Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study

Harper, Kristie J.; Fitzgerald, Siân; Xiyin, Png; Kuzich, Jordan; Leow, Soon Hui; Jacques, Angela; Harris, Courtenay

doi:10.5195/ijt.2022.6505

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…Previous authors have suggested that hybrid models may enhance a cancer survivor's ability to maintain appointments by reducing barriers to rehabilitation, including transportation restrictions, inclement weather, illness, anxiety, and depression, and time constrictions due to work or other responsibilities [28,45,46]. In our study, the survivors in the hybrid group attended more visits over a longer period, suggesting that having the option of telerehabilitation may have enhanced the accessibility of services by minimizing the barriers.…”

Section: Discussionmentioning

confidence: 49%

In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

Wood,

Giri,

Kendig

et al. 2023

Current Oncology

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Diminished health-related quality of life (HRQOL) is common among cancer survivors but often amendable to rehabilitation. However, few access real-world rehabilitation services. Hybrid delivery modes (using a combination of in-clinic and synchronous telehealth visits) became popular during the COVID-19 pandemic and offer a promising solution to improve access beyond the pandemic. However, it is unclear if hybrid delivery has the same impact on patient-reported outcomes and experiences as standard, in-clinic-only delivery. To fill this gap, we performed a retrospective, observational, comparative outcomes study of real-world electronic medical record (EMR) data collected by a national outpatient rehabilitation provider in 2020–2021. Of the cases meeting the inclusion criteria (N = 2611), 60 were seen to via hybrid delivery. The outcomes evaluated pre and post-rehabilitation included PROMIS® global physical health (GPH), global mental health (GMH), physical function (PF), and the ability to participate in social roles and activities (SRA). The patient experience outcomes included the Net Promoter Survey (NPS®) and the Select Medical Patient-Reported Experience Measure (SM-PREM). A linear and logistic regression was used to examine the between-group differences in the PROMIS and SM-PREM scores while controlling for covariates. The hybrid and in-clinic-only cases improved similarly in all PROMIS outcomes (all p < 0.05). The association between the delivery mode and the likelihood of achieving the minimal important change in the PROMIS outcomes was non-significant (all p > 0.05). No between-group differences were observed in the NPS or SM-PREM scores (all p > 0.05). Although more research is needed, this real-world evidence suggests that hybrid rehabilitation care may be equally beneficial for and acceptable to cancer survivors and supports calls to expand access to and reimbursement for telerehabilitation.

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Section: Discussionmentioning

confidence: 49%

In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

Wood,

Giri,

Kendig

et al. 2023

Current Oncology

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Artists' satisfaction with telerehabilitation in physiotherapy during the COVID‐19 pandemic: A cross‐sectional study

Jiang,

de Youngster,

Hawkins

et al. 2024

Physiotherapy Res Intl

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Background and PurposeTo our knowledge, there is currently no research on telerehabilitation concerning artists. This study aims to assess the feasibility, acceptability, and effectiveness of utilizing video‐based telerehabilitation in physiotherapy among artists during the COVID‐19 pandemic.MethodsFifty‐one artists who accessed virtual physiotherapy between November 2020 and February 2022 at a healthcare center that provides specialized healthcare services to artists of all disciplines who reside or work in Ontario, Canada were asked to complete a 26‐item online questionnaire about their experience with virtual physiotherapy.ResultsThe 51 respondents were from a range of artistic disciplines, with the largest portion being musicians (n = 22; 43%). Of the respondents, 86% (n = 44) felt the virtual physiotherapy met their expectations in therapeutic benefits, 78% (n = 40) were confident in performing all the exercises that the physiotherapist demonstrated on the virtual platform, 80% (n = 41) did not run into many technological challenges when booking or attending virtual sessions, and 54% (n = 20) reported similar treatment outcomes between virtual and in‐person sessions. Although artists liked the convenience of accessing physiotherapy from home, 53% (n = 17) of respondents rated the lack of physical contact as a major limitation in telerehabilitation.ConclusionTelerehabilitation for artists during the COVID‐19 pandemic has shown potential to be an effective and viable alternative to in‐person physiotherapy, as demonstrated by high satisfaction levels and comparable treatment outcomes, especially when public health restrictions were in place. Future research can explore hybrid models (mix of in‐person and virtual sessions) in physiotherapy to meet the needs for physical contact during sessions.

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The Era of Technology in Healthcare—An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis

Jaswal,

Lo,

Howe

et al. 2024

J Occup Rehabil

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Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study

Cited by 4 publications

References 29 publications

In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

Artists' satisfaction with telerehabilitation in physiotherapy during the COVID‐19 pandemic: A cross‐sectional study

The Era of Technology in Healthcare—An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis

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