TY - JOUR
T1 - A qualitative study of patients' and providers' experiences with the use of videoconferences by older adults with depression
AU - Christensen, Lone Fisker
AU - Wilson, Rhonda
AU - Hansen, Jens Peter
AU - Nielsen, Connie Thuroe
AU - Gildberg, Frederik Alkier
N1 - Funding Information:
The authors would like to acknowledge The Psychiatric Research Fund in the Region of Southern Denmark, The MasterMind Project, Helsefonden, Jascha Fonden, and Beckett Fonden for funding the study and Edwin Stanton Spencer for English review.
Publisher Copyright:
© 2020 Australian College of Mental Health Nurses Inc.
PY - 2021/4
Y1 - 2021/4
N2 - The aim of this study was to investigate the experiences of patients and providers regarding the use of videoconferences in older patients with depression. The qualitative study consisted of semi-structured interviews with patients and providers and focus group interviews with providers. Themes were identified through using thematic analysis. Three main themes were as follows: 1. Technical Challenges experienced by patients and providers experiences; 2. Videoconferencing as clinical supportive technology; and 3. Therapeutic relationship across face-to-face and videoconferencing formats. Several subthemes describing patients' and providers' experiences were identified. Taken together, there was a similarity between expectations, opinions, and attitudes in relation to experiences vertically across all main themes, and horizontally between the main themes. An optimistic outlook influenced user expectations, opinions, and attitudes and acted to mitigate an negative sentiment about technical challenges. This increased the adoption of videoconferencing as a tool for clinical support and enabled the development of a therapeutic relationship using videoconferencing, especially for provider users. Both patients and providers agreed that videoconferences could not replace all face-to-face conversations and that videoconferences, in most cases, were best suited for shorter follow-up consultations. Expectations, opinions, and attitudes, whether negative or positive, seemed to have significant impact on the experiences of patients and especially providers.
AB - The aim of this study was to investigate the experiences of patients and providers regarding the use of videoconferences in older patients with depression. The qualitative study consisted of semi-structured interviews with patients and providers and focus group interviews with providers. Themes were identified through using thematic analysis. Three main themes were as follows: 1. Technical Challenges experienced by patients and providers experiences; 2. Videoconferencing as clinical supportive technology; and 3. Therapeutic relationship across face-to-face and videoconferencing formats. Several subthemes describing patients' and providers' experiences were identified. Taken together, there was a similarity between expectations, opinions, and attitudes in relation to experiences vertically across all main themes, and horizontally between the main themes. An optimistic outlook influenced user expectations, opinions, and attitudes and acted to mitigate an negative sentiment about technical challenges. This increased the adoption of videoconferencing as a tool for clinical support and enabled the development of a therapeutic relationship using videoconferencing, especially for provider users. Both patients and providers agreed that videoconferences could not replace all face-to-face conversations and that videoconferences, in most cases, were best suited for shorter follow-up consultations. Expectations, opinions, and attitudes, whether negative or positive, seemed to have significant impact on the experiences of patients and especially providers.
KW - depression
KW - experiences
KW - older adults
KW - qualitative research
KW - videoconferences
UR - http://www.scopus.com/inward/record.url?scp=85096675613&partnerID=8YFLogxK
U2 - 10.1111/inm.12803
DO - 10.1111/inm.12803
M3 - Article
SN - 1445-8330
VL - 30
SP - 427
EP - 439
JO - International Journal of Mental Health Nursing
JF - International Journal of Mental Health Nursing
IS - 2
ER -