Video-Based Communication on Loneliness Among Verbally Responsive ICU Patients: A Scoping Review
Abstract
Background: Video-based Communication has become an essential bridge in overcoming social isolation post-COVID-19 pandemic, particularly in healthcare settings, by facilitating meaningful social interactions for ICU patients who often feel lonely due to restricted direct interactions with their families. Purpose: The review aims to explore the effectiveness of video-based communication in reducing loneliness and to identify key areas for future research. Methods: The study followed the PRISMA-ScR approach to search for relevant articles in databases such as CINAHL, PubMed, and Scopus. The eligibility criteria included full-text articles in English, qualitative and quantitative designs, and a publication range of 2019-2024. Result: The initial search yielded 202 articles, which were narrowed down to 12 articles for further qualitative analysis. The selected studies highlighted the role of video-based communication in reducing loneliness among ICU patients, emphasizing both structured and unstructured communication methods. Discuss: The review provides valuable insights into the use of technology to address loneliness and its implications for healthcare practices, particularly in the context of physical restrictions and the search for solutions amid the COVID-19 pandemic. The study's findings have implications for improving the emotional well-being of isolated patients and their families, especially during times of restricted physical interactions.
Keywords:
ICU, Loneliness, Video-Based Communication, Video Calls, Verbally Responsive
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References
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Eggmann, S., Luder, G., Verra, M. L., Irincheeva, I., Bastiaenen, C. H., & Jakob, S. M. (2020). Functional ability and quality of life in critical illness survivors with intensive care unit acquired weakness: A secondary analysis of a randomised controlled trial. PLoS One, 15(3), https://doi.org/10.1371/journal.pone.0229725
in de Braekt, A., Coolen, C. M., Maaskant, J. M., Ginkel, J. M. de Man-van., Eskes, A. M., & Jongerden, I. P. (2024). Views of family members on using video calls during the hospital admission of a patient: A qualitative study. Journal of Advanced Nursing, 80(9), 3757–3766. https://doi.org/10.1111/jan.16060
Klop, H. T., Nasori, M., Klinge, T. W., Hoopman, R., de Vos, M. A., du Perron, C., ... & Pasman, H. R. W. (2021). Family support on intensive care units during the COVID-19 pandemic: a qualitative evaluation study into experiences of relatives. BMC Health Services Research, 21, 1-12. https://doi.org/10.1186/s12913-021-07095-8
Krewulak, K. D., Jaworska, N., Spence, K. L., Mizen, S. J., Kupsch, S., Stelfox, H. T., ... & Fiest, K. M. (2022). Impact of restricted visitation policies during the first wave of the COVID-19 pandemic on communication between critically ill patients, families, and clinicians: a qualitative interview study. Annals of the American Thoracic Society, 19(7), 1169-1176. https://doi.org/10.1513/AnnalsATS.202107-877OC
Kürtüncü, M., Kurt, A., & Arslan, N. (2023). The experiences of COVID-19 patients in intensive care units: a qualitative study. OMEGA-Journal of Death and Dying, 87(2), 504-518. https://doi.org/10.1177/00302228211024120
Lee, H., Lee, S., & Jo, D. (2024). A bedside electronic whiteboard system for patient care in isolation rooms: A scenario-based preliminary study. Journal of Clinical Nursing, 33(12), 4665-4676. https://doi.org/10.1111/jocn.17461
Mierzwicki, J. T., Kline, J., Schach, B., & Vandenberg, L. (2024). Loneliness improved by either telephone or video communications in community-dwelling older adults. Archives of Gerontology and Geriatrics Plus, 1(2). https://doi.org/10.1016/j.aggp.2024.100011
Mistraletti, G., Gristina, G., Mascarin, S., Iacobone, E., Giubbilo, I., Bonfanti, S., ... & Petrini, F. (2020). How to communicate with families living in complete isolation. BMJ Supportive & Palliative Care, 14(e3), e2954-e2965. https://doi.org/10.1136/bmjspcare-2020-002633
Moolla, M. S., Broadhurst, A., Parker, M. A., Parker, A., & Mowlana, A. (2020). Implementing a video call visit system in a coronavirus disease 2019 unit. African Journal of Primary Health Care & Family Medicine, 12(1), 1-3. https://doi.org/10.4102/phcfm.v12i1.2637
