Digital communication improves young patient engagement, according to new study

July 05, 2017

Digital communication improves young patient engagement, according to new study

Using texts, emails, Skype and other digital communication methods can improve the health care experience of younger patients.

That is the conclusion of new research, led by the University of Warwick and King's College London, which examined case studies from 20 NHS specialist clinical teams from across England and Wales.

A 'first look' scientific summary about the research has just been published on the NIHR Journals Library.

Young people with long-term health conditions often disengage from health services, resulting in poor health outcomes. In an attempt to address this, NHS clinicians are using digital communication to reverse this. However, so far it's been unclear whether this has been effective; there are gaps in evidence as to how it might work, its cost and ethical and safety issues.

The research, which was conducted between 2013-2016 was led by Professor Frances Griffiths from the Warwick Medical School and Jackie Sturt, Professor of Behavioural Medicine in Nursing at King's College London. Professor Griffiths said: "NHS policy prompts more widespread use of digital communication to improve health care experience.

"Digital communication enables timely access for young people to the right clinician at the time when it can make a difference to how they manage their health condition. This is valued as an addition to traditional clinic appointments, and can engage those otherwise disengaged. It can enhance patient autonomy, empowerment and activation."

Interviews were conducted with 165 young patients, aged 16-24 years, who live with a long-term health condition, along with 173 health professionals, including 16 information governance specialists. Overall, 79 clinical observations took place.

The researchers wanted to establish if 16-24 year olds involved in their own health care improves as a result of using digital communication with their clinicians could improve, and to identify associated costs and necessary safeguards.

The findings suggest that benefit is most likely, and risks will be mitigated, when digital communication is used with patients who already have a relationship of trust with the clinical team, and who need to have flexible access, such as when transitioning between services, treatments or lived context.

The study noted the implications for clinicians. The main cost driver is staff time. However, the researchers believe that this is likely to be offset by savings elsewhere in the health service. Young people and clinicians can mitigate risks of this approach by using common sense approaches to avoid increased dependence on clinicians, inadvertent disclosure of confidential information and communication failures. The researchers also noted that clinical teams need to be proactive in their approaches to ethics, governance and patient safety.

Professor Jackie Sturt commented, "Digital communication is already happening between health professionals and young people, and it's clearly something young people want. We think the NHS should be proactive in creating guidelines and helping clinicians to engage young people via digital communication. There are obviously risks, but also the potential for real benefits."

Research from the University of Warwick's Department of Economics also contributed to the paper.
-end-
For more information about the LYNC study, visit: http://www2.warwick.ac.uk/fac/med/research/hscience/sssh/research/lyncs/

The paper Timely digital patient-clinician communication in specialist NHS clinical services serving young people: findings from a mixed methods study (The LYNC study) is published in the Journal of Medical Internet Research.

For further details please contact Nicola Jones, Media Relations Manager, University of Warwick 07920531221 or N.Jones.1@warwick.ac.uk

To contact King's College London: faiqa.ahmed-khan:@kcl.ac.uk or 020 7848 0570.

Notes to Editors:

Timely digital patient-clinician communication in specialist NHS clinical services serving young people: findings from a mixed methods study (The LYNC study) has been published in the Journal of Medical Internet Research.

DOI 10.2196/jmir.7154

Funded by UK National Institute of Health Research 12/209/51

Florence Nightingale Faculty of Nursing & Midwifery

The Florence Nightingale Faculty of Nursing & Midwifery at King's College London has its origins in the first nursing school in the world established by Florence Nightingale in 1860. The Faculty is ranked as the number one faculty for nursing in the UK (QS World University Rankings 2015/16) and works in partnership with leading

London NHS Trusts. With close links to industry, health services and policy makers, the Faculty develops leading-edge nurses and midwives of tomorrow - practitioners, partners, and leaders in their field.

The Faculty has over 1,000 full-time pre-registration nursing and midwifery students plus an extensive portfolio of undergraduate and postgraduate activities to meet the needs of a wide range of healthcare professionals seeking continuing professional development. The Faculty is at the forefront of health services, policy, and evaluation research. For more information visit: http://www.kcl.ac.uk/nursing

About King's College London

King's College London is one of the top 25 universities in the world (2016/17 QS World University Rankings) and among the oldest in England. King's has more than 27,600 students (of whom nearly 10,500 are graduate students) from some 150 countries worldwide, and some 6,800 staff. King's has an outstanding reputation for world-class teaching and cutting-edge research. In the 2014 Research Excellence Framework (REF) King's was ranked 6th nationally in the 'power' ranking, which takes into account both the quality and quantity of research activity, and 7th for quality according to Times Higher Education rankings. Eighty-four per cent of research at King's was deemed 'world-leading' or 'internationally excellent' (3* and 4*). The university is in the top seven UK universities for research earnings and has an overall annual income of more than £684 million. For more information about King's please visit 'King's in Brief'.

University of Warwick

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