Stroke survivors' telemedicine experiences during the COVID-19 pandemic: A phenomenological investigation.

Kimmel B, Walder A, Ovalle A, Venkatasubba Rao CP, Savitz SI, Goldberg M, Warach S, Cruz-Flores S, Olson DM, Anderson JA. Stroke survivors' telemedicine experiences during the COVID-19 pandemic: A phenomenological investigation. Digital health. 2024 Oct 7; 10:20552076241281464.

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Abstract:

PURPOSE: This study aimed to describe stroke survivors'' experiences receiving telemedicine visits at the Lone Star Stroke Consortium during the COVID-19 pandemic. MATERIALS AND METHODS: A qualitative descriptive phenomenological design was applied to gather patients'' telemedicine experiences through in-depth interviews, using a study guide. Audio-recorded interviews were conducted via ZOOM and transcribed verbatim. Two independent reviewers used the Giorgi descriptive method to analyze the data and search for the essence of stroke survivors'' follow-up telemedicine experiences during the COVID-19 pandemic. RESULTS: Fifteen underserved patients were recruited: mean age, 51.8 (15.7), and 9 (60%) females. Three themes emerged: (1) vivid memory of the stroke acute phase, (2) poststroke care experiences, and (3) perceived telemedicine experiences. CONCLUSIONS: The phenomenon of follow-up telemedicine visits during COVID-19 pandemic, as experienced by the stroke survivors, was positive. It showed patients'' improved care access for poststroke visits. Telemedicine was satisfactory, except where the full medical exam was needed. Study findings highlight the individual approach was important, as well as the need for reliable internet and training to improve patients'' technological skills. A hybrid approach for post-pandemic follow-up visits (in-person and telemedicine) was recommended by stroke survivors. These findings suggest that telemedicine is feasible and effective for poststroke care. Additional strategies are needed to improve future telemedicine integration into the continuum of care.