• Rebecca N Hutchinson, Eric C Anderson, Mollie A Ruben, Noah Manning, Liam John, Ava Daruvala, Donna M Rizzo, Margaret J Eppstein, Robert Gramling, and HanPaul K JPKJCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, Maine, USA.Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, USA..
• Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, Maine, USA.
• J Palliat Med. 2022 Aug 1; 25 (8): 125812671258-1267.

AbstractBackground: It is unknown whether telemedicine-delivered palliative care (tele-PC) supports emotionally responsive patient-clinician interactions. Objectives: We conducted a mixed-methods formative study at two academic medical centers in rural U.S. states to explore the acceptability, feasibility, and emotional responsiveness of tele-PC. Design: We assessed clinicians' emotional responsiveness through questionnaires, qualitative interviews, and video coding. Results: We completed 11 tele-PC consultations. Mean age was 71 years, 30% did not complete high school, 55% experienced at least moderate financial insecurity, and 2/3 rated their overall health poorly. All patients rated tele-PC as equal to, or better than, in-person PC at providing emotional support. There was a tendency toward higher positive and lower negative emotions following the consultation. Video coding identified 114 instances of patients expressing emotions, and clinicians detected and responded to 98% of these events. Conclusion: Tele-PC appears to support emotionally responsive patient-clinician interactions. A mixed-methods approach to evaluating tele-PC yields useful, complementary insights.

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