Table 3.
Results of Delphi method: video consultation process.
| Item | Second Round | Third Round | ||
|---|---|---|---|---|
| Median (Minimal and Maximal Ratings) |
Percentage of Experts Who Scored at Least 3 Points | Median (Minimal and Maximal Ratings) |
Percentage of Experts Who Scored at Least 3 Points | |
| 2.1.-Resources | ||||
| 2.1.1.-Sender-receiver | ||||
| -Take care of personal appearance, as well as non-verbal language: paraverbal and gestural. | 4 (2–4) |
93.75% | 4 (3–4) |
100% |
| 2.1.2.-Technical resources | ||||
| -Support available to record information during the video consultation, if possible, without looking up from the screen or image frame. | 4 (2–4) |
87.25% | 4 (2–4) |
93.75% |
| 2.1.3.-Environment | ||||
| -Generate an environment of safety, avoiding background voices that may undermine confidentiality and privacy. | 4 (2–4) |
93.75% | 4 (2–4) |
93.75% |
| -Environment without distraction | 4 (3–4) |
100% | 4 (3-4) |
100% |
| 2.2.-Process | ||||
| -Check the connection (correct working of audio and video). | 4 (2-4) |
93.75% | 4 (2–4) |
93.75% |
| -Start with an affectionate greeting, introduction, and mutual identification. | 4 (3–4) |
100% | 4 (3–4) |
100% |
| -Establishment of basic operating rules. | 4 (3–4) |
100% | 4 (3–4) |
100% |
| -Refer to some temporospatial aspect to contextualize (weather, news of the day…). (Item included only in the second round) -To start the conversation, refer to some temporospatial aspect to contextualize (weather, any news of the day…). (Item modified in the third round) |
4 (1–4) |
81.25% | 4 (2–4) |
93.75% |
| -Reduce the technological gap through closeness and complicity. | 4 (2–4) |
93.75% | 4 (2–4) |
93.75% |
| -Approach from superficial to intimate. | 4 (2–4) |
87.25% | 4 (2–4) |
93.75% |
| -Do not assume anything; specify and confirm all inconsistencies or assumptions without speculations. | 4 (2–4) |
93.75% | 4 (2–4) |
93.75% |
| -Active listening. Try not to interrupt or cut the patient’s speech, except to redirect the interview. | 4 (3–4) |
100% | 4 (3–4) |
100% |
| -Continuous feedback. | 4 (2–4) |
93.75% | 4 (2–4) |
93.75% |
| 2.2.1.-Contingency management | ||||
| -Maintain a proactive attitude to solve problems: look for alternatives and deal naturally with technical problems. | 4 (3–4) |
100% | 4 (3–4) |
100% |
| -Emphasize feedback so as not to miss important details, for example encouraging paraphrasing. | 4 (3–4) |
100% | 4 (3–4) |
100% |
| -Postpone video consultation if it is not possible at that time, but in that case, always agreeing on the date, time, and type of the new interaction to provide continuity. (Item included only in the second round) -Postpone video consultation if it is not possible at that time due to non-rectifiable connection problems that prevent effective communication, but in that case, always agreeing on the date, time and type of the new interaction to provide continuity. (Item modified in the third round) |
4 (2–4) |
93.75% | 4 (3–4) |
100% |
| 2.3.-Summary of the most significant aspects and farewell. | ||||
| -In the case of performing a prior consultation, summarize its significant aspects, established objectives, and their degree of compliance, as well as strengths and difficulties that occurred during this consultation before presenting the action plan derived from the current video consultation. (Item included only in the second round) In the case of performing a prior consultation, and if it is necessary, summarize its significant aspects, established objectives, and their degree of compliance, as well as strengths and difficulties that occurred during this consultation before presenting the action plan derived from the current video consultation. (Item modified in the third round) |
4 (1–4) |
93.75% | 4 (3–4) |
100% |
| -Summarize all of what has been discussed and remind of planned objectives and agreed upon interventions to achieve them. | 4 (2–4) |
81.25% | 4 (2–4) |
93.75% |
| -Request feedback to verify that the most relevant information has been understood. | 4 (2–4) |
93.75% | 4 (2–4) |
93.75% |
| -Ask the patient if he/she has felt comfortable during the video consultation. | 4 (2–4) |
93.75% | 4 (2–4) |
93.75% |
| -Schedule the next appointment, give thanks for the collaboration and farewell. | 4 (3–4) |
100% | 4 (3–4) |
100% |