Trial reportTrials2015
Who does not participate in telehealth trials and why? A cross-sectional survey.
Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sociotechnical Factors Affecting Patients' Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis.JMIR mHealth and uHealth · 2022Pooled it
- Recruiting general practitioners and patients with dementia into a cluster randomised controlled trial: strategies, barriers and facilitators.BMC medical research methodology · 2021Trial
- Telehealth for patients at high risk of cardiovascular disease: pragmatic randomised controlled trial.BMJ (Clinical research ed.) · 2016Trial
- Who chooses telehealth? A cross-sectional cohort study of diabetic patients in outpatient clinic follow-up.PLOS digital health · 2026Article
- Diabetes Management Through Remote Patient Monitoring: A Mixed-Methods Evaluation of Program Enrollment and Attrition.Healthcare (Basel, Switzerland) · 2025Article
- Patient and clinician perceptions of telehealth in musculoskeletal physiotherapy services - A systematic review of the evidence-base.PLOS digital health · 2025Article
- Machine Learning Analysis of Factors Influencing Pediatric Telehealth Visits During COVID-19: A State-Level Comparison Using 2021-22 National Survey of Children's Health Data.Healthcare (Basel, Switzerland) · 2024Article
- Primary care involvement in clinical research - prerequisites, motivators, and barriers: results from a study series.Archives of public health = Archives belges de sante publique · 2024Article
- Virtual 'robot' ward rounds: older trauma patients' perceptions of inpatient virtual consultations.Clinical medicine (London, England) · 2023Article
- Stakeholders' Experiences Using Videoconferencing for a Group-Based Stroke Intervention During COVID-19: A Thematic Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2023Article
- The utility of telemedicine in managing patients after COVID-19.Scientific reports · 2022Article
- Traumatology: Adoption of the Sm@rtEven Application for the Remote Evaluation of Patients and Possible Medico-Legal Implications.Journal of clinical medicine · 2022Article
- How the Norwegian population was affected by non-pharmaceutical interventions during the first six weeks of the COVID-19 lockdown.Scandinavian journal of public health · 2022Article
- Clarifying responsibility: professional digital health in the doctor-patient relationship, recommendations for physicians based on a multi-stakeholder dialogue in the Netherlands.BMC health services research · 2022Article
- Adherence and acceptance of a home-based telemonitoring application used by multi-morbid patients aged 65 years and older.Journal of telemedicine and telecare · 2022Article
- Reasons for not reaching or using web-based self-management applications, and the use and evaluation of Oncokompas among cancer survivors, in the context of a randomised controlled trial.Internet interventions · 2021Article
- A group-based real-time videoconferencing telerehabilitation programme in recently discharged geriatric patients: a feasibility study.European geriatric medicine · 2021Article
- Racial Differences in Patient Portal Activation and Research Enrollment Among Patients With Prostate Cancer.JCO clinical cancer informatics · 2021Article
- Integrating Telemedicine Services in Ophthalmology: Evaluating Patient Interest and Perceived Benefits.Patient preference and adherence · 2021Article
- Shared care follow-up of patients with B-cell neoplasms based on nurse-led telephone consultations and PRO-data: a feasibility study from the North Denmark Region.BMC health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundTelehealth interventions use information and communication technology to provide clinical support. Some randomised controlled trials of telehealth report high patient decline rates. A large study was undertaken to determine which patients decline to participate in telehealth trials and their reasons for doing so.
methodsTwo linked randomised controlled trials were undertaken, one for patients with depression and one for patients with raised cardiovascular disease risk (the Healthlines Study). The trials compared usual care with additional support delivered by the telephone and internet. Patients were recruited via their general practice and could return a form about why they were not participating.
resultsOf the patients invited, 82.9% (20,021/24,152) did not accept the study invite, either by returning a decline form (n = 7134) or by not responding (n = 12,887). In both trials patients registered at deprived general practices were less likely to accept the study invite. Decline forms were received from 29.5% (7134/24,152) of patients invited. There were four frequently reported types of reasons for declining. The most common was telehealth-related: 54.7% (3889/,7115) of decliners said they did not have access or the skills to use the internet and/or computers. This was more prevalent amongst older patients and patients registered at deprived general practices. The second was health need-related: 40.1% (n = 2852) of decliners reported that they did not need additional support for their health condition. The third was related to life circumstances: 27.2% (n = 1932) of decliners reported being too busy. The fourth was research-related: 15.3% (n = 1092) of decliners were not interested in the research.
conclusionsA large proportion of patients declining participation in these telehealth trials did so because they were unable to engage with telehealth or did not perceive a need for it. This has implications for engagement with telehealth in routine practice, as well as for trials, with a need to offer technological support to increase patients' engagement with telehealth. More generally, triallists should assess why people decline to participate in their studies.
trial registrationThe Healthlines Study has the following trial registrations: depression trial: ISRCTN14172341 (registered 26 June 2012) and CVD risk trial: ISRCTN27508731 (registered 05 July 2012).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.