Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Mar 19, 2024
Date Accepted: Nov 22, 2024
Features of Structured, One-To-One Videoconference Interventions that Actively Engage People to Manage their Chronic Conditions: A Scoping Review
ABSTRACT
Background:
A dramatic increase in the use of videoconferencing occurred as a response to the COVID-19 pandemic, including delivery of chronic disease management programs. With the increase, clients’ openness to, and confidence in, receiving any type of virtual care has dramatically improved. The rapidity of response, however, has been accomplished with little time to learn from existing knowledge and research.
Objective:
The purpose of this scoping review was to identify features, barriers, and facilitators of synchronous videoconference interventions that actively engage clients to manage chronic conditions.
Methods:
Using scoping review methodology, MEDLINE, CINAHL, and six other databases were searched from 2003 onward. Included studies reported on structured, one-on-one, synchronous videoconferencing interventions that actively engaged adults to manage their chronic conditions at home. Studies reporting assessment or routine care were excluded. Extracted text data were analyzed using thematic analysis and published taxonomies.
Results:
The 33 included articles reported on 25 distinctive programs. Analysis using the Taxonomy of Everyday Self-management Strategies (TEDSS) and the Behavior Change Taxonomy (BCTv1) identified common program content and behavior change strategies. However, distinct differences were evident based on whether program objectives were to improve physical activity/function or mental health. Findings suggest chronic condition interventions continue to neglect evidence that exercise and strong relationships improve both physical and mental health. Videoconference interventions were seen as feasible and acceptable to clients. Challenges were mostly technology related: clients’ comfort, technology literacy, access to hardware and internet, and technical breakdowns/issues. Only five studies explicitly described compliance with health information/privacy protection regulations.
Conclusions:
Feasibility and acceptability argue for continued development. Future program development could reduce siloed approaches by adding less-used content and
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