Patients’ and professionals’ perspective of non-in-person visits in hereditary cancer: predictors and impact of the COVID-19 pandemic

Adrià López-Fernández, Guillermo Villacampa, Elia Grau, Mónica Salinas, Esther Darder, Estela Carrasco, Sara Torres-Esquius, Silvia Iglesias, Ares Solanes, Neus Gadea, Angela Velasco, Gisela Urgell, Maite Torres, Noemí Tuset, Joan Brunet, Sergi Corbella, Judith Balmaña

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    Resum

    Purpose: To identify predictors of patient acceptance of non-in-person cancer genetic visits before and after the COVID-19 pandemic and assess the preferences of health-care professionals. Methods: Prospective multicenter cohort study (N = 578, 1 February 2018–20 April 2019) and recontacted during the COVID-19 lockdown in April 2020. Health-care professionals participated in May 2020. Association of personality traits and clinical factors with acceptance was assessed with multivariate analysis. Results: Before COVID-19, videoconference was more accepted than telephone-based visits (28% vs. 16% pretest, 30% vs. 19% post-test). Predictors for telephone visits were age (pretest, odds ratio [OR] 10-year increment = 0.79; post-test OR 10Y = 0.78); disclosure of panel testing (OR = 0.60), positive results (OR = 0.52), low conscientiousness group (OR = 2.87), and post-test level of uncertainty (OR = 0.93). Predictors for videoconference were age (pretest, OR 10Y = 0.73; post-test, OR 10Y = 0.75), educational level (pretest: OR = 1.61), low neuroticism (pretest, OR = 1.72), and post-test level of uncertainty (OR = 0.96). Patients’ reported acceptance for non-in-person visits after COVID-19 increased to 92% for the pretest and 85% for the post-test. Health-care professionals only preferred non-in-person visits for disclosure of negative results (83%). Conclusion: These new delivery models need to recognize challenges associated with age and the psychological characteristics of the population and embrace health-care professionals’ preferences.

    Idioma originalAnglès
    Pàgines (de-a)1450-1457
    Nombre de pàgines8
    RevistaGenetics in Medicine
    Volum23
    Número8
    DOIs
    Estat de la publicacióPublicada - d’ag. 2021

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