Özdemir, Ö., Yaman, Z., & Yilmaz, M. (2023). Last Utterances of Patients in Covid Intensive Care Units: A Qualitative Study. Archives of Psychiatric Nursing 42, 106–112. https://doi.org/10.1016/j.apnu.2022.12.005
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, 1–11. https://doi.org/10.1136/bmj.n71
Peterson, J., Pearce, P. F., Ferguson, L. A., & Langford, C. A. (2017). Understanding scoping reviews: Definition, purpose, and process. Journal of the American Association of Nurse Practitioners, 29(1), 12-16. https://doi.org/10.1002/2327-6924.12380
Piras, I., Piazza, M. F., Piccolo, C., Azara, A., Piana, A., Finco, G., & Galletta, M. (2022). Experiences, emotions, and health consequences among COVID-19 survivors after intensive care unit hospitalization. International Journal of Environmental Research and Public Health, 19(10) https://doi.org/10.3390/ijerph19106263
Rose, L., Yu, L., Casey, J., Cook, A., Metaxa, V., Pattison, N., ... & Meyer, J. (2021). Communication and virtual visiting for families of patients in intensive care during the COVID-19 pandemic: a UK national survey. Annals of the American Thoracic Society, 18(10), 1685-1692. https://doi.org/10.1513/AnnalsATS.202012-1500OC
Ross, J. L., Cagino, S. G., & Denefrio, C. L. (2024). Examining technology use and mental health among parents with newborns in the intensive care unit during the COVID-19 pandemic: A cross-sectional study. PEC Innovation, 4. https://doi.org/10.1016/j.pecinn.2023.100252
Sacco, G., Lléonart, S., Simon, R., Noublanche, F., Annweiler, C., & TOVID Study Group. (2020). Communication technology preferences of hospitalized and institutionalized frail older adults during COVID-19 confinement: cross-sectional survey study. JMIR mHealth and uHealth, 8(9). https://doi.org/10.2196/21845
Sanfilippo, F., La Via, L., Schembari, G., Tornitore, F., Zuccaro, G., Morgana, A., ... & Astuto, M. (2022). Implementation of video-calls between patients admitted to intensive care unit during the COVID-19 pandemic and their families: a pilot study of psychological effects. Journal of Anesthesia, Analgesia and Critical Care, 2(1). https://doi.org/10.1186/s44158-022-00067-2
Sasangohar, F., Dhala, A., Zheng, F., Ahmadi, N., Kash, B., & Masud, F. (2021). Use of telecritical care for family visitation to ICU during the COVID-19 pandemic: an interview study and sentiment analysis. BMJ Quality & Safety, 30(9), 715-721. https://doi.org/10.1136/bmjqs-2020-011604
Thombs, B. D., Kwakkenbos, L., Carrier, M. E., Bourgeault, A., Tao, L., Harb, S., ... & Ostbo, N. (2020). Protocol for a partially nested randomised controlled trial to evaluate the effectiveness of the scleroderma patient-centered intervention network COVID-19 home-isolation activities together (SPIN-CHAT) program to reduce anxiety among at-risk scleroderma patients. Journal of Psychosomatic Research, 135. https://doi.org/10.1016/j.jpsychores.2020.110132
Torun, S., Bulmuş, E., & Bilgin, O. (2023). Evaluation of experiences of the patients discharged from the COVID-19 intensive care unit: a qualitative research. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-46818-1
Tsai, H. H., Cheng, C. Y., Shieh, W. Y., & Chang, Y. C. (2020). Effects of a smartphone-based videoconferencing program for older nursing home residents on depression, loneliness, and quality of life: a quasi-experimental study. BMC Geriatrics, 20, 1–11. https://doi.org/10.1186/s12877-020-1426-2
Wanderås, M. R., Abildsnes, E., Thygesen, E., & Martinez, S. G. (2023). Video consultation in general practice: a scoping review on use, experiences, and clinical decisions. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09309-7
Watanabe, K., Tani, T., Suzuki, A., Kawakami, K., Watanabe, M., Yamasaki, K., & Morota, K. (2023). Using Video Calls to Reduce Risky Behaviors and Enhance Instruction Understanding of Patients in Acute Care Hospitals During the COVID-19 Pandemic. Cureus, 15(9). https://doi.org/10.7759/cureus.45074
Wu, S., Yao, J., & Yang, C. (2023). The mediating effect of the use intensity of short video platforms on the use motivation and loneliness of unaccompanied patients during the epidemic. Academic Journal of Medicine & Health Sciences, 4(7), 1-7. https://doi.org/10.25236/ajmhs.2023.040701
