Physical therapists and public perceptions of telerehabilitation: An online open survey on acceptability, preferences, and needs

Fernandes, Lívia G; Oliveira, Rafael F F; Barros, Pamela Marinelli; Fagundes, Felipe Ribeiro Cabral; Soares, Renato José; Saragiotto, Bruno Tirotti

doi:10.1016/j.bjpt.2022.100464

Cited by 20 publications

(5 citation statements)

References 55 publications

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“…19,23,24,28 Other preferences for future telerehabilitation programmes included the use of synchronous modes of delivery, with some recorded material also made available, the value of group rehabilitation classes, inclusion of exercise, education and social components to programmes, along with periodic objective monitoring of clinical parameters, echoing previous research findings. 36,37 Rehabilitation providing self-management support is a primary intervention for various chronic health conditions. Evidence exploring the effects of generic self-management programmes, such as the Stanford Chronic Disease Self-Management Programme (CDSMP) model that can be used for a heterogeneous sample of patients with chronic conditions, is promising.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exploring attitudes of people with chronic health conditions towards the use of group-based telerehabilitation: A qualitative study

Barry Walsh,

Cahalan,

Hinman

et al. 2023

Clin Rehabil

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Objective The study explores the attitudes of people with chronic health conditions towards the use of group-based telerehabilitation. Design A qualitative research study. Setting The setting involved semi-structured focus groups via videoconferencing software. Participants A purposive sample of 18 people with chronic health conditions including cardiorespiratory, neurological and musculoskeletal conditions was recruited via national patient advocacy and support groups in Ireland and clinical contacts. The sample included both those who had, and had not, previously engaged in telerehabilitation programmes. Procedures An online questionnaire collected demographic information and data regarding previous telerehabilitation participation and telerehabilitation preferences. Focus groups were conducted using videoconferencing software, in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) Checklist, and analysed using thematic analysis following Braun and Clarke's methodology. Findings were triangulated with quantitative questionnaire data. Results Four focus groups were conducted including participants with chronic cardiorespiratory ( n = 8), neurological ( n = 6) and musculoskeletal ( n = 4) conditions. Three themes were identified regarding telerehabilitation: (a) benefits and facilitators (including convenience, increased service accessibility, social connection and technological support), (b) challenges and barriers (including technological access and literacy, limited ‘hands-on’ therapy, safety concerns and social limitations), and (c) preferences (regarding mode of delivery, content, duration and generic programmes for mixed-condition groups). Conclusions Telerehabilitation is convenient for people with chronic conditions; however, concerns exist regarding the use of technology and the limitations of this healthcare delivery method. The role of telerehabilitation is valued, and future programmes should acknowledge patient preferences including a hybrid model of care, exercise and educational content, social interaction and synchronous components.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring attitudes of people with chronic health conditions towards the use of group-based telerehabilitation: A qualitative study

Barry Walsh,

Cahalan,

Hinman

et al. 2023

Clin Rehabil

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“…Research also reveals that telehealth decreases travel time and costs [ 8 ]. It is well documented that patients recognize the benefits of telehealth as well, demonstrating high engagement [ 9-11 ] and high levels of satisfaction across multiple metrics, including quality of care, convenient access to multiple specialists, improved care and coordination with digital care, and outcomes similar to in-person care [ 12-17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite evidence of the benefits of telehealth, there are barriers to the integration of telehealth into traditional health care models. For example, physical therapists (PTs) report apprehension toward utilizing telehealth in their practice, reporting insufficient preparation and inadequate knowledge about how to implement telehealth visits, influencing providers’ acceptance, preferences, and outcomes [ 12 18 19 ]. Further, less than half (42%) of health care providers surveyed believed telehealth was as effective as face-to-face care, and 21% reported insufficient training [ 18 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Further, less than half (42%) of health care providers surveyed believed telehealth was as effective as face-to-face care, and 21% reported insufficient training [ 18 19 ]. Another significant barrier to digital health adoption is the belief that lack of physical contact hampers accurate diagnosis and management [ 12 18 19 ]. Successful integration of telehealth into traditional health care models will only be achieved through addressing provider beliefs about the efficacy of telehealth and instruction in providing equivalent care through a new model.…”

Section: Introductionmentioning

confidence: 99%

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A Proposed Decision-Making Framework for the Translation of In-Person Clinical Care to Digital Care: Tutorial

DeLaRosby,

Mulcahy,

Norwood

2024

JMIR Med Educ

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The continued demand for digital health requires that providers adapt thought processes to enable sound clinical decision-making in digital settings. Providers report that lack of training is a barrier to providing digital health care. Physical examination techniques and hands-on interventions must be adjusted in safe, reliable, and feasible ways to provide digital care, and decision-making may be impacted by modifications made to these techniques. We have proposed a framework to determine whether a procedure can be modified to obtain a comparable result in a digital environment or whether a referral to in-person care is required. The decision-making framework was developed using program outcomes of a digital physical therapy platform and aims to alleviate barriers to delivering digital care that providers may experience. This paper describes the unique considerations a provider must make when collecting background information, selecting and executing procedures, assessing results, and determining whether they can proceed with clinical care in digital settings.

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End-users’ satisfaction and adoption regarding the implementation of a technology solution for screening and counselling individuals with suspicious COVID-19: a cross-section study

Marinelli,

Saragiotto,

Oliveira

et al. 2024

Health Technol.

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Purpose We evaluated the end-users’ satisfaction and the adoption of a technology solution embedding a clinical decision algorithm for screening and counselling individuals with suspicious COVID-19. Methods This was a cross-sectional study. Data was collected by the startup company Hi! Healthcare Intelligence. Satisfaction was measured using two questions presenting answer options as Likert scales of eleven points (from 0 to 10), in which 0 indicated low satisfaction and 10 indicated high satisfaction. We measured ‘general satisfaction’ through the average of questions 1 and 2. Descriptive analyses were used to summarize the data. Results The average satisfaction regarding the experience in using the technology solution and regarding the ‘recommendation for a friend or family’ was 7.94 (95% confidence interval [CI] 7.60 to 8.28) and 8.14 (95% CI 7.80 to 8.48), respectively. ‘General satisfaction’ was 8.04 (95% CI 7.70 to 8.37). The adoption regarding the implementation of the technology solution was 24.5% (n = 265). Conclusion The technology solution embedding a clinical decision algorithm for screening and counselling individuals with suspicious COVID-19 presented high satisfaction. One in four (¼) individuals interested in using the technology solution actually adopted it by following the clinical decision algorithm until the end, when counselling was provided.

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Physical therapists and public perceptions of telerehabilitation: An online open survey on acceptability, preferences, and needs

Cited by 20 publications

References 55 publications

Exploring attitudes of people with chronic health conditions towards the use of group-based telerehabilitation: A qualitative study

Exploring attitudes of people with chronic health conditions towards the use of group-based telerehabilitation: A qualitative study

A Proposed Decision-Making Framework for the Translation of In-Person Clinical Care to Digital Care: Tutorial

End-users’ satisfaction and adoption regarding the implementation of a technology solution for screening and counselling individuals with suspicious COVID-19: a cross-section study

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