86 research outputs found

    Telehealth Group Interactions in the Hospice Setting: Assessing Technical Quality Across Platforms

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    Objective: This study aims to examine the technical quality of videoconferencing used in hospice to engage caregivers as “virtual” members of interdisciplinary team meetings and their impressions of telehealth. Furthermore, it aims to compare the quality of plain old telephone service (POTS) and Web-based videoconferencing and provide recommendations for assessing video quality for telehealth group interactions. Materials and Methods: Data were obtained from an ongoing randomized clinical trial exploring Web-based videoconferencing and a completed prospective study of POTS-based videoconferencing in hospice. For the assessment of the technical quality, an observation form was used. Exit interviews with caregivers assessed impressions with the use of telehealth. A retrospective analysis of video-recorded team meetings was conducted rating attributes essential for the quality of videoconferencing (e.g., video artifacts, sharpness). Results: In total, 200 hospice team meetings were analyzed, including 114 video-recorded team meetings using Web-based videoconferencing and 86 meetings using POTS videophones. A direct comparison between the two modalities indicates the superiority of Web-based video in image quality but less so in audio quality. Transcripts of 19 caregiver interviews were analyzed. Caregivers found the use of videoconferencing to be a positive experience and a useful and essential tool to communicating with the hospice team. Conclusions: This study highlights the potential of telehealth to improve communication in hospice and the need for new tools that capture the quality of video-mediated communication among multiple stakeholders and strategies to improve the ongoing documentation of telehealth group sessions\u27 technical quality

    Technologies to Support End of Life Care

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    Article discussing the current level of utilization of informatics systems in hospice and palliative care and two projects that highlight the role of informatics applications for hospice informal caregivers

    Reciprocal Suffering: Caregiver Concerns During Hospice Care

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    Article on caregiver concerns during hospice care and reciprocal suffering

    What Patients and Families Don't Hear: Backstage Communication in Hospice Interdisicplinary Team Meetings

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    Article on the backstage communication in hospice interdisciplinary team meetings and what families and patients don't hear

    Use of videophones to deliver a cognitive-behavioural therapy to hospice caregivers

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    Article on the use of videophones to deliver a cognitive-behavioural therapy to hospice caregivers

    Sharing atrocity stories in hospice: A study of niceness message strategies in interdisciplinary team meetings

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    Article on sharing atrocity stories in hospice and a study of niceness message strategies in interdisciplinary team meetings

    Social Work Role in Pain Management with Hospice Caregivers: A National Survey

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    Article on a national survey of the social work role in pain management with hospice caregivers

    Problem Solving Interventions: An Opportunity for Hospice Social Workers to Better Meet Caregiver Needs

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    Article on an opportunity for hospice social workers to better meet caregiver needs and problem solving interventions

    Family Perspectives on the Hospice Experience in Adult Family Homes

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    Article on family perspectives on the hospice experience in adult family homes

    Stress Variances Among Informal Hospice Caregivers

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    Article on stress variances among informal hospice caregivers
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