Journal of Telemedicine and Telecare最新文献

{"title":"The effectiveness and cost-effectiveness of a virtual Hospital in the Home service for COVID-19 infection: A cohort study and modelled decision analysis.","authors":"Linh K Vo, Michelle J Allen, Steven M McPhail, Shannon Wallis, Kelly McGowan, Kate Atkinson, Hannah E Carter","doi":"10.1177/1357633X251340262","DOIUrl":"10.1177/1357633X251340262","url":null,"abstract":"<p><p>IntroductionThis paper estimates the effectiveness and cost-effectiveness of a Hospital in the Home (HITH) service using virtual care technology to provide home-based care for COVID-19 patients with moderate symptoms in Queensland, Australia.MethodsA cohort study was conducted to analyse data of all patients admitted to the virtual COVID-19 HITH service between December 2021 and November 2022. A decision tree model was developed to compare of the cost-effectiveness of this service with a hypothetical usual care cohort admitted to a conventional physical ward from the perspective of the Australian health system. Comparator cohort data were sourced from published literature. Base-case analysis employed a 3-month time horizon with an additional lifetime scenario analysis. Quality-adjusted life-years (QALYs) were used as the measure of effectiveness. Sensitivity analyses were performed to assess the robustness of the model.ResultsThe virtual COVID-19 HITH service saved 15,273 bed days. The cost-effectiveness analysis indicated the virtual COVID-19 HITH model was dominant, resulting in an additional 0.015 QALYs and a cost saving of $201 per patient compared to usual care. The incremental cost-effectiveness ratio was most sensitive to the cost of operating the virtual HITH. When all uncertainties were considered, there was 74% likelihood that the virtual HITH model of care was cost-effective, assuming a willingness to pay of $28,033/QALY.DiscussionHITH services incorporating virtual care modalities replicating the systems, staffing, and daily routines of a hospital ward are likely to be an effective and cost-effective intervention to expand inpatient care capacity.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"348-358"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telephone versus video consultations: A systematic review of consumer and provider preferences.","authors":"Centaine L Snoswell, Helen M Haydon, Soraia de Camargo Catapan, Jaimon T Kelly, Emma E Thomas, Laura J Neil, Monica L Taylor, Anthony C Smith, Liam J Caffery","doi":"10.1177/1357633X251341199","DOIUrl":"10.1177/1357633X251341199","url":null,"abstract":"<p><p>IntroductionAs telehealth services are increasingly utilised and mature, it is important to continue to assess the preferences of both consumers and providers to ensure that these services are being used in the most acceptable and effective manner. This review aims to analyse both consumer and provider preferences for telephone and video consultations.MethodsA systematic search of MEDLINE, CINAHL and Embase databases was conducted in April 2023 to identify studies that investigated consumer or provider preferences for either telephone or video consultations. Data were extracted and synthesised narratively with the main reported findings from each article categorised in regard to modality preference (i.e. preference for either telephone or video; no preference between modality, equivalency, or mixed preference statements).ResultsA total of 78 articles were included in the analysis. Studies were published between 2003 and 2023, with the majority (86%) published after 2020. While most studies used quantitative survey methods (69.2%), five used qualitative (6.4%) and 19 used a mixed methods approach (24.4%). The majority of included studies (54% of consumer studies and 76% of provider studies) reported video as the preferred telehealth modality over telephone.DiscussionAlthough video is mostly preferred over telephone, a number of consumer studies reported equivalent preference for telephone and video consultations and highlighted the benefits of each modality for different purposes.