The aim of this paper was to explore potential divergence and convergence in relation to health
care professionals’ and patients’ acceptability of the use of telehealth within palliative care
provision through the lens of Self-Determination Theory .
The research utilized a deductive qualitative approach utilizing semi-structured interviews to
explore divergence and convergence between health care professionals’ preconceptions of the
use of telehealth in palliative care and the lived experiences of patients accessing support in this
manner. Semi-structured interviews were conducted with both professionals and patients to
explore whether the barriers and benefits of telehealth perceived by professionals corresponded to
the patient’s lived experience of utilizing the technology in their palliative care. Interviews were
analyzed using a deductive thematic analysis .
Professionals and patients identified that the use of telehealth could satisfy the need for autonomy,
however this manifested in different ways. Greater divergence was apparent between patient and
professional perceptions about how telehealth could satisfy the need for relatedness and
The findings of this paper highlight how professionals preconceived concerns about the use of
telehealth in relation to providing supportive palliative care may not be realized when exploring the
experiences of patients accessing services through this medium. This paper highlights the
important role of psychological need satisfaction when considering acceptability of telehealth, and
motivation to engage in the implementation of technologically driven health services.