Kontakt 2025, 27(1/2025):34-41 | DOI: 10.32725/kont.2024.061

Satisfaction with eHealth in Barcelona HIV clinics: a mixed methods studyNursing - Original article

Juan M. Leyva-Moral1, *, Kevin Santander-Morillas1, Caterina Checa-Jiménez1, Juanse Hernández2, Laura Navarrete-Reyes1, Mariela Aguayo-González1, M. Dolors Bernabeu-Tamayo1
1 Universitat Autònoma de Barcelona, Faculty of Medicine, Nursing Department, Bellaterra, Barcelona, Spain
2 Grupo de Trabajo sobre Tratamientos del VIH (gTt-VIH), Barcelona, Spain

Introduction: The COVID-19 pandemic disrupted global healthcare, including HIV care. eHealth emerged as an alternative to traditional in-person care. This study aimed to evaluate eHealth access among people living with HIV in Barcelona, Spain.

Methods: A sequential explanatory mixed methods approach was used. Data were gathered through surveys (n = 82), semi-structured interviews, and a focus group to understand eHealth usage and perceptions.

Results: 65% of survey respondents reported using eHealth services in their HIV unit at least once during the pandemic, while 52% reported never being offered these services, indicating a gap in availability and access. Participants identified convenience and timesaving as the main benefits of eHealth, particularly valuable during movement restrictions. Barriers such as perceived reduction in care quality, especially for those with language difficulties, were noted. While eHealth offers potential benefits, critical areas need addressing to ensure equitable access and high-quality care.

Conclusion: Promoting eHealth services requires targeted improvements and understanding user preferences and needs. Tailoring eHealth solutions to diverse patient populations is crucial for successful implementation. As healthcare evolves post-pandemic, integrating eHealth to complement traditional care and address challenges faced by vulnerable populations, such as those living with HIV, is essential.

Keywords: COVID-19; eHealth; HIV; Mixed methods; Telehealth
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: May 18, 2024; Revised: September 7, 2024; Accepted: December 2, 2024; Prepublished online: December 20, 2024; Published: February 27, 2025  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Leyva-Moral JM, Santander-Morillas K, Checa-Jiménez C, Hernández J, Navarrete-Reyes L, Aguayo-González M, Dolors Bernabeu-Tamayo M. Satisfaction with eHealth in Barcelona HIV clinics: a mixed methods study. Kontakt. 2025;27(1):34-41. doi: 10.32725/kont.2024.061.
Download citation

