Innovative Approaches to Delivering Telehealth

Matsumoto, Mary E.; Wilske, Grace C.; Tapia, Rebecca N.

doi:10.1016/j.pmr.2020.12.008

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…Innovative social connectivity methods during home-based CR are crucial to keeping participants motivated until the vaccine for SARS-CoV-2 is widely available. Although telemedicine is mostly unused in the management of cardiovascular diseases, the COVID-19 pandemic has reinstated interest in the use of innovative strategies in the provision of healthcare [26,27]. This means that HBCT can bridge the gap and be an effective alternative approach [28].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Baťalík

Konečný²,

Dosbaba

et al. 2021

IJERPH

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This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.

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Section: Discussionmentioning

confidence: 99%

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Baťalík

Konečný²,

Dosbaba

et al. 2021

IJERPH

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“…The global shift from face-to-face to online programs and services as a means of increasing reach and reducing costs, supported by technological innovation and widespread access to technology, has been accelerated by the COVID-19 pandemic. Telehealth can widen access for many, including people who have poor mobility, lack of transport options, caring roles or live outside of service areas [36]. Teleyoga (real-time yoga classes provided via interactive videoconferencing [29]) is a promising way of delivering yoga classes at scale, potentially reducing costs and increasing convenience, and reaching people who cannot attend studio-based classes, including those affected by COVID-19 restrictions [37].…”

Section: Yoga As a Practise For Healthy Ageingmentioning

confidence: 99%

“…Our interviewees reported a variety of challenges including space constraints, disruption and feelings of intrusion. Matsumoto et al [36] note that telehealth in a group setting requires reconsideration of participant privacy and consents. This is underscored by a lack of research exploring how features of the home environment influence older peoples' engagement in physical activity [116].…”

Section: Teleyoga As a Way Forwardmentioning

confidence: 99%

What helps older people persevere with yoga classes? A realist process evaluation of a COVID-19-affected yoga program for fall prevention

et al. 2022

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Background Falls among older people are a major global health concern. This process evaluation investigates the experience of participants aged 60+ in a yoga program aimed at preventing falls which transitioned from studio-based classes to online classes in response to COVID-19 restrictions. We sought to understand how the Successful AGEing (SAGE) yoga program functioned in both settings and as a hybrid program, and to explain why it worked well for most participants. Methods Realist process evaluation was used to explore the factors that facilitated a successful transition for most participants, and to consider why it did not work for a minority. This approach develops program theories that describe which mechanisms an intervention is (or is not) activating, and how this is mediated by context to generate process outcomes. Data included interviews with participants (n = 21) and yoga instructors (n = 3), self-report feedback forms (n = 46), observation of classes and routine process measures. Results Factors that facilitated a successful transition for most participants included the quality of yoga instruction, the program format and inherent characteristics of yoga. Gains in transitioning online included continuity and greater convenience. Losses included perceived reduction in the effectiveness of yoga instruction. There were greater challenges for people struggling with pain and in disadvantageous home environments. We identified six program theories configured around 16 mechanisms: 1. It’s worth the effort and 2. In expert hands (these had the same mechanisms: value expectancy, therapeutic alliance and achievement/mastery), 3. A communal experience (these mechanisms were shared experience, social connection, social comparison and peer checking), 4. Putting yoga within reach (accessibility, convenience, gratitude), 5. Building yoga habits (purposeful structure, momentum, accountability and continuity), and 6. Yoga’s special properties (embodiment and mindfulness). Conclusions This study showed that online delivery of a yoga program for people aged 60+ retained much of the value of a face-to-face program for the majority of participants, and increased the value for some. The structured, communal nature of an organised group program delivered by a skilled instructor, together with yoga’s intrinsic focus on mindfulness, facilitated continued engagement and perceived health benefits, despite the change in delivery mode.

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“…One potential recommendation involves adopting a hybrid model to increase access to specialized care. This model envisions patients meeting with a generalist or by a provider from a certain discipline who may not have advanced training while they participate in a video conference with a specialist who can provide consultation (Matsumoto et al, 2021).…”

Section: Virtual Teamsmentioning

confidence: 99%

Psychologist leadership on inpatient rehabilitation teams: Organizational science in practice.

Tackett

Chopin

Karol³

2021

Rehabilitation Psychology

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Purpose/Objective: Teams are a critical part of modern health care, particularly in rehabilitation settings where multiple providers with different backgrounds and training work toward common goals. Rehabilitation psychologists have a legacy of providing leadership and influence for complex teams. Knowledge of interdisciplinary/transdisciplinary systems, leadership within those systems, and consultation across disciplines are foundational competencies for rehabilitation psychologists. Research Method/Design: This paper summarizes the different roles rehabilitation psychologists serve on health care teams and identifies opportunities for improved effectiveness. An overview of leadership theory over time is provided. Results: Even when psychologists are not formal team leaders, opportunities exist to leverage team member strengths and encourage the development of leader behaviors across the team in support of good patient care. Conclusions/Implications: Drawing from the management and organizational development literature, evidence-based suggestions are provided for rehabilitation psychologists seeking to foster healthy team dynamics within and among health care teams. The authors encourage rehabilitation psychologists to use their unique training to facilitate shared leadership on teams that foster and encourage a climate of trust, psychological safety, healthy and productive conflict, along with strong communication practices. These issues became even more salient as teams transitioned to virtual platforms during the pandemic and continue to adapt to hybrid work environments. Impact and ImplicationsThis paper integrates management and organizational behavior theory with rehabilitation psychology competencies to offer evidence-based suggestions for enhancing leadership behaviors on health care teams. This is one of the first papers to highlight the potential leadership strategies rehabilitation psychologists can employ on transdisciplinary teams, which consist of highly educated and skilled individuals who likely have different reporting structures. By leveraging their education, training, and integration of evidence-based practices, rehabilitation psychologists can aid in teams' incorporation of recommendations that will allow for healthy and productive processes and dissent in pursuit of excellence both within individual teams and across multiteam systems.

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Innovative Approaches to Delivering Telehealth

Cited by 6 publications

References 34 publications

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

What helps older people persevere with yoga classes? A realist process evaluation of a COVID-19-affected yoga program for fall prevention

Psychologist leadership on inpatient rehabilitation teams: Organizational science in practice.

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