Practical Considerations for Implementing Virtual Care in Physical Medicine and Rehabilitation

McIntyre, McKyla; Robinson, Lawrence R.; Mayo, Amanda

doi:10.1097/phm.0000000000001453

Cited by 40 publications

(35 citation statements)

References 13 publications

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“…Specialists' answers showed that telerehabilitation allowed them to use their professional abilities for offering support, continuity of care, and a safe environment during lockdown ( 39 ).…”

Section: Discussionmentioning

confidence: 99%

“…This can be due both to the greater level of skepticism and to the frequent need of a not-easy-to-find caregiver's assistance to execute the requested exercises. Skepticism about the potential efficacy of telerehabilitation in promoting improvement and goal enhancement has been reported elsewhere in the literature, and it could explain reluctance to consider telerehabilitation as a replacement of face-to-face therapy (39,40). This reluctance may also be related to the lack of knowledge and experience of this practice, despite the fact that telerehabilitation has shown its efficacy on motor, speech, and cognitive outcomes of adults with neurological disabilities, according to the recent review by Maresca et al (41)(42)(43)(44).…”

Section: Perception and Satisfaction Of Telerehabilitation By Adult Pmentioning

confidence: 99%

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Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

et al. 2021

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Objective: To explore professionals', adult patients', and children's caregivers' perception and satisfaction with telerehabilitation during COVID-19 lockdown.Design: An observational transversal study on a web-based survey was conducted in order to explore participants' perception and satisfaction of telerehabilitation during COVID-19 lockdown.Setting: The study was conducted at our Outpatient Neurorehabilitation Service.Subjects: All rehabilitation professionals, adult patients, and children's caregivers who accepted telerehabilitation were recruited.Interventions: Participants had to respond to the Client Satisfaction Questionnaire-8 and to a purpose-built questionnaire on their perception and satisfaction of the service provided.Main Measures: Data were analyzed by qualitative statistics and logistic regression models.Results: All 144 caregivers, 25 adult patients, and 50 professionals reported a medium-high level of perception and a high level of satisfaction. Results showed a correlation among caregivers of children aged 0–3 and feeling overwhelmed with remote care (OR = 3.27), a low perception of telerehabilitation for enhancing goals (OR = 6.51), and a high perception of feeling helped in organizing daily activity (OR = 2.96). For caregivers of children aged over 6 years, changes in the therapy plan were related to a low perception of feeling in line with the in-person therapy (OR = 2.61 and OR = 9.61) and a low satisfaction (OR = 5.54 and OR = 4.97). Changes in therapy were related to concern (OR = 4.20). Caregivers under 40 and professionals showed a high probability to perceive telerehabilitation as supportive (OR = 2.27 and OR = 5.68). Level of experience with remote media was shown to influence perception and satisfaction.Interpretation: Telerehabilitation can be a useful practice both during a health emergency and in addition to in-presence therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Perception and Satisfaction Of Telerehabilitation By Adult Pmentioning

confidence: 99%

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

et al. 2021

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“…Lack of access to electronic devices may occur for elderly patients 217 . Disabilities and technology illiteracy pose a major obstacle to access 219,220 . Social aspects of traditional medical approaches are lost with telemedicine, and this may be a significant problem for some categories of psychiatric patients 221 .…”

Section: Telemedicine During the Covid-19 Pandemicmentioning

confidence: 99%

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

et al. 2020

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Suicide is preventable. Nevertheless, each year 800,000 people die of suicide in the world. While there is evidence indicating that suicide rates de‐crease during times of crises, they are expected to increase once the immediate crisis has passed. The COVID‐19 pandemic affects risk and pro‐tective factors for suicide at each level of the socio‐ecological model. Economic downturn, augmented barriers to accessing health care, increased access to suicidal means, inappropriate media reporting at the societal level; deprioritization of mental health and preventive activities at the community level; interpersonal conflicts, neglect and violence at the relationship level; unemployment, poverty, loneliness and hopelessness at the individual level: all these variables contribute to an increase of depression, anxiety, post‐traumatic stress disorder, harmful use of alcohol, substance abuse, and ultimately suicide risk. Suicide should be prevented by strengthening universal strategies directed to the entire population, including mitigation of unemployment, poverty and inequalities; prioritization of access to mental health care; responsible media reporting, with information about available support; prevention of increased alcohol intake; and restriction of access to lethal means of suicide. Selective interventions should continue to target known vulnerable groups who are socio‐economically disadvantaged, but also new ones such as first responders and health care staff, and the bereaved by COVID‐19 who have been deprived of the final contact with loved ones and funerals. Indicated preventive strategies targeting individuals who display suicidal behaviour should focus on available pharmacological and psychological treatments of mental disorders, ensuring proper follow‐up and chain of care by increased use of telemedicine and other digital means. The scientific community, health care professionals, politicians and decision‐makers will find in this paper a systematic description of the effects of the pandemic on suicide risk at the society, community, family and individual levels, and an overview of how evidence‐based suicide preventive interventions should be adapted. Research is needed to investigate which adaptations are effective and in which con‐texts.

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“…Every patient might be at risk of SARS-CoV-2 exposure (6) and to reduce such risk, as it successfully occurred in many other medical specialties around the globe (7)(8)(9)(10)(11), allergy centers implemented VV as an alternative to in-person visits (12). As telemedicine programs were nationally applied, we became curious about the acceptability and satisfaction of asthmatic patients with this type of virtual visits.…”

Section: Introductionmentioning

confidence: 99%

What do asthmatic patients think about telemedicine visits?

Sousa

Barbosa

Aguiar

et al. 2021

Eur Ann Allergy Clin Immunol

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Practical Considerations for Implementing Virtual Care in Physical Medicine and Rehabilitation

Cited by 40 publications

References 13 publications

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

What do asthmatic patients think about telemedicine visits?

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