Accepted for/Published in: JMIR Human Factors
Date Submitted: May 31, 2021
Date Accepted: Jan 3, 2022
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The use of telehealth in psychological treatment of patients with rheumatic diseases and diabetes: An explorative study inspired by participatory design
ABSTRACT
Background:
Video consultation is increasingly used in different healthcare settings in order to reach patients. However, little is known about telehealth in psychological treatment for patients with somatic and chronic conditions such as rheumatoid arthritis and diabetes.
Objective:
This study aims to provide new insight into the development of an app to support the psychological treatment and video based intervention.
Methods:
This study was inspired by participatory design and a qualitative approach. The content of the intervention was developed through user involvement and evaluated by individual interviews with patients and psychologists as well as questionnaires.
Results:
We co-created an app that targeted patients with rheumatic diseases and diabetes in relation to the psychological challenges of living with chronic diseases. Video based interventions was described under the four themes “The good relation despite physical distance”, “The comfort of being at home”, “The pros of saving time on transport and energy” and “A therapeutic alliance at a distance”.
Conclusions:
Psychological treatment in relation to somatic care can be provided by video and supported by tailored information and tools delivered in an app without losing quality of care. To ensure a good alliance between the patient and the psychologist, a first face-to-face meeting is important. Being in their own home provided the patients with a safe environment, increased accessibility, and reduced travel time to the hospital.
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Copyright
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