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"316-335"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient preference for telemedicine as an alternative to in-person community care in the Veterans Health Administration.","authors":"Lynn A Garvin, Kimberly L Harvey, Donald Keith McInnes, Donna M Zulman, Charlie M Wray, Josephine C Jacobs, Anushka Sista, Mark Meterko","doi":"10.1177/1357633X261435258","DOIUrl":"https://doi.org/10.1177/1357633X261435258","url":null,"abstract":"<p><p>IntroductionVeterans Health Administration (VA) funding of community care (i.e., non-VA clinicians contracted by VA) aims to improve access for veterans; however, community care expenditures rose five-fold from $7.9 billion to $40 billion between fiscal years 2014 and 2024. VA telemedicine offers a convenient, high-quality alternative to some types of community care. We examined patient preferences for VA video visit versus in-person community care.MethodsThis cross-sectional study combined primary data from a national survey of patients who received both VA and community in-person care plus VA video visits (April to June 2023) with VA administrative data. We assessed the proportion of patients who preferred VA video visits versus community care in-person, and reasons for preference. We used multivariate logistic regression to identify predictors of preference.ResultsFully 44% of patients had either no preference (24%) or preferred a VA video visit (20%) over a community in-person visit in future. Top reasons for preferring a VA video visit were: convenience, avoiding infection, shorter wait times, and VA care quality, further stratified across six service areas. Two significant predictors of preference for VA video care were: (1) having a prior positive VA video visit experience (odds ratio (OR) = 2.21, 95% confidence interval (CI) = 1.55, 3.14) and (2) having a prior negative community care referral and authorization experience (OR = 2.69, 95% CI = 1.10, 6.59).DiscussionContinued support for VA providers and patients in their digital training and device access for a positive telemedicine experience could encourage many patients among the millions referred to community care to stay with VA care.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261435258"},"PeriodicalIF":3.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A telehealth fracture clinic model for rural and remote communities: A retrospective review of the telehealth fracture clinic at mount Isa hospital.","authors":"Nariyoshi Miyata, Takahisa Ogawa, John B North","doi":"10.1177/1357633X261426060","DOIUrl":"https://doi.org/10.1177/1357633X261426060","url":null,"abstract":"<p><p>BackgroundAccess to orthopaedic care in rural and remote regions of Australia remains limited due to geographic, logistical, and resource constraints. The Mount Isa Hospital Telehealth Fracture Clinic (TFC) was established to address this disparity by delivering consultant-led fracture management via telehealth to communities across North-West Queensland.MethodsA 12-month retrospective clinical audit of the TFC was conducted from January to December 2023. Data on clinic activity, patient demographics, attendance, fracture characteristics, treatment pathways, and outcomes were analysed. Six-month periods were compared using chi-square tests. No significant difference was observed between the two periods (n = 1550, p-value from 0.15 to 0.66), and detailed subset analysis of the first 6 months was performed to evaluate fracture types and management outcomes.ResultsA total of 1550 patients were booked across 96 telehealth clinics, with an attendance rate of 67.1%. Indigenous patients accounted for 41.1% of referrals, reflecting substantial community need. Among 340 new patients analysed in detail, 91.2% completed management within TFC and were discharged locally; 5% required surgical intervention. Most fractures were stable upper limb injuries suitable for conservative management. The failure-to-attend (FTA) rate of 32.9% highlights the need for improved engagement strategies.ConclusionThe TFC model demonstrated high efficacy and accessibility, reducing patient travel and tertiary hospital utilisation while enabling more equitable access to orthopaedic care for remote communities. High FTA rates remain a challenge, highlighting the need for culturally responsive care models, digital literacy support, and community engagement. Telehealth represents a scalable solution for fracture management in geographically isolated populations.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261426060"},"PeriodicalIF":3.2,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicine in maxillofacial traumatology: A tertiary referral center 30-month experience.","authors":"Flavia Cascino, Andrea Frosolini, Linda Latini, Simone Benedetti, Enrico Saloni, Simone Nocentini, Alfonso Cerase, Paolo Gennaro","doi":"10.1177/1357633X261436995","DOIUrl":"https://doi.org/10.1177/1357633X261436995","url":null,"abstract":"<p><p>BackgroundMaxillofacial trauma requires timely recognition of urgent conditions, yet specialized expertise is often limited in rural settings. Hub-and-spoke trauma networks supported by telemedicine may optimize triage, reduce unnecessary transfers, and integrate advanced workflows. Evidence for maxillofacial