An international core capability framework for physiotherapists to deliver quality care via videoconferencing: a Delphi study

Davies, Luke; Hinman, Rana S; Russell, Trevor; Lawford, Belinda J; Bennell, Kim L; Billings, Michael; Cooper-Oguz, Carmen; Finnan, Karen; Gallagher, Sarah; Gilbertson, Daniel Kenneth; Holdsworth, Lesley; Holland, Anne E; McAlister, Jeremey; Miles, Daniel; Roots, Robin

doi:10.1016/j.jphys.2021.09.001

Cited by 45 publications

(35 citation statements)

References 27 publications

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“…Based on the established methodological approach for conducting Delphi studies, and the global distribution of ECHO hubs, a Delphi panel was established consisting of ECHO practitioners from international hub organisations and a five-round modified e-Delphi survey was conducted between May and December 2021 (Davies et al, 2021 ; Schmidt, 1997 ). This approach was pursued to achieve expert consensus to identify the indicators included in the framework that could assess and measure the successful implementation of the ECHO model within any organisational setting.…”

Section: Methodsmentioning

confidence: 99%

“…In Round 3, panellists were requested to rate each of the specific indicators in the consolidated list on a three-point scale of ‘unimportant’, ‘important’, or ‘essential’ for measuring the success of a Project ECHO implementation (Davies et al, 2021 ). The rationale for the three-point scale was to maximise panellist retention and to commence the rating process for the next round.…”

Section: Methodsmentioning

confidence: 99%

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Measuring the Success of a Project ECHO Implementation: Results from an International e-Delphi Study

Moss

Hartley

Newcomb

et al. 2022

Glob Implement Res Appl

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There is an increasing global need for organisations to utilise high-quality telementoring models to support workforce development and mentorship. Project ECHO is a validated telementoring model that has been adopted by over 700 organisations globally across multiple sectors. To date there is no consolidated list of success indicators by which organisational teams can assess or benchmark their implementation of Project ECHO across sectors. An e-Delphi methodology was adopted to facilitate a comprehensive means of identifying indicators that could be used to assess the implementations of Project ECHO globally. This paper presents a consolidated framework of indicators that support teams to assess their implementation of Project ECHO. These indicators have been derived by an international panel of experts across the healthcare, education, and university sectors. The final framework identified 54 distinct indicators across four domains: (1) spoke participant engagement, (2) ECHO Hub/teleECHO Network design and operation, (3) ECHO Hub team engagement and (4) Local Impact. This paper highlights that Project ECHO implementation indicators can vary between being dynamic, static, and iterative, depending on the phase of implementation. These findings are significant because they are generalisable to any organisation/sector implementing Project ECHO or similar telementoring models.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Measuring the Success of a Project ECHO Implementation: Results from an International e-Delphi Study

Moss

Hartley

Newcomb

et al. 2022

Glob Implement Res Appl

Self Cite

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“…Not all out-patient physical therapists performed telehealth during the shutdowns in the United States (15). It appears that some form of telehealth will continue in most areas of the world long after the pandemic has stabilized (28)(29)(30)(31)(32)(33)(34).…”

Section: Limitationsmentioning

confidence: 99%

Vestibular Rehabilitation Telehealth During the SAEA-CoV-2 (COVID-19) Pandemic

Harrell

Schubert

Oxborough³

et al. 2022

Front. Neurol.

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During the COVID-19 pandemic, physical therapists transitioned to provide telehealth in the United States. We sought to determine the experiences of physical therapists delivering telerehabilitation for vestibular disorders including barriers, preferences, and concerns. A survey was created using the results of a focus group and previously published studies. The survey was distributed across social media sites and through email- the link was sent to the orthopedic, neurologic, and geriatric academies of the American Physical Therapy Association list serves. The email was also shared with each of the 50 state chapters of the American Physical Therapy Association. The survey was broken down into five sections: demographic information, physical therapists' general impressions of telehealth, physical therapists' comfort level treating various vestibular diagnoses, and common barriers physical therapists experienced during telehealth sessions. There were 159 completed surveys. More than 80% of physical therapists surveyed agreed that telehealth was an effective platform for vestibular physical therapy. When asked whether physical therapists felt the patient had similar health outcomes with telehealth versus clinic care 68% of physical therapists agreed. For the physical therapists who treated posterior or horizontal canal benign paroxysmal positional vertigo via telehealth, more than 50% were comfortable treating these conditions via telehealth. In analyzing common peripheral vestibular diagnoses treated via telehealth including bilateral vestibular loss, Meniere's disease, and vestibular neuritis more than 75% of the physical therapists reported comfort treating these diagnoses. Similarly, more than 75% of physical therapists who treated central vestibular diagnoses- including mild traumatic brain injury and vestibular migraine- via telehealth reported being comfortable treating these diagnoses. Physical therapists reported several barriers to tele healthcare ranging from concerns about testing balance with no caregiver present (94%) to challenges with providing a written home exercise program (33%). Physical therapists report that telehealth is a viable mechanism for providing rehabilitation for persons with balance and vestibular disorders. For common diagnoses, most physical therapists were comfortable treating vestibular disorders via telehealth. While barriers remain including maintaining patient safety and being able to complete a thorough vestibular exam, telehealth for vestibular physical therapy services holds promise for the delivery of virtual care.

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“…8 Telehealth simulations should be designed for learners to practice skills and to adapt these to clinical contexts. The skills that learners are required to develop during telehealth curriculum are well researched, 9 and Table 1 details how educators can design simulations to build opportunities for learners to develop these skills. Educators are encouraged to consider the clinical case itself, including client demographics, their clinical condition, the involvement of other health professionals and the intended learning outcomes that can be achieved through the manipulation of such variables.…”

Section: Telehealth Skills and Clinical Adaptionsmentioning

confidence: 99%

“…One example of a framework for evaluation is outlined in empirically derived set of core capabilities for the delivery of quality care via telehealth. 9 These competencies can either be used to evaluate self-efficacy via a Likert scale as demonstrated in Table 3 or alternatively converted into competencies and used for formative assessment.…”

Section: Debrief and Feedbackmentioning

confidence: 99%