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Human Connection and Technology Connectivity: A Systematic Review of Available Telehealth Survey Instruments.

ABSTRACT: CONTEXT:The current upsurge in telehealth use in palliative and hospice care warrants consideration of patient, family caregiver, and interdisciplinary palliative perspectives on telehealth modality and communication experiences. Currently, telehealth experiences and encounters are being described but not yet extensively evaluated by palliative care teams. OBJECTIVES:To locate survey instruments available to assess telehealth interactions, to determine the content and constructs covered by the available instruments, and to describe the patient populations previously surveyed by the existing instruments. METHODS:This study and its reporting followed PRISMA guidelines with the protocol registered in PROSPERO. Three databases were searched with over 3,100 articles analyzed for use of a telehealth survey instrument. RESULTS:Twelve telehealth communication assessment instruments were identified with mean length 20 questions, primarily Likert-scale responses with one inclusive of free-text and one qualitative inquiry survey. Three inquired only into modality, four queried communication, and five studied both modality and communication experience. Existing telehealth survey instruments are uni-directional in exploring patient or family experience with two inclusive of provider perspectives. Participant demographics are notably under-reported in telehealth experience studies with a frank lack of diversity in ethnic/racial, geographic, age, educational, and income representativeness in current telehealth survey instrument respondents. CONCLUSION:Palliative care teams may consider familiarity with telehealth survey instrument as an essential component to progress from description of telehealth use to evaluation of telehealth encounters. Current survey instrument outcome reports do not represent inclusivity or diversity, although telehealth is now being clinically applied across settings.

SUBMITTER: Weaver MS

PROVIDER: S-EPMC7556265 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Human Connection and Technology Connectivity: A Systematic Review of Available Telehealth Survey Instruments.

Weaver Meaghann S MS Lukowski Joe J Wichman Brittany B Navaneethan Hema H Fisher Alfred L AL Neumann Marie L ML

Journal of pain and symptom management 20201014 5

<h4>Context</h4>The current upsurge in telehealth use in palliative and hospice care warrants consideration of patient, family caregiver, and interdisciplinary palliative perspectives on telehealth modality and communication experiences. Currently, telehealth experiences and encounters are being described but not yet extensively evaluated by palliative care teams.<h4>Objectives</h4>To locate survey instruments available to assess telehealth interactions, to determine the content and constructs c ...[more]

PMID: 33068709

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Project description:BackgroundOlder adults present a variety of oral diseases and conditions, in addition to co-morbidities and limited access to dental care, which significantly impact their oral health-related quality of life (OHRQoL). There are many instruments published to measure OHRQoL. However, it is challenging for clinicians and researchers to choose the best instrument for a given purpose.PurposeTo identify OHRQoL instruments available for older adults and summarize the evidence on the conceptual and measurement model, psychometric properties, interpretability, and administration issues of OHRQoL instruments available for older adults through a systematic review.MethodsA systematic search was conducted in MEDLINE, EMBASE, LILACS, and CENTRAL up to February 2023. Articles reporting information on the concept model measurement, psychometric properties, and administration issues of an instrument measuring OHRQoL in older adults were included. Two researchers independently evaluated each instrument using the Evaluating Measures of Patient-Reported Outcomes (EMPRO) tool. The overall score and seven attribute-specific scores were calculated (range 0-100): Conceptual and measurement model, Reliability, Validity, Responsiveness, Interpretability, Burden, and Alternative forms.ResultsWe identified 14 instruments evaluated in 97 articles. The overall score varied between 73.7 and 8.9, with only six questionnaires over the threshold score 50.0. EORTC QLQ OH-15 (cancer-specific questionnaire) achieved the highest score (73.7), followed by OHIP (generic OHRQoL questionnaire) (66.9), GOHAI (generic OHRQoL questionnaire) (65.5), and OHIDL (generic OHRQoL questionnaire) (65.2). Overall, the Conceptual and measurement model and Validity showed the best performance, while Responsiveness and Interpretability showed the worst. Insufficient information was presented for an overall evaluation of DSQ and OHAI.ConclusionThe evidence supports using EORTC QLQ-OH15 as a specific instrument to assess OHRQoL in cancer patients and the OHIP-49, GOHAI, or OHIDL as generic instruments to assess OHRQoL either for cross-sectional or longitudinal studies in older adults.

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Human Connection and Technology Connectivity: A Systematic Review of Available Telehealth Survey Instruments.

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Human Connection and Technology Connectivity: A Systematic Review of Available Telehealth Survey Instruments.

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