Cancer care telehealth access needs in underrepresented patients: Development and implementation of the pragmatic access to telehealth needs assessment survey

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-04-02 DOI:10.1016/j.pec.2025.108777

Francesca Gany , Leeza Menon , Jackie Finik , Anagha Kakade , Minlun Wu , Leslian Ramirez , Jana Abumusallam , Taisha Gomez , Zainab Shahid

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引用次数: 0

Abstract

Background

We developed and implemented the Access to Telehealth Needs Assessment Survey (AcTNAS) based on Five A’s of TelEquity (Awareness-Application, Agency, Attitude, Accessibility, and Accommodation) that we created.

Methods

We iteratively developed the AcTNAS in English (mid 2021-early 2022) and transcreated (culturally and linguistically adapted) it into languages spoken in the service area. Women with breast cancer in safety net hospital and academic medical center cancer clinics in New York City completed the AcTNAS.

Results

Participants (N = 441) self-identified as foreign-born (77 %, n = 338), Black (56 %, n = 222), and Hispanic (36 %, n = 158). Most preferred speaking English (69 %, n = 306) or Spanish (27 %, n = 118). The AcTNAS assessed telehealth Awareness-Application (21 % did not know about the patient portal; 57 % had never participated in video telehealth), Agency (52 % were “not good with technology”), Attitude (voice-only [57 %] and video [51 %] appointments not as good as in-person appointments), Accessibility (38 % without good telephone service, 8 % no Wi-Fi/plug-in/public internet access), and Accommodation (50 % needed telehealth connection assistance). Insurance status (p ≤ .009) was associated with a prior televisit. Age (p < .001), education (p < .001), region of origin (p = .001), ethnicity (p = .028), and language (p < .001), were associated with prior portal usage.

Conclusion

AcTNAS administration helped identify telehealth access needs among underserved patients with cancer.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.