Abstract
We sought to identify primary care providers' interest in, as well as perceived barriers and facilitators to, using novel telemedicine technologies (e.g., smartphones) for managing chronic non-cancer pain (CNCP) in older adults. Six focus groups were conducted with 25 primary care providers. Two academically affiliated primary care practices serving older adults with CNCP in New York City. The investigators used content analysis to analyze transcribed focus group data and identify specific themes. While most providers reported limited use of telemedicine, they expressed substantial interest in trying devices such as smartphones in the management of older patients with CNCP. Perceived barriers to implementation of telemedicine tools included information overload, lack of mobile device usability among patients and clinicians, liability issues, and cost. To overcome these barriers, participants suggested implementing electronic or human-based pre-analysis of data (e.g., a computer or a person that triages patient data), creating a low-cost and user-friendly mobile device design, and targeting appropriate user populations. Primary care providers are interested in applying telemedicine when caring for older adults with CNCP. Althoug...Continue Reading
References
May 20, 1998·Arthritis and Rheumatism·R C LawrenceF Wolfe
Feb 19, 1999·Medical Care·K NakamuraC Akao
Mar 11, 2003·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Philip R AppelJohn Noiseux
Sep 11, 2003·Annals of Internal Medicine·Michael WeinerClement J McDonald
Jan 5, 2005·Diabetes Technology & Therapeutics·Riccardo BellazziMario Stefanelli
Mar 4, 2005·Medical Informatics and the Internet in Medicine·Leili Lind, Daniel Karlsson
Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
Mar 21, 2006·Age and Ageing·Clermont E DionnePeter R Croft
May 13, 2006·The Clinical Journal of Pain·Philip W H PengMary E Salenieks
Feb 6, 2007·Journal of Nutrition Education and Behavior·Garry W AuldSahar Zaghloul
Mar 6, 2007·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Janette ElliottDavid J Clark
Mar 17, 2007·International Journal of Medical Informatics·Leili LindBengt Fridlund
Nov 14, 2007·Expert Review of Neurotherapeutics·Robert W JohnsonRalf Baron
Jan 8, 2008·Pain·Magdalena R NaylorJohn E Helzer
Mar 20, 2008·Journal of Telemedicine and Telecare·Jacqueline Gardner-NixJessica Grummitt
May 28, 2008·Pain Practice : the Official Journal of World Institute of Pain·Joseph PergolizziPaola Sacerdote
Jul 4, 2009·Journal of the American Geriatrics Society·UNKNOWN American Geriatrics Society Panel on Pharmacological Management of Persistent Pain in Older Persons
Aug 21, 2009·The Clinical Journal of Pain·Tomás B CorcoranStephan A Schug
Sep 12, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Joseph T HanlonCharles Argoff
Aug 3, 2010·Pain·Edmund KeoghChristopher Eccleston
Sep 22, 2010·Pain·David A WilliamsDaniel J Clauw
Feb 26, 2011·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Karlijn CranenMiriam M R Vollenbroek-Hutten
Mar 8, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Benjamin A RosserChristopher Eccleston
Jul 15, 2011·BMC Geriatrics·Aerin SpitzM Carrington Reid
Jan 31, 2012·Primary Health Care Research & Development·Kitti Sranacharoenpong, Rhona M Hanning
Feb 7, 2012·Pain Practice : the Official Journal of World Institute of Pain·Donald D McGearyRobert J Gatchel
May 8, 2013·BMC Geriatrics·Samantha J ParkerM Cary Reid
May 15, 2013·Journal of the American Medical Informatics Association : JAMIA·Isabelle VedelLiette Lapointe
Citations
Nov 5, 2016·Archives of Gerontology and Geriatrics·Priyanka Bhattarai, Jane L Phillips
Nov 28, 2017·Health Informatics Journal·Sally TaylorBridgette M Bewick
Aug 14, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Amer ZawahrehAbdulqadir Nashwan
Dec 1, 2015·Healthcare Informatics Research·Ronald C Merrell
Jul 31, 2019·Journal of Telemedicine and Telecare·Molly O'KeefeJ'Aime C Jennings
Apr 12, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Hadley S Sauers-FordJennifer L Rosenthal
Aug 9, 2017·JMIR Cancer·Andreas D HartkopfMarkus Wallwiener
May 26, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Priyanka BhattaraiJane L Phillips
Aug 10, 2017·Revista brasileira de enfermagem·Tânia Alves Canata BeckerMaria Teresa da Costa Gonçalves Torquato
May 2, 2020·Annals of the American Thoracic Society·Allison GossenCosti D Sifri
Sep 24, 2020·JMIR MHealth and UHealth·Christine JacobChris Ivory
Jan 22, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Joshua E RichardsonM Carrington Reid
Sep 11, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Priyanka BhattaraiJane L Phillips
Mar 5, 2020·JMIR MHealth and UHealth·Christine JacobChris Ivory
Jan 13, 2018·Journal of Telemedicine and Telecare·Clemens Scott KruseMatthew Brooks
Jul 29, 2019·World Journal of Urology·Peris Castaneda, Chad Ellimoottil
Nov 23, 2019·Journal of Medical Internet Research·Björn SchreiweisBjörn Bergh
Mar 27, 2021·BMC Health Services Research·Cecilie VarsiLise Solberg Nes
May 1, 2021·Geriatrics·Margaret DunhamHadi Mehrpouya
Sep 18, 2021·BMJ Open·Xueqing PengHua You