Participatory development of a 3D telemedicine system during COVID: the future of remote consultations

3DTM (3D Telemedicine) Collaborative research group, Steven Lo, Spencer Fowers, Kwame Darko, Thiago Spina, Catriona Graham, Andrea Britto, Anna Rose, David Tittsworth, Aileen McIntyre, Chris O'Dowd, Roma Maguire, Wayne Chang, David Young, Amber Hoak, Robin Young, Mark Dunlop, Levi Ankrah, Martina Messow, Opoku AmpomahBen Cutler, Roma Armstrong, Ruchi Lalwani, Ruairidh Davison, Sophie Bagnall, Whitney Hudson, Mike Shepperd, Jonny Johnson

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
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The COVID pandemic brought the need for more realistic remote consultations into focus. 2D Telemedicine solutions fail to replicate the fluency or authenticity of in-person consultations. This research reports on an international collaboration on the participatory development and first validated clinical use of a novel, real-time 360-degree 3D Telemedicine system worldwide. The development of the system - leveraging Microsoft's Holoportation™ communication technology - commenced at the Canniesburn Plastic Surgery Unit, Glasgow, in March 2020. The research followed the VR CORE guidelines on the development of digital health trials, placing patients at the heart of the development process. This consisted of three separate studies - a clinician feedback study (23 clinicians, Nov-Dec 2020), a patient feedback study (26 patients, Jul-Oct 2021), and a cohort study focusing on safety and reliability (40 patients, Oct 2021-Mar 2022). "Lose, Keep, and Change" feedback prompts were used to engage patients in the development process and guide incremental improvements. Participatory testing demonstrated improved patient metrics with 3D in comparison to 2D Telemedicine, including validated measures of satisfaction (p
Original languageEnglish
Pages (from-to)479-490
Number of pages12
JournalJournal of Plastic, Reconstructive & Aesthetic Surgery
Early online date13 Oct 2022
Publication statusPublished - 1 Dec 2023


  • remote consultation
  • telemedicine
  • COVID-19
  • 3 dimensional
  • plastic surgery
  • realism


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