Ji Yeon Kim, Seong Suk Cho, Kyung Won Kim
Psychosocial factors and eating behaviors according to the stages of change in nutrition management among elementary and middle school athletes
Nutrition research and practice
task complexity involved connecting telehealth video visits may disproportionately impact health care access populations already experiencing inequities human intermediaries strategy addressing health care access disparities acting technology helpers reduce cognitive load demands required learn use patientfacing telehealth technologies conducted cognitive load theoryinformed pilot intervention involving warm accompaniment telehealth helping sessions patients federally qualified health center fqhc demonstrate design report recruitment methods reach delivery process preliminary impact novel equityfocused intervention early covid19 pandemic telehealth helping session offered patients fqhc via phone graduate students led sessions conducting telehealth video test run helping patient portal login systematically recorded recruitment efforts intervention observations daily reflection notes following intervention asked intervention participants participate interview patients telehealth visits 4 weeks intervention period complete survey electronic health records reviewed assess telehealth visit format changes descriptive inferential statistical analyses recruitment records electronic health record data surveys performed integrative analysis developed processrelated themes recommendations future equityfocused telehealth interventions 239 eligible patients 34 142 completed intervention 3 12 completed subsequent interviews intervention participants completed survey n15 lower education less technological experience nonintervention survey participants n113 identified 3 helping strategies cognitive load reduction providing stepbystep guidance configuring learning building rapport create confidence problemsolving page counter informational distractions intervention participants reported increased understanding found learning video visit software difficult nonintervention participants comparison visit experiences find differences difficulty cognitive load measure using telehealthrelated technologies changes visit modality reported technical problems visit however intervention participants significantly less satisfied video visits although limited number people participated intervention may reached individuals likely need technology assistance postulate significant differences intervention nonintervention participants rooted baseline differences groups education level technology experience technology use frequency however small sample sizes limit conclusions barriers encountered intervention suggest patients fqhc may require improved access webbased technologies human intermediary support make telehealth video visits feasible future large randomized equityfocused studies investigate blended strategies facilitate video visit access