{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:50:18Z","timestamp":1782845418882,"version":"3.54.5"},"reference-count":42,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"\n Background<\/jats:title>\n Serious illness conversations may help patients avoid unwanted treatments. We previously piloted the telehealth Serious Illness Care Program (SICP) for older adults with acute myeloid leukemia and myelodysplastic syndrome.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n In this study, we aimed to understand the experience of the telehealth SICP from the clinician\u2019s perspective.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We studied 10 clinicians who delivered the telehealth SICP to 20 older adults with acute myeloid leukemia or myelodysplastic syndrome. Quantitative outcomes included confidence and acceptability. Confidence was measured using a 22-item survey (range 1-7; a higher score is better). Acceptability was measured using an 11-item survey (5-point Likert scale). Hypothesis testing was performed at \u03b1=.10 (2-tailed) due to the pilot nature and small sample size. Clinicians participated in audio-recorded qualitative interviews at the end of the study to discuss their experience.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 8 clinicians completed the confidence measure and 7 clinicians completed the acceptability measure. We found a statistically significant increase in overall confidence (mean increase of 0.5, SD 0.6; P=.03). The largest increase in confidence was in helping families with reconciliation and goodbye (mean 1.4, SD 1.5; P=.04). The majority of clinicians agreed that the format was simple (6\/7, 86%) and easy to use (6\/7, 86%). Clinicians felt that the telehealth SICP was effective in understanding their patients\u2019 values about end-of-life care (7\/7, 100%). A total of three qualitative themes emerged: (1) the telehealth SICP deepened relationships and renewed trust; (2) each telehealth SICP visit felt unique and personal in a positive way; and (3) uninterrupted, unrushed time optimized the visit experience.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The telehealth SICP increased confidence in having serious illness conversations while deepening patient-clinician relationships.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n ClinicalTrials.gov NCT04745676; https:\/\/www.clinicaltrials.gov\/study\/NCT04745676<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/58503","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T11:31:30Z","timestamp":1719487890000},"page":"e58503","source":"Crossref","is-referenced-by-count":3,"title":["Clinicians\u2019 Perspectives on the Telehealth Serious Illness Care Program for Older Adults With Myeloid Malignancies: Single-Arm Pilot 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