{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:23:06Z","timestamp":1787016186482,"version":"build-2736575974"},"reference-count":67,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients and families find telepalliative care to be a valuable and convenient supplement to conventional palliative care services. However, challenges persist in sustaining meaningful telepalliative care beyond the initial implementation. Developing structured models that are culturally and contextually aligned may be the key to sustainability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop programme theory for a family\u2010focused model of telepalliative care for adult patients and their families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Guided by the British Medical Research Council's framework for developing and evaluating complex interventions, data were collected through workshops with key stakeholders, participant observations and ethnographic interviews. Reflexive thematic and secondary data analyses were performed to develop programme theory and identify key uncertainties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six workshops were held at two Danish locations with 49 participants. Three themes were generated. (1)\n                      <jats:italic>Virtual care in palliative settings<\/jats:italic>\n                      : Adapting to new norms and evolving practices in telepalliative care. This theme explores how professionals, patients and families adapted to new norms in virtual interactions without structured guidance. (2)\n                      <jats:italic>Balancing trust and technology<\/jats:italic>\n                      : The role of face\u2010to\u2010face consultations in telepalliative care. This theme examines the balance between face\u2010to\u2010face consultations and telepalliative care. (3)\n                      <jats:italic>Governance and equity in telepalliative care<\/jats:italic>\n                      : Ensuring access, sustainability and quality. This theme explores factors affecting the implementation, sustainability and equitable access to telepalliative care services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The programme theory highlighted the link between clinicians' level of digital competency and benefits to patients and families in telepalliative care, emphasising the need to enhance clinicians' skills. Further exploration is needed to identify the specific digital skills required for delivering effective telepalliative care. Key considerations include the importance of face\u2010to\u2010face first visits to establish relationships and the concern that technology may overshadow palliative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70183","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T10:13:48Z","timestamp":1768904028000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Using Complex Interventions to Develop Programme Theory for a Family\u2010Focused Model of Telepalliative Care"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2195-5311","authenticated-orcid":false,"given":"Eithne Hayes","family":"Bauer","sequence":"first","affiliation":[{"name":"Internal Medicine Research Unit University Hospital of Southern Denmark  Aabenraa Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"},{"name":"Centre for Innovative Medical Technology Odense University Hospital  Odense Denmark"},{"name":"Department of Clinical Research, Family Focused Healthcare Research Centre (FaCe) University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders Nikolai \u00d8rsted","family":"Schultz","sequence":"additional","affiliation":[{"name":"Internal Medicine Research Unit University Hospital of Southern Denmark  Aabenraa Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"},{"name":"Centre for Innovative Medical Technology Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony C.","family":"Smith","sequence":"additional","affiliation":[{"name":"Centre for Innovative Medical Technology Odense University Hospital  Odense Denmark"},{"name":"Centre for Online Health, Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans","family":"Brandt","sequence":"additional","affiliation":[{"name":"Internal Medicine Research Unit University Hospital of Southern Denmark  Aabenraa Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Bollig","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care, Palliative Medicine and Pain Therapy Helios Klinikum Schleswig  Schleswig Germany"},{"name":"Department of Palliative Medicine, Faculty of Medicine and University Hospital University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4766-3242","authenticated-orcid":false,"given":"Karin Brochstedt","family":"Dieperink","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Family Focused Healthcare Research Centre (FaCe) University of Southern Denmark  Odense Denmark"},{"name":"Department of Oncology Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"WHO \u201cPlanning and Implementing Palliative Care Services: A Guide for Programme Managers \u201ded. 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