What influences withdrawal because of rejection of telehealth – the whole systems demonstrator evaluation

What influences withdrawal because of rejection of telehealth – the whole systems demonstrator... Purpose – The widespread deployment of telehealth (TH) has been conducted in the absence of any clear understanding of how acceptable these devices are to patients. One potential limitation of the widespread deployment of TH is that patients may refuse. Moreover an understanding of the reasons for refusing to use TH devices will provide an understanding of the barriers. Design/methodology/approach – This investigation from the Whole Systems Demonstrator (WSD) programme, a pragmatic cluster randomised controlled trial into the effectiveness of TH, examined reasons for patients in the intervention cohort of the trial refusing TH, and the potential barriers to its deployment. Findings – Active rejection of the TH intervention was the most frequent reason for withdrawal. After examination of trial‐related, health, socio‐demographic, cognitive, emotional and behavioural factors, patients diagnosed with diabetes, as opposed to heart failure or chronic obstructive pulmonary disease, and patients’ beliefs about the acceptability of the intervention predicted whether or not they withdrew from the trial because of the intervention. Originality/value – Beliefs that the TH intervention resulted in increased accessibility to care, satisfaction with equipment and fewer concerns about the privacy, safety and discomfort associated with using TH equipment predicted continued participation in the WSD trial. Findings suggest that potentially modifiable beliefs about TH predict those more likely to reject the intervention. These findings have important implications for understanding individual differences in the acceptance of TH and subsequent success in mainstreaming TH in healthcare services. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Assistive Technologies Emerald Publishing

What influences withdrawal because of rejection of telehealth – the whole systems demonstrator evaluation

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Publisher
Emerald Publishing
Copyright
Copyright © 2013 Emerald Group Publishing Limited. All rights reserved.
ISSN
1754-9450
DOI
10.1108/JAT-06-2013-0017
Publisher site
See Article on Publisher Site

Abstract

Purpose – The widespread deployment of telehealth (TH) has been conducted in the absence of any clear understanding of how acceptable these devices are to patients. One potential limitation of the widespread deployment of TH is that patients may refuse. Moreover an understanding of the reasons for refusing to use TH devices will provide an understanding of the barriers. Design/methodology/approach – This investigation from the Whole Systems Demonstrator (WSD) programme, a pragmatic cluster randomised controlled trial into the effectiveness of TH, examined reasons for patients in the intervention cohort of the trial refusing TH, and the potential barriers to its deployment. Findings – Active rejection of the TH intervention was the most frequent reason for withdrawal. After examination of trial‐related, health, socio‐demographic, cognitive, emotional and behavioural factors, patients diagnosed with diabetes, as opposed to heart failure or chronic obstructive pulmonary disease, and patients’ beliefs about the acceptability of the intervention predicted whether or not they withdrew from the trial because of the intervention. Originality/value – Beliefs that the TH intervention resulted in increased accessibility to care, satisfaction with equipment and fewer concerns about the privacy, safety and discomfort associated with using TH equipment predicted continued participation in the WSD trial. Findings suggest that potentially modifiable beliefs about TH predict those more likely to reject the intervention. These findings have important implications for understanding individual differences in the acceptance of TH and subsequent success in mainstreaming TH in healthcare services.

Journal

Journal of Assistive TechnologiesEmerald Publishing

Published: Nov 29, 2013

Keywords: Telehealth; Acceptability; Dropout; Refusal of TH

References

  • The development of a six‐item short‐form of the state scale of the Spielberger state‐trait anxiety inventory (STAI)
    Marteau, T.M.; Bekker, H.
  • Diagnosis at a distance: the invisible work of patients and healthcare professionals in cardiac telemonitoring technology
    Oudshoorn, N.
  • Generalized self‐efficacy scale
    Schwarzer, R.; Jerusalem, M.

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