Balcombe, L., & Leo. D. D. (2023). The Impact of YouTube on Loneliness and Mental Health. Informatics 10(2). https://doi.org/10.3390/informatics10020039
Bartoli, D., Trotta, F., Simeone, S., Pucciarelli, G., Orsi, G. B., Acampora, O., ... & Rocco, M. (2021). The lived experiences of family members of Covid-19 patients admitted to intensive care unit: A phenomenological study. Heart & Lung, 50(6), 926-932. https://doi.org/10.1016/j.hrtlng.2021.08.002
Çınar, F., & Aslan, F. E. (2017). Spiritualism and Nursing: The Importance of Spiritual Care in Intensive Care Patients. Journal of Academic Research in Nursing, 3(1), 37–42. https://doi.org/10.5222/jaren.2017.037
Cook, D. J., Takaoka, A., Hoad, N., Swinton, M., Clarke, F. J., Rudkowski, J. C., ... & Vanstone, M. (2021). Clinician perspectives on caring for dying patients during the pandemic: A mixed-methods study. Annals of Internal Medicine, 174(4), 493-500. https://doi.org/10.7326/M20-6943
Donas-Boto, I., Moreira, M., Urzal, F., Vian, J., Tapadinhas, C., & Neves, A. (2021). Isolated, but not alone: implementation of video communication in Covid-19 units. Psicologia, Saúde & Doença 22(02), 350–358. https://doi.org/10.15309/21psd220203
Eggmann, S., Luder, G., Verra, M. L., Irincheeva, I., Bastiaenen, C. H., & Jakob, S. M. (2020). Functional ability and quality of life in critical illness survivors with intensive care unit acquired weakness: A secondary analysis of a randomised controlled trial. PLoS One, 15(3), https://doi.org/10.1371/journal.pone.0229725
in de Braekt, A., Coolen, C. M., Maaskant, J. M., Ginkel, J. M. de Man-van., Eskes, A. M., & Jongerden, I. P. (2024). Views of family members on using video calls during the hospital admission of a patient: A qualitative study. Journal of Advanced Nursing, 80(9), 3757–3766. https://doi.org/10.1111/jan.16060
Klop, H. T., Nasori, M., Klinge, T. W., Hoopman, R., de Vos, M. A., du Perron, C., ... & Pasman, H. R. W. (2021). Family support on intensive care units during the COVID-19 pandemic: a qualitative evaluation study into experiences of relatives. BMC Health Services Research, 21, 1-12. https://doi.org/10.1186/s12913-021-07095-8
Krewulak, K. D., Jaworska, N., Spence, K. L., Mizen, S. J., Kupsch, S., Stelfox, H. T., ... & Fiest, K. M. (2022). Impact of restricted visitation policies during the first wave of the COVID-19 pandemic on communication between critically ill patients, families, and clinicians: a qualitative interview study. Annals of the American Thoracic Society, 19(7), 1169-1176. https://doi.org/10.1513/AnnalsATS.202107-877OC
Kürtüncü, M., Kurt, A., & Arslan, N. (2023). The experiences of COVID-19 patients in intensive care units: a qualitative study. OMEGA-Journal of Death and Dying, 87(2), 504-518. https://doi.org/10.1177/00302228211024120
Lee, H., Lee, S., & Jo, D. (2024). A bedside electronic whiteboard system for patient care in isolation rooms: A scenario-based preliminary study. Journal of Clinical Nursing, 33(12), 4665-4676. https://doi.org/10.1111/jocn.17461
Mierzwicki, J. T., Kline, J., Schach, B., & Vandenberg, L. (2024). Loneliness improved by either telephone or video communications in community-dwelling older adults. Archives of Gerontology and Geriatrics Plus, 1(2). https://doi.org/10.1016/j.aggp.2024.100011
Mistraletti, G., Gristina, G., Mascarin, S., Iacobone, E., Giubbilo, I., Bonfanti, S., ... & Petrini, F. (2020). How to communicate with families living in complete isolation. BMJ Supportive & Palliative Care, 14(e3), e2954-e2965. https://doi.org/10.1136/bmjspcare-2020-002633
Moolla, M. S., Broadhurst, A., Parker, M. A., Parker, A., & Mowlana, A. (2020). Implementing a video call visit system in a coronavirus disease 2019 unit. African Journal of Primary Health Care & Family Medicine, 12(1), 1-3. https://doi.org/10.4102/phcfm.v12i1.2637
Özdemir, Ö., Yaman, Z., & Yilmaz, M. (2023). Last Utterances of Patients in Covid Intensive Care Units: A Qualitative Study. Archives of Psychiatric Nursing 42, 106–112. https://doi.org/10.1016/j.apnu.2022.12.005
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, 1–11. https://doi.org/10.1136/bmj.n71
