Use of audiovisual equipment (SKYPE) for the treatment of hand injuries for remote consultations

McMullen, Emily

doi:10.1258/ht.2012.012003

Cited by 8 publications

(7 citation statements)

References 4 publications

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“…17 Table 5 demonstrates the quality assessment for the qualitative study, 28 which had low risk of bias. Table 6 presents an evaluation of risk of bias for two case series, 22,29 which had overall high risk of bias. Table 7 demonstrates risk of bias findings for intervention studies, evaluated with the Cochrane risk of bias tool.…”

Section: Resultsmentioning

confidence: 99%

Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review

et al. 2017

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Background Physical therapists are key players in the management of musculoskeletal conditions, which are common in rural and remote communities. There are few physical therapists in rural regions compared to potential need, so care is either not provided or must be sought in urban centers, requiring travel and time away from work and family to access services. Telerehabilitation strategies, such as real-time videoconferencing, are emerging as possible solutions to address shortages in rural physical therapy services. Objectives This review will: (1) determine the validity and the reliability of secure videoconferencing for physical therapy management of musculoskeletal conditions; (2) determine the health, system, and process outcomes when using secure videoconferencing for physical therapy management of musculoskeletal conditions. Methods A protocol-driven systematic review of four databases was carried out by two independent reviewers. Study criteria included English language articles from January 2003 to December 2016, on physical therapy management using secure videoconferencing, pertaining to adults 18-80 years with chronic musculoskeletal disorders. Randomized controlled trials, pre-experimental studies, and case-control studies were included. Quality analysis was performed utilizing standardized tools specific for the study designs. Results and conclusions Validity and reliability studies were identified as having high risk of bias. Intervention studies were of moderate quality, and found positive impact on health outcomes and satisfaction. Two studies evaluated costs, with evidence of cost savings in one study. More robust research is required to evaluate long-term effects of telerehabilitation for physical therapy management of musculoskeletal disorders, including cost-benefit analyses.

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Section: Resultsmentioning

confidence: 99%

Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review

et al. 2017

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“…The study concluded that Skype enabled the allied health team to communicate with specialists and patients reported positive clinical outcomes, including a reduction in anxiety regarding the management of serious hand injuries. 2 Another case report relating to an inpatient palliative service described the use of Skype to communicate with family and friends. The study found that communication using Skype was feasible, and both patients and families had high satisfaction.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of the use of Skype for psychotherapy consultations in the Ukraine

Edirippulige

Levandovskaya

Prishutova³

2013

J Telemed Telecare

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There has been rather limited use of Skype for health and medical purposes. We investigated the use of Skype for delivering psychotherapy services in the Ukraine. A provider questionnaire was distributed to all delegates (n = 50) at the Annual Symposium of Psychotherapists. One copy of a client questionnaire was also given to each service provider and they were instructed to request their next client to complete the survey. In total, 29 providers and 23 clients responded to the questionnaire. The majority of clients (61%) and providers (72%) had used Skype for a range of services. The services they provided were related to a wide range of paradigms including psycho-analysis, psycho-drama, Gestalt therapy, cognitive behavioural therapy and existential therapy. A key reason for using Skype was to allow practitioners to contact clients who were not easily accessible, e.g. those who lived in other countries. Most practitioners (n = 24) thought their clients considered the services received on Skype were good or excellent. All 26 practitioners charged for Skype consultations. The majority of clients and providers showed high satisfaction with the use of Skype for psychotherapy services.

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“…Firstly, a need to invest in access to audio-visual technology and equipment: Although previous studies have highlighted that subsets of patients could benefit from the use of audio-visual consultations, 13,14 limited uptake prior to the pandemic was noted, with only 16% of services reporting pre-existing digital services. Whilst rapid service developments were expected to bring challenges, significant delays in the ability to offer audio-visual consultation were reported, with an average of 28 days taken to be operational.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, it could be effective for vulnerable groups such as prisoners, deployed UK personnel, those facing long journeys for review, and for continuity in care during inclement weather and disease outbreak. 13 Investigation into inclusive strategies to ensure equitable access for patients to the use of technology-enabled care should be prioritised by NHS leadership. Particular attention should be given to legal implications and consent.…”

Section: Discussionmentioning

confidence: 99%

Clinical decision making in the provision of audiovisual care for upper limb trauma: a survey of UK experiences

et al. 2020

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Introduction For many patients, audio-visual appointments have provided a timely and efficient way of seeking advice, assessment and treatment for their hand injuries during the NHS response to COVID-19. This study aimed to explore the experience of hand units across the UK in determining the safe and judicious use of audio-visual outpatient care for the management of acute upper limb trauma. Methods An online cross-sectional survey was sent to the therapy leads of hand units across the UK. Questions focused on the experience of using audio-visual technology in the management of upper limb trauma, and the relevant factors in determining its appropriate use. A deductive mixed methods analysis was used to identify both common themes and capture community experience and characteristics. Results A total of 51 out of 76 hand therapy units completed the survey; a response rate of 67%. Of these, 82% (42/51) reported using audio-visual technology to manage upper limb trauma during the UK COVID-19 lockdown. When determining patient suitability for audio-visual consultations, 73% (37/51) of respondents reported the use of COVID-19 guidelines, but only 35% (18/51) reported the use of a clinical decision-making tool. In agreement with our experience at Salisbury Hospital Foundation Trust, 92% (47/51) had concerns relating to the use of audio-visual care. Conclusion The choice of safely managed remote care or in-person consultation has, to date, largely relied on the discretion of the clinician. A carefully designed clinical decision-making tool for the management of upper limb trauma is needed for use both in clinical practice and in future service planning.

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Use of audiovisual equipment (SKYPE) for the treatment of hand injuries for remote consultations

Cited by 8 publications

References 4 publications

Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review

Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review

A qualitative study of the use of Skype for psychotherapy consultations in the Ukraine

Clinical decision making in the provision of audiovisual care for upper limb trauma: a survey of UK experiences

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