Utility, barriers and facilitators to the use of connected health to support families impacted by paediatric cancer: a qualitative analysis.
Attitude
Connected health
Families
Paediatric cancer
eHealth
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
19
10
2021
accepted:
19
04
2022
pubmed:
7
5
2022
medline:
24
6
2022
entrez:
6
5
2022
Statut:
ppublish
Résumé
As healthcare systems are increasingly burdened, the efficiencies and cost savings offered by connected health (CH, i.e. two-way communicative healthcare technologies such as eHealth or mHealth) present an attractive solution for supporting families impacted by cancer. More research is required, however, to examine attitudes towards CH to better facilitate its use in practice. This study seeks to examine the utility, barriers and facilitators of CH use for families affected by paediatric cancer living in Ireland. Healthcare professionals (n = 5) and parents of children with cancer (n = 7) completed semi-structured interviews on their experiences of and attitudes to CH via Microsoft Teams. A reflexive thematic approach to analysis was employed. CH was perceived to provide support for a number of current needs with themes of 'shifting responsibilities', 'individualisation of care' and 'knowledge as power'. Through facilitating communication, information sharing and monitoring of child health, CH was perceived to support decreased parental burden and increased parental control, with positive child outcomes thought likely. Perceived barriers and facilitators to the use of CH included the 'importance of trust', 'pace of change' and 'access'. While results suggest an acceptance of CH across key stakeholders, barriers and facilitators should be considered to support effective implementation. While further analysis of the efficacy of CH to support families impacted by paediatric cancer is needed, these findings highlight key areas where CH may be effectively employed.
Identifiants
pubmed: 35524147
doi: 10.1007/s00520-022-07077-4
pii: 10.1007/s00520-022-07077-4
pmc: PMC9075925
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6755-6766Informations de copyright
© 2022. The Author(s).
Références
Ellison LF, Xie L, Sung L (2021) Trends in paediatric cancer survival in Canada, 1992 to 2017. Heal Rep 32:3–16
Wootton R, Youngberry K, Swinfen P, Swinfen R (2004) Prospective case review of a global e-health system for doctors in developing countries. In: Journal of Telemedicine and Telecare. J Telemed Telecare, pp 94–96
Gerrits O (2019) The future of healthcare has arrived: who dares take up the challenge? Neth Hear J 27:3–4
doi: 10.1007/s12471-018-1204-3
Barr PJ, Brady SC, Hughes CM, McElnay JC (2014) Public knowledge and perceptions of connected health. J Eval Clin Pract 20:246–254. https://doi.org/10.1111/jep.12118
doi: 10.1111/jep.12118
pubmed: 24661432
Iglehart JK (2014) Connected health: Emerging disruptive technologies. Health Aff 33:190
doi: 10.1377/hlthaff.2014.0042
Taylor K (2010) Connected health: how digital technology is transforming health and social care. Deloitte Centre for Healthcare Solutions, London
Madrigal L, Escoffery C (2019) Electronic health behaviors among US adults with chronic disease: Cross-sectional survey. J Med Internet Res 21:e11240. https://doi.org/10.2196/11240
doi: 10.2196/11240
pubmed: 30835242
pmcid: 6423466
Jungwirth D, Haluza D (2019) Information and communication technology and the future of healthcare: Results of a multi-scenario Delphi survey. Health Informatics J 25:161–173. https://doi.org/10.1177/1460458217704256
doi: 10.1177/1460458217704256
pubmed: 28438103
