden\",\"doi\":\"10.1016/j.contraception.2024.110699\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore differences in demographic characteristics and telehealth usability between patients who chose video versus telephone for telehealth contraceptive counseling.</p><p><strong>Study design: </strong>This was a secondary analysis of a prospective cohort comparing the interpersonal quality of contraceptive counseling between in-person and telehealth visits at a single Title X-funded clinic. Before the clinical visit, a non-clinician counselor provided structured contraceptive counseling based on patients' preferred modality. After counseling, respondents completed an electronic survey which included the Telehealth Usability Questionnaire (TUQ). Post-visit, the counselor evaluated perceived patient engagement. We calculated Area Deprivation Index (ADI) percentiles to characterize neighborhood environment. We compared characteristics between patients choosing video and telephone using Poisson regression and performed analyses stratified by ADI to test for effect modification.</p><p><strong>Results: </strong>Between March 2021 and June 2022, we enrolled 149 patients in the telehealth group: 146 (98%) were included in the analysis. Seventy percent of respondents chose telephone. Higher ADI, Black race, and lower educational level (<4 years college) were associated with choosing telephone in the unadjusted analysis. 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引用次数: 0
摘要
目的: 探讨选择视频和电话进行远程避孕咨询的患者的人口统计学特征和远程医疗可用性的差异:探讨选择视频与电话进行远程避孕咨询的患者在人口统计学特征和远程医疗可用性方面的差异:研究设计:这是一项前瞻性队列的二次分析,比较了在一家由 Title X 资助的诊所中,面对面就诊与远程医疗就诊之间避孕咨询的人际交往质量。在就诊前,一名非医师咨询师根据患者首选的方式提供结构化避孕咨询。咨询结束后,受访者填写了一份电子调查问卷,其中包括远程保健可用性问卷 (TUQ)。咨询结束后,咨询师对患者的参与度进行评估。我们计算了地区贫困指数 (ADI) 百分位数来描述社区环境。我们使用泊松回归法比较了选择视频和电话的患者的特征,并根据 ADI 进行了分层分析,以检验效果修正:在 2021 年 3 月至 2022 年 6 月期间,我们在远程医疗组招募了 149 名患者:146人(98%)被纳入分析。70%的受访者选择了电话。较高的 ADI、黑人种族和较低的教育水平(结论:在进行远程健康避孕咨询时,选择电话的患者多于选择视频的患者。在 ADI 较高的患者中,没有人口统计特征与选择电话有关。提供基于电话的远程保健服务可提高寻求避孕服务者的可及性。
Demographic differences between patients selecting video or telephone for contraceptive counseling via telehealth.
Objective: To explore differences in demographic characteristics and telehealth usability between patients who chose video versus telephone for telehealth contraceptive counseling.
Study design: This was a secondary analysis of a prospective cohort comparing the interpersonal quality of contraceptive counseling between in-person and telehealth visits at a single Title X-funded clinic. Before the clinical visit, a non-clinician counselor provided structured contraceptive counseling based on patients' preferred modality. After counseling, respondents completed an electronic survey which included the Telehealth Usability Questionnaire (TUQ). Post-visit, the counselor evaluated perceived patient engagement. We calculated Area Deprivation Index (ADI) percentiles to characterize neighborhood environment. We compared characteristics between patients choosing video and telephone using Poisson regression and performed analyses stratified by ADI to test for effect modification.
Results: Between March 2021 and June 2022, we enrolled 149 patients in the telehealth group: 146 (98%) were included in the analysis. Seventy percent of respondents chose telephone. Higher ADI, Black race, and lower educational level (<4 years college) were associated with choosing telephone in the unadjusted analysis. However, after stratifying by ADI, only lower educational level remained associated with choice of telephone among respondents from more deprived neighborhoods (aRR 1.46, 95% CI 1.01-2.11). We observed no differences in TUQ scores between respondents choosing telephone and video.
Conclusion: When given the option, more patients selected telephone than video for telehealth contraceptive counseling. No demographic characteristics were associated with choice of telephone among patients with a higher ADI. Offering telephone-based telehealth may improve access for people seeking contraceptive services.
Implications: We found that telephone-based telehealth is preferable for some patients, which may reflect differences in access to or comfort with video technology. We observed that higher ADI, Black race, and lower education level were associated with choice of telephone, although not after stratifying by ADI. Utilization of telephone-based telehealth may improve access for some patients and lead to more equitable-based health care.