References

  1. Ballivian J, Cecchini D, Alcaide ML, Abbamonte J, Jones D, Cassetti I (2020). Impacto de la pandemia de COVID-19 y la cuarentena en hombres que tienen sexo con hombres viviendo con VIH en Argentina. Actual Sida Infectol 28(104): 113-122. DOI: 10.52226/revista.v28i104.70. Go to original source...
  2. Barbera LK, Kamis KF, Rowan SE, Davis AJ, Shehata S, Carlson JJ, et al. (2021). HIV and COVID-19: review of clinical course and outcomes. HIV Res Clin Pract 22(4): 102-118. DOI: 10.1080/25787489.2021.1975608. Go to original source... Go to PubMed...
  3. Barberá MJ (2021). Impacto de la COVID-19 en la atención clínica de las ITS. Revista Enfermedades Emergentes 19(2): 104-113.
  4. Braun V, Clarke V (2012). Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ (Eds). APA Handbook of research in psychology. Vol. 2. Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 57-71). Chicago: American Psychological Association.
  5. Budak JZ, Scott,J D, Dhanireddy S, Wood BR (2021). The Impact of COVID-19 on HIV Care Provided via Telemedicine - Past, Present, and Future. Curr HIV/AIDS Rep 18(2): 98-104. DOI: 10.1007/s11904-021-00543-4. Go to original source... Go to PubMed...
  6. Creswell JW, Plano Clark VL (2017). Designing and conducting mixed methods research. 3rd ed. Thousand Oaks, California: Sage Publications.
  7. Dandachi D, Dang BN, Lucari B, Teti M, Giordano TP (2020a). Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care. AIDS Patient Care STDS 34(4): 166-172. DOI: 10.1089/apc.2019.0261. Go to original source... Go to PubMed...
  8. Dandachi D, Freytag J, Giordano TP, Dang BN (2020b). It is time to include telehealth in our measure of patient retention in HIV care. AIDS Behav 24(9): 2463-2465. DOI: 10.1007/s10461-020-02880-8. Go to original source... Go to PubMed...
  9. Dandachi D, Lee C, O Morgan R, Tavakoli-Tabasi S, Giordano TP, Rodríguez-Barradas MC (2019). Integration of telehealth services in the healthcare system: with emphasis on the experience of patients living with HIV. J Investig Med 67(5): 815-820. https://doi.org/10.1136/jim-2018-000872 Go to original source... Go to PubMed...
  10. Doleman G, De Leo A, Bloxsome D (2023). The impact of pandemics on healthcare providers' workloads: A scoping review. J Adv Nurs 79(12): 4434-4454. DOI: 10.1111/jan.15690. Go to original source... Go to PubMed...
  11. Doyle L, McCabe C, Keogh B, Brady A, McCann M (2020). An overview of the qualitative descriptive design within nursing research. J Res Nurs 25(5): 443-455. DOI: 10.1177/1744987119880234. Go to original source... Go to PubMed...
  12. Gopal RK, Solanki P, Bokhour BG, Skorohod N, Hernandez Lujan DA, et al. (2021). Provider, Staff, and Patient Perspectives on medical Visits Using Clinical Video Telehealth: A Foundation for Educational Initiatives to Improve Medical Care in Telehealth. J Nurse Pract 17(5): 582-587. DOI: 10.1016/j.nurpra.2021.02.020. Go to original source... Go to PubMed...
  13. Harsono D, Deng Y, Chung S, Barakat LA, Friedland G, Meyer JP, et al. (2022). Experiences with Telemedicine for HIV Care During the COVID‑19 Pandemic: A Mixed‑Methods Study. AIDS Behav 26(6): 2099-2111. DOI: 10.1007/s10461-021-03556-7. Go to original source... Go to PubMed...
  14. Kim H, Sefcik JS, Bradway C (2017). Characteristics of Qualitative Descriptive Studies: A Systematic Review. Res Nurs Health 40(1): 23-42. DOI: 10.1002/nur.21768. Go to original source... Go to PubMed...
  15. Labisi T, Regan N, David P, Fadul N (2022). HIV Care Meets Telehealth: a Review of Successes, Disparities, and Unresolved Challenges. Curr HIV/AIDS Rep 19(5): 446-453. DOI: 10.1007/s11904-022-00623-z. Go to original source... Go to PubMed...
  16. Mgbako O, Miller EH, Santoro AF, Remien RH, Shalev N, Olender S, et al. (2020). COVID-19, EHealth, and Patient Empowerment in HIV Care and Research. AIDS Behav 24(7): 1990-1993. DOI: 10.1007/s10461-020-02926-x. Go to original source... Go to PubMed...
  17. Pérez Meliá G, Piña O (2021). Acciones de solidaridad y empoderamiento para personas LGBTIQ+ vulnerables durante la pandemia de COVID-19. Revista Multidisciplinar del Sida, 9(25): 13-14.
  18. RCore Team (2021). R: A language and environment for statistical. R Foundation for Statistical Computing, Vienna, Austria. [online] [cit. 2024-01-22]. Available from : https://www.R-project.org/
  19. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 52(4): 1893-1907. DOI: 10.1007/s11135-017-0574-8. Go to original source... Go to PubMed...
  20. Smith E, Badowski ME (2021). EHealth for HIV Care: Current Status and Future Prospects. HIV AIDS 13: 651-656. DOI: 10.2147/HIV.S277893. Go to original source... Go to PubMed...
  21. Soto-Silva A (2022). La infección por VIH en tiempos de pandemia: muchos retrocesos, innumerables desafíos. Rev Chilena Infectol 39(3): 287-293. DOI: 10.4067/s0716-10182022000200287. Go to original source... Go to PubMed...
  22. Tarín-Vicente EJ, Sendagorta Cudos E, Severa Negrea G, Falces Romero I, Ballesteros Martin J, Martín-Gorgojo A, et al. (2022). Infecciones de transmisión sexual (ITS) durante el estado de alarma por la pandemia de COVID-19 en España. ACTAS Derm-Sif Madr 113: 115-122. DOI: 10.1016/j.ad.2021.08.003. Go to original source... Go to PubMed...
  23. Vidal-Alaball J, Acosta-Roja R, Pastor Hernández N, Sanchez Luque U, Morrison D, Narejos Pérez S, et al. (2020). EHealth in the face of the COVID-19 pandemic. Aten Prim 52(6): 418-422. DOI: 10.1016/j.aprim.2020.04.003. Go to original source... Go to PubMed...
  24. Walker D, Moucheraud C, Butler D, de Vente J, Tangonan K, Shoptaw S, et al. (2023). Experiences with eHealth for HIV care in two federally qualifed health centers in Los Angeles: a qualitative study. BMC Health Serv Res 23(1): 156. DOI: 10.1186/s12913-023-09107-1. Go to original source... Go to PubMed...
  25. Wood BR, Lan KF, Tao Y, Mose EY, Aas E, Budak JZ, et al. (2021). Visit trends and factors associated with eHealth uptake among persons with HIV during the COVID-19 pandemic. Open Forum Infect Dis 8(11): ofab480. DOI: 10.1093/ofid/ofab480. Go to original source... Go to PubMed...
  26. Yelverton V, Qiao S, Weissman S, Olatosi B, Li X (2021). Telehealth for HIV Care Services in South Carolina: Utilization, Barriers, and Promotion Strategies During the COVID-19 Pandemic. AIDS Behav 25(12): 3909-3921. DOI: 10.1007/s10461-021-03349-y. Go to original source... Go to PubMed...
  27. WHO (2016). Global Observatory for eHealth. [online] [cit. 2024-01-22]. Available from: https://www.who.int/observatories/global-observatory-for-ehealth

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.