Hah H, Goldin D, Ha S (2019) The association between willingness of frontline care providers’ to adaptively use telehealth technology and virtual service performance in provider-to-provider communication: Quantitative study. J Med Internet Res 21:e15087. https://doi.org/10.2196/15087
doi: 10.2196/15087
pubmed: 31469078
pmcid: 6740163
Wicks P, Stamford J, Grootenhuis MA et al (2014) Innovations in e-health. Qual Life Res 23:195–203
doi: 10.1007/s11136-013-0458-x
Demiris G (2006) Home-based disease management. Home TeleHealth: Connecting Care within the Community. The Royal Society of Medicine Press Limited, London
Newman K, Wang AH, Wang AZY, Hanna D (2019) The role of internet-based digital tools in reducing social isolation and addressing support needs among informal caregivers: A scoping review. BMC Public Health 19:1–12. https://doi.org/10.1186/s12889-019-7837-3
doi: 10.1186/s12889-019-7837-3
Chi NC, Demiris G (2015) A systematic review of telehealth tools and interventions to support family caregivers. J Telemed Telecare 21:37–44. https://doi.org/10.1177/1357633X14562734
doi: 10.1177/1357633X14562734
pubmed: 25475220
Bergmo TS, Wangberg SC, Schopf TR, Solvoll T (2009) Web-based consultations for parents of children with atopic dermatitis: Results of a randomized controlled trial. Acta Paediatr Int J Paediatr 98:316–320. https://doi.org/10.1111/j.1651-2227.2008.01033.x
doi: 10.1111/j.1651-2227.2008.01033.x
Heynsbergh N, Botti M, Heckel L, Livingston PM (2019) Caring for the person with cancer and the role of digital technology in supporting carers. Support Care Cancer 27:2203–2209. https://doi.org/10.1007/s00520-018-4503-8
doi: 10.1007/s00520-018-4503-8
pubmed: 30310987
Hashemi M, Irajpour A, Taleghani F (2018) Caregivers needing care: the unmet needs of the family caregivers of end-of-life cancer patients. Support Care Cancer 26:759–766. https://doi.org/10.1007/s00520-017-3886-2
doi: 10.1007/s00520-017-3886-2
pubmed: 28952034
Mohammadzadeh N, Safdari R (2014) Patient monitoring in mobile health: opportunities and challenges. Med Arh 68:57–60
doi: 10.5455/medarh.2014.68.57-60
JG A, (2007) Social, ethical and legal barriers to e-health. Int J Med Inform 76:480–483. https://doi.org/10.1016/J.IJMEDINF.2006.09.016
doi: 10.1016/J.IJMEDINF.2006.09.016
Delemere E, Maguire R (2020) The role of Connected Health technologies in supporting families affected by paediatric cancer: a systematic review. Psychooncology pon.5542. https://doi.org/10.1002/pon.5542
Van Der Kleij RMJJ, Kasteleyn MJ, Meijer E et al (2019) SERIES: eHealth in primary care. Part 1: Concepts, conditions and challenges. Eur J Gen Pract 25:179–189. https://doi.org/10.1080/13814788.2019.1658190
doi: 10.1080/13814788.2019.1658190
pubmed: 31597502
pmcid: 6853224
Maria WJ, Sande R van der, Beijer LJ et al (2019) eHealth Apps Replacing or Complementing Health Care Contacts: Scoping Review on Adverse Effects. J Med Internet Res 21(3): e10736. https://.www.jmir.org/2019/3/e10736 21:e10736. https://doi.org/10.2196/10736
Hennemann S, Beutel ME, Zwerenz R (2017) Ready for eHealth? Health Professionals’ Acceptance and Adoption of eHealth Interventions in Inpatient Routine Care. J Health Commun 22:274–284. https://doi.org/10.1080/10810730.2017.1284286
doi: 10.1080/10810730.2017.1284286
pubmed: 28248626
Christensen H, Mackinnon A (2006) The law of attrition revisited [3]. J Med Internet Res 8
Pratap A, Neto EC, Snyder P et al (2020) Indicators of retention in remote digital health studies: a cross-study evaluation of 100,000 participants. Digit Med 3:1–10. https://doi.org/10.1038/s41746-020-0224-8
doi: 10.1038/s41746-020-0224-8
Canter KS, Vega G, Ramirez AP et al (2020) Strategies for Successful Recruitment and Retention of Parents in Pediatric Psychosocial eHealth Interventions: A Qualitative Study in Pediatric Oncology. J Pediatr Psychol 45:530–539. https://doi.org/10.1093/jpepsy/jsaa013
