1
|
Barnestein-Fonseca P, Víbora-Martín E, Ruiz-Torreras I, Chapinal-Bascón H, Martín-Roselló ML, Gómez-García R. ITV-Pal programme: protocol of evaluation of the implementation of tech-volunteer programme in palliative care services. BMJ Open 2023; 13:e065222. [PMID: 37620277 PMCID: PMC10450131 DOI: 10.1136/bmjopen-2022-065222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 07/27/2023] [Indexed: 08/26/2023] Open
Abstract
INTRODUCTION Volunteer support for patients and families at the end of life provides many benefits for the beneficiaries. New technologies could be a necessary resource in the accompaniment although, if there is little literature on palliative care volunteering in general, specifically on volunteering and new technologies, we find little information on the subject.Therefore, the aim of this study is to implement and evaluate a training program for palliative care volunteers using new technologies in order to begin accompanying patients and families in hospital or at home. METHODS AND ANALYSIS A mixed-method study design will be conducted. We will recruit 20 volunteers and 70 patients in two years. INTERVENTION training of volunteers in new technologies and volunteer accompaniment of patients/relatives using technologies. The control group will accompany patients as usual. ETHICS AND DISSEMINATION Ethics approval for the ITV-Pal Programme project was granted by the Malaga Regional Research Ethics Committee. As new knowledge is gained from this project, findings will be disseminated through publications, presentations and feedback to clinicians who are participating in this study. TRIAL REGISTRATION NUMBER NCT04900103.
Collapse
Affiliation(s)
- Pilar Barnestein-Fonseca
- CUDECA Institute for Training and Research in Palliative Care, Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga-IBIMA Group C08: Pharma economy: Clinical and economic evaluation of medication and Palliative Care, Málaga, Málaga, Spain
| | - Eva Víbora-Martín
- CUDECA Institute for Training and Research in Palliative Care, Málaga, Málaga, Spain
- Department of Social Psychology, Social Work, Social Anthropology and East Asian Studies, Faculty of Psychology and Speech Therapy, University of Malaga, Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga-IBIMA Group CA15: Palliative Care, Málaga, Málaga, Spain
| | - Inmaculada Ruiz-Torreras
- CUDECA Institute for Training and Research in Palliative Care, Málaga, Málaga, Spain
- Department of Social Psychology, Social Work, Social Anthropology and East Asian Studies, Faculty of Psychology and Speech Therapy, University of Malaga, Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga-IBIMA Group CA15: Palliative Care, Málaga, Málaga, Spain
| | | | - Maria Luisa Martín-Roselló
- CUDECA Institute for Training and Research in Palliative Care, Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga-IBIMA Group CA15: Palliative Care, Málaga, Málaga, Spain
| | - Rafael Gómez-García
- CUDECA Institute for Training and Research in Palliative Care, Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga-IBIMA Group CA15: Palliative Care, Málaga, Málaga, Spain
| |
Collapse
|
2
|
Ruda-Santolaria L, Bergerot C, Hernandez J, Pena C, Montana MF, Galindo-Vazquez O, Torres-Blasco N, Castro-Figueroa E, Esenarro L, Sanchez-Ramirez JC, Estapé T, Gany F, Costas-Muniz R. Use of telehealth for psychosocial oncology: A mixed methods study about barriers to and opportunities with Latino patients from Latin America, Spain, and the United States. Psychooncology 2023; 32:1289-1297. [PMID: 37370195 PMCID: PMC11289857 DOI: 10.1002/pon.6182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 06/08/2023] [Accepted: 06/11/2023] [Indexed: 06/29/2023]
Abstract
OBJECTIVES Telehealth for mental healthcare expanded rapidly with the COVID-19 pandemic's onset; however, global access disparities emerged. Telehealth challenges and opportunities for Latino cancer patients from different geographical regions must be explored. METHODS A cross-sectional online survey (March-July 2021) of mental health providers, serving Latino cancer patients in Latin America, United States, and Spain, contained close-ended questions related to the use of telehealth during the pandemic and open-ended questions on recommending/not recommending telehealth. RESULTS In a sample of 148 providers from 21 countries, 60.5% reported that at least some of their patients had difficulties with Internet speed and connectivity and lacked knowledge about using electronic devices (43.2%) or the Internet (45.4%). Lacking privacy at home (66.0%) and childcare (26.0%) were reported patient challenges. Internet connectivity or speed were issues for providers (43.2%) themselves. Improving patient reach was a reported telehealth benefit (64.2%). Geographical access (43.2%) and physical limitations (35.8%) were considerations in offering telehealth. Considerations for not recommending telehealth were patient age (24.3%) and lacking technological knowledge (29.1%). CONCLUSIONS Telehealth for mental healthcare may improve patient access issues caused by geographical and transportation conditions and patient functionality. Findings provide insight into telehealth benefits and challenges in Latino patient populations. Future studies should examine patient access and use by region.
Collapse
Affiliation(s)
| | - Cristiane Bergerot
- Centro de Cancer de Brasilia, Instituto Unity de Ensino e Pesquisa, Brasilia, DF, Brazil
| | | | - Cristina Pena
- Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
- School of Medicine and School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | | | | | - Normarie Torres-Blasco
- Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
- School of Medicine and School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | - Eida Castro-Figueroa
- Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
- School of Medicine and School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | - Loida Esenarro
- Instituto Nacional de Salud, Lima, Perú
- Universidad de Lima, Lima, Perú
| | | | | | - Francesca Gany
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA
- Department of Psychiatry, Weill Cornell Medical College, New York, New York, USA
| | - Rosario Costas-Muniz
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA
- Department of Psychiatry, Weill Cornell Medical College, New York, New York, USA
| |
Collapse
|
3
|
Andrades-González I, Romero-Franco N, Molina-Mula J. e-Health as a tool to improve the quality of life of informal caregivers dealing with stroke patients: Systematic review with meta-analysis. J Nurs Scholarsh 2021; 53:790-802. [PMID: 34405528 DOI: 10.1111/jnu.12699] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 07/13/2021] [Accepted: 07/16/2021] [Indexed: 02/05/2023]
Abstract
OBJECTIVE The objective of this review was to elucidate the evidence related to utilizing e-Health as a tool in improving the quality of life of informal caregivers of dependent patients due to cerebrovascular accident (CVA). METHODS This systematic review with meta-analysis includes 13 studies. For these studies, seven databases were searched between 2009 and 2019. A random-effects model was adopted for overall estimation and to explain the heterogeneity. RESULTS A random-effects model was adopted for overall estimation and to explain heterogeneity. The results did not demonstrate statistical significance (p<0.05) and low heterogeneity (I2 = 0). CONCLUSIONS There is a tendency toward improvement in psychological health, solving care-related problems, as well as better prevention of problems arising from the burden. Therefore, new studies with larger sample size and primarily to conduct them for more than 6 months for the accuracy. CLINICAL RELEVANCE This study reflects a trend toward improving psychological health, solving care-related problems, as well as improved the prevention of problems arising from the burden.
Collapse
Affiliation(s)
| | | | - Jesús Molina-Mula
- Nursing and Physiotherapy Department, University of Balearics Island, Palma, Spain
| |
Collapse
|