User satisfaction with rehabilitation services delivered using Internet                video

Hughes, Glen; Hudgins, B.; Hooper, Jessica; Wallace, Barbara C.

doi:10.1258/135763303767150012

Cited by 7 publications

(5 citation statements)

References 4 publications

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“…Few studies have detailed the use of telemedicine by physiatrists to deliver remote care [58‐60]. The few published reports mention its use for providing outpatient consultations [58, 60‐62]. Even in National Institutes of Health–sponsored telerehabilitation programs, there is a paucity of physiatrist involvement.…”

Section: Telerehabilitation Use By Allied Health Providersmentioning

confidence: 99%

Clinical Telerehabilitation: Applications for Physiatrists

Gregory

Alexander

Satinsky

2011

PM&R

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Telemedicine offers an innovative approach to increase access to rehabilitation medicine services for patients who live in areas where physiatrists are scarce or absent. This article reviews the current status of telerehabilitation services delivered through real-time videoconferencing to provide support, assessment, and interventions to individuals with impairments or disabilities. A literature review demonstrates various uses of telerehabilitation by physical therapists, occupational therapists, speech and language pathologists, audiologists, recreational therapists, neuropsychologists, nurses, other physician specialists, and physiatrists. We also provide more in-depth examples of 2 current programs that involve physiatrists: One furnishes telerehabilitation services to adult stroke survