A Formative Mixed-Methods Study of Emotional Responsiveness in Telepalliative Care.
J Palliat Med
; 25(8): 1258-1267, 2022 08.
Article
em En
| MEDLINE
| ID: mdl-35417249
ABSTRACT
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Telemedicina
/
Enfermagem de Cuidados Paliativos na Terminalidade da Vida
Tipo de estudo:
Qualitative_research
Limite:
Aged
/
Humans
Idioma:
En
Revista:
J Palliat Med
Ano de publicação:
2022
Tipo de documento:
Article