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117 Enhancing professional truck drivers‘ experience with virtual care: understanding challenges of shared decision making to improve self- management of chronic diseases
  1. Jalila Jbilou1,
  2. Salah-Eddine El Adlouni2
  1. 1Universite de Moncton – CFMNB – Canada
  2. 2Universite de Moncton – Faculte des Sciences – Canada

Abstract

Introduction While, professional truck drivers (PTD) have a higher risk of chronic conditions and mental health issues, most of them have a low level of education, lower health literacy and lower compliance with medical advice and medication intake. In collaboration with the trucking industry, we co-designed a tailored digital health primary care to improve PTD health outcomes and satisfaction with care. Key aspects of our patient engagement platform are remote patient monitoring, access to integrated interprofessional services and shared decision making (SDM). SDM can be challenging for patients with lower levels of education health literacy and eLiteracy. The aim of this study is to better understand PTD’s experience to inform our continuing improvement strategy and adapt our SDM approaches.

Methods A grounded theory based qualitative design using semi- structured interview to collect data. In-depth interviews were conducted with 21 PTD based in a Canadian province. The majority (95%) were men, 50% were Canadian citizens, 75% had a least one chronic disease, and 37% had completed primary school. The mean age was 46.5 yo (Sd = 9.64 [27:68]).

Results Through analysis of the recorded interviews (using a software), themes of patient-health professional relationship (i.e. trust, non- judgmental, compassion and repetition), tailored health education (i.e. verbal, written and recorded), integrated and personalized care, and timely access to care emerged as major influences on the SDM experiences of PTD. Barriers to effective communication (i.e. incongruency of information between health providers, slow or lack of health outcomes improvement, and work-related conditions) were also revealed.

Conclusion(s) Lack of timely access to primary care and support for SDM likely negatively affect the health of PTD. Our findings shed light on how to support health professionals and PTD, and provide appropriate and adapted health resources to support SDM among PTD.

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