Date of Award
2024
Document Type
Capstone
Publication Status
Version of Record
Submission Date
October 2026
College Granting Degree
Christine E. Lynn College of Nursing
Thesis/Dissertation Advisor [Chair]
Tracian Kelly
Abstract
Telemedicine is a more beneficial technology that can make it easier for people to get preventive treatment and help their long-term health. Missed appointments are detrimental to clients’ health, create scheduling problems, reduce productivity, increase healthcare costs, cause revenue loss, and diminish access to adequate healthcare for clients who could have been seen in the unused appointment slots. Non-adherence to medication is another area of concern associated with poorer prognosis and incremental differences in treatment cost. By examining the efficacy of telehealth services in maintaining treatment adherence among ethnic minority populations, this project aimed to shed light on how digital healthcare platforms can serve as vital lifelines, ensuring continuity of care and supporting the journey toward recovery and well-being. The project evolution was based on the author’s clinical setting (P.I.R.C.), where numerous cancellations and no-shows for medication management appointments have occurred. Many clients may not have been aware they could have requested a telehealth visit instead of canceling or missing their appointments. The clinical site’s external organizational threats included a significant financial loss due to the high number of cancellations or no-show rates. The author’s scholarly clinical project focused on leveraging telehealth consultations to decrease no-show rates for medication management appointments. This project taught participants how to download and use the Telehealth app on their phone or computer, as well as how to reschedule their in-person appointment and log into the Telehealth app on the scheduled appointment date. An evaluation questionnaire was used for post appointment cancellations to determine the reasons why the appointments were canceled, if the client received a reminder to confirm their appointments prior to canceling, and questions concerning the stakeholder’s technological knowledge on how to use the telehealth service. The participants received a video tutorial with directions on how to access the telehealth visit via their clients’ portal. At the end of that first telehealth appointment, a post-questionnaire was given to assess the ease or difficulty encountered during the visit. After collecting the pre- and post-questionnaires, the data was analyzed by comparing the client cancellation or missed appointment rates before and after the intervention, an evaluation questionnaire was used to compare the client satisfaction scores before and after the intervention. The dissemination plan was shared with the participants, staff members, and leadership at the author’s clinical site, FAU students, and supervising faculty to help improve their cancellation rate.
Extent
48 p.
Recommended Citation
Valbrun, Daphney, "Using a Caring-Based Follow-up Phone Call Protocol to Improve Appointment Adherence in a Mental Health Setting" (2024). Electronic Theses and Dissertations 2020 - Present. 1552.
https://digitalcommons.fau.edu/etd_general/1552
Identifier
faudnp000118