Cancer care telehealth access needs in underrepresented patients: Development and implementation of the pragmatic access to telehealth needs assessment survey Journal Article

  

Authors:	Gany, F.; Menon, L.; Finik, J.; Kakade, A.; Wu, M.; Ramirez, L.; Abumusallam, J.; Gomez, T.; Shahid, Z.
Article Title:	Cancer care telehealth access needs in underrepresented patients: Development and implementation of the pragmatic access to telehealth needs assessment survey
Abstract:	Background: We developed and implemented the Access to Telehealth Needs Assessment Survey (AcTNAS) based on Five A's of TelEquity (Awareness-Application, Agency, Attitude, Accessibility, and Accommodation) that we created. Methods: We iteratively developed the AcTNAS in English (mid 2021-early 2022) and transcreated (culturally and linguistically adapted) it into languages spoken in the service area. Women with breast cancer in safety net hospital and academic medical center cancer clinics in New York City completed the AcTNAS. Results: Participants (N = 441) self-identified as foreign-born (77 %, n = 338), Black (56 %, n = 222), and Hispanic (36 %, n = 158). Most preferred speaking English (69 %, n = 306) or Spanish (27 %, n = 118). The AcTNAS assessed telehealth Awareness-Application (21 % did not know about the patient portal; 57 % had never participated in video telehealth), Agency (52 % were “not good with technology”), Attitude (voice-only [57 %] and video [51 %] appointments not as good as in-person appointments), Accessibility (38 % without good telephone service, 8 % no Wi-Fi/plug-in/public internet access), and Accommodation (50 % needed telehealth connection assistance). Insurance status (p ≤ .009) was associated with a prior televisit. Age (p < .001), education (p < .001), region of origin (p = .001), ethnicity (p = .028), and language (p < .001), were associated with prior portal usage. Conclusion: AcTNAS administration helped identify telehealth access needs among underserved patients with cancer. © 2025
Keywords:	adult; aged; major clinical study; chemotherapy; neoplasms; breast cancer; health survey; retrospective study; health insurance; cancer center; immunotherapy; medical record; attitude; hormonal therapy; language; awareness; needs assessment; ethnicity; health care access; vulnerable population; telemedicine; accommodation; telehealth; human; female; article; vulnerable populations; malignant neoplasm; pragmatic trial; patient portals
Journal Title:	Patient Education and Counseling
Volume:	136
ISSN:	0738-3991
Publisher:	Elsevier Ireland Ltd.
Date Published:	2025-07-01
Start Page:	108777
Language:	English
DOI:	10.1016/j.pec.2025.108777
PROVIDER:	scopus
PUBMED:	40209358
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-105002015123&doi=10.1016%2fj.pec.2025.108777&partnerID=40&md5=aa34e2e4765a494a2bcaf2ce411f4166
Notes:	The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Francesca Gany -- Source: Scopus

https://synapse.mskcc.org/synapse/works/has_related_data_chk/224739