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document
Nurse and patient communication profiles in a home-based telehealth intervention for heart failure management . OBJECTIVE This study compared differences in nurse and patient communication profiles between two telehealth modes : telephone and videophone , and evaluated longitudinal changes in communication , nurse perceptions , and patient satisfaction . METHODS Subjects were enrolled in a randomized controlled clinical trial evaluating a 90-day home-based intervention for heart failure . Telephone ( n=14 ) and videophone ( n=14 ) interactions were audio taped and analyzed using the Roter Interaction Analysis System . RESULTS Nurses were more likely to use open-ended questions , back-channel responses , friendly jokes , and checks for understanding on the telephone compared to videophone . Compliments given and partnership were more common on the videophone . Patients were more likely to give lifestyle information and approval comments on the telephone , and used more closed-ended questions on the videophone . Nurses perceptions of the interactions were not different between the telephone and videophone , nor did their perceptions change significantly over the course of the intervention . There were no significant differences in patient satisfaction between the telephone and videophone . CONCLUSIONS The results of this study did not support use of a videophone over the telephone . PRACTICE IMPLICATIONS It is critical to match technologies to patient needs and use the least complex technology possible . When considering use a videophone , health care providers should critically examine the trade-offs between additional complexities with the added value of the visual interaction .
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Intervention_Educational
telephone
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Intervention_Other
videophone
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Intervention_Educational
Telephone
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Intervention_Other
videophone
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Intervention_Other
Roter Interaction Analysis System
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Intervention_Educational
telephone
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Intervention_Other
videophone
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Intervention_Educational
telephone
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Intervention_Other
videophone
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Intervention_Other
videophone
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Intervention_Other
videophone
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Intervention_Other
videophone
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Intervention_Educational
telephone
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Intervention_Other
videophone
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Outcome_Other
Nurse and patient communication profiles
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Outcome_Other
nurse and patient communication profiles
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Outcome_Other
longitudinal changes in communication
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Outcome_Other
nurse perceptions
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Outcome_Other
patient satisfaction
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Outcome_Other
Roter Interaction Analysis System
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Outcome_Other
use open-ended questions , back-channel responses
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Outcome_Other
friendly jokes
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Outcome_Other
checks for understanding
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Outcome_Other
Compliments given and partnership
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Outcome_Mental
give lifestyle information and approval comments
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Outcome_Other
closed-ended questions
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Outcome_Other
Nurses perceptions of the interactions
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Outcome_Other
perceptions
34992
Outcome_Other
patient satisfaction
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Participant_Sample-size
n=14
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Participant_Sample-size
n=14