"Giving the Patients Less Work": A Thematic Analysis of Telehealth Use and Recommendations to Improve Usability for Autistic Adults

Autor/inn/en	Gilmore, Daniel; Harris, Lauren; Hanks, Christopher; Coury, Daniel; Moffatt-Bruce, Susan; Garvin, Jennifer H.; Hand, Brittany N.
Titel	"Giving the Patients Less Work": A Thematic Analysis of Telehealth Use and Recommendations to Improve Usability for Autistic Adults
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 4, S.1132-1141 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Gilmore, Daniel) ORCID (Harris, Lauren) ORCID (Coury, Daniel) ORCID (Garvin, Jennifer H.) ORCID (Hand, Brittany N.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613221132422
Schlagwörter	Autism Spectrum Disorders; Patients; Adults; Videoconferencing; Access to Health Care; Usability; Allied Health Personnel; Technological Literacy; Barriers; Primary Health Care; Expectation; Family Involvement + Suchen Sie Ihr Suchwort? Autism; Autismus; Patient; Technisches Wissen; Gesundheitsvorsorge; Expectancy; Erwartung
Abstract	Virtual visits are a telehealth service where patients and providers communicate in real-time using audio and/or video technology. Setting up a virtual visit is complex and may pose challenges for some autistic adults. We conducted semi-structured interviews with autistic adults (n = 7), family members of autistic adults (n = 12), and clinic personnel (n = 6) from one US-based clinic and used thematic analysis to identify factors affecting usability of virtual visits. We found virtual visit preparation involves multiple contacts between clinic personnel and patients or family members via a variety of channels and usability was affected by technology considerations, logistical considerations, and expectations for visits. Participants said technological experience and using the patient portal enhanced usability, but technological issues could increase anxiety. Clinic personnel reported time constraints created logistical barriers to virtual visits; streamlining the process before the visit via the patient portal may improve the usability of virtual visits for autistic adults, family members, and clinic personnel. Participants also reported unclear expectations for virtual visits reduced usability and recommended reminders, instructional videos, and estimated wait-times to clarify expectations. While our findings are based on a single clinic, they may help inform usability improvement efforts in other clinics offering virtual visits for autistic adults. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01