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Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach: A Mixed-Methods Prospective Cohort Study

1
Department of Family Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
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Department of Family Medicine, Taitung Christian Hospital, Taitung 950, Taiwan
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Department of Family Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
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New Southbound Health Center, National Taiwan University Hospital, Taipei 100, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(20), 10801; https://doi.org/10.3390/ijerph182010801
Received: 12 September 2021 / Revised: 10 October 2021 / Accepted: 12 October 2021 / Published: 14 October 2021
Smartphone-enabled, telehealth-based family conferences represent an attractive and safe alternative to deliver communication during the COVID-19 pandemic. However, some may fear that the therapeutic relationship might be filtered due to a lack of direct human contact. The study aims to explore whether shared decision-making model combining VALUE (Value family statements, Acknowledge emotions, Listen, Understand the patient as a person, Elicit questions) and PLACE (Prepare with intention, Listen intently and completely, Agree on what matters most, Connect with the patient’s story, Explore emotional cues) framework can help physicians respond empathetically to emotional cues and foster human connectedness in a virtual context. Twenty-five virtual family conferences were conducted in a national medical center in Taiwan. The expression of verbal emotional distress was noted in 20% of patients and 20% of family members, while nonverbal distress was observed in 24% and 28%, respectively. On 10-point Likert scale, the satisfaction score was 8.7 ± 1.5 toward overall communication and 9.0 ± 1.1 on meeting the family’s needs. Adopting SDM concepts with VALUE and PLACE approaches helps physicians foster connectedness in telehealth family conferences. The model has high participant satisfaction scores and may improve healthcare quality among the pandemic. View Full-Text
Keywords: COVID-19; clinical encounter; family conference; shared-decision making; telehealth COVID-19; clinical encounter; family conference; shared-decision making; telehealth
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MDPI and ACS Style

Chou, T.-J.; Wu, Y.-R.; Tsai, J.-S.; Cheng, S.-Y.; Yao, C.-A.; Peng, J.-K.; Chiu, T.-Y.; Huang, H.-L. Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach: A Mixed-Methods Prospective Cohort Study. Int. J. Environ. Res. Public Health 2021, 18, 10801. https://doi.org/10.3390/ijerph182010801

AMA Style

Chou T-J, Wu Y-R, Tsai J-S, Cheng S-Y, Yao C-A, Peng J-K, Chiu T-Y, Huang H-L. Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach: A Mixed-Methods Prospective Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18(20):10801. https://doi.org/10.3390/ijerph182010801

Chicago/Turabian Style

Chou, Tzu-Jung, Yu-Rui Wu, Jaw-Shiun Tsai, Shao-Yi Cheng, Chien-An Yao, Jen-Kuei Peng, Tai-Yuan Chiu, and Hsien-Liang Huang. 2021. "Telehealth-Based Family Conferences with Implementation of Shared Decision Making Concepts and Humanistic Communication Approach: A Mixed-Methods Prospective Cohort Study" International Journal of Environmental Research and Public Health 18, no. 20: 10801. https://doi.org/10.3390/ijerph182010801

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