ArticleScandinavian journal of caring sciences2026
Using Complex Interventions to Develop Programme Theory for a Family-Focused Model of Telepalliative Care.
Article in Scandinavian journal of caring sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Mobile Health in Home-Based Palliative Care: Realist Review of Contextual Factors and Mechanisms Influencing Outcomes.JMIR mHealth and uHealth · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients and families find telepalliative care to be a valuable and convenient supplement to conventional palliative care services. However, challenges persist in sustaining meaningful telepalliative care beyond the initial implementation. Developing structured models that are culturally and contextually aligned may be the key to sustainability.
aimTo develop programme theory for a family-focused model of telepalliative care for adult patients and their families.
methodsGuided by the British Medical Research Council's framework for developing and evaluating complex interventions, data were collected through workshops with key stakeholders, participant observations and ethnographic interviews. Reflexive thematic and secondary data analyses were performed to develop programme theory and identify key uncertainties.
resultsSix workshops were held at two Danish locations with 49 participants. Three themes were generated. (1) Virtual care in palliative settings: Adapting to new norms and evolving practices in telepalliative care. This theme explores how professionals, patients and families adapted to new norms in virtual interactions without structured guidance. (2) Balancing trust and technology: The role of face-to-face consultations in telepalliative care. This theme examines the balance between face-to-face consultations and telepalliative care. (3) Governance and equity in telepalliative care: Ensuring access, sustainability and quality. This theme explores factors affecting the implementation, sustainability and equitable access to telepalliative care services.
conclusionThe programme theory highlighted the link between clinicians' level of digital competency and benefits to patients and families in telepalliative care, emphasising the need to enhance clinicians' skills. Further exploration is needed to identify the specific digital skills required for delivering effective telepalliative care. Key considerations include the importance of face-to-face first visits to establish relationships and the concern that technology may overshadow palliative care.
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