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      Exploring cancer patients’, caregivers’, and clinicians’ utilisation and experiences of telehealth services during COVID-19: A qualitative study

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          Abstract

          Objectives

          The COVID-19 pandemic has significantly impacted oncology. With pandemic restrictions limiting close contact between individuals, telehealth (the use of teleconferencing/videoconferencing to conduct real-time medical consultations) has been increasingly utilised. This qualitative study aimed to explore adult cancer patient, caregiver, and clinician (doctor, nurse, allied health) telehealth experiences during COVID-19 in urban and rural Australian settings and identify potential enablers and barriers to sustained telehealth implementation.

          Methods

          English-speaking participants completed semi-structured interviews regarding their telehealth experiences since March 2020. Interviews ceased when data saturation occurred. Iterative thematic analysis was conducted using NVivo 12 Pro.

          Results

          Thirty-four interviews (clinician=14, patient=13, caregiver=7) were conducted from April to August 2021. Analysis generated seven themes relating to telehealth use: 1) Acceptability as a form of consultation, 2) Impacts on healthcare provision, 3) Communication & relationships, 4) Efficient form of consultation, 5) Comfort of conducting telehealth in different environments, 6) Technological barriers and 7) Future preferences.

          Conclusions

          The rapid uptake of telehealth during the pandemic has mostly been well-received, and telehealth can be appropriately used in oncology.

          Practice implications

          Barriers including providing appropriate facilities, technology, and telehealth training; and selecting appropriate patients must be addressed to enable sustained telehealth use in future cancer care.

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          Most cited references49

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          Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries

          Ahmedin Jemal, Lindsey A Torre, Rebecca Siegel … (2018)
          This article provides a status report on the global burden of cancer worldwide using the GLOBOCAN 2018 estimates of cancer incidence and mortality produced by the International Agency for Research on Cancer, with a focus on geographic variability across 20 world regions. There will be an estimated 18.1 million new cancer cases (17.0 million excluding nonmelanoma skin cancer) and 9.6 million cancer deaths (9.5 million excluding nonmelanoma skin cancer) in 2018. In both sexes combined, lung cancer is the most commonly diagnosed cancer (11.6% of the total cases) and the leading cause of cancer death (18.4% of the total cancer deaths), closely followed by female breast cancer (11.6%), prostate cancer (7.1%), and colorectal cancer (6.1%) for incidence and colorectal cancer (9.2%), stomach cancer (8.2%), and liver cancer (8.2%) for mortality. Lung cancer is the most frequent cancer and the leading cause of cancer death among males, followed by prostate and colorectal cancer (for incidence) and liver and stomach cancer (for mortality). Among females, breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death, followed by colorectal and lung cancer (for incidence), and vice versa (for mortality); cervical cancer ranks fourth for both incidence and mortality. The most frequently diagnosed cancer and the leading cause of cancer death, however, substantially vary across countries and within each country depending on the degree of economic development and associated social and life style factors. It is noteworthy that high-quality cancer registry data, the basis for planning and implementing evidence-based cancer control programs, are not available in most low- and middle-income countries. The Global Initiative for Cancer Registry Development is an international partnership that supports better estimation, as well as the collection and use of local data, to prioritize and evaluate national cancer control efforts. CA: A Cancer Journal for Clinicians 2018;0:1-31. © 2018 American Cancer Society.
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            Using thematic analysis in psychology

            Virginia Braun, Victoria Clarke (2014)
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              Are We There Yet? Data Saturation in Qualitative Research

              Patricia Fusch, Lawrence Ness (2015)
              Failure to reach data saturation has an impact on the quality of the research conducted and hampers content validity. The aim of a study should include what determines when data saturation is achieved, for a small study will reach saturation more rapidly than a larger study. Data saturation is reached when there is enough information to replicate the study when the ability to obtain additional new information has been attained, and when further coding is no longer feasible. The following article critiques two qualitative studies for data saturation: Wolcott (2004) and Landau and Drori (2008). Failure to reach data saturation has a negative impact on the validity on one’s research. The intended audience is novice student researchers.
              Article 0 comments Cited 559 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Patient Educ Couns
                Journal ID (iso-abbrev): Patient Educ Couns
                Title: Patient Education and Counseling
                Publisher: Elsevier B.V.
                ISSN (Print): 0738-3991
                ISSN (Electronic): 1873-5134
                Publication date PMC-release: 6 June 2022
                Publication date (Electronic): 6 June 2022
                Affiliations
                [a ]Port Macquarie Rural Clinical School, University of New South Wales, Port Macquarie, Australia
                [b ]South West Sydney Clinical Campuses, University of New South Wales, Sydney, Australia
                [c ]Ingham Institute for Applied Medical Research, Sydney, Australia
                [d ]Wauchope District Memorial Hospital and Port Macquarie Base Hospital, Mid North Coast Local Health District, Australia
                [e ]Cancer Therapy Centre, Liverpool Hospital, South West Sydney Local Health District, Australia
                Author notes
                [* ]Correspondence to: South Western Sydney Clinical Campuses University of New South Wales, Locked Bag 7103 Liverpool BC, NSW 1871 Australia.
                Article
                Publisher Item ID: S0738-3991(22)00263-4
                DOI: 10.1016/j.pec.2022.06.001
                PMC ID: 9170274
                PubMed ID: 35688719
                SO-VID: a6a81037-4553-4d21-a968-35f351d50c83
                Copyright © © 2022 Elsevier B.V. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date received : 10 February 2022
                Date revision received : 30 May 2022
                Date accepted : 2 June 2022
                Categories
                Subject: Article

                ScienceOpen disciplines: Education
                Keywords: telehealth,cancer,qualitative,covid-19,experiences
                Data availability:
                ScienceOpen disciplines: Education
                Keywords: telehealth, cancer, qualitative, covid-19, experiences

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