View in EDS HTML Full Text PDF Full Text

Telehealth perceptions and utilization for the delivery of headache care before and during the COVID‐19 pandemic: A mixed‐methods study.

Saved in:
Bibliographic Details
Title: Telehealth perceptions and utilization for the delivery of headache care before and during the COVID‐19 pandemic: A mixed‐methods study.
Authors: Grinberg, Amy S., Fenton, Brenda T., Wang, Kaicheng, Lindsey, Hayley, Goldman, Roberta E., Baird, Sean, Riley, Samantha, Burrone, Laura, Seng, Elizabeth K., Damush, Teresa M., Sico, Jason J.
Source: Headache: The Journal of Head & Face Pain. May2022, Vol. 62 Issue 5, p613-623. 11p.
Subjects: Headache treatment, Confidence intervals, Health services accessibility, Attitudes of medical personnel, Research methodology, Interviewing, Medical care use, Descriptive statistics, Odds ratio, Telemedicine, COVID-19 pandemic
Abstract: Objective: The objective of this study was to evaluate the utilization of telehealth for headache services within the Veterans Health Administration's facilities housing a Headache Centers of Excellence and multiple stakeholder's perspectives to inform future telehealth delivery. Background: Telehealth delivery of headache treatment may enhance patient access to headache care, yet little is known about the utilization or patient and provider perceptions of telehealth for veterans with headache. Methods: This mixed‐methods study analyzed multiple data sources: (1) administrative data, which included 58,798 patients with medically diagnosed headache disorders, documented in at least one outpatient visit, from August 2019 through September 2020 from the 12 Veterans Health Administration's facilities with a Headache Center of Excellence and (2) qualitative semistructured interviews with 20 patients and 43 providers 6 months before the coronavirus disease 2019 (COVID‐19) pandemic, and 10 patients and 20 providers 6 months during the beginning of the pandemic. Results: During the pandemic, in‐person visits declined from 12,794 to 6099 (52.0%), whereas video (incidence rate ratio [IRR] = 2.05, 95% confidence interval [CI] = 1.66, 2.52), and telephone visits (IRR = 15.2, 95% CI = 10.7, 21.6) significantly increased. Utilization differed based on patient age, race/ethnicity, and rurality. Patients and providers perceived value in using telehealth, yet had limited experience with this modality pre‐pandemic. Providers preferred in‐person appointments for initial encounters and telehealth for follow‐up visits. Providers and patients identified benefits and challenges of telehealth delivery, often relying on multiple delivery methods for telehealth to enhance patient engagement. Conclusions: The uptake of telehealth delivery of headache‐related care rapidly expanded in response to the pandemic. Patients and providers were amenable to utilizing telehealth, yet also experienced technological barriers. To encourage equitable access to telehealth and direct resources to those in need, it is crucial to understand patient preferences regarding in‐person versus telehealth visits and identify patient groups who face barriers to access. [ABSTRACT FROM AUTHOR]
Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 156995071
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Telehealth perceptions and utilization for the delivery of headache care before and during the COVID‐19 pandemic: A mixed‐methods study.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Grinberg%2C+Amy+S%2E%22">Grinberg, Amy S.</searchLink><br /><searchLink fieldCode="AR" term="%22Fenton%2C+Brenda+T%2E%22">Fenton, Brenda T.</searchLink><br /><searchLink fieldCode="AR" term="%22Wang%2C+Kaicheng%22">Wang, Kaicheng</searchLink><br /><searchLink fieldCode="AR" term="%22Lindsey%2C+Hayley%22">Lindsey, Hayley</searchLink><br /><searchLink fieldCode="AR" term="%22Goldman%2C+Roberta+E%2E%22">Goldman, Roberta E.</searchLink><br /><searchLink fieldCode="AR" term="%22Baird%2C+Sean%22">Baird, Sean</searchLink><br /><searchLink fieldCode="AR" term="%22Riley%2C+Samantha%22">Riley, Samantha</searchLink><br /><searchLink fieldCode="AR" term="%22Burrone%2C+Laura%22">Burrone, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Seng%2C+Elizabeth+K%2E%22">Seng, Elizabeth K.</searchLink><br /><searchLink fieldCode="AR" term="%22Damush%2C+Teresa+M%2E%22">Damush, Teresa M.</searchLink><br /><searchLink fieldCode="AR" term="%22Sico%2C+Jason+J%2E%22">Sico, Jason J.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Headache%3A+The+Journal+of+Head+%26+Face+Pain%22">Headache: The Journal of Head & Face Pain</searchLink>. May2022, Vol. 62 Issue 5, p613-623. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Headache+treatment%22">Headache treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: The objective of this study was to evaluate the utilization of telehealth for headache services within the Veterans Health Administration's facilities housing a Headache Centers of Excellence and multiple stakeholder's perspectives to inform future telehealth delivery. Background: Telehealth delivery of headache treatment may enhance patient access to headache care, yet little is known about the utilization or patient and provider perceptions of telehealth for veterans with headache. Methods: This mixed‐methods study analyzed multiple data sources: (1) administrative data, which included 58,798 patients with medically diagnosed headache disorders, documented in at least one outpatient visit, from August 2019 through September 2020 from the 12 Veterans Health Administration's facilities with a Headache Center of Excellence and (2) qualitative semistructured interviews with 20 patients and 43 providers 6 months before the coronavirus disease 2019 (COVID‐19) pandemic, and 10 patients and 20 providers 6 months during the beginning of the pandemic. Results: During the pandemic, in‐person visits declined from 12,794 to 6099 (52.0%), whereas video (incidence rate ratio [IRR] = 2.05, 95% confidence interval [CI] = 1.66, 2.52), and telephone visits (IRR = 15.2, 95% CI = 10.7, 21.6) significantly increased. Utilization differed based on patient age, race/ethnicity, and rurality. Patients and providers perceived value in using telehealth, yet had limited experience with this modality pre‐pandemic. Providers preferred in‐person appointments for initial encounters and telehealth for follow‐up visits. Providers and patients identified benefits and challenges of telehealth delivery, often relying on multiple delivery methods for telehealth to enhance patient engagement. Conclusions: The uptake of telehealth delivery of headache‐related care rapidly expanded in response to the pandemic. Patients and providers were amenable to utilizing telehealth, yet also experienced technological barriers. To encourage equitable access to telehealth and direct resources to those in need, it is crucial to understand patient preferences regarding in‐person versus telehealth visits and identify patient groups who face barriers to access. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=156995071
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/head.14310
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 613
    Subjects:
      – SubjectFull: Headache treatment
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
    Titles:
      – TitleFull: Telehealth perceptions and utilization for the delivery of headache care before and during the COVID‐19 pandemic: A mixed‐methods study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Grinberg, Amy S.
      – PersonEntity:
          Name:
            NameFull: Fenton, Brenda T.
      – PersonEntity:
          Name:
            NameFull: Wang, Kaicheng
      – PersonEntity:
          Name:
            NameFull: Lindsey, Hayley
      – PersonEntity:
          Name:
            NameFull: Goldman, Roberta E.
      – PersonEntity:
          Name:
            NameFull: Baird, Sean
      – PersonEntity:
          Name:
            NameFull: Riley, Samantha
      – PersonEntity:
          Name:
            NameFull: Burrone, Laura
      – PersonEntity:
          Name:
            NameFull: Seng, Elizabeth K.
      – PersonEntity:
          Name:
            NameFull: Damush, Teresa M.
      – PersonEntity:
          Name:
            NameFull: Sico, Jason J.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 05
              Text: May2022
              Type: published
              Y: 2022
          Identifiers:
            – Type: issn-print
              Value: 00178748
          Numbering:
            – Type: volume
              Value: 62
            – Type: issue
              Value: 5
          Titles:
            – TitleFull: Headache: The Journal of Head & Face Pain
              Type: main
ResultId 1