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A Formative Mixed-Methods Study of Emotional Responsiveness in Telepalliative Care
Rebecca N Hutchinson1,2,3, Eric C Anderson1,2, Mollie A Ruben4
1Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, Maine, USA.
Journal of Palliative Medicine
|April 13, 2022
Summary
Telemedicine palliative care (tele-PC) effectively supports emotional patient-clinician interactions. This study found tele-PC acceptable and feasible, with clinicians responding to nearly all patient emotional expressions.
Area of Science:
- Palliative Care
- Telemedicine
- Health Services Research
Background:
- The emotional responsiveness of telemedicine-delivered palliative care (tele-PC) is not well understood.
- Palliative care aims to improve quality of life for patients with serious illnesses.
Purpose of the Study:
- To explore the acceptability, feasibility, and emotional responsiveness of tele-PC.
- To assess patient and clinician experiences with tele-PC.
Main Methods:
- A mixed-methods formative study was conducted at two academic medical centers.
- Clinician emotional responsiveness was assessed via questionnaires, interviews, and video coding.
- 11 tele-PC consultations were completed with patients (mean age 71) facing significant health and financial challenges.
Main Results:
- All patients rated tele-PC as equal to or better than in-person palliative care for emotional support.
- Clinicians detected and responded to 98% of 114 observed patient emotional expressions.
- A trend towards increased positive and decreased negative emotions post-consultation was observed.
Conclusions:
- Telemedicine-delivered palliative care demonstrates potential to support emotionally responsive patient-clinician interactions.
- A mixed-methods approach provides valuable, complementary insights into tele-PC effectiveness.
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