scholarly journals Technology-Enhanced Consultations in Diabetes, Cancer, and Heart Failure: Protocol for the Qualitative Analysis of Remote Consultations (QuARC) Project

10.2196/10913 ◽  
2018 ◽  
Vol 7 (7) ◽  
pp. e10913 ◽  
Author(s):  
Sara E Shaw ◽  
Deborah Cameron ◽  
Joseph Wherton ◽  
Lucas M Seuren ◽  
Shanti Vijayaraghavan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Qualitative Analysis ◽  
Remote Consultations

scholarly journals Technology-Enhanced Consultations in Diabetes, Cancer, and Heart Failure: Protocol for the Qualitative Analysis of Remote Consultations (QuARC) Project (Preprint)

2018 ◽  
Author(s):  
Sara E Shaw ◽  
Deborah Cameron ◽  
Joseph Wherton ◽  
Lucas M Seuren ◽  
Shanti Vijayaraghavan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Qualitative Analysis ◽  
Communication Strategies ◽  
Junior Doctors ◽  
Policy Makers ◽  
Face To Face ◽  
Close Analysis ◽  
Remote Consultations ◽  
Roll Out

BACKGROUND Remote videoconsulting is promoted by policy makers as a way of delivering health care efficiently to an aging population with rising rates of chronic illness. As a radically new service model, it brings operational and interactional challenges in using digital technologies. In-depth research on this dynamic is needed before remote consultations are introduced more widely. OBJECTIVE The objective of this study will be to identify and analyze the communication strategies through which remote consultations are accomplished and to guide patients and clinicians to improve the communicative quality of remote consultations. METHODS In previous research, we collected and analyzed two separate datasets of remote consultations in a National Institute for Health Research–funded study of clinics in East London using Skype and a Wellcome Trust–funded study of specialist community heart failure teams in Oxford using Skype or FaceTime. The Qualitative Analysis of Remote Consultations (QuARC) study will combine datasets and undertake detailed interactional microanalysis of up to 40 remote consultations undertaken by senior and junior doctors and nurse specialists, including consultations with adults with diabetes, women who have diabetes during pregnancy, people consulting for postoperative cancer surgery and community-based patients having routine heart failure reviews along with up to 25 comparable face-to-face consultations. Drawing on established techniques (eg, conversation analysis), analysis will examine the contextual features in remote consultations (eg, restricted visual field) combined with close analysis of different modes of communication (eg, speech, gesture, and gaze). RESULTS Our findings will address the current gap in knowledge about how technology shapes the fine detail of communication in remote consultations. Alongside academic outputs, findings will inform the coproduction of information and guidance about communication strategies to support successful remote consultations. CONCLUSIONS Identifying the communication strategies through which remote consultations are accomplished and producing guidance for patients and clinicians about how to use this kind of technology successfully in consultations is an important and timely goal because roll out of remote consultations is planned across the National Health Service. REGISTERED REPORT IDENTIFIER RR1-10.2196/10913

scholarly journals Usability Testing of a Sensor-Controlled Digital Game to Engage Older Adults with Heart Failure in Physical Activity and Weight Monitoring

2020 ◽  
Vol 11 (05) ◽  
pp. 873-881
Author(s):  
Kavita Radhakrishnan ◽  
Christine Julien ◽  
Matthew O'Hair ◽  
Thomas Baranowski ◽  
Grace Lee ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Qualitative Analysis ◽  
Self Management ◽  
Future Research ◽  
Game Playing ◽  
Semistructured Interview ◽  
Digital Game ◽  
Weight Monitoring ◽  
Behavior Tracking

Abstract Background Poor self-management of heart failure (HF) has contributed to poor health outcomes. Sensor-controlled digital games (SCDGs) integrates data from behavior-tracking sensors to trigger progress, rewards, content, and positive feedback in a digital game to motivate real-time behaviors. Objectives To assess the usability of an SCDG prototype over a week of game-playing among 10 older adults with HF in their homes. Methods During initial play, participants' SCDG experiences were observed in their homes using a checklist based on the seven-item Serious Game User Evaluator (SeGUE) instrument. After a week of game-playing, participants completed a survey guided by the Intrinsic Motivation Inventory, to provide their perceptions of the SCDG's usability. Qualitative analysis via semistructured interview-derived themes on experiences playing the SCDG, perceptions regarding engaging with the SCDG, and any usability issues encountered. Results Ten HF participants (50% women and 50% White) played the SCDG for an average of 6 out of 7 days. Nine found the SCDG to be interesting, satisfying, and easy to play. The average step count over a week was 4,117 steps (range: 967–9,892). Average adherence with weight monitoring was 5.9 days in a week. Qualitative analysis yielded outcomes regarding attitudes toward SCDG, and barriers and facilitators that influenced participants' engagement with the SCDG. Conclusion To the best of the authors' knowledge, this usability and feasibility study is the first to report an SCDG designed to improve HF self-management behaviors of older adults in their homes. Future research should consider several issues, such as user profiles, prior game-playing experiences, and network conditions most suitable for connected health interventions for older adults living in the community.

Longitudinal family caregiving experiences in heart failure: Secondary qualitative analysis of interviews

Heart & Lung ◽  
2021 ◽  
Vol 50 (5) ◽  
pp. 627-633
Author(s):  
Soyoung Choi ◽  
Lisa Kitko ◽  
Judith Hupcey ◽  
Barbara Birriel
Keyword(s):  
Heart Failure ◽  
Qualitative Analysis ◽  
Family Caregiving

Qualitative analysis of the male experience of heart failure

Heart & Lung ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 227-234 ◽  
Author(s):  
Eeva Europe ◽  
Raija Tyni-Lenné
Keyword(s):  
Heart Failure ◽  
Qualitative Analysis ◽  
Male Experience

scholarly journals “It Is Like Heart Failure. It Is Chronic … and It Will Kill You”: A Qualitative Analysis of Burnout Among Hospice and Palliative Care Clinicians

2017 ◽  
Vol 53 (5) ◽  
pp. 901-910.e1 ◽  
Author(s):  
Dio Kavalieratos ◽  
Daniel E. Siconolfi ◽  
Karen E. Steinhauser ◽  
Janet Bull ◽  
Robert M. Arnold ◽  
...  
Keyword(s):  
Heart Failure ◽  
Palliative Care ◽  
Qualitative Analysis ◽  
Hospice And Palliative Care

scholarly journals 'Can I come off the tablets now?' A qualitative analysis of heart failure patients' understanding of their medication

2006 ◽  
Vol 23 (6) ◽  
pp. 624-630 ◽  
Author(s):  
K. Field ◽  
S. Ziebland ◽  
A. McPherson ◽  
R. Lehman
Keyword(s):  
Heart Failure ◽  
Qualitative Analysis ◽  
Heart Failure Patients
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