This study aims to determine how videoconferencing quality impacts the style and content of communication between members of hospice interdisciplinary teams and patients and their families. We videotaped video-calls between hospice teams and family caregivers based on the use of low-cost videophones. We assessed their audio and video quality using both a form that was filled out on site and a protocol for retrospective analysis. The tapes were transcribed and a content analysis was performed to assess the themes of interaction. A total of 70 video-calls were analyzed. The time spent on general informal talk was significantly correlated to the video and audio quality of the session (r=0.43 and 0.41 respectively, p<0.001). The time spent addressing psychosocial issues and on caregiver education correlated significantly to video and audio quality. This study demonstrates the potential of video-mediated communication that supports shared decision making in hospice.
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