doi: 10.1093/jpepsy/jsaa013
pubmed: 32196090
pmcid: 7234089
Eichenberg C, Wolters C, Brähler E (2013) The Internet as a Mental Health Advisor in Germany—Results of a National Survey. PLoS ONE 8:e79206. https://doi.org/10.1371/journal.pone.0079206
doi: 10.1371/journal.pone.0079206
pubmed: 24278121
pmcid: 3836792
Gun SY, Titov N, Andrews G (2011) Acceptability of internet treatment of anxiety and depression. Australas Psychiatry 19:259–264. https://doi.org/10.3109/10398562.2011.562295
doi: 10.3109/10398562.2011.562295
pubmed: 21682626
Donovan CL, Poole C, Boyes N et al (2015) Australian mental health worker attitudes towards cCBT: What is the role of knowledge? Are there differences? Can we change them? Internet Interv 2:372–381. https://doi.org/10.1016/j.invent.2015.09.001
doi: 10.1016/j.invent.2015.09.001
Li J, Talaei-Khoei A, Seale H et al (2013) Health care provider adoption of eHealth: systematic literature review. Interact J Med Res 2:e7. https://doi.org/10.2196/ijmr.2468
doi: 10.2196/ijmr.2468
pubmed: 23608679
pmcid: 3628149
Sinclair C, Holloway K, Am GR, Auret K (2013) Online mental health resources in rural australia: clinician perceptions of acceptability. J Med Internet Res 15. https://doi.org/10.2196/jmir.2772
quarterly FD-M, 1989 undefined Perceived usefulness, perceived ease of use, and user acceptance of information technology. JSTOR
Mohr DC, Burns MN, Schueller SM et al (2013) Behavioral Intervention Technologies: evidence review and recommendations for future research in mental health. Gen Hosp Psychiatry 35:332–338. https://doi.org/10.1016/j.genhosppsych.2013.03.008
doi: 10.1016/j.genhosppsych.2013.03.008
pubmed: 23664503
King WR, He J (2006) A meta-analysis of the technology acceptance model. Inf Manag 43:740–755. https://doi.org/10.1016/J.IM.2006.05.003
doi: 10.1016/J.IM.2006.05.003
Kalantari M, Rauschnabel P (2018) Exploring the Early Adopters of Augmented Reality Smart Glasses: The Case of Microsoft HoloLens. 229–245. https://doi.org/10.1007/978-3-319-64027-3_16
Dehghani M, Kim K, Informatics RD-T, and, (2018) undefined Will smartwatches last? Factors contributing to intention to keep using smart wearable technology. Elsevier
Holden RJ, Karsh BT (2010) The Technology Acceptance Model: Its past and its future in health care. J Biomed Inform 43:159–172. https://doi.org/10.1016/J.JBI.2009.07.002
doi: 10.1016/J.JBI.2009.07.002
pubmed: 19615467
Venkatesh V, Davis FD (2000) Theoretical extension of the Technology Acceptance Model: four longitudinal field studies. Manage Sci 46:186–204. https://doi.org/10.1287/MNSC.46.2.186.11926
doi: 10.1287/MNSC.46.2.186.11926
Huarng KH, Yu THK, Lee CF (2022) Adoption model of healthcare wearable devices. Technol Forecast Soc Chang 174:121286. https://doi.org/10.1016/J.TECHFORE.2021.121286
doi: 10.1016/J.TECHFORE.2021.121286
National Cancer Registry Ireland (2017) Cancer Trends Childhood cancer. https://www.ncri.ie/sites/ncri/files/pubs/Childhood Cancer Trends Report February 2017 Final.pdf. Accessed 9 Aug 2021
HSE (2013) eHealth Strategy for Ireland
Gray DE (2013) Doing research in the real world, 3rd ed. SAGE Publications
Braun V, Clarke V, Hayfield N, Terry G (2019) Thematic analysis. Handb Res Methods Heal Soc Sci 843–860. https://doi.org/10.1007/978-981-10-5251-4_103
Braun V, Clarke V (2019) To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. 13:201–216. https://doi.org/10.1080/2159676X.2019.1704846
Braun V, Clarke V (2013) Successful Qualitative Research: Student Resources. 1–2
Declaration of Helsinki (1975) Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects – WMA – The World Medical Association. WMA Declar. Helsinki – Ethical Princ. Med. Res. Involv. Hum. Subj.
Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101. https://doi.org/10.1191/1478088706qp063oa
doi: 10.1191/1478088706qp063oa
Mero-Jaffe I (2011) ‘Is that what I Said?’ Interview Transcript Approval by Participants: An Aspect of Ethics in Qualitative Research. 10:231–247. https://doi.org/10.1177/160940691101000304
Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Heal Care 19:349–357. https://doi.org/10.1093/intqhc/mzm042
doi: 10.1093/intqhc/mzm042
Vaismoradi M, Turunen H, Bondas T (2013) Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nurs Health Sci 15:398–405. https://doi.org/10.1111/NHS.12048
doi: 10.1111/NHS.12048
pubmed: 23480423
Sin J, Henderson C, Spain D et al (2018) eHealth interventions for family carers of people with long term illness: A promising approach? Clin Psychol Rev 60:109–125
doi: 10.1016/j.cpr.2018.01.008
Gallagher C (2021) Data of 520 patients published online, HSE confirms. In: The Irish Times. https://www.irishtimes.com/news/crime-and-law/hse-confirms-data-of-520-patients-published-online-1.4578136 . Accessed 28 Aug 2021
Karampela M, Ouhbi S, Isomursu M (2019) Connected health user willingness to share personal health data: Questionnaire study. J Med Internet Res 21:e14537. https://doi.org/10.2196/14537
doi: 10.2196/14537
pubmed: 31774410
pmcid: 6906622
Signorelli GR, Lehocki F, Fernández MM et al (2019) A research roadmap: Connected health as an enabler of cancer patient support. J Med Internet Res 21
The European Parliament (1995) Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995 on the protection of individuals with regard to the processing of personal data and on the free movement of such data. Off J Eur Communities 31–50
Kailas A (2011) A generic conceptual model linking wellness, health lifestyles, and user assistance. In: 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services, HEALTHCOM 2011. pp 266–269
Lleras de Frutos M, Casellas-Grau A, Sumalla EC et al (2020) A systematic and comprehensive review of internet use in cancer patients: Psychological factors. Psychooncology 29:6–16
doi: 10.1002/pon.5194
Chou WYS, Gaysynsky A, Cappella JN (2020) Where we go from here: Health misinformation on social media. Am J Public Health 110:S273–S275
doi: 10.2105/AJPH.2020.305905
Caruso Brown AE (2021) Social Media in the Pediatric Hematology/Oncology Clinical Space. J Pediatr Hematol Oncol 43:E37–E44. https://doi.org/10.1097/MPH.0000000000001840
doi: 10.1097/MPH.0000000000001840
pubmed: 32459719
Firouzi F, Farahani B, Daneshmand M et al (2021) Harnessing the Power of Smart and Connected Health to Tackle COVID-19: IoT, AI, Robotics, and Blockchain for a Better World. IEEE Internet Things J 8:12826–12846. https://doi.org/10.1109/JIOT.2021.3073904
doi: 10.1109/JIOT.2021.3073904
Psihogios AM, Stiles-Shields C, Neary M (2020) The Needle in the Haystack: Identifying Credible Mobile Health Apps for Pediatric Populations during a Pandemic and beyond. J Pediatr Psychol 45:1106–1113. https://doi.org/10.1093/jpepsy/jsaa094
doi: 10.1093/jpepsy/jsaa094
pubmed: 33068424
Lang M, Annemarie M, Lang M, Melia A (2009) Title the implementation of electronic healthcare records within the Irish health service: an analysis of user attitudes the implementation of electronic healthcare records within the Irish health service: an analysis of user attitudes
World Health Organization (2016) Global diffusion of eHealth: Making universal health coverage achievable. WHO Document Production Services