Group dynamics in telemedicine-delivered and standard multidisciplinary team meetings: results from the TELEMAM randomised trial

Ian Kunkler; Guy Fielding; Michele Macnab; Sally Swann; John Brebner; Robin Prescott; Ross Maclean; Udi Chetty; Angela Bowman; Glyn Neades; +7 more... Mike Dixon; Melanie Smith; Andrew Walls; John Cairns ORCID logo; Robert Lee; Amanda Lee; Tom Gardner; (2006) Group dynamics in telemedicine-delivered and standard multidisciplinary team meetings: results from the TELEMAM randomised trial. Journal of telemedicine and telecare, 12 (3_supp). pp. 55-58. ISSN 1357-633X DOI: 10.1258/135763306779380156
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<jats:p> We compared breast cancer professional's perceptions of group dynamics during standard face-to-face and telemedicine-delivered multidisciplinary team meetings. Staff perceptions were measured by a Group Behaviour Inventory (GBl) consisting of 35 positive statements in 10 group behaviour sub scales: physical resources, knowledge resources, shared goals, climate, discussion norms, discussion behaviours, decision making, output, satisfaction and group status. The participants were based at a cancer centre (the Edinburgh Breast Unit) and two district general hospitals (Dumfries and Galloway Royal Infirmary and Queen Margaret Hospital, Dunfermline) in southern Scotland. Thirty-three (73%) of the core breast cancer multidisciplinary team members completed a pre-trial (face-to-face) GBl and 24 (72%) completed a post telemedicine GBl. Eleven professionals completed both. Both GBIs produced high and similar mean scores for the majority of the ten sub-scales. Participants who completed a GBI questionnaire had similar, although slightly lower, levels of positive attitudes to telemedicine-delivered compared to face-to-face breast cancer multidisciplinary meetings. These findings support the role of videoconferencing for facilitating multidisciplinary team working within a managed cancer clinical network. </jats:p>

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