The Provider’s Experience of Delivering an Education-based Wellness Program via Telehealth
Provider acceptance is a first step to implementing a successful telehealth program. This pilot study examined the experience of six providers delivering an education-based wellness program in a telehealth format. Providers indicated an overall positive experience with high Telehealth Usability Questionnaire (TUQ) total scores (5.6 ± 1.1) and in their comments. High TUQ subscale scores for Usefulness (6.7 ± 0.4) and Ease of Use (5.3 ± 0.3) indicated providers found the telehealth system usable. Strong relationship bonds that developed offset the reported drawback of technical issues related to connectivity and audio. Providers with a wide range of computer experience all reported synchronous remote training via phone and videoconference meetings was adequate to prepare them to deliver classes via telehealth. This research indicates motivated providers with varying technology experience can have a positive telehealth experience with customized remote support.
American Occupational Therapy Association. (2013). Telehealth: American Occupational Therapy Association Position Paper. American Journal of Occupational Therapy, 67, S69- S90.
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759-769. https://doi.org/10.1377/hlthaff.27.3.759
Boise, L., Congleton, L., & Shannon, K. (2005). Empowering family caregivers: The powerful tools for caregiving program. Educational Gerontology, 31, 573-586. https://doi.org/10.1080/03601270590962523
Brandon. A. R., Song, L., Deal, A. M., Gelling, M., Sherwood, E., Bloom, D., … Rosenstein, D. L. (2015). Using telehealth to train providers of a cancer support intervention. Telemedicine and e-Health, 21(10), 793-800. https://doi.org/10.1089/tmj.2014.0208
Burton, L. C., Zdaniuk, B., Schulz, R., Jackson, S., & Hirsch, C. (2003). Transitions in spousal caregiving. Gerontologist, 43, 230-241. https://doi.org/10.1093/geront/43.2.230
Carlisle, K., & Warren, R. (2013). A qualitative case study of telehealth for in-home monitoring to support the management of type 2 diabetes. Journal of Telemedicine and Telecare, 19, 372-375. https://doi.org/10.1177/1357633X13506512
Centers for Medicare & Medicaid Services. (2018, April 17). National Health Expenditure Fact Sheet. Retrieved from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html
Cohn, E. R., Brannon, J. A., & Cason, J. (2011). Resolving barriers to licensure portability for telerehabilitation professionals. International Journal of Telerehabilitation, 3(2), 31-33. https://doi.org/10.5195/IJT.2011.6078
Collier, A., Morgan, D. D., Swetenham, K., To, T. H. M., Currow, D., & Tieman, J. J. (2016). Implementation of a pilot telehealth programme in community palliative care: A qualitative study of clinicians’ perspectives. Palliative Medicine, 30, 409-417. https://doi.org.10.1177/0269216315600113
Dickman, S. L., Himmelstein, D. U., & Woolhandler, S. (2017). Inequality and the health-care system in the USA. Lancet, 389, 1431-1441. https://doi.org/10.1016/S0140-6736(17)30398-7
Holland, D. E., Vanderboom, C. E., Ingram, C. J., Dose, A. M., Borkenhagen, L. S., Skadahl, P., … Bowles, K. H. (2014). The feasibility of using technology to enhance the transition of palliative care for rural patients. Computers, Informatics, Nursing, 32, 257-266. https://doi.org/10.1097/CIN.0000000000000066
Levy, S., & Neil, S. (2013). Child and adolescent mental health service providers’ perceptions of using telehealth. Mental Health Practice, 17(1), 28-32.
Mahoney, D. F., Tarlow, B., Jones, R. N., Tennstedt, S., & Kasten, L. (2001). Factors affecting the use of a telephone-based intervention for caregivers of people with Alzheimer's disease. Journal of Telemedicine and Telecare, 7, 139-148. https://doi.org/10.5195/ijt.2017.6214
Mair, F. S., Goldstein, P., May, C., Angus, R., Shiels, C., Hibbert, D… Capewell, S. (2005). Patient and provider perspectives on home telecare: Preliminary results from a randomized controlled trial. Journal of Telemedicine and Telecare, 11(1), 95-97. https://doi.org/10.1258/1357633054461976
National Alliance for Caregiving, & AARP Public Policy Institute. (2015, June). Executive summary: Caregiving in the U.S. Retrieved from http://www.caregiving.org/wp-content/uploads/2015/05/2015_CaregivingintheUS_Executive-Summary-June-4_WEB.pdf
Odeh, B., Kayyali, R., Nabhani-Gebara, S., & Philip, N. (2014). Implementing a telehealth service: Nurses’ perceptions and experiences. British Journal of Nursing, 23(21), 1133-1137. https://doi.org/10.12968/bjon.2014.23.21.1133
Parmanto, B., Lewis, A. N., Graham, K. M., & Bertolet, M. H. (2016). Development of the telehealth usability questionnaire (TUQ). International Journal of Telerehabilitation, 8(1), 3- 10. https://doi.org/10.5195/ijt.2016.6196
Radhakrishnan, K., Xie, B., & Jacelon, C. (2016). Unsustainable home telehealth: A Texas qualitative study. Gerontologist, 56, 830-840. https://doi.org/10.1093/geront/gnv050
Reinhard, S. C., Feinberg, L. F., Choula, R. & Houser, A. (2015). Valuing the invaluable: 2015 update, undeniable progress, but big gaps remain (AARP Public Policy Institute Report). Retrieved from http://www.aarp.org/content/dam/aarp/ppi/2015/valuing-the-invaluable-2015-update-new.pdf
Segar, J., Rogers, A., Salisbury, C., & Thomas, C. (2013). Roles and identities in transition: Boundaries of work and inter-professional relationships at the interface between telehealth and primary care. Health and Social Care in the Community, 21, 606-613. https://doi.org/10.1111/hsc.12047
Serwe, K. M., Hersch, G. I., & Pancheri, K. (2017). Feasibility of using telehealth to deliver the “Powerful Tools for Caregivers” program. International Journal of Telerehabilitation, 9(1), 15-22. https://doi.org/10.5195/ijt.2017.6214
Shulver, W., Killington, M., & Crotty, M. (2016). ‘Massive potential’ or ‘safety risk’? Health worker views on telehealth in the care of older people and implications for successful normalization. BMC Medical Informatics and Decision Making, 16(131), 1-15. https://doi.org/10.1186/s12911-016-0373-5
Sinclair, C., Holloway, K., Riley, G., & Auret, K. (2013). Online mental health resources in rural Australia: Clinician perceptions of acceptability. Journal of Medical Internet Research, 15(9), e193, 1-5. https://doi.org/10.2196/jmir.2772
Wade, V. A., Eliott, J. A., & Hiller, J. E. (2014). Clinician acceptance is the key factor for sustainable telehealth services. Qualitative Health Research, 24(5), 682-694. https://doi.org/10.1177/1049732314528809
Copyright (c) 2018 Katrina Michele Serwe
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.