Willingness to Pay for a Telemedicine-delivered Healthy Lifestyle Program

Details

• Alternative Title:
  J Telemed Telecare
• Personal Author:
  Rauch, Vanessa K. ; Roderka, Meredith ; McClure, Auden C. ; Weintraub, Aaron B. ; Kotz, David F. ; Curtis, Kevin ; Rothstein, Richard I. ; Batsis, John A.
• Description:
  Background:
  
  Effective weight-management interventions require frequent interactions with specialized multidisciplinary teams of medical, nutritional, and behavioral experts to enact behavioral change. However, barriers that exist in rural areas, such as transportation and a lack of specialized services, can prevent patients from receiving quality care.
  
  Methods:
  
  We recruited patients from the Dartmouth-Hitchcock Weight & Wellness Center into a 1single-arm, non-randomized study of a remotely delivered 16-week evidence-based healthy lifestyle program. Every four weeks, participants completed surveys that included their willingness to pay for services like those experienced in the intervention. A two-item Willingness-to-Pay survey was administered to participants asking about their willingness to trade their face-to-face visits for videoconference visits based on commute and co-pay.
  
  Results:
  
  Overall, those with a travel duration of 31–45 minutes had a greater willingness to trade in-person visits for telehealth than any other group. Participants who had a travel duration less than 15 minutes, 16–30 minutes, and 46–60 minutes experienced a positive trend in willingness to have telehealth visits until week 8, where there was a general negative trend in willingness to trade in-person visits for virtual. Participants believed that telemedicine was useful and helpful.
  
  Conclusions:
  
  In rural areas where patients travel 30–45 minutes a telemedicine-delivered, intensive weight-loss intervention may be a well-received and cost-effective way for both patients and the clinical care team to connect.
  
  
• Subjects:
  Cost-Benefit Analysis Healthy Lifestyle Humans Telemedicine Videoconferencing Weight Loss
• Keywords:
  Buprenorphine Methadone Mortality Naltrexone Treatment
• Source:
  J Telemed Telecare. 28(7):517-523
• Pubmed ID:
  32781892
• Pubmed Central ID:
  PMC7876151
• Document Type:
  Journal Article
• Funding:
  P30 CA023108/CA/NCI NIH HHSUnited States/ ; UL1 TR001086/TR/NCATS NIH HHSUnited States/ ; U48 DP005018/DP/NCCDPHP CDC HHSUnited States/ ; K23 AG051681/AG/NIA NIH HHSUnited States/ ; P2C HD050924/HD/NICHD NIH HHSUnited States/
• Volume:
  28
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:da1cdf31585fe4757176a39943060f8f76cf3fc9eb8b1ea95a09cddb616137015387599609d5e484d0d9d0559d0865d6293b24b5017a6eecf72566616fab4222
• Download URL:
  https://stacks.cdc.gov/view/cdc/158040/cdc_158040_DS1.pdf
• File Type:
  [PDF - 215.50 KB ]