Journal ArticleDOI
Validating the Impact of Teaching Pursed-Lips Breathing With Skype: A Pilot Study
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TLDR
This feasibility study measured the effect of PLB training delivered over Skype on dyspnea, physical activity, health-related quality of life, and self-efficacy and found the intervention was found to be feasible and demonstrated marginal improvements in quality-of-life measures.Abstract:
Providing palliative care to persons with diseases other than cancer is challenged by the need to determine the trajectory for death. Persons with chronic disease, including cancer, require the same care directed at symptom management, optimization of quality of life, advanced care planning, and caregiver support. Chronic obstructive pulmonary disease is projected to be the third leading cause of death by 2030, with dyspnea being the most frequently reported symptom. Pursed-lips breathing (PLB) is a self-management technique that relieves shortness of breath by decreasing hyperinflation, thereby potentially improving activity tolerance. This feasibility study measured the effect of PLB training delivered over Skype on dyspnea, physical activity, health-related quality of life, and self-efficacy. The intervention was found to be feasible and demonstrated marginal improvements in quality-of-life measures. However, when controlling for degree of breathlessness with activity, dyspnea, activity levels, and quality-of-life measures were significantly different, suggesting that as dyspnea worsens, training PLB may be more effective. Given the challenges with health care access, using communication software for the education and management of patients with chronic diseases and their caregivers may be both effective and efficient and especially useful for those who are geographically dispersed or homebound.read more
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Real-World Implementation of Video Outpatient Consultations at Macro, Meso, and Micro Levels: Mixed-Method Study
Trisha Greenhalgh,Sara Shaw,Joseph Wherton,Shanti Vijayaraghavan,Joanne Morris,Satya Bhattacharya,Philippa Hanson,Desirée Campbell-Richards,Seendy Ramoutar,Anna Collard,Isabel Hodkinson +10 more
TL;DR: Video outpatient consultations appear safe, effective, and convenient for patients in situations where participating clinicians judge them clinically appropriate, but such situations are a fraction of the overall clinic workload.
Journal ArticleDOI
Virtual online consultations: advantages and limitations (VOCAL) study
Trisha Greenhalgh,Shanti Vijayaraghavan,Joseph Wherton,Sara Shaw,Emma Byrne,Desirée Campbell-Richards,Satya Bhattacharya,Philippa Hanson,Seendy Ramoutar,Charles Gutteridge,Isabel Hodkinson,Anna Collard,Joanne Morris +12 more
TL;DR: This study will conduct in-depth qualitative studies of real consultations embedded in an organisational case study (mesolevel), taking account of national context (macrolevel), to explore the advantages and limitations of video consultations.
Journal ArticleDOI
The clinical use of Skype—For which patients, with which problems and in which settings? A snapshot review of the literature
TL;DR: The use of Skype was most prevalent in the management of chronic diseases such as cardiovascular diseases and diabetes, followed by educational and speech and language pathology applications and most reported uses were in developed countries.
Journal ArticleDOI
Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study
Sara Shaw,Joseph Wherton,Shanti Vijayaraghavan,Joanne Morris,Satya Bhattacharya,Philippa Hanson,Desirée Campbell-Richards,Seendy Ramoutar,Anna Collard,Isabel Hodkinson,Trisha Greenhalgh +10 more
TL;DR: Virtual consultations appear to be safe, effective and convenient for patients who are preselected by their clinicians as ‘suitable’, but such patients represent a small fraction of clinic workloads, and there are complex challenges to embedding virtual consultation services within routine practice in the NHS.
Journal ArticleDOI
Video Consultations Between Patients and Clinicians in Diabetes, Cancer, and Heart Failure Services: Linguistic Ethnographic Study of Video-Mediated Interaction.
Sara Shaw,Lucas M. Seuren,Joseph Wherton,Deborah Cameron,Christine A'Court,Shanti Vijayaraghavan,Joanne Morris,Satyajit Bhattacharya,Trisha Greenhalgh +8 more
TL;DR: An in-depth analysis of the clinician-patient interaction in a sample of video-mediated consultations and a comparison sample of face-to-face consultations drawn from 4 clinical settings across 2 trusts in the UK National Health Service to produce recommendations for patients and clinicians to improve the communicative quality of such consultations.
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