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An online randomised controlled trial and survey of behavioural factors influencing patient willingness to attend a video consultation
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Schmidtke, Kelly, Kudrna, Laura, Quinn, Laura, Vlaev, Ivo, Hemmings, Karla and Lilford, Richard (2022) An online randomised controlled trial and survey of behavioural factors influencing patient willingness to attend a video consultation. British Journal of Health Psychology, 27 (2). pp. 283-299. doi:10.1111/bjhp.12545 ISSN 1359-107X.
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Official URL: https://doi.org/10.1111/bjhp.12545
Abstract
Objectives
To examine whether the phrasing of a hospital appointment invitation influences patient preference to attend in person or by video. The study also explores patient capabilities, opportunities, and motivations to attend video consultations.
Design
A randomized controlled trial followed by a cross-sectional survey.
Methods
Participants (1,481 total, 780 females) were residents of the United Kingdom who self-identified as being diagnosed with a chronic disease. Participants considered one of three hypothetical invitations. In one group, participants were invited to attend in person. Those in another group were invited to attend by video. These participants could either accept the invitation or request the other option. In the final ‘active choice’ group, participants were asked to choose to attend either in-person or by video appointment. Then, all participants responded to open- and closed-ended items about attending video consultations.
Results
When the default option was in person, 25% of participants chose video consultation, compared with 41% in the active choice group (RR = 1.65, 95% CI: 1.37–1.99, p < .001) and 65% in the default video group (RR = 2.60, 95% CI: 2.20–2.96, p < .001). Closed-ended responses suggested that younger patients and those with previous experience were more likely to prefer video consultations. Most open-ended responses contained themes about opportunities, followed by motivations and then capabilities.
Conclusions
Patients are more likely to express a preference to attend by video when video is the default option. The real-world effectiveness of this intervention is more likely to be realized where hospitals also support patient capabilities, opportunities, and motivations.
| Item Type: | Journal Article | |||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology | |||||||||
| Divisions: | Faculty of Social Sciences > Warwick Business School > Behavioural Science Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Social Sciences > Warwick Business School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Medical consultation -- Great Britain, Questioning, Decision making, Cognitive psychology | |||||||||
| Journal or Publication Title: | British Journal of Health Psychology | |||||||||
| Publisher: | British Psychological Soc. | |||||||||
| ISSN: | 1359-107X | |||||||||
| Official Date: | May 2022 | |||||||||
| Dates: |
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| Volume: | 27 | |||||||||
| Number: | 2 | |||||||||
| Page Range: | pp. 283-299 | |||||||||
| DOI: | 10.1111/bjhp.12545 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Reuse Statement (publisher, data, author rights): | This is the peer reviewed version of the following article: Schmidtke, K.A., Kudrna, L., Quinn, L., Vlaev, I., Hemmings, K. and Lilford, R. (2021), An online randomized controlled trial and survey of behavioural factors influencing patients’ willingness to attend a video consultation. Br J Health Psychol., which has been published in final form at http://dx.doi.org/10.1111/bjhp.12545. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 16 June 2021 | |||||||||
| Date of first compliant Open Access: | 29 June 2022 | |||||||||
| RIOXX Funder/Project Grant: |
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