The Development and Use of a New Visual Tool (REVISIT) to Support Participant Recall: Web-Based Interview Study Among Older Adults.

Autor:	Dryden EM; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States., Anwar C; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States., Conti J; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States., Boudreau JH; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States., Kennedy MA; New England Geriatric Research, Education, and Clinical Center, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States.; Chobanian & Avedisian School of Medicine, Boston University, Boston, MA, United States., Hung WW; Bronx Geriatric Research, Education, and Clinical Center, James J. Peters VA Medical Center, Veterans Health Administration, Bronx, NY, United States.; Icahn School of Medicine, New York, NY, United States., Nearing KA; Eastern Colorado Geriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical Center, Veterans Health Administration, Aurora, CO, United States.; Division of Geriatric Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States., Pimentel CB; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States.; New England Geriatric Research, Education, and Clinical Center, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States.; Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, United States., Moo L; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States.; New England Geriatric Research, Education, and Clinical Center, VA Bedford Healthcare System, Veterans Health Administration, Bedford, MA, United States.; Harvard Medical School, Boston, MA, United States.
Jazyk:	angličtina
Zdroj:	JMIR formative research [JMIR Form Res] 2024 Feb 01; Vol. 8, pp. e52096. Date of Electronic Publication: 2024 Feb 01.
DOI:	10.2196/52096
Abstrakt:	Background: Qualitative health services research often relies on semistructured or in-depth interviews to develop a deeper understanding of patient experiences, motivations, and perspectives. The quality of data gathered is contingent upon a patient's recall capacity; yet, studies have shown that recall of medical information is low. Threats to generating rich and detailed interview data may be more prevalent when interviewing older adults. Objective: We developed and studied the feasibility of using a tool, Remembering Healthcare Encounters Visually and Interactively (REVISIT), which has been created to aid the recall of a specific telemedicine encounter to provide health services research teams with a visual tool, to improve qualitative interviews with older adults. Methods: The REVISIT visual appointment summary was developed to facilitate web-based interviews with our participants as part of an evaluation of a geriatric telemedicine program. Our primary aims were to aid participant recall, maintain focus on the index visit, and establish a shared understanding of the visit between participants and interviewers. The authors' experiences and observations developing REVISIT and using it during videoconference interviews (N=16) were systematically documented and synthesized. We discuss these experiences with REVISIT and suggest considerations for broader implementation and future research to expand upon this preliminary work. Results: REVISIT enhanced the interview process by providing a focus and catalyst for discussion and supporting rapport-building with participants. REVISIT appeared to support older patients' and caregivers' recollection of a clinical visit, helping them to share additional details about their experience. REVISIT was difficult to read for some participants, however, and could not be used for phone interviews. Conclusions: REVISIT is a promising tool to enhance the quality of data collected during interviews with older, rural adults and caregivers about a health care encounter. This novel tool may aid recall of health care experiences for those groups for whom it may be more challenging to collect accurate, rich qualitative data (eg, those with cognitive impairment or complex medical care), allowing health services research to include more diverse patient experiences. (©Eileen M Dryden, Chitra Anwar, Jennifer Conti, Jacqueline H Boudreau, Meaghan A Kennedy, William W Hung, Kathryn A Nearing, Camilla B Pimentel, Lauren Moo. Originally published in JMIR Formative Research (https://formative.jmir.org), 01.02.2024.)
Databáze:	MEDLINE
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