Peterson, J., Pearce, P. F., Ferguson, L. A., & Langford, C. A. (2017). Understanding scoping reviews: Definition, purpose, and process. Journal of the American Association of Nurse Practitioners, 29(1), 12-16. https://doi.org/10.1002/2327-6924.12380
Piras, I., Piazza, M. F., Piccolo, C., Azara, A., Piana, A., Finco, G., & Galletta, M. (2022). Experiences, emotions, and health consequences among COVID-19 survivors after intensive care unit hospitalization. International Journal of Environmental Research and Public Health, 19(10) https://doi.org/10.3390/ijerph19106263
Rose, L., Yu, L., Casey, J., Cook, A., Metaxa, V., Pattison, N., ... & Meyer, J. (2021). Communication and virtual visiting for families of patients in intensive care during the COVID-19 pandemic: a UK national survey. Annals of the American Thoracic Society, 18(10), 1685-1692. https://doi.org/10.1513/AnnalsATS.202012-1500OC
Ross, J. L., Cagino, S. G., & Denefrio, C. L. (2024). Examining technology use and mental health among parents with newborns in the intensive care unit during the COVID-19 pandemic: A cross-sectional study. PEC Innovation, 4. https://doi.org/10.1016/j.pecinn.2023.100252
Sacco, G., Lléonart, S., Simon, R., Noublanche, F., Annweiler, C., & TOVID Study Group. (2020). Communication technology preferences of hospitalized and institutionalized frail older adults during COVID-19 confinement: cross-sectional survey study. JMIR mHealth and uHealth, 8(9). https://doi.org/10.2196/21845
Sanfilippo, F., La Via, L., Schembari, G., Tornitore, F., Zuccaro, G., Morgana, A., ... & Astuto, M. (2022). Implementation of video-calls between patients admitted to intensive care unit during the COVID-19 pandemic and their families: a pilot study of psychological effects. Journal of Anesthesia, Analgesia and Critical Care, 2(1). https://doi.org/10.1186/s44158-022-00067-2
Sasangohar, F., Dhala, A., Zheng, F., Ahmadi, N., Kash, B., & Masud, F. (2021). Use of telecritical care for family visitation to ICU during the COVID-19 pandemic: an interview study and sentiment analysis. BMJ Quality & Safety, 30(9), 715-721. https://doi.org/10.1136/bmjqs-2020-011604
Thombs, B. D., Kwakkenbos, L., Carrier, M. E., Bourgeault, A., Tao, L., Harb, S., ... & Ostbo, N. (2020). Protocol for a partially nested randomised controlled trial to evaluate the effectiveness of the scleroderma patient-centered intervention network COVID-19 home-isolation activities together (SPIN-CHAT) program to reduce anxiety among at-risk scleroderma patients. Journal of Psychosomatic Research, 135. https://doi.org/10.1016/j.jpsychores.2020.110132
Torun, S., Bulmuş, E., & Bilgin, O. (2023). Evaluation of experiences of the patients discharged from the COVID-19 intensive care unit: a qualitative research. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-46818-1
Tsai, H. H., Cheng, C. Y., Shieh, W. Y., & Chang, Y. C. (2020). Effects of a smartphone-based videoconferencing program for older nursing home residents on depression, loneliness, and quality of life: a quasi-experimental study. BMC Geriatrics, 20, 1–11. https://doi.org/10.1186/s12877-020-1426-2
Wanderås, M. R., Abildsnes, E., Thygesen, E., & Martinez, S. G. (2023). Video consultation in general practice: a scoping review on use, experiences, and clinical decisions. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09309-7
Watanabe, K., Tani, T., Suzuki, A., Kawakami, K., Watanabe, M., Yamasaki, K., & Morota, K. (2023). Using Video Calls to Reduce Risky Behaviors and Enhance Instruction Understanding of Patients in Acute Care Hospitals During the COVID-19 Pandemic. Cureus, 15(9). https://doi.org/10.7759/cureus.45074
Wu, S., Yao, J., & Yang, C. (2023). The mediating effect of the use intensity of short video platforms on the use motivation and loneliness of unaccompanied patients during the epidemic. Academic Journal of Medicine & Health Sciences, 4(7), 1-7. https://doi.org/10.25236/ajmhs.2023.040701
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How to Cite
Setiawan, D., Kosasih, C., & Mirwanti, R. (2025). Video-Based Communication on Loneliness Among Verbally Responsive ICU Patients: A Scoping Review. International Journal of Advancement in Life Sciences Research, 8(1), 1-15. https://doi.org/https://doi.org/10.31632/ijalsr.2025.v08i01.001
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Review Articles
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