{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T18:51:47Z","timestamp":1787943107860,"version":"build-2784847793"},"reference-count":15,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"crossref","award":["P30 DK092924"],"award-info":[{"award-number":["P30 DK092924"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["K24AG054415"],"award-info":[{"award-number":["K24AG054415"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["K76AG088348"],"award-info":[{"award-number":["K76AG088348"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100014367","name":"National Palliative Care Research Center","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100014367","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100010336","name":"Hellman Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010336","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Use of digital communication tools (e.g., telehealth, patient portals) is increasing in outpatient palliative care (OPC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Assess patient\/caregiver experiences with digital communication tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Qualitative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>Inclusion criteria were age \u226518 years, English\/Spanish\/Cantonese-speaking, and \u22651 telehealth OPC visit in the prior year. If patients could not converse by phone, we interviewed their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures:<\/jats:title>\n                    <jats:p>We developed an interview guide using the Capability-Opportunity-Motivation-Behavior framework. We analyzed semi-structured interviews using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 32 participants, 10 were caregivers, 11 Spanish-speaking, 9 Cantonese-speaking. Theme 1: Video and in-person visits have important and distinct roles. Theme 2: Establishing a trusting rapport over video is possible. Theme 3: Engagement can be high with the patient portal despite poor usability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A flexible approach offering both video and in-person visits is ideal. Usability is a key factor in patient portal engagement. Our findings underscore the need to advocate for a permanent Medicare telehealth extension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261449634","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T07:52:31Z","timestamp":1778226751000},"page":"1271-1277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cWe Talk About Everything\u201d: Experiences with Digital Health Communication in Palliative Care"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7163-0366","authenticated-orcid":false,"given":"Sarah","family":"Nouri","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney R.","family":"Lyles","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Center for Healthcare Policy and Research, University of California Davis, Sacramento, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly","family":"Zapata","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Martinez","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"San Francisco Free Clinic, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Care, Alameda Health System, Oakland, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yidi","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Perez-Vaughan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1004-7892","authenticated-orcid":false,"given":"Steven Z.","family":"Pantilat","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine S.","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Center for Aging and Serious Illness, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA."},{"name":"Department of Medicine, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Sudore","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319854938"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/pmr.2023.0062"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/32075"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119846843"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2023-004189"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0545"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2024.12.016"},{"key":"e_1_3_2_9_1","unstructured":"8.Velasquez D Mehrotra A. 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