Evidence map›Paper›PMID 42816077›Full record

ArticleBMJ open2026

Comparing the safety and quality of video versus telephone telehealth using simulated consultations on fictional medications for an Australian community sample: a randomised controlled trial protocol.

Yangxueqing Jiang, Yiyun Shou, Eryn J Newman, Bruce K Christensen, Megan Reid Hobbs, Susy Macqueen, Jane Desborough, Danielle Butler, Leanne Watts, Christine Phillips

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. 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

10 authors.

Yangxueqing JiangSchool of Medicine and Psychology, College of Science and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia yangxueqing.jiang@anu.edu.au.ORCID http://orcid.org/0000-0003-3686-5631
Yiyun ShouSaw Swee Hock School of Public Health, National University of Singapore and National University Health System & Lloyd's Register Foundation Institute for the Public Understanding of Risk, National University of Singapore, Singapore.ORCID http://orcid.org/0000-0002-7386-0031
Eryn J NewmanSchool of Medicine and Psychology, College of Science and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Bruce K ChristensenSchool of Medicine and Psychology, College of Science and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Megan Reid HobbsSchool of Medicine and Psychology, College of Science and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0009-0000-7611-9647
Susy MacqueenSchool of Literature, Languages and Linguistics, College of Arts and Social Sciences, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0000-0001-5404-6475
Jane DesboroughNational Centre for Epidemiology and Population Health, College of Law, Governance and Policy, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0000-0003-1406-4593
Danielle ButlerNational Centre for Epidemiology and Population Health, College of Law, Governance and Policy, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0000-0003-4870-4544
Leanne WattsSchool of Medicine and Psychology, College of Science and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0009-0005-2138-3375
Christine PhillipsSchool of Medicine and Psychology, College of Science and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInternationally, routine telehealth consultations have been extensively implemented in primary care in telephone or video-based formats. Despite this widespread implementation, few studies have compared information exchange quality in telephone and video-based consultations from consumer and clinician perspectives, nor have they examined related indicators of safety.This protocol reports on a randomised controlled trial assessing safety and quality of telehealth consultations across telephone versus video-based modalities for simulated consultations about a fictional medication. The primary safety outcome is patient-centred delayed memory recall accuracy as a proxy for medication-information safety. Secondary outcomes include immediate recall accuracy and quality outcomes captured through patient-reported consultation experience and outcome measures. Findings can be used to develop guidance for clinicians and consumers in their selection of the most suitable telehealth modality for medication discussions, ultimately improving primary healthcare delivery. METHODS AND ANALYSIS: In this study, community participants aged 18-44 complete a simulated telehealth consultation with an actor-general practitioner (GP) through telephone or video, during which they learn about a fictional medication they are advised to take.Consultation safety will be reflected through participant memory of medication usage items including: frequency, timing, administration instructions, and side effects. Immediate memory will be assessed at the end of each consultation. After a 2-day delay, delayed memory will be assessed using structured recall questions. Consultation quality will be assessed at the end of each consultation through patient-reported outcome measures including: perceived therapeutic alliance with the GP, perceived empathy of the GP, behavioural intentions about medication usage, and risk perceptions regarding medication usage. ETHICS AND DISSEMINATION: This protocol (ID: H/2024/1249) received ethics approval from the Australian National University Human Research Ethics Committee (HREC) on 14 November 2025. Protocol amendments will be approved by The Australian National University HREC. Study findings will be disseminated through publication in peer-reviewed journals, presentations at academic conferences, and via the study website. TRIAL REGISTRATION AND DATA STATEMENT: The trial protocol including a full statistical analysis plan was prospectively registered to OSF (registration ID: osf.io/r6as3) prior to commencement of data collection. De-identified participant data, statistical code, and all materials used will also be uploaded to an online database.

Indexed as

Remote ConsultationTelemedicineTelephoneAdolescentAdultAustraliaFemaleHumansMalePatient Reported Outcome MeasuresPatient SafetyPatient SimulationPrimary Health CareRandomized Controlled Trials as TopicYoung AdultCognitionGeneral PracticePatient Reported Outcome MeasuresTelemedicine

Identifiers

PMID42816077
PMCPMC13629935

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.