Perception of virtual clinics among Saudi adults with type 1 diabetes during the COVID-19 pandemic

Patients' perceptions of telehealth video visits experience in primary healthcare setting, Saudi Arabia

Background

The widespread utilization of telehealth recently in Saudi Arabia is unprepared and may have a remarkable adverse effect on healthcare delivery. The study aimed to investigate attitude, satisfaction, and barriers of telehealth application among patients.

Materials and Methods

A cross-sectional study was conducted at primary healthcare centers during the period of December 2021-January 2022. All Saudi patients (≥18 years) who were treated through telehealth programs in specialized polyclinic were eligible for study inclusion. A self-administered questionnaire was utilized and consists of four main parts: personal information, history of using telehealth, assessment of satisfaction with telehealth program, and attitude toward telemedicine.

Results

A total of 641 participants were included. Females represented 57.3% of them. A majority (82.7%) of patients were satisfied with telemedicine services. Multivariate logistic regression analysis revealed that Bachelor/postgraduates were more likely to be satisfied with telemedicine services (P < 0.001), whereas patients reported no appointment slot in the clinic were less likely to be satisfied with telemedicine services (P = 0.042). A majority of patients (84.1%) expressed positive attitude toward telemedicine services. Multivariate logistic regression analysis revealed that older patients (P = 0.002) and widowed (P = 0.001) were less likely to have positive attitude toward utilization of telemedicine services, whereas Bachelor/postgraduates (P = 0.038) and patients with more than this time were more likely to have positive attitude toward telemedicine services (P = 0.001).

Conclusion

Patients were overall satisfied and expressed positive attitude concerning the service of telemedicine consultation. However, more in-depth investigation is recommended to better understand the predictors of satisfaction with telemedicine and barriers for its proper application.

Perception of primary caregiver toward virtual pediatric clinics for type 1 diabetes mellitus during COVID-19 pandemic in Jeddah, Saudi Arabia: A cross-sectional study

Background

Virtual phone clinics were adopted at King Abdulaziz Medical City, Jeddah, Saudi Arabia, as an alternative to in-person routine outpatient visits amid the COVID-19 pandemic. This study aimed to assess primary caregiver perceptions of the virtual phone clinics towards routine care of pediatric patients with type 1 diabetes mellitus (T1DM).

Methods

A cross-sectional research design was employed through a web-based research tool where the primary caregivers of pediatric patients with T1DM participated. Data were analyzed descriptively and statistically using independent t-tests and one-way analysis of variance.

Results

In total, 214 participants were included in this study. The average primary caregiver perception value towards virtual phone clinics was 66.71 ± 23.1%, which suggested a satisfactory perception of their experience. Statistically significant differences (p > 0.05) were not found between the mean perception values and demographic characteristics. Higher mean primary caregiver perception values were associated with those who: (1) agreed or strongly agreed to be contented with their current state of health, (2) did not ask their physicians to be physically seen during a virtual visit, (3) preferred having four virtual visits or more, and (4) preferred having single to no in-person visits at all.

Conclusion

This study revealed a generally acceptable primary caregiver perception regarding virtual clinics. Telemedicine is recommended for routine treatment alongside regular in-clinic appointments to improve the quality of care for pediatric patients with T1DM.

•

Most subjects showed interest in having many as four or more virtual visits per year.

•

Almost three-fourths of subjects demonstrated satisfaction with phone consultations.

•

Virtual clinics may be implemented for diabetes care alongside regular in-clinic visits.

Evaluation of the E-Mental Health Mindfulness-Based and Skills-Based "CoPE It" Intervention to Reduce Psychological Distress in Times of COVID-19: Results of a Bicentre Longitudinal Study

Background: The SARS-CoV-2 pandemic poses immense challenges for health care systems and population-wide mental health. The e-mental health intervention "CoPE It" has been developed to offer standardized and manualized support to overcome psychological distress caused by the pandemic. The aim of this study was to assess the effectiveness of "CoPE It" in terms of reducing distress (primary outcome), depression and anxiety symptoms, and improving self-efficacy, and mindfulness (secondary outcomes). Furthermore, the intervention's usability, feasibility, and participants' satisfaction with "CoPE It" was evaluated (tertiary outcome). The study protocol has been published previously. Methods: A bicentre longitudinal study was conducted from April 27th 2020 to May 3rd 2021. N = 110 participants were included in the analyses. The intervention consisted of four modules featuring different media promoting evidence-based methods of cognitive behavioral therapy and mindfulness-based stress reduction. Difference in psychological distress between baseline (T0) and post-intervention (T1) were analyzed by repeated measure analysis of covariance. Mixed linear models were applied to assess moderating effects. Depressive symptoms, generalized anxiety symptoms, self-efficacy, and mindfulness were compared between baseline (T0) and post-intervention (T1) via t-tests. Usability of the "CoPE It" intervention and participants' satisfaction was evaluated by calculation means and frequencies. Results: Primary outcome: A significant effect of time on psychological distress at post-intervention (T1) after controlling for age, gender, education, mental illness and attitudes toward online interventions was found. Depressive and anxiety symptoms, and mindfulness were a significant moderators of the relationship between time and psychological distress for consistent wording. Secondary outcomes: There was a significant decrease in depressive symptoms and generalized anxiety, and a significant increase in self-efficacy and mindfulness between baseline (T0) and post-intervention (T1). Tertiary outcomes: 95.83% of the participants thought the "CoPE It" intervention was easy to use and 87.50% were satisfied with the "CoPE It" intervention in an overall, general sense. Conclusion: The e-mental health "CoPE It" intervention seems to be an effective approach in reducing psychological distress, anxiety and depressive symptoms, and in enhancing self-efficacy and mindfulness during the COVID-19 pandemic. Participants' satisfaction and the program's feasibility, and usability were proven to be high. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: DRKS00021301.