Patient experiences with a phone-based cardiovascular risk reduction intervention: Are there differences between women and men?

K M Goldstein; L L Zullig; S M Andrews; N Sperber; A A Lewinski; C I Voils; E Z Oddone; H B Bosworth

doi:10.1016/j.pec.2021.03.027

Patient experiences with a phone-based cardiovascular risk reduction intervention: Are there differences between women and men?

Patient Educ Couns. 2021 Nov;104(11):2834-2838. doi: 10.1016/j.pec.2021.03.027. Epub 2021 Mar 27.

Authors

K M Goldstein¹, L L Zullig², S M Andrews³, N Sperber², A A Lewinski⁴, C I Voils⁵, E Z Oddone⁶, H B Bosworth⁷

Affiliations

¹ Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Durham, NC, USA. Electronic address: Karen.goldstein@duke.edu.
² Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
³ Genomics, Bioinformatics, and Translational Research Center, RTI International, Durham, NC, USA.
⁴ Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA; School of Nursing, Duke University, Durham, NC, USA.
⁵ William S Middleton Memorial Veterans Hospital, Madison, NC, USA; Department of Surgery, University of Wisconsin School of Medicine & Public Health, Madison, NC, USA.
⁶ Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
⁷ Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA; School of Nursing, Duke University, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA.

PMID: 33838939
DOI: 10.1016/j.pec.2021.03.027

Abstract

Objectives: To explore gender-based differences in experiences with a telehealth-delivered intervention for reduction of cardiovascular risk.

Methods: We conducted 23 semi-structured qualitative interviews by telephone with 11 women and 12 men who received a 12-month, pharmacist-delivered, telephone-based medication and behavioral management intervention. We used content analysis to identify themes.

Results: We identified three common themes for both men and women: ease and convenience of phone support, preference for proactive outreach, and need for trust building in the context of telehealth. While both genders appreciated the social support from the intervention pharmacist, women voiced appreciation for accountability whereas men generally spoke about encouragement.

Conclusions: Rapport building may differ between telehealth and in-person healthcare visits; our work highlights how men and women's experiences can differ with telehealth care and which can inform the development of future, purposeful rapport building activities to strengthen the clinician-patient interaction.

Practice implications: Clinicians should seek opportunities to provide frequent and routine support for patients with chronic disease. Telehealth interventions may benefit from gender-specific tailoring of social support.

Keywords: Patient experience; Prevention; Telehealth.

Published by Elsevier B.V.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Cardiovascular Diseases* / prevention & control
Female
Humans
Male
Patient Outcome Assessment
Qualitative Research
Risk Factors
Telemedicine*
Telephone

Abstract

Publication types

MeSH terms

Grants and funding