Development of an Intentional Telehealth Viewing Guide for Home-Based Patient Assessment

Area of Science:

• Healthcare Technology
• Nursing Informatics
• Telehealth Research

Background:

• Telehealth expands healthcare access and enables holistic patient assessments.
• Videoconferencing limitations in telehealth reduce environmental cue detection.
• The Novice to Expert Theory supports structured guidance for skill acquisition in telehealth.

Purpose of the Study:

• To advance the development of a Comprehensive Patient Assessment using Telehealth in the Home (CPATH) framework.
• To guide healthcare providers in intentional televideo assessment techniques.
• To enhance individualized care through structured telehealth home visits.

Main Methods:

• A quantitative content validity approach was employed.
• Seven expert home health providers rated items within domains on a 1-5 agreement scale.
• Statistical significance (p < 0.05) required agreement from more than five experts.

Main Results:

• Out of 15 initial items, 8 achieved significant expert agreement.
• Key validated items include breathing, nonverbal cues, positioning, oxygen, safety, and medication details.
• New items were added within Patient Characteristics, Treatment/Equipment, Medications, and Environmental Quality domains.

Conclusions:

• The developed framework guides intentional telehealth home-based assessments.
• Domains identified areas for existing and new assessment items.
• This intentional guide framework supports individualized telehealth home visits.