Doing things you never imagined: Professional and ethical issues in the U.S. outpatient physical therapy setting during the COVID-19 pandemic

Ditwiler, Rebecca Edgeworth; Swisher, Laura Lee; Hardwick, Dustin

doi:10.1016/j.msksp.2022.102684

Cited by 5 publications

(13 citation statements)

References 74 publications

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“…In total, 80% (45/56) of publications focused on 1 specific health care profession [29,[42][43][44][45][46][47][49][50][51][53][54][55][56][57][58][59][63][64][65][66][68][69][70][71][72][73][74][75][77][78][79][80][81][83][84][85][86][88][89][90][91]93,94,96], and 20% (11/56) of articles targeted a mix of health care professions [48,52,[60][61][62]67,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The studies focused on various health contexts. Health professionals treated various target groups (27/56, 48%) [42,45,[47][48][49][50][51]53,54,58,60,63,67,73,75,78,79,81,83,85,86,[89][90][91][92][93][94] or focused on specific target groups, such as children (13/56, 23%) [29,45,52,55,61,66,71,72,76,82,84,87,95] or older adults (2/56, 4%) [59,96], or patients with specific diseases or issues, such as musculoskeletal disorders (2/56, 4%) [62,77], cancer (3/56, 5%) [44,69,88], osteoarthritis (3/56, 5%) [43,74,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The publications were from the United States (12/56, 21%) [45,47,52,55,56,68,70,72,76,81,87,88], Australia (12/56, 21%) [43,48,51,57,[62][63][64]71,78,[83][84][85], the United Kingdom (5/56, 9%) [42,46,66,86,90], Israel (4/56, 7%) [58,61,73,96], India (4/56, 7%) [53,75,79,89], Canada (3/56, 5%) [29,65,95], Germany (2/56, 4%) [59,92], Kuwait (2/56, 4%) [49,77], Norway (2/56, 4%) [44,69], Iran (1/56, 2%) [50], Hong Kong (1/56, 2%) [54], Switzerland (1/56, 2%) [60], Austria (1/56, 2%)…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Questionnaires (37/56, 66%) were used with a total of 10,245 health professionals [43,45,47,[51][52][53][54][55][56]58,[60][61][62][64][65][66][67][68][70][71][72][73]75,76,[78][79][80]82,83,87,[89][90][91][92][93][94]96], and interviews or focus groups (17/56, 30%) were conducted with 288 health professionals [29,42,44,46,48,50,57,59,63,69,77,81,[84][85]…”

Section: Study Characteristicsmentioning

confidence: 99%

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Barriers to Video Call–Based Telehealth in Allied Health Professions and Nursing: Scoping Review and Mapping Process

Rettinger¹,

Kühn²

2023

J Med Internet Res

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Background Telehealth interventions have become increasingly important in health care provision, particularly during the COVID-19 pandemic. Video calls have emerged as a popular and effective method for delivering telehealth services; however, barriers limit the adoption among allied health professionals and nurses. Objective This review aimed to identify and map the perceived barriers to the use of video call–based telehealth interventions among allied health professionals and nurses. Methods A comprehensive literature search was conducted in the PubMed and CINAHL databases on June 22, 2022, and updated on January 3, 2023, following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Only original studies published in English or German since June 2017 that reported barriers to the use of video call–based telehealth interventions were eligible for inclusion. The studies had to involve interviews, focus groups, or questionnaires with physical therapists, occupational therapists, speech and language therapists, audiologists, orthoptists, dieticians, midwives, or nurses. Each publication was coded for basic characteristics, including country, health profession, and target group. Inductive coding was used to identify the patterns, themes, and categories in the data. Individual codings were analyzed and summarized narratively, with similarities and differences in barriers identified across health professions and target groups. Results A total of 56 publications were included in the review, with barriers identified and categorized into 8 main categories and 23 subcategories. The studies were conducted in various countries, predominantly the United States, Australia, the United Kingdom, Canada, Israel, and India. Questionnaires were the most commonly used evaluation method, with 10,245 health professionals involved. Interviews or focus groups were conducted with 288 health professionals. Most of the included publications focused on specific health care professions, with the highest number addressing barriers for physical therapists, speech and language therapists, and audiologists. The barriers were related to technology issues, practice issues, patient issues, environmental issues, attributions, interpersonal issues, policies and regulations, and administration issues. The most reported barriers included the lack of hands-on experience, unreliable network connection, the lack of technology access, diminished fidelity of observations and poor conditions for visual instructions, the lack of technology skills, and diminished client-practitioner interaction and communication. Conclusions This review identified key barriers to video call–based telehealth use by allied health professionals and nurses, which can foster the development of stable infrastructure, education, training, guidelines, policies, and support systems to improve telehealth services. Further research is necessary to identify potential solutions to the identified barriers.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Barriers to Video Call–Based Telehealth in Allied Health Professions and Nursing: Scoping Review and Mapping Process

Rettinger¹,

Kühn²

2023

J Med Internet Res

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show abstract

“…There is still a scarcity of qualitative studies concerning the experiences of physiotherapists using telehealth but the unprecedented COVID-19 crisis provided a research opportunity for filling this gap. Studies that focused on the physical therapists' experiences with telehealth physical therapy during and following the pandemic found that they encountered barriers in communication ( Ditwiler et al, 2022 ) and had to modify their assessment tasks and rely more on verbal cueing in the absence of touch ( Davies et al, 2021 ). Haines et al (2023) reported that as time passed, therapists experienced an improvement in their capabilities and confidence.…”

Section: Introductionmentioning

confidence: 99%

Qualitative exploration of physical therapists' experiences providing telehealth physical therapy during COVID-19

Roitenberg,

Ben-Ami

2023

Musculoskeletal Science and Practice

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Musculoskeletal physiotherapists’ experiences of using remote consultations during the COVID-19 pandemic: A qualitative study

Cook,

Pearson

2024

Musculoskeletal Science and Practice

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Doing things you never imagined: Professional and ethical issues in the U.S. outpatient physical therapy setting during the COVID-19 pandemic

Cited by 5 publications

References 74 publications

Barriers to Video Call–Based Telehealth in Allied Health Professions and Nursing: Scoping Review and Mapping Process

Barriers to Video Call–Based Telehealth in Allied Health Professions and Nursing: Scoping Review and Mapping Process

Qualitative exploration of physical therapists' experiences providing telehealth physical therapy during COVID-19

Musculoskeletal physiotherapists’ experiences of using remote consultations during the COVID-19 pandemic: A qualitative study

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