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What influences withdrawal because of rejection of telehealth – the whole systems demonstrator evaluation

Lorna Rixon (Research Fellow, based at School of Health Sciences, City University London, London, UK)
Shashivadan P. Hirani (Senior Lecturer, based at School of Health Sciences, City University London, London, UK)
Martin Cartwright (Lecturer in Health Services Research, based at School of Health Sciences, City University London, London, UK)
Michelle Beynon (Research Assistant, based at School of Health Sciences, City University London, London, UK)
Abi Selva (Research Assistant, based at School of Health Sciences, City University London, London, UK)
Caroline Sanders (Senior Lecturer in Medical Sociology, based at Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK)
Stanton P. Newman (Professor of Health Psychology and Dean, based at School of Health Sciences, City University London, London, UK)

Journal of Assistive Technologies

ISSN: 1754-9450

Article publication date: 29 November 2013

406

Abstract

Purpose

The widespread deployment of telehealth (TH) has been conducted in the absence of any clear understanding of how acceptable these devices are to patients. One potential limitation of the widespread deployment of TH is that patients may refuse. Moreover an understanding of the reasons for refusing to use TH devices will provide an understanding of the barriers.

Design/methodology/approach

This investigation from the Whole Systems Demonstrator (WSD) programme, a pragmatic cluster randomised controlled trial into the effectiveness of TH, examined reasons for patients in the intervention cohort of the trial refusing TH, and the potential barriers to its deployment.

Findings

Active rejection of the TH intervention was the most frequent reason for withdrawal. After examination of trial-related, health, socio-demographic, cognitive, emotional and behavioural factors, patients diagnosed with diabetes, as opposed to heart failure or chronic obstructive pulmonary disease, and patients’ beliefs about the acceptability of the intervention predicted whether or not they withdrew from the trial because of the intervention.

Originality/value

Beliefs that the TH intervention resulted in increased accessibility to care, satisfaction with equipment and fewer concerns about the privacy, safety and discomfort associated with using TH equipment predicted continued participation in the WSD trial. Findings suggest that potentially modifiable beliefs about TH predict those more likely to reject the intervention. These findings have important implications for understanding individual differences in the acceptance of TH and subsequent success in mainstreaming TH in healthcare services.

Keywords

Citation

Rixon, L., P. Hirani, S., Cartwright, M., Beynon, M., Selva, A., Sanders, C. and P. Newman, S. (2013), "What influences withdrawal because of rejection of telehealth – the whole systems demonstrator evaluation", Journal of Assistive Technologies, Vol. 7 No. 4, pp. 219-227. https://doi.org/10.1108/JAT-06-2013-0017

Publisher

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Emerald Group Publishing Limited

Copyright © 2013, Emerald Group Publishing Limited

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