Participatory Development of a 3D Telemedicine system during Covid: the future of remote consultations

Lo, S. et al. (2022) Participatory Development of a 3D Telemedicine system during Covid: the future of remote consultations. Journal of Plastic, Reconstructive and Aesthetic Surgery, (doi: 10.1016/j.bjps.2022.10.012) (In Press)

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Background: The Covid pandemic brought the need for more realistic remote consultations into focus. 2D telemedicine solutions fail to replicate the fluency or authenticity of in-person consultations. This research reports on an international collaboration on the participatory development and first validated clinical use of a novel, real-time 360-degree 3D Telemedicine system worldwide. Development of the system - leveraging Microsoft's HoloportationTM communication technology – commenced at Canniesburn Plastic Surgery Unit, Glasgow in March 2020. Methods: Research followed VR CORE guidelines on development of Digital Health trials, placing patients at the heart of the development process. This consisted of three separate studies - a clinician feedback study (23 clinicians, Nov-Dec 2020), a patient feedback study (26 patients, Jul-Oct 2021), and a cohort study focusing on safety and reliability (40 patients, Oct 2021 - Mar 2022). “Lose, Keep and Change” feedback prompts were used to engage patients in the development process and guide incremental improvements. Results: Participatory testing demonstrated improved patient metrics with 3D in comparison to 2D Telemedicine, including validated measures of satisfaction (p<0.0001), realism or ‘presence’ (Single Item Presence scale, p<0.0001), and quality (Telehealth Usability Questionnaire, p=0.0002). Safety and clinical concordance (95%) of 3D Telemedicine with a face-to-face consultation were equivalent or exceeded estimates for 2D Telemedicine. Conclusions: One of the ultimate goals of telemedicine is for the quality of remote consultations to get closer to the experience of face-to-face consultations. These data provide the first evidence that HoloportationTM communication technology brings 3D telemedicine closer to this goal than a 2D equivalent.

Item Type:Articles
Status:In Press
Glasgow Author(s) Enlighten ID:Messow, Dr Martina and Rose, Miss Anna and Young, Dr Robin and Lo, Professor Steven
Authors: Lo, S., Fowers, S., Darko, K., Spina, T., Graham, C., Britto, A., Rose, A., Tittsworth, D., McIntyre, A., O'Dowd, C., Maguire, R., Chang, W., Young, D., Hoak, A., Young, R., Dunlop, M., Ankrah, L., Messow, M., Ampomah, O., Cutler, B., Armstrong, R., Lalwani, R., Davison, R., Bagnall, S., Hudon, W., Shepperd, M., and Johnson, J.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
Journal Name:Journal of Plastic, Reconstructive and Aesthetic Surgery
ISSN (Online):1878-0539
Published Online:13 October 2022
Copyright Holders:Copyright © 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons
First Published:First published in Journal of Plastic, Reconstructive and Aesthetic Surgery 2022
Publisher Policy:Reproduced under a Creative Commons License

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