Expected and Unexpected: Preconceptions of Telehealth for Hand Therapy Patients

Sloane, E. D.; Dowling, Caroline; Ebert, Kerry; Papadopoulos, Eugenia; Weinstock-Zlotnick, Gwen

doi:10.1177/1556331620972072

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…These include focused sessions without the distractions of a busy clinic, the ability to deliver care without face masks and face shields, and the ability of patients to demonstrate their exercises in their own homes. 36 High rates of patient satisfaction can have implications for providing hand therapy to patients who may live in more remote locales or to select patient populations by easing the burden of traveling to a hand therapy clinic. Future studies can look at patient satisfaction with telehealth hand therapy when there is not a pandemic occurring and compare outcomes between patients who receive in-person and telehealth services.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction with telehealth vs in-person hand therapy: A retrospective review of results of an online satisfaction survey

MacKenzie

Papadopolous

Lisandrelli

et al. 2023

Journal of Hand Therapy

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Section: Discussionmentioning

confidence: 99%

Patient satisfaction with telehealth vs in-person hand therapy: A retrospective review of results of an online satisfaction survey

MacKenzie

Papadopolous

Lisandrelli

et al. 2023

Journal of Hand Therapy

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“…As highlighted in other studies, the use of telehealth necessitated more digital connectivity between therapists and patients to make appointments, e-mail instructions, and send through home programs (Sloane et al, 2021). Initial establishment of the software and equipment was required.…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the severity and nature of the hand condition, management varies from conservative (e.g., use of an orthosis and task modification) through to surgical management with post-operative therapy (Worboys et al, 2018). Therapists implement a variety of treatment techniques to improve range of motion, dexterity, and hand use in daily activity, with manual techniques, scar management, and oedema control (Keller et al, 2016;Sloane et al, 2021). The centrality of therapeutic touch to hand therapy lends itself to in-person encounters, close proximity, and direct contact (Sloane et al, 2021).…”

mentioning

confidence: 99%

“…Therapists implement a variety of treatment techniques to improve range of motion, dexterity, and hand use in daily activity, with manual techniques, scar management, and oedema control (Keller et al, 2016;Sloane et al, 2021). The centrality of therapeutic touch to hand therapy lends itself to in-person encounters, close proximity, and direct contact (Sloane et al, 2021). In response to the COVID-19 pandemic, hand and upper clinics restricted in-person appointments to orthoses fabrication, relying on telehealth to support follow up care and rehabilitation (Gajarawala &…”

mentioning

confidence: 99%

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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

et al. 2022

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Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy.

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Investigating patient satisfaction with a hand therapy telehealth service during COVID‐19

Graham,

Ahern

2024

Aus Occup Therapy J

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IntroductionThroughout the COVID‐19 pandemic, outpatient hand therapy services were restricted. The use of telehealth was adopted to continue to provide care to patients with hand injuries.This survey aims to investigate patient satisfaction with hand therapy delivered via telehealth in a NSW public tertiary referral metropolitan setting and explore whether this differs for specific hand injury/conditions and treatments offered.MethodsPatients using hand therapy services via telehealth between 28 June 2021 and 27 May 2022 responded to a bespoke electronic survey. Participants were grouped depending on their particular injury/condition and treatment received. Analysis was conducted using MS Excel, and correlations were determined by using Fisher's exact test.Community and consumer involvementNo consumers were involved in the study design or analysis.ResultsSixty‐eight of 262 patients responded to the survey (26% response rate). Overall results showed high patient satisfaction (n = 55, 81%) with hand therapy delivered via telehealth with most patients agreeing that telehealth should be offered going forward (n = 59, 87%). Benefits reported by patients included convenience, reduced travel time and parking issues, and time saving. Patients receiving therapy for ‘finger thumb bony injury with K wires’ demonstrated a statistically significant association of lower satisfaction with telehealth (n = 3, 43%, P = 0.02). Patients receiving wound care over telehealth were just as satisfied with their experience (n = 15, 82%) as overall results (n = 55, 81%).ConclusionThe survey suggests that patients are satisfied with their experience of telehealth for hand therapy. Patients with finger thumb bony injuries with k wires may be less suitable for telehealth. Wound care appears to be well received over telehealth in a hand therapy population.PLAIN LANGUAGE SUMMARYThere is little evidence to guide hand therapists in which conditions or injuries patients find can be managed well with telehealth. Patients who answered a survey about their experience with telehealth for their hand therapy management overall reported satisfaction with the experience. Some patients had undergone surgery for broken fingers and thumbs using wires to hold the bone together while it healed. These patients were less likely to find telehealth satisfactory for their hand therapy care. Most patients requiring wound care over telehealth found this satisfactory.

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Expected and Unexpected: Preconceptions of Telehealth for Hand Therapy Patients

Cited by 3 publications

References 8 publications

Patient satisfaction with telehealth vs in-person hand therapy: A retrospective review of results of an online satisfaction survey

Patient satisfaction with telehealth vs in-person hand therapy: A retrospective review of results of an online satisfaction survey

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

Investigating patient satisfaction with a hand therapy telehealth service during COVID‐19

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