trauma teleconsultation, however, remains sparse.MethodsA retrospective study of all teleconsultations for maxillofacial trauma between January 2023 and August 2025 within the major trauma network of South-Eastern Vast Area of Tuscany (AV-TSE) (population ∼809,000) was conducted. Thirteen spokes hospitals from 13 peripheral Azienda Unità Sanitaria Locale Toscana Sud-Est (AUSL-TSE) are connected to the tertiary hub in Siena, for example, the Azienda ospedaliero-universitaria Senese (AOUS). Teleconsultations used a secure platform provided by <i>Ente di supporto tecnico amministrativo regionale</i> (ESTAR) enabling safe exchange of clinical data, photographs/videos, and radiological images. Patients were triaged as emergency (immediate transfer), urgency (hub evaluation within 72 h), or elective (spoke follow-up). Primary outcomes were: avoided transfers, efficiency, and equity of access. Multivariable logistic regression assessed predictors of avoided transfer and loss to follow-up (LTFU).ResultsA total of 670 patients were analyzed (mean age = 64.4 years; 43.9% female). Zygomaticomaxillary complex (29.1%), orbital (19.4%), and maxillary fractures (15.1%) predominated. Overall, 174 patients (26.0%) were managed locally, avoiding ∼4520 km and 75 h of travel. Conservative outpatient care was most frequent (57.6%), while 13.7% required surgery under general anesthesia. Older age independently predicted both avoided transfer (OR = 1.03/year, 95% CI = 1.02-1.04) and LTFU (OR = 1.023, 95% CI = 1.010-1.035). No duplicate CT scans were required. Virtual surgical planning by computer-aided design (CAD) and computer-aided manufacturing (CAM) enabled preoperative workflows to begin before transfer, reducing delays.ConclusionsIn the experience of AV-TSE, a pragmatic telemedicine teleconsultation pathway between AOUS and AUSL-TSE decentralized one-quarter of cases, reducing transfers while ensuring safety. Integration with CAD/CAM planning enhanced surgical readiness. Improving follow-up reliability, especially in older patients, remains a priority for future network optimization.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261436995"},"PeriodicalIF":3.2,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scheduling intervention to increase video visits in family medicine.","authors":"Jennifer L Pecina, Marc R Matthews, Margaret M Paul, Katherine M Ehman, Justin J Capelle, David R Rushlow","doi":"10.1177/1357633X261435252","DOIUrl":"https://doi.org/10.1177/1357633X261435252","url":null,"abstract":"<p><p>IntroductionVideo visits in primary care have decreased significantly since their surge early in the COVID-19 pandemic.MethodsClinicians including physicians, nurse practitioners, and physician assistants in the Mayo Clinic Department of Family Medicine were invited to dedicate one to two half-days per month exclusively to video visits. Schedules for these half-day sessions remained restricted to video appointments until the day prior. If at least 80% of slots were not filled by then, remaining openings were converted to in-person visits. If the half-day sessions were at least 80% full with video visits, clinicians had the option of performing these sessions remotely.ResultsOf 155 eligible clinicians, 34 (22%) participated voluntarily in this scheduling intervention. For the participating clinicians, the average video visit rate increased from 6.3% per month preintervention to 11.5% postintervention (<i>p</i> < 0.001). On a departmental level, the trend line for the percent of outpatient visits via video visit was decreasing by -0.1% per month preintervention. The postintervention slope of the trend line was 0.3% per month (<i>p</i> < 0.001). The majority (65%) of the time the half-day video visit schedules filled at least 80% and did not require conversion to allow in-person visits allowing clinicians to work remotely if they chose.ConclusionAllowing family medicine clinicians to perform 1-2 half-day schedules dedicated to only video visits increases the percentage of video visit performed per month both for individual clinicians and on a departmental level.