Telerehabilitation in neurorehabilitation: has it passed the COVID test?

Brennan, Kimberly; Curran, Jessica; Barlow, Ann K.; Jayaraman, Arun

doi:10.1080/14737175.2021.1958676

Cited by 10 publications

(6 citation statements)

References 13 publications

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“…In the present study, 87% of hybrid participants and 92% of in-clinic-only participants who completed the NPS were promoters. Although more research is needed to understand the optimal delivery of hybrid services, the higher NPS score observed in the present study may indicate that hybrid patients were less negatively impacted by the factors reported by Kim and colleagues (2022) [44].…”

Section: Discussionmentioning

confidence: 49%

“…In a previous study of 205 patients who received telerehabilitation or home rehabilitation following a total knee replacement, Moffet and colleagues (2016) reported that patient satisfaction was high for both groups and not significantly different [43]. Yet, in a cross-sectional study including over 1000 patients with sports medicine needs treated during COVID-19 and the immediate post-pandemic period, Kim and colleagues (2022) observed significant differences in patient experience scores in the proportion of promoters on the NPS (telehealth: 75% vs. in-clinic: 89% promoters, p = 0.008), suggesting that patient experience was poorer for telehealth patients [44]. The authors suggested that a lack of connection and 'hands-on' interventions between therapists and patients negatively influenced patient experience for the telehealth group.…”

Section: Discussionmentioning

confidence: 97%

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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%

Section: Discussionmentioning

confidence: 97%

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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“…Our results confirm that telemedicine usage, both by video and phone, was significantly increased during the early portion of the COVID-19 pandemic, compared to the pre-pandemic period, and that most physiatrists plan to continue to use it after the pandemic, representing a significant increase in video-based telepresence usage post-pandemic, compared to pre-pandemic. From a patient's perspective, in a study conducted by Brennan et al, 70% of those who used telerehabilitation amid the pandemic reported to be likely to use it after the pandemic has ended [14] which suggests that continued implementation by physiatrists will be welcomed by patients.…”

Section: Discussionmentioning

confidence: 99%

Insights on Telemedicine Use by Physiatrists Before, During, and Beyond the COVID-19 Pandemic

Sobrepera¹,

Weseloh

Chaudhri

et al. 2022

Preprint

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Purpose: To determine if physiatrists increased their use of telemedicine during the first 11 months of the COVID-19 pandemic and if changes are expected to persist post-pandemic. And to identify key tasks which require video for telemedicine. Materials and Methods: A survey containing questions about the telemedicine tools used before, during, and after (planned) the COVID-19 pandemic was distributed to physiatrists. Analysis was conducted to evaluate the change in usage of telemedicine due to the pandemic and predict whether the pandemic will lead to a durable change in usage. Tasks which physiatrists have/believe they can complete with different modes of interaction were explored. Results: Responses from 56 physiatrists showed a 105% increase in video-based telemedicine use during the pandemic. The use of phone and video communications for care delivery significantly increased. 79% of respondents planned to use video-based telemedicine post-pandemic, a significant increase from pre-pandemic use. Motor assessments, cognitive assessments, stretching, strength building, and orthotics assessment and prescription were identified as key tasks that require video for telemedicine. Conclusion: This study confirms increased use of telemedicine by physiatrists during the pandemic and suggests this shift will be durable. Key tasks where video is necessary for telemedicine were identified.

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“…The knowledge from experts is known to be a valuable source of information with a wide range of research applications (Brennan et al 2021;Caley et al 2014). As telerehabilitation is still in the infancy stage in South Africa, a decision was made to reach out to experts involved in telerehabilitation to learn from their experiences.…”

Section: Learning From the Expertsmentioning

confidence: 99%

Transformation of learning and teaching in rehabilitation sciences: A case study from South Africa

Khuabi¹,

Bardien²,

Beer³

et al. 2022

Human Functioning, Technology and Health

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Peer review declarationThe publisher (AOSIS) endorses the South African 'National Scholarly Book Publishers Forum Best Practice for Peer Review of Scholarly Books'. The manuscript underwent an evaluation to compare the level of originality with other published works and was subjected to rigorous two-step peer review before publication, with the identities of the reviewers not revealed to the editor(s) or author(s). The reviewers were independent of the publisher, editor(s) and author(s). The publisher shared feedback on the similarity report and the reviewers' inputs with the manuscript's editor(s) or author(s) to improve the manuscript. Where the reviewers recommended revision and improvements, editor(s) or author(s) responded adequately to such recommendations. The reviewers commented positively on the scholarly merits of the manuscript and recommended that the manuscript be published.v Research justificationThis book focuses on learning and teaching in rehabilitation sciences in an African context. This book is the second volume in the book series, 'Health, Functioning and Technology', and brings together the key themes of the series by focusing on how education can impact health and functioning through various innovative methods, including the use of technology. In this book, we discuss local contextual drivers for renewing rehabilitation professions curricula that support graduates to become competent, socially accountable and adaptable to change.

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Telerehabilitation in neurorehabilitation: has it passed the COVID test?

Cited by 10 publications

References 13 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

Insights on Telemedicine Use by Physiatrists Before, During, and Beyond the COVID-19 Pandemic

Transformation of learning and teaching in rehabilitation sciences: A case study from South Africa

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