“Physio anywhere”: digitally-enhanced outpatient care as a legacy of coronavirus 2020

Tack, Christopher; Grodon, Jack; Shorthouse, Faye; Spahr, Nicolas

doi:10.1016/j.physio.2020.07.004

Cited by 23 publications

(13 citation statements)

References 24 publications

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“…This is unsurprising given that the uptake of telehealth across Australian health services before 2020 was minimal [63,64], despite recognition of its potential to facilitate efficient health service delivery [65][66][67]. The COVID-19 pandemic has driven a step change in health care delivery, with rapid adoption of telehealth services by health care providers [4], coupled with increased funding for telehealth services (including physiotherapy) in several countries, including Australia [6,68] and the United Kingdom [69]. Our findings showed that the e-learning program facilitated most physiotherapists to make a rapid switch to telehealth with the sudden onset of the COVID-19 pandemic.…”

Section: Principal Findingsmentioning

confidence: 99%

Evaluation of a Novel e-Learning Program for Physiotherapists to Manage Knee Osteoarthritis via Telehealth: Qualitative Study Nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) Randomized Controlled Trial

Jones¹,

Campbell²,

Kimp³

et al. 2021

J Med Internet Res

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Background:The delivery of physiotherapy via telehealth could provide more equitable access to services for patients. Videoconference-based telehealth has been shown to be an effective and acceptable mode of service delivery for exercise-based interventions for chronic knee pain; however, specific training in telehealth is required for physiotherapists to effectively and consistently deliver care using telehealth. The development and evaluation of training programs to upskill health care professionals in the management of osteoarthritis (OA) has also been identified as an important priority to improve OA care delivery.Objective: This study aims to explore physiotherapists' experiences with and perceptions of an e-learning program about best practice knee OA management (focused on a structured program of education, exercise, and physical activity) that includes telehealth delivery via videoconferencing. Methods:We conducted a qualitative study using individual semistructured telephone interviews, nested within the Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis randomized controlled trial, referred to as the PEAK trial. A total of 15 Australian physiotherapists from metropolitan and regional private practices were interviewed following the completion of an e-learning program. The PEAK trial e-learning program involved self-directed learning modules, a mock video consultation with a researcher (simulated patient), and 4 audited practice video consultations with pilot patients with chronic knee pain. Interviews were audio recorded and transcribed verbatim. Data were thematically analyzed.Results: A total of five themes (with associated subthemes) were identified: the experience of self-directed e-learning (physiotherapists were more familiar with in-person learning; however, they valued the comprehensive, self-paced web-based modules. Unwieldy technological features could be frustrating); practice makes perfect (physiotherapists benefited from the mock consultation with the researcher and practice sessions with pilot patients alongside individualized performance feedback, resulting in confidence and preparedness to implement new skills); the telehealth journey (although inexperienced with telehealth before training, physiotherapists were confident and able to deliver remote care following training; however, they still experienced some technological challenges); the whole package (the combination of self-directed learning modules, mock consultation, and practice consultations with pilot patients was felt to be an effective learning approach, and patient information booklets supported the

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Section: Principal Findingsmentioning

confidence: 99%

Evaluation of a Novel e-Learning Program for Physiotherapists to Manage Knee Osteoarthritis via Telehealth: Qualitative Study Nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) Randomized Controlled Trial

Jones¹,

Campbell²,

Kimp³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Furthermore, the consideration of treatments or treatment approaches in light of their reach in time may be part of enhancing the clinical reasoning process, leading to patient centred care, not only in the here and now, but also with reference to time. The current pandemic may provide an opportunity for focussing on management approaches that lead to condition modification at a time when some forms of SMC are difficult to deliver, because of the majority of patient:clinician encounters having to be delivered via telemedicine [34,35]. Framing, for example, the lack of access to manual therapy or the need to refrain from taking non-steroidal antiinflammatory medication [36] as a cost, at this time of the COVID-19 pandemic may provide opportunities to fly the flag for CMC, not necessarily at the expense of, but maybe alongside symptommodification.…”

Section: Symptom Modifying Care Versus Condition Modifying Care Durinmentioning

confidence: 99%

Symptom versus condition modifying care: Can such a dichotomy be useful?

Barcellona

2020

Physical Therapy Reviews

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“…The outbreak of COVID-19 has led to a huge upsurge in the interest and importance of virtual consultations (VC) in practice [23][24][25] with patients being forced into undergoing VC. Much of the COVID-19 research around VC has focused on the process of rapid role out [23], its capability [26] and future direction [27,28]. Some the research since COVID-19 has posed important questions around the issues of whether it is suitable for all [29], accessible for all [30] and how to overcome challenges to prevent medicolegal issues from occurring [31].…”

Section: Introductionmentioning

confidence: 99%

A mixed-methods survey to explore issues with virtual consultations for musculoskeletal care during the COVID-19 pandemic

Gilbert

Booth

Betts

et al. 2021

BMC Musculoskelet Disord

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Objective To explore orthopaedic and musculoskeletal clinicians’ views and experiences of legal, safety, safeguarding and security issues regarding the use of virtual consultations (VC) during the COVID-19 pandemic. A secondary objective was to suggest ways to overcome these issues. Methods A mixed method cross-sectional survey was conducted, seeking the views and experiences of orthopaedic and musculoskeletal medically qualified and Allied Health Professionals in the United Kingdom. Descriptive statistical analysis was employed for quantitative data and a qualitative content analysis undertaken for qualitative data. Findings were presented in accordance with the four key issues. Results Two hundred and ninety professionals (206 physiotherapists, 78 medically qualified professionals, 6 ‘other’ therapists) participated in the survey. Of the 290 participants, 260 (90%) were not using VC prior to the COVID-19 pandemic, 248 respondents (86%) were unsure whether their professional indemnity insurance covered VC, 136 (47%) had considered how they would handle an issue of safeguarding whilst the remainder had not, 126 (43%) had considered what they would do if, during a virtual consultation, a patient suffered an injury (e.g. bang on their head) or a fall (e.g. mechanical or a medical event like syncope) and 158 (54%) reported they felt the current technological solutions are secure in terms of patient data. Qualitative data provided additional context to support the quantitative findings such as validity of indemnification, accuracy of diagnosis and consent using VC, safeguarding issues; and security and sharing of data. Potential changes to practice have been proposed to address these issues. Conclusions VC have been rapidly deployed since the onset of the COVID-19 pandemic often without clear guidance or consensus on many important issues. This study identified legal, safeguarding, safety and security issues. There is an urgent need to address these and develop local and national guidance and frameworks to facilitate ongoing safe virtual orthopaedic practice beyond the COVID-19 pandemic.

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“Physio anywhere”: digitally-enhanced outpatient care as a legacy of coronavirus 2020

Cited by 23 publications

References 24 publications

Evaluation of a Novel e-Learning Program for Physiotherapists to Manage Knee Osteoarthritis via Telehealth: Qualitative Study Nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) Randomized Controlled Trial

Evaluation of a Novel e-Learning Program for Physiotherapists to Manage Knee Osteoarthritis via Telehealth: Qualitative Study Nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) Randomized Controlled Trial

Symptom versus condition modifying care: Can such a dichotomy be useful?

A mixed-methods survey to explore issues with virtual consultations for musculoskeletal care during the COVID-19 pandemic

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