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      Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review

      , MSc (Public Health), PGDip , 1 , 2 , , BAppSc, MS, PhD 3 , , BA, BSc, MBBS, PhD, FRACGP 4 , , MBBS, PhD, FRACP, MMed, FAChSHM, FAAG, FANZSGM 5 , , BSc (Hons), PhD 1 , 6

      (Reviewer), (Reviewer)

      Journal of Medical Internet Research

      JMIR Publications

      videoconferencing, telemedicine, patient education as topic, social support, review

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          Abstract

          Background

          Group therapy and education and support sessions are used within health care across a range of disciplines such as chronic disease self-management and psychotherapy interventions. However, there are barriers that constrain group attendance, such as mobility, time, and distance. Using videoconferencing may overcome known barriers and improve the accessibility of group-based interventions.

          Objective

          The aim of this study was to review the literature to determine the feasibility, acceptability, effectiveness, and implementation of health professional–led group videoconferencing to provide education or social support or both, into the home setting.

          Methods

          Electronic databases were searched using predefined search terms for primary interventions for patient education and/or social support. The quality of studies was assessed using the Mixed Methods Appraisal Tool. We developed an analysis framework using hierarchical terms feasibility, acceptability, effectiveness, and implementation, which were informed by subheadings.

          Results

          Of the 1634 records identified, 17 were included in this review. Home-based groups by videoconferencing are feasible even for those with limited digital literacy. Overall acceptability was high with access from the home highly valued and little concern of privacy issues. Some participants reported preferring face-to-face groups. Good information technology (IT) support and training is required for facilitators and participants. Communication can be adapted for the Web environment and would be enhanced by clear communication strategies and protocols. A range of improved outcomes were reported but because of the heterogeneity of studies, comparison of these across studies was not possible. There was a trend for improvement in mental health outcomes. Benefits highlighted in the qualitative data included engaging with others with similar problems; improved accessibility to groups; and development of health knowledge, insights, and skills. Videoconference groups were able to replicate group processes such as bonding and cohesiveness. Similar outcomes were reported for those comparing face-to-face groups and videoconference groups.

          Conclusions

          Groups delivered by videoconference are feasible and potentially can improve the accessibility of group interventions. This may be particularly useful for those who live in rural areas, have limited mobility, are socially isolated, or fear meeting new people. Outcomes are similar to in-person groups, but future research on facilitation process in videoconferencing-mediated groups and large-scale studies are required to develop the evidence base.

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          Most cited references 84

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          David Moher and colleagues introduce PRISMA, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses
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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                February 2018
                02 February 2018
                : 20
                : 2
                Affiliations
                1 School of Nursing, Midwifery and Social Sciences Central Queensland University Rockhampton Australia
                2 School of Health and Human Sciences Southern Cross University Lismore Australia
                3 Office of the Deputy Vice Chancellor (Research) Southern Cross University Lismore Australia
                4 Faculty of Health Sciences Bond University Gold Coast Australia
                5 Centre for Health Services Research The University of Queensland Brisbane Australia
                6 School of Medicine and Public Health Newcastle University Newcastle Australia
                Author notes
                Corresponding Author: Annie Banbury a.banbury@ 123456cqu.edu.au
                Article
                v20i2e25
                10.2196/jmir.8090
                5816261
                29396387
                ©Annie Banbury, Susan Nancarrow, Jared Dart, Leonard Gray, Lynne Parkinson. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.02.2018.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                Categories
                Review
                Review

                Medicine

                review, videoconferencing, telemedicine, patient education as topic, social support

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