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261435252"},"PeriodicalIF":3.2,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving access and management of skin tumours: Over a decade of teledermoscopy in northern Sweden.","authors":"Virginia Zazo, Antonia Lindfors, Gabriel Michaëlsson, Zinaida Bucharbajeva, Senada Hajdarevic, Maja Af Klinteberg, Nirina Andersson","doi":"10.1177/1357633X261426680","DOIUrl":"https://doi.org/10.1177/1357633X261426680","url":null,"abstract":"<p><p>IntroductionTeledermoscopy (TD), introduced in Västerbotten, northern Sweden in 2014, enables dermatological consultation in primary care via high-resolution images. As skin cancer incidence increases in Sweden, TD offers potential for diagnostic efficiency and resource optimisation. Despite increasing referrals, TD remains unevaluated. This study examines TD's impact on equitable access to dermatological assessment for skin tumours in this region.MethodsThis descriptive study analysed 67,137 TD referrals submitted between 2014 and 2024, excluding 2,384 due to incomplete data. Variables included age, diagnosis (benign vs malignant), and referral origin (public/private; urban/rural). A survey examined TD routines across primary care centres (PCCs), staff roles, training, and frequency of internal TD discussions.ResultsOver the 11-year period, mean age increased from 50 (2014) to 61 years (2024) (<i>P</i> < 0.001). The proportion of benign referrals decreased from 80% to 69% (<i>P</i> < 0.001). Private PCCs referred 78% benign lesions versus 75% from public PCCs (<i>P</i> < 0.001); urban PCCs referred 77% versus 73% PCCs in remote areas (<i>P</i> < 0.001). Assessment by a nurse was associated with higher benign referral rates (odds ratio (OR) 1.132, 95% confidence interval (CI) 1.052-1.219), whereas internal TD discussions (OR 0.714, 95% CI 0.669-0.763) and lack of dermoscopy training (OR 0.893, 95% CI 0.882-0.971) were associated with lower benign referral rates.DiscussionTD has enhanced access to dermatological evaluation for suspected skin tumours in Västerbotten. The increasing age of referred patients and higher proportion of tumour diagnoses imply improved targeting of high-risk groups. Local routines influenced referral quality, underscoring the need for structured TD implementation.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261426680"},"PeriodicalIF":3.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can video reduce conflict between dispatcher and caller during emergency medical calls? A randomized substudy of the CAM-VISION trial.","authors":"Josephine Eh Søhoel, Tine B Gehrt, Natascha H Bohnstedt-Pedersen, Anne K Dalgaard, Ulla Væggemose, Martin F Gude","doi":"10.1177/1357633X261435246","DOIUrl":"https://doi.org/10.1177/1357633X261435246","url":null,"abstract":"<p><p>IntroductionThis substudy examined whether video-assisted emergency calls affected perceived conflict, call pleasantness, and help received among callers and dispatchers.MethodsThe study was nested within the cluster-randomized CAM-VISION trial at the Emergency Medical Dispatch Center (EMDC) in the Central Denmark Region. Between April 17 and May 1, 2023, dispatchers were assigned to either video-enabled or telephone-only communication. After each call, dispatchers and callers rated conflict, pleasantness, and help on 7-point Likert scales. Outcomes were analyzed using proportional-odds logistic regression (video vs telephone) with 95% confidence intervals (CIs) and supporting sensitivity analyses.ResultsDuring the 14-day period, 26 dispatchers completed 1522 questionnaires from 2600 emergency calls (response rate 58.5%), including 711 (47%) in the video group and 811 (53%) in the telephone group. Video calls were associated with significantly lower dispatcher-reported conflict (OR 0.39, 95% CI 0.16-0.94; mean difference -0.2, 95% CI -0.5 to 0.0) and fewer severe conflicts (1.4% vs 0.3%; RD -1.1 pp, 95% CI -2.1 to -0.03). Among 322 linked caller-dispatcher pairs, callers rated conflict slightly higher compared with dispatchers (+0.5 points). Caller-reported conflict was similar between groups (OR 0.92, 95% CI 0.55-1.54). Ratings of pleasantness (OR 1.18, 95% CI 0.77-1.80) and perceived help (OR 1.42, 95% CI 0.90-2.24) were uniformly high and did not differ significantly between groups.ConclusionVideo during emergency calls reduced dispatcher-perceived conflict but did not significantly affect caller-perceived conflict or satisfaction, though results consistently trended towards favoring video.Trial RegistrationClinicalTrials.gov Identifier: NCT05742412.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261435246"},"PeriodicalIF":3.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicine in neurosurgery: A systematic review of global implementation, outcomes, and barriers to access.","authors":"Helbert de Oliveira Manduca Palmiero, Eberval Gadelha Figueiredo","doi":"10.1177/1357633X261436994","DOIUrl":"https://doi.org/10.1177/1357633X261436994","url":null,"abstract":"<p><p>IntroductionTelemedicine has evolved into an integral component of neurosurgical care, especially in expanding access to specialized services in remote or resource-limited areas. This systematic review summarizes worldwide evidence on the implementation, outcomes, and barriers of tele-neurosurgery in emergency and outpatient settings.MethodsFollowing PRISMA guidelines, a comprehensive PubMed/MEDLINE search (2000-2025) identified English-language studies on telemedicine applications in neurosurgery. Eligible studies included emergency cases (trauma, stroke, intracerebral hemorrhage) and outpatient settings. Data on design, interventions, outcomes, and limitations were extracted and analyzed qualitatively.ResultsThirty-six studies met inclusion criteria, covering programs within high-, middle-, and low-income regions. Emergency networks using teleradiology and teleconsultation achieved significant reductions in time-to-specialist evaluation-from about 160 to 38 min-and prevented up to 44% of potential patient transfers, with low failure rates among locally managed cases. Outpatient programs reported patient satisfaction above 80%, surgical decision agreement comparable to in-person visits, and notable travel and cost savings, especially in pediatric teleclinics. Across various settings, telemedicine improved access, workflow efficiency, and cost-effectiveness, though challenges remained regarding connectivity, imaging interoperability, licensure differences, and digital inequality.ConclusionTele-neurosurgery is a safe, effective, and cost-efficient addition to traditional neurosurgical care. It enhances response times, improves triage, and maintains high patient satisfaction across various health systems. Overcoming infrastructural and regulatory barriers through standardized digital networks and equitable access programs will be essential for consolidating telemedicine as a core element of global neurosurgical practice.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261436994"},"PeriodicalIF":3.2,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of novel scales to measure trust and confidence in using telephone and video consultation scales in people with chronic kidney disease.","authors":"Soraia de Camargo Catapan, Helen M Haydon, Pedro Hr Santiago, Ingrid J Hickman, Lindsey Webb, Nicole Isbel, David W Johnson, Hannah L Mayr, Oliver J Canfell, Paul Scuffham, Nicola W Burton, Anthony C Smith, Jaimon T Kelly","doi":"10.1177/1357633X251338950","DOIUrl":"10.1177/1357633X251338950","url":null,"abstract":"<p><p>AimPatients' trust and confidence in telehealth are core components of its adoption, effectiveness and sustained use. This study aimed to develop and validate scales to measure trust and confidence in using telephone and video consultations in people with chronic kidney disease (CKD).MethodsAfter developing potential items, two-phases were conducted to investigate construct validity. Phase 1 examined face and content validity via: think-aloud patients focus group (<i>n</i> = 5), specialists email feedback (<i>n</i> = 3) and telehealth investigators group discussion (<i>n</i> = 4). Phase 2 used factor analytical methods to evaluate structural validity and internal consistency reliability after surveying a sample of people with CKD at an Australian metropolitan hospital. Four exploratory factor analyses (EFA) with oblique rotation Promax were conducted. Parallel analysis was used for factor retention and items with factor loadings ≥0.60 on the primary factor and without substantive cross-loadings were maintained. Cronbach's alpha (<i>α</i>) measured the internal consistency reliability.ResultsPhase 1 resulted in 17 items to measure trust in telephone consultations, 17 items to measure trust in video consultations, 8 items to measure confidence in using telephone consultations and 8 items to measure confidence in using video consultations (total 50 items). Phase 2: EFA results (<i>N</i> = 156) for the trust scales were both unidimensional: (1) 12-item trust in telephone consultations (<i>α</i> = 0.92); (2) 12-item trust in video consultations (<i>α</i> = 0.93). EFA resulted in two factors for each of the confidence scales: (3) Confidence in using telephone consultations (<i>α</i> = 0.82), comprising 4-item 'competence & capability' factor (<i>α</i> = 0.84) and 3-item 'social & technical support' factor (<i>α</i> = 0.82); (4) Confidence in using video consultations (<i>α</i> = 0.84) comprising 4-item experience 'competence & capability' factor (<i>α</i> = 0.84) and 3-item 'social & technical support' factor (<i>α</i> = 0.82). Internal consistency reliability of all scales and subscales were adequate (<i>α</i> > 0.80).ConclusionOur study demonstrated excellent psychometric properties of the TCTVC scales, which can be reliably used across broader cohorts.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"275-288"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}