{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:52:52Z","timestamp":1788407572540,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T00:00:00Z","timestamp":1699228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID\u201019 pandemic resulted in rapid changes to head and neck cancer (HNC) services. Multidisciplinary team (MDT) face\u2010to\u2010face appointments were converted to telehealth appointments (telephone and video\u2010call) to reduce the risk of COVID\u201019 transmission. The literature exploring HNC patient experience of these appointment types is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore patient experience of telehealth appointments at one UK centre during the COVID\u201019 pandemic, as well as the variables that may influence patient preference for virtual or face\u2010to\u2010face appointments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>A survey\u2010based study design was used, with closed questions and open text options to capture the views of the participants. Quantitative data were analysed using descriptive statistics. Open text data was used to add depth to the findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>A total of 23 participant surveys were returned. Six categories were identified: Usability; Information receiving &amp; giving; Satisfaction; Emotions and comfort; Rapport; and Travel time and cost. Overall, participants gave positive responses to each category and indicated that telehealth appointments met their needs. Areas for clinical consideration are highlighted. Variables such as age, travel distance from hospital site, fear of COVID\u201019 and information technology (IT) access did not appear to influence patient preference for appointment type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Going forward, telehealth may be considered for use in combination with face\u2010to\u2010face appointments in the HNC pathway. Areas for further development include a \u2018telehealth screening tool\u2019 that may help to identify those patients most appropriate for these appointment types, or who require support to access them.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The COVID\u201019 pandemic resulted in major disruption to HNC centres across the world. Services adapted to meet the needs of patients with many implementing telehealth into pathways. Studies exploring telehealth in speech and language therapy (SLT) services with the HNC population indicate positive results. It is clear telehealth has a role in modern healthcare and should not be viewed as a temporary solution to the pandemic. It is, however, recognized that embedding telehealth into pathways is not straightforward and requires ongoing review and evaluation, which includes patient and clinician perceptions.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this study adds to the existing knowledge<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The service evaluation gives insight into HNC patient experience of telehealth appointments for MDT clinics (led by SLT, dietician and clinical nurse specialist) during the COVID\u201019 pandemic. Overall, patients report a positive experience of telehealth in the HNC pathway and are willing to accept this platform into their healthcare. Areas for clinical consideration are highlighted.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the actual and clinical implications of this work?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This findings of this service evaluation can be used to support the co\u2010design of HNC pathways which embed telehealth as an option for patients. Areas that were important to the participants are highlighted; this includes the timing of telehealth appointments in the pathway, the need to meet the MDT face to face and the positive benefit of cost savings. The authors suggest a telehealth appointment screening tool as an area for future development.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12974","type":"journal-article","created":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T10:06:11Z","timestamp":1699265171000},"page":"991-1001","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Patient experience of telehealth appointments in head and neck cancer services during the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3291-374X","authenticated-orcid":false,"given":"Caroline","family":"Ewers","sequence":"first","affiliation":[{"name":"South Tyneside and Sunderland NHS Foundation Trust  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Patterson","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Institute of Population Health\/Liverpool Head and Neck Centre University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7122-8382","authenticated-orcid":false,"given":"Laura\u2010Jayne","family":"Watson","sequence":"additional","affiliation":[{"name":"South Tyneside and Sunderland NHS Foundation Trust  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M2146"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04877-z"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24706"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2012.gth104"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X17733020"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2021.07.256"},{"issue":"2","key":"e_1_2_8_8_1","first-page":"S1","article-title":"Head and neck cancer: United Kingdom National Multidisciplinary Guidelines","volume":"130","author":"ENT UK.","year":"2016","journal-title":"The Journal of Laryngology & Otology"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmir.2012.06.005"},{"key":"e_1_2_8_10_1","unstructured":"Healthwatch. (2023)Cost of living: People are increasingly avoiding NHS appointments and prescriptions 9 January. Available from:https:\/\/www.healthwatch.co.uk\/news\/2023\u20100109\/cost\u2010living\u2010people\u2010are\u2010increasingly\u2010avoiding\u2010nhs\u2010appointments\u2010and\u2010prescriptions."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588413X13511609956372"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008554\u20106"},{"key":"e_1_2_8_13_1","unstructured":"Ministry of Housing Communities and Local Government. (n.d.)English indices of deprivation 2019.https:\/\/imd\u2010by\u2010postcode.opendatacommunities.org\/imd\/2019"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15583215"},{"key":"e_1_2_8_15_1","unstructured":"National Institute for Clinical Excellence (NICE)(2004)Guidance on Cancer Services: Improving Outcomes in Head and Neck Cancers. 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