A scoping review of feasibility, cost, access to rehabilitation services and implementation of telerehabilitation: Implications for low- and middle-income countries

Nizeyimana, Eugene; Joseph, Conran; Plastow, Nicola Ann; Dawood, Gouwa; Louw, Quinette

doi:10.1177/20552076221131670

Cited by 18 publications

(16 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For this reason, studies that postulated similar barriers and facilitating factors, but did not explicitly relate these to the implementation process, were excluded. This distinguishes our review from comparative reviews, which are often based on a broader definition of implementation [ 17 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…These reviews either focus on a specific indication area or a broader thematic focus that does not explicitly concentrate on factors that hinder or promote implementation. In addition, the publications are often based on a broader understanding of implementation, which also includes studies that focus exclusively on the use and acceptance of TR [ 14 , 16 , 17 , 18 , 19 ]. In contrast, this scoping review is based on an understanding of implementation that considers the implementation process of TR as a process involving different organisational levels and stakeholder groups [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Facilitating and Inhibiting the Implementation of Telerehabilitation—A Scoping Review

Stampa,

Thienel,

Tokgöz

et al. 2024

Healthcare

View full text Add to dashboard Cite

Due to the coronavirus pandemic, telerehabilitation has become increasingly important worldwide. While the effectiveness of telerehabilitation is considered proven for many indications, there is comparatively little knowledge about the implementation conditions. Therefore, this scoping review summarises the current state of facilitating and inhibiting factors that may influence the uptake of telerehabilitation. The review follows the JBI methodology for scoping reviews. The article search was carried out in five databases (MEDLINE, EMBASE, Web of Science, Cochrane and Psyndex) in May 2022, with an update in October 2023. Two independent researchers identified relevant studies according to the inclusion and exclusion criteria. The Consolidated Framework for Implementation Research served as the theoretical basis for the categorisation of the facilitating and inhibiting criteria in the organisational context. A total of 28 studies (timespan 2012 to 2023) have been included. The most relevant barriers identified are technical issues and a lack of technical skills. The factors considered most favourable for implementation are patients’ motivation and the involvement of high-level leaders. The results provide clear indications of factors that inhibit and facilitate implementation, but also show that further research is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Facilitating and Inhibiting the Implementation of Telerehabilitation—A Scoping Review

Stampa,

Thienel,

Tokgöz

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Training and good knowledge of professionals, patients, and their caregivers can potentially eliminate some of the barriers regarding uncertainty about the use of the app in the home environment. Additionally, a secure and strong internet connection plays the most important role, because issues with a poor internet connection can lead to poor quality of videos and a longer waiting time for loading content, thus negatively affecting motivation for regular use of the program [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Use of the Digital Assistant Vigo in the Home Environment for Stroke Recovery: Focus Group Discussion With Specialists Working in Neurorehabilitation

Epalte¹,

Grjadovojs²,

Bērziņa³

2023

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

Background There is a lack of resources for the provision of adequate rehabilitation after a stroke, thus creating a challenge to provide the necessary high-quality, patient-centered, and cost-efficient rehabilitation services at a time when they are needed the most. Tablet-based therapeutic programs present an alternative way to access rehabilitation services and show a new paradigm for providing therapeutic interventions following a stroke anytime and anywhere. The digital assistant Vigo is an artificial intelligence–based app that provides an opportunity for a new, more integrative way of carrying out a home-based rehabilitation program. Considering the complexity of the stroke recovery process, factors such as a suitable population, appropriate timing, setting, and the necessary patient-specialist support structure need to be thoroughly researched. There is a lack of qualitative research exploring the perspectives of professionals working in neurorehabilitation of the content and usability of the digital tool for the recovery of patients after a stroke. Objective The aim of this study is to identify the requirements for a tablet-based home rehabilitation program for stroke recovery from the perspective of a specialist working in stroke rehabilitation. Methods The focus group study method was chosen to explore specialists’ attitudes, experience, and expectations related to the use of the digital assistant Vigo as a home-based rehabilitation program for stroke recovery in domains of the app’s functionality, compliance, usability, and content. Results In total, 3 focus groups were conducted with a participant count of 5-6 per group and the duration of the discussion ranging from 70 to 80 minutes. In total, 17 health care professionals participated in the focus group discussions. The participants represented physiotherapists (n=7, 41.2%), occupational therapists (n=7, 41.2%), speech and language therapists (n=2, 11.8%), and physical medicine and rehabilitation physicians (n=1, 5.9%). Audio and video recordings of each discussion were created for further transcription and analysis. In total, 4 themes were identified: (1) the clinician’s views on using Vigo as a home-based rehabilitation system, (2) patient-related circumstances facilitating and limiting the use of Vigo; (3) Vigo’s functionality and use process (program creation, individual use, remote support); and (4) complementary and alternative Vigo use perspectives. The last 3 themes were divided further into 10 subthemes, and 2 subthemes had 2 sub-subthemes each. Conclusions Health care professionals expressed a positive attitude toward the usability of the Vigo app. It is important that the content and use of the app be coherent with the aim to avoid (1) misunderstanding its practical use and the need for integration in practice and (2) misusing the app. In all focus groups, the importance of close involvement of rehabilitation specialists in the process of app development and research was highlighted.

show abstract

“…Telerehabilitation is defined as “the provision of rehabilitation services through information and telecommunications technology” [ 9 , 10 ], which can provide the assessment, intervention, supervision, education, monitoring, consultation, and prevention of disease [ 11 ]. Telerehabilitation can effectively facilitate real-time communication between patients and health care providers and increase patients’ access to medical help from specialized physicians and therapists [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy and Safety of Telerehabilitation for Fibromyalgia: Systematic Review and Meta-analysis of Randomized Controlled Trials

Wu¹,

Long²,

Peng³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

Background Fibromyalgia is a chronic pain syndrome characterized by persistent and widespread musculoskeletal pain. Telerehabilitation is a promising treatment for patients with fibromyalgia through long-term monitoring, intervention, supervision, consultation, and education. Objective This study aimed to perform a comprehensive systematic review and meta-analysis of the efficacy and safety of telerehabilitation in patients with fibromyalgia. Methods Randomized controlled trials (RCTs) related to fibromyalgia and telerehabilitation were systematically searched in the PubMed, PEDro, Cochrane Library, ScienceDirect, Ovid MEDLINE, Embase, and Web of Science databases from inception to November 13, 2022. Two independent researchers screened the literatures and evaluated the methodological quality using the Cochrane Risk of Bias Tool. The outcome measures included the Fibromyalgia Impact Questionnaire scale, pain intensity, depression, pain catastrophizing, quality of life (QoL), and adverse events. Pooled effect sizes were calculated by Stata SE 15.1; a fixed effects model was used when I2<50%, whereas a random effects model was used when I2≥50%. Results A total of 14 RCTs with 1242 participants were included in this meta-analysis. The pooled results indicated that the telerehabilitation improved the Fibromyalgia Impact Questionnaire score (weighted mean difference –8.32, 95% CI –11.72 to –4.91; P<.001), pain intensity (standardized mean difference [SMD] –0.62, 95% CI –0.76 to –0.47; P<.001), depression levels (SMD –0.42, 95% CI –0.62 to –0.22; P<.001), pain catastrophizing (weighted mean difference –5.81, 95% CI –9.40 to –2.23; P=.001), and QoL (SMD 0.32, 95% CI 0.18 to 0.47; P<.001) in patients with fibromyalgia compared to control interventions. Only 1 RCT reported a mild adverse event of telerehabilitation; the other 13 RCTs did not mention this. Conclusions Telerehabilitation can improve the symptoms and QoL of fibromyalgia. However, the safety of telerehabilitation remains uncertain due to the lack of sufficient evidence for the management of fibromyalgia. More rigorously designed trials are needed in the future to verify the safety and efficacy of telerehabilitation in fibromyalgia. Trial Registration PROSPERO CRD42022338200; https://tinyurl.com/322keukv

show abstract

A scoping review of feasibility, cost, access to rehabilitation services and implementation of telerehabilitation: Implications for low- and middle-income countries

Cited by 18 publications

References 51 publications

Factors Facilitating and Inhibiting the Implementation of Telerehabilitation—A Scoping Review

Factors Facilitating and Inhibiting the Implementation of Telerehabilitation—A Scoping Review

Use of the Digital Assistant Vigo in the Home Environment for Stroke Recovery: Focus Group Discussion With Specialists Working in Neurorehabilitation

The Efficacy and Safety of Telerehabilitation for Fibromyalgia: Systematic Review and Meta-analysis of Randomized Controlled Trials

Contact Info

Product

Resources

About