Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach

A Mixed-Methods Prospective Cohort Study

Bibliographic Data

ID15460137
AuthorsTzu-Jung Chou (0000-0002-6576-1199, National Taiwan University Hospital), Yurui Wu (0000-0003-4497-837X, Pingtung Christian Hospital), Jaw-Shiun Tsai (0000-0002-5227-8894, National Taiwan University), Shao‐yi Cheng (0000-0002-2224-4140, National Taiwan University), Chien‐An Yao (0000-0001-8074-6379, National Taiwan University), Jen-Kuei Peng (0000-0001-9997-9842, National Taiwan University), Tai-Yuan Chiu (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan), Tai‐yuan Chiu (0000-0002-8528-7981, National Taiwan University), Hsien‐liang Huang (0000-0002-2163-5596, National Taiwan University, corresponding author)
Year2021
Volume18
Issue20
Pages10801-10801
Publication date2021-10-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182010801
PMID34682545
OpenAlexW3205635613
LanguageEN
Citations received1
References cited53

Smartphone-enabled, telehealth-based family conferences represent an attractive and safe alternative to deliver communication during the COVID-19 pandemic. However, some may fear that the therapeutic relationship might be filtered due to a lack of direct human contact. The study aims to explore whether shared decision-making model combining VALUE (Value family statements, Acknowledge emotions, Listen, Understand the patient as a person, Elicit questions) and PLACE (Prepare with intention, Listen intently and completely, Agree on what matters most, Connect with the patient's story, Explore emotional cues) framework can help physicians respond empathetically to emotional cues and foster human connectedness in a virtual context. Twenty-five virtual family conferences were conducted in a national medical center in Taiwan. The expression of verbal emotional distress was noted in 20% of patients and 20% of family members, while nonverbal distress was observed in 24% and 28%, respectively. On 10-point Likert scale, the satisfaction score was 8.7 ± 1.5 toward overall communication and 9.0 ± 1.1 on meeting the family's needs. Adopting SDM concepts with VALUE and PLACE approaches helps physicians foster connectedness in telehealth family conferences. The model has high participant satisfaction scores and may improve healthcare quality among the pandemic

Context (archaeology · Developmental psychology · Distress · Health care · Likert scale · Medical education · Nonverbal communication · Social connectedness · Telehealth · Telemedicine · Applied Psychology · Clinical Psychology · Family and Patient Care in Intensive Care Units · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology · Social Psychology · Telemedicine and Telehealth Implementation

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