A Comparison of Televideo and Traditional In-Home Rehabilitation in Mobility Impaired Older Adults

Sanford, Jon A.; Hoenig, Helen; Griffiths, Patricia; Butterfield, Tina; Richardson, Peg; Hargraves, Katina

doi:10.1080/j148v25n03_01

Cited by 20 publications

(16 citation statements)

References 20 publications

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“…63,64 Orthopaedics Four of five studies on management of joint disorders found TR was successful, 65 -68 with unclear outcomes in the other study. 69 …”

Section: Mobility Impairmentmentioning

confidence: 97%

Evidence of benefit from telerehabilitation in routine care: a systematic review

et al. 2011

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We systematically reviewed the evidence on the effectiveness of telerehabilitation (TR) applications. The review included reports on rehabilitation for any disability, other than mental health conditions, and drug or alcohol addiction. All forms of telecommunications technology for TR and all types of study design were considered. Study quality was assessed using an approach that considered both study performance and study design. Judgements were made on whether each TR application had been successful, whether reported outcomes were clinically significant, and whether further data were needed to establish the application as suitable for routine use. Sixty-one scientifically credible studies that reported patient outcomes or administrative changes were identified through computerized literature searches on five databases. Twelve clinical categories were covered by the studies. Those dealing with cardiac or neurological rehabilitation were the most numerous. Thirty-one of the studies (51%) were of high or good quality. Study results showed that 71% of the TR applications were successful, 18% were unsuccessful and for 11% the status was unclear. The reported outcomes for 51% of the applications appeared to be clinically significant. Poorer-quality studies tended to have worse outcomes than those from high- or good-quality studies. We judged that further study was required for 62% of the TR applications and desirable for 23%. TR shows promise in many fields, but compelling evidence of benefit and of impact on routine rehabilitation programmes is still limited. There is a need for more detailed, better-quality studies and for studies on the use of TR in routine care.

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“…63,64 Orthopaedics Four of five studies on management of joint disorders found TR was successful, 65 -68 with unclear outcomes in the other study. 69 …”

Section: Mobility Impairmentmentioning

confidence: 97%

Evidence of benefit from telerehabilitation in routine care: a systematic review

et al. 2011

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“…The traditional telephone system continues to be a low-cost alternative for effectively conducting interview assessments by various health care professionals (Cooper et al, 2002;Dreyer, Dreyer, Shaw, & Wittman, 2001;Winters, 2002), and advanced communication technologies have broadened the possibilities for conducting evaluations. Studies have described the use of telehealth in areas that are of concern to occupational therapy, such as evaluation and consultative services for wheelchair prescription (Barlow, Liu, & Sekulic, 2009;Schein, Schmeler, Brienza, Saptono, & Parmanto, 2008;Schein, Schmeler, Holm, Saptono, & Brienza, 2010;Schein et al, 2011), neurological assessment (Savard, Borstad, Tkachuck, Lauderdale, & Conroy, 2003), adaptive equipment prescription and home modification (Sanford et al, 2007), and ergonomic assessment (Baker & Jacobs, 2013).…”

Section: Evaluation Using Telehealth Technologies: Tele-evaluationmentioning

confidence: 99%

“…In the practice area of rehabilitation, disability, and participation, the use of a telehealth service delivery model promotes occupational performance, adaptation, participation, and quality of life for clients with polytrauma, neurological, and orthopedic conditions. Telehealth provides remote access to occupational therapy services through assessment of physical function and goal setting, integration of individualized exercise interventions, training in adaptive strategies such as environmental modifications and energy conservation, and consultation on durable medical and adaptive equipment (Chumbler et al, 2010;Sanford et al, 2007).…”

Section: Rehabilitation Disability and Participationmentioning

confidence: 99%

Telehealth

2013

The American Journal of Occupational Therapy

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The purpose of this paper is to provide the current position of the American Occupational Therapy Association (AOTA) regarding the use of telehealth by occupational therapists and occupational therapy assistants 1 to provide occupational therapy services. This document describes the use of telehealth within occupational therapy practice areas, as described in the existing research. Additionally, occupational therapy practitioner 2 qualifications, ethics, and regulatory issues related to the use of telehealth as a service delivery model within occupational therapy are outlined. Occupational therapy practitioners are the intended audience for this document, although others involved in supervising, planning, delivering, regulating, and paying for occupational therapy services also may find it helpful. Telecommunication and information technologies have prompted the development of an emerging model of health care delivery called telehealth, which involves health care services, health information, and health education. AOTA defines telehealth as the application of evaluative, consultative, preventative, and therapeutic services delivered through telecommunication and information technologies. Occupational therapy services provided by means of a telehealth service delivery model can be synchronous, that is, delivered through interactive technologies in real time, or asynchronous, using store-and-forward technologies. Occupational therapy practitioners can use telehealth as a mechanism to provide services at a location that is physically distant from the client, thereby allowing for services to occur where the client lives, works, and plays, if that is needed or desired (AOTA, 2010d). An overview of telehealth technologies is included in Appendix A. Telerehabilitation within the larger realm of telehealth is the application of telecommunication and information technologies for the delivery of rehabilitation services. Key terms related to telehealth and telehealth technologies are defined in Appendix B. Use of Telehealth Within Occupational Therapy Occupational therapy practitioners use telehealth as a service delivery model to help clients develop skills; incorporate assistive technology and adaptive techniques; modify work, home, or school environments; and create health-promoting habits and routines. Benefits of a telehealth service delivery model include increased accessibility of services to clients who live in remote or underserved areas, improved access to providers and specialists otherwise unavailable to clients, prevention of unnecessary delays in receiving care, and workforce enhancement through consultation and research among others (Cason, 2012a, 2012b). By removing barriers to accessing care, including social stigma, travel, and socioeconomic and cultural barriers, the use of telehealth as a service delivery model within occupational therapy leads to improved access to care and ameliorates the impact of personnel shortages in underserved areas. Occupational therapy outcomes aligned with telehealth include t...

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“…Nonetheless, although in-home rehabilitation has been generally successful in preventing ADL decline [34] and facilitating recovery of ADL functioning and locomotion [35], problems caused by distance, the cost of travel and absence of healthcare personnel limit its utility [36]. To overcome these limitations, several studies have demonstrated that in-home therapy delivered to the elderly using interactive video-conferencing can successfully treat ADL task-performance deficits [37–39]. These studies suggest that relatively inexpensive video-conferencing technology can maintain the patient-therapist interactions, and provide a pragmatic alternative to face-to- face home visits by a therapist for improving function [36] and reducing healthcare spending [39].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a tele-rehabilitation intervention to improve performance and reduce morbidity for people post hip fracture - study protocol for a randomized controlled trial

et al. 2019

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Background Most surviving hip-fracture patients experience reduced mobility and lose some of their functional ability, which increases the risk of complications and rehospitalization. Post-discharge transitional programs to reduce readmissions and disabilities have shown some success. Telerehabilitation refers to the use of technologies to provide rehabilitation services to people in their homes. Considering the need for long-term follow-up care for people with hip fracture, in-home telerehabilitation could increase independence, decrease hospital stays and reduce the burden for caregivers. The objective of this study is to investigate the effectiveness of an intervention program based on telerehabilitation on activities of daily living (ADL), quality of life (QOL), depression and burden on caregivers compared to face-to-face home visits and usual care of community-dwelling older adults after hip fracture. Methods/design This will be a three-armed randomized control trial (RCT) including pre/post intervention and follow-up. The trial will include 90 older people with hip fractures who will be randomly assigned to a telerehabilitation group ( N = 30), face-to-face visits (N = 30) and a control group. The aim of the intervention is to improve the transition from rehabilitation units to community dwelling. It will include 10 videoconferencing/ face-to-face sessions from an occupational therapist in the presence of the primary caregiver. Each session will be utilized to guide the participants to achieve their self-identified goals, focusing on problem-solving for daily life situations and on the ability to implement the discussed strategies for a variety of activities. Outcome measures include Functional Independence Measure (FIM) for evaluation of ADL, SF-12 for evaluation of Health-related QOL, The Geriatric Depression Scale (GDS) and The Zarit Caregiver Burden Scale. Data will be analyzed using Repeated measures MANOVA. Discussion The current study will enable the cost-effectiveness examination of a suggested rehabilitation service based on available technology. The proposed intervention will increase accessibility of in-home rehabilitation services, improve function and health, and reduce economic burden. Trial registration NCT03376750 (12/15/2017).

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A Comparison of Televideo and Traditional In-Home Rehabilitation in Mobility Impaired Older Adults

Cited by 20 publications

References 20 publications

Evidence of benefit from telerehabilitation in routine care: a systematic review

Evidence of benefit from telerehabilitation in routine care: a systematic review

Telehealth

Effectiveness of a tele-rehabilitation intervention to improve performance and reduce morbidity for people post hip fracture - study protocol for a randomized controlled trial

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