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Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667979/ https://www.ncbi.nlm.nih.gov/pubmed/37943595 http://dx.doi.org/10.2196/46077 |
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author | O'Neill, Linda Brennan, Louise Sheill, Grainne Connolly, Deirdre Guinan, Emer Hussey, Juliette |
author_facet | O'Neill, Linda Brennan, Louise Sheill, Grainne Connolly, Deirdre Guinan, Emer Hussey, Juliette |
author_sort | O'Neill, Linda |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10667979 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106679792023-11-09 Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study O'Neill, Linda Brennan, Louise Sheill, Grainne Connolly, Deirdre Guinan, Emer Hussey, Juliette JMIR Cancer Original Paper 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. JMIR Publications 2023-11-09 /pmc/articles/PMC10667979/ /pubmed/37943595 http://dx.doi.org/10.2196/46077 Text en ©Linda O'Neill, Louise Brennan, Grainne Sheill, Deirdre Connolly, Emer Guinan, Juliette Hussey. Originally published in JMIR Cancer (https://cancer.jmir.org), 09.11.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on https://cancer.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper O'Neill, Linda Brennan, Louise Sheill, Grainne Connolly, Deirdre Guinan, Emer Hussey, Juliette Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study |
title | Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study |
title_full | Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study |
title_fullStr | Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study |
title_full_unstemmed | Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study |
title_short | Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study |
title_sort | moving forward with telehealth in cancer rehabilitation: patient perspectives from a mixed methods study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667979/ https://www.ncbi.nlm.nih.gov/pubmed/37943595 http://dx.doi.org/10.2196/46077 |
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