Evidence map›Paper›PMID 40138694›Full record

ArticleJMIR human factors2025

Best Practice Guide for Reducing Barriers to Video Call-Based Telehealth: Modified Delphi Study Among Health Care Professionals.

Lena Rettinger, Lea Aichinger, Veronika Ertelt-Bach, Andreas Huber, Susanne Maria Javorszky, Lukas Maul, Peter Putz, Sevan Sargis, Franz Werner, Klaus Widhalm and 1 more

Abstract read
In one paragraph

Article in JMIR human factors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lena RettingerResearch Center Digital Health and Care, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0000-0003-0388-3438
Lea AichingerResearch Center Digital Health and Care, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0009-0006-8237-1869
Veronika Ertelt-BachOccupational Therapy, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0009-0008-2719-5449
Andreas HuberOrthoptics, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0009-0007-0152-5422
Susanne Maria JavorszkyLogopedics - Phoniatrics - Audiology, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0000-0003-4219-5857
Lukas MaulResearch Center Digital Health and Care, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0009-0000-3664-7357
Peter PutzResearch Center Health Sciences, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0000-0003-2314-3293
Sevan SargisMidwifery, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0009-0005-3724-920X
Franz WernerResearch Center Digital Health and Care, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0000-0002-5833-3583
Klaus WidhalmPhysiotherapy, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.ORCID 0000-0001-7076-4100
Sebastian KuhnInstitute of Digital Medicine, Philipps-University & University Hospital of Giessen and Marburg, Marburg, Germany.ORCID 0000-0002-8031-2973

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelehealth has grown, especially during the COVID-19 pandemic, improving access for those in remote or underserved areas. However, its implementation faces technological, practical, and interpersonal barriers.

objectiveThe aim of this study was to identify and consolidate best practices for telehealth delivery, specifically for video call sessions, by synthesizing the insights of health care professionals across various disciplines.

methodsWe first identified 15 common telehealth barriers from a preceding scoping review. Subsequently, a modified Delphi method was used, involving 9 health care professionals (physiotherapists, speech and language therapists, dietitians, and midwife) with telehealth experience in qualitative interviews and 2 iterative rounds of web-based surveys to form consensus.

resultsThis study addressed 15 telehealth barriers and identified 105 best practices. Among these, 20 are technology-related and 85 concern health care practices. Emphasis was placed on setting up telehealth environments, ensuring safety, building relationships and trust, using nonmanual methods, and enhancing observation and assessment skills. Best practice recommendations for dealing with patients or caregiver skepticism or lack of telehealth-specific knowledge were developed. Further, approaches for unstable networks and privacy and IT security issues were identified. Areas with fewer best practices were the lack of technology skills or technology access, unreliability of hardware and software, increased workload, and a lack of caregiver support.

conclusionsThis guide of best practices serves as an actionable resource for health care providers to navigate the complexities of telehealth. Despite a small participant sample and the potential for profession-specific biases, the findings provide a foundation for improving telehealth services and inform future research for its application and education.

Indexed as

COVID-19Health PersonnelPractice Guidelines as TopicTelemedicineVideoconferencingDelphi TechniqueHumansSARS-CoV-2barriersbest practicesDelphi studydietitianshealth care professionalshealth communicationlanguage therapistsmidwifephysiotherapistsqualitative interviewsspeech therapiststelehealthvideo callweb-based survey

Identifiers

PMID40138694
PMCPMC11982760

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.