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

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.