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Supporting Access to Care Through Peripheral Devices and Patient-Generated Health Data: Qualitative Study.

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Veterans using connected health devices like blood pressure monitors and scales reported improved health monitoring and easier access to care. These tools enhance virtual visits and patient-generated health data, supporting chronic disease management.

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Area of Science:

  • Digital Health
  • Telemedicine
  • Health Informatics

Background:

  • The US Department of Veterans Affairs (VA) provides video-enabled tablets and peripheral devices to patients facing access challenges.
  • Peripheral devices can enhance video visits and support patient-generated health data (PGHD).
  • Little is known about patient experiences with these devices and their impact on care access.

Purpose of the Study:

  • To explore patient experiences with VA-issued peripheral devices.
  • To assess the impact of these devices on video-based care and health monitoring outside of clinical visits.

Main Methods:

  • In-depth semistructured interviews were conducted with 25 patients who received VA-issued tablets and peripheral devices.
  • Purposive sampling ensured diversity in gender, age, race/ethnicity, and rurality.
  • Data analysis utilized rapid qualitative analysis guided by the Unified Theory of Acceptance and Use of Technology (UTAUT).

Main Results:

  • Most patients used peripheral devices (92%) and tablets (76%) for vital sign monitoring and virtual visits.
  • Key themes included ease of use, challenges with Bluetooth pairing, integration with video visits, and perceived health improvements.
  • Devices reduced barriers to in-person care, particularly for patients with mobility, visual, mental health, or transportation challenges.

Conclusions:

  • Patients perceive peripheral devices as beneficial for enhancing video-based care, improving health access, and managing chronic diseases.
  • Reported benefits include improved health, behavior changes, and enhanced communication with care teams.
  • Program enhancements should focus on device interoperability, accessible training, and expanded outreach to maximize impact.