PATIENT-REPORTED EXPERIENCES WITH VIRTUAL COVID-19 ASSESSMENT CENTRES IN HULU LANGAT, SELANGOR
DOI:
https://doi.org/10.37268/mjphm/vol.24/no.3/art.2781Keywords:
COVID-19, telehealth, usability, acceptability, satisfaction, SELANGKAH, PREM, Virtual COVID-19 Assessment Centre, Remote Health MonitoringAbstract
The COVID-19 pandemic necessitated the rapid implementation of telehealth services to manage the high volume of patients, presenting unique challenges and opportunities. This study investigates the acceptability, usability, and satisfaction of COVID-19 patients in the Hulu Langat district, Selangor, Malaysia, using SELANGKAH, a telehealth application utilized as a virtual COVID-19 Assessment Centre (CAC). Understanding patient experiences with telehealth is crucial for optimizing healthcare delivery and resource allocation during the pandemic. The purpose of this study is to evaluate the acceptance of the virtual CAC approach, delivered through the SELANGKAH app, in providing remote healthcare services and to identify factors influencing user experience.A cross-sectional study design was employed from March to July 2024, collecting data from 705 participants registered in the SELANGKAH application registry using a validated questionnaire developed from the same study. The questionnaire was distributed through the SELANGKAH application. Descriptive analysis was performed on sociodemographic characteristics, while inferential analyses, including Spearman correlation and multiple logistic regression, were conducted using SPSS Version 26.The analysis revealed that occupation and education level significantly influenced the usability and acceptability of telehealth services. Government employees and individuals with lower education levels reported lower scores, while unemployed/students and those with tertiary education showed higher acceptance and satisfaction. Significant predictors for higher acceptability included tertiary education (OR = 7.319, p = 0.001), being unemployed or a student (OR = 6.311, p = 0.001), self-employment (OR = 4.459, p = 0.002), and employment in the private sector (OR = 3.258, p = 0.008). Despite 71.2% of participants reporting high overall perceptions of usage, significant usability issues were identified, particularly in ease of use and necessary health facilities provision.These findings highlight the need for targeted improvements in telehealth systems, focusing on user experience, communication, and error handling. The study's implications underscore the importance of patient-centered design in telehealth applications, informing policymakers and stakeholders about optimizing telehealth services and resource allocation for better patient care outcomes.
References
Shangguan Z, Wang MY, Sun W. What Caused the Outbreak of COVID-19 in China: From the Perspective of Crisis Management. Int J Environ Res Public Health. 2020;17(9).
Hashim JH, Adman MA, Hashim Z, Mohd Radi MF, Kwan SC. COVID-19 Epidemic in Malaysia: Epidemic Progression, Challenges, and Response. Front Public Health. 2021;9:560592.
Rampal S. Situational analysis of COVID-19 in Malaysia (10th July 2021): Worse yet to come? 2021.
Malaya U. COVID-19 Epidemiology for Malaysia – Epidemiological Week 27, 2021 (4–10 July 2021). 2021.
Ab Rahman NI, Yunos NAM, Atan R, Mariapun J, Ab Rahman MAI, Ismail AJ, Deva SR. Clinical characteristics and outcomes of critically ill coronavirus disease 2019 patients in Malaysia during the first wave: A multi-center observational study (COVIDICU-MY). Frontiers in Medicine. 2023;9.
Jayasundara P, Peariasamy KM, Law KB, Abd Rahim KNK, Lee SW, Ghazali IMM, et al. Sustaining effective COVID-19 control in Malaysia through large-scale vaccination. Epidemics. 2021;37:100517.
Manoharan A, Mohammad NM, Abdul Samad A, Hamid D, Abdullah ZA. Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study. Malays Fam Physician. 2023;18:33.
Mail M. Virtual Covid-19 Assessment Centre helps to decongest physical ones, says infectious diseases expert Dr Adeeba. Malay Mailhttps://wwwmalaymailcom/news/malaysia/2021/07/28/virtual-covid-19-assessment-centre-helps-to-decongest-physical-ones-says-in/1993398. 2021.
Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinney D, et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc. 2020;27(6):957-62.
Kannadasan K, Dahlui M, Mohd Hairi F, Azzeri A. Development and Validation of a Malay Version Questionnaire to Evaluate Remote Health Monitoring of COVID-19 via Telehealth Applications: Navigating Telehealth Evolution. Cureus. 2024.
Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLOS ONE. 2020;15(5):e0233668.
Mustafa N, Safii NS, Jaffar A, Sani NS, Mohamad MI, Abd Rahman AH, Mohd Sidik S. Malay Version of the mHealth App Usability Questionnaire (M-MAUQ): Translation, Adaptation, and Validation Study. JMIR mHealth and uHealth. 2021;9(2):e24457.
Parmanto B, Lewis JAN, Graham KM, Bertolet MH. Development of the Telehealth Usability Questionnaire (TUQ). International Journal of Telerehabilitation. 2016;8(1):3-10.
Iacobucci D. Structural Equations Modeling: Fit Indices, Sample Size, and Advanced Topics. Journal of Consumer Psychology - J CONSUM PSYCHOL. 2009;20.
Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal. 2019;11:49-54.
Yusoff MSB. ABC of Response Process Validation and Face Validity Index Calculation. Education in Medicine Journal. 2019;11.
Mohamad Marzuki MF, Yaacob NA, Yaacob NM. Translation, Cross-Cultural Adaptation, and Validation of the Malay Version of the System Usability Scale Questionnaire for the Assessment of Mobile Apps. JMIR Hum Factors. 2018;5(2):e10308.
Bujang MA, Ghani P, Soelar S, Aizura N. Sample size guideline for exploratory factor analysis when using small sample: Taking into considerations of different measurement scales2012. 1-5 p.
Konting M, Norfaryanti K, Man N. Quality Assurance in Higher Education Institutions: Exist Survey among Universiti Putra Malaysia Graduating Students. International Education Studies. 2009;2.
Gitlow L. Technology Use by Older Adults and Barriers to Using Technology. Physical & Occupational Therapy in Geriatrics. 2014;32.
Miah M. Digital Inequality: The Digital Divide and Educational Outcomes. 2024.
Fitzpatrick P. Improving health literacy using the power of digital communications to achieve better health outcomes for patients and practitioners. Frontiers in Digital Health. 2023;5.
Escoffery C. Gender Similarities and Differences for e-Health Behaviors Among U.S. Adults. Telemedicine and e-Health. 2017;24.
Mittone DF, Bailey CP, Eddy EL, Napolitano MA, Vyas A. Women's Satisfaction With Telehealth Services During The COVID-19 Pandemic: Cross-sectional Survey Study. JMIR Pediatr Parent. 2022;5(4):e41356.
Shawwa L. The Use of Telemedicine in Medical Education and Patient Care. Cureus. 2023;15(4):e37766.
Hoagland A, Kipping S. Challenges in Promoting Health Equity and Reducing Disparities in Access Across New and Established Technologies. Canadian Journal of Cardiology. 2024;40(6):1154-67.
Yeves J, Bargsted M, Torres-Ochoa C. Work schedule flexibility and teleworking were not good together during COVID-19 when testing their effects on work overload and mental health. Frontiers in Psychology. 2022;13:998977.
Latif AS. The Importance of Understanding Social and Cultural Norms in Delivering Quality Health Care-A Personal Experience Commentary. Trop Med Infect Dis. 2020;5(1).
McClaughlin E, Vilar-Lluch S, Parnell T, Knight D, Nichele E, Adolphs S, et al. The reception of public health messages during the COVID-19 pandemic. Applied Corpus Linguistics. 2023;3(1):100037.
Masoud AT, Zaazouee MS, Elsayed SM, Ragab KM, Kamal EM, Alnasser YT, et al. KAP-COVID(GLOBAL): a multinational survey of the levels and determinants of public knowledge, attitudes and practices towards COVID-19. BMJ Open. 2021;11(2):e043971.
Luo T, Cao Z, Wang Y, Zeng D, Zhang Q. Role of Asymptomatic COVID-19 Cases in Viral Transmission: Findings From a Hierarchical Community Contact Network Model. IEEE Trans Autom Sci Eng. 2022;19(2):576-85.
Isautier JM, Copp T, Ayre J, Cvejic E, Meyerowitz-Katz G, Batcup C, et al. People's Experiences and Satisfaction With Telehealth During the COVID-19 Pandemic in Australia: Cross-Sectional Survey Study. J Med Internet Res. 2020;22(12):e24531.
Coleman C. Health Literacy and Clear Communication Best Practices for Telemedicine. HLRP: Health Literacy Research and Practice. 2020;4(4):e224-e9.
