Satisfaction of Individuals Living with Inflammatory Bowel Disease and Gastroenterology Care Providers with Telephone Care
Notice bibliographique
Résumé
Background: People living with inflammatory bowel disease (IBD) require regular medical follow-up, which could be challenging for individuals living in rural areas and those who have limited access to specialized care. Telephone care (TC) could improve health care by increasing access to specialized care and decreasing the strain of travel and time to see a consultant. The coronavirus disease 2019 pandemic increased the usage of TC appointments in Canada including Saskatchewan. There are no validated questionnaires to measure satisfaction with TC among individuals living with IBD and gastrointestinal care providers (GCPs). In addition, there is limited evidence around the levels and factors associated with satisfaction with TC among individuals with IBD. Purpose: This study aimed to adapt and validate a questionnaire to evaluate the satisfaction of individuals living with IBD and GCPs with TC, and to evaluate the factors associated with TC satisfaction among individuals living with IBD in Saskatchewan, Canada. Methods: The Telehealth Usability Questionnaire was adapted to the IBD TC context by a committee of experts. Two questionnaires were generated - the Telephone Care Satisfaction Questionnaire (TCSQ) for individuals living with IBD (IBD-TCSQ-patient) and GCPs (IBD-TCSQ-provider). A pilot study among GCPs and IBD individuals assessed the readability and usability of the questionnaire items. Subsequently, between December 2021 and April 2022, individuals living with IBD in Saskatchewan and GCPs completed an online survey with, respectively, the TCSQ-patient and IBD-TCSQ-provider questionnaires. For individuals with IBD, the online survey also included the Quality of Care Through the Patient’s Eyes-IBD (QUOTE-IBD) questionnaire, Short Inflammatory bowel disease questionnaire (SIBDQ), and demographic questions. Data were analyzed using descriptive and correlational techniques. Psychometric analysis was conducted to examine the reliability and validity of the IBD-TCSQ-patient. Factors associated with TC satisfaction were explored using linear regression models. A backward model-building strategy was used, and 95% confidence intervals (95%CI) were reported. Results: The IBD-TCSQ-patient and IBD-TCSQ-provider questionnaires were developed, each with 16 individual items and one question on global TC satisfaction. The pilot study demonstrated good readability and usability of the questionnaires. Then, 87 IBD individuals completed the IBD-TCSQ-patient questionnaire and six GCPs the IBD-TCSQ-provider questionnaire. The standardized level of TC satisfaction for the 16-item IBD-TCSQ-patient was 5.70 (SD=0.94) on a scale from 1.00 to 7.00. The IBD-TCSQ-patient had optimal internal reliability (α=0.96). Two dimensions were identified in the exploratory factor analysis of the IBD-TCSQ-patient questionnaire (i.e., usefulness and convenience). Adjusting by gender, age group, type of disease, and health care provider managing IBD, the satisfaction with TC was 0.48 (95%CI 0.02-0.94) higher among individuals with IBD living in rural Saskatchewan in comparison to their urban counterparts. Conclusion: Questionnaires to measure satisfaction with TC among individuals with IBD and GCPs were developed. Good validity and reliability of the IBD-TCSQ-patient were confirmed. This questionnaire could help identify opportunities for TC improvement and thereby improve utilization among individuals living with IBD. Individuals living with IBD in Saskatchewan reported high levels of satisfaction with TC. Rural residence is associated with higher levels of TC satisfaction. These results could help in the promotion of TC utilization and improve access to specialized IBD care, especially among those living in rural areas.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».