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Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach: A Mixed-Methods Prospective Cohort Study

Author

Listed:
  • Tzu-Jung Chou

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Yu-Rui Wu

    (Department of Family Medicine, Taitung Christian Hospital, Taitung 950, Taiwan)

  • Jaw-Shiun Tsai

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
    New Southbound Health Center, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Shao-Yi Cheng

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
    New Southbound Health Center, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Chien-An Yao

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan)

  • Jen-Kuei Peng

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
    New Southbound Health Center, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Tai-Yuan Chiu

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
    New Southbound Health Center, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Hsien-Liang Huang

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
    New Southbound Health Center, National Taiwan University Hospital, Taipei 100, Taiwan)

Abstract

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.

Suggested Citation

  • Tzu-Jung Chou & Yu-Rui Wu & Jaw-Shiun Tsai & Shao-Yi Cheng & Chien-An Yao & Jen-Kuei Peng & Tai-Yuan Chiu & Hsien-Liang Huang, 2021. "Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach: A Mixed-Methods Prospective Cohort Study," IJERPH, MDPI, vol. 18(20), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10801-:d:656443
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    References listed on IDEAS

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    1. Diamond-Brown, Lauren, 2016. "The doctor-patient relationship as a toolkit for uncertain clinical decisions," Social Science & Medicine, Elsevier, vol. 159(C), pages 108-115.
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    Cited by:

    1. Shan-Fu Yu & Hui-Ting Wang & Meng-Wei Chang & Tien-Tsai Cheng & Jia-Feng Chen & Chia-Li Lin & Hsing-Tse Yu, 2022. "Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach," IJERPH, MDPI, vol. 19(20), pages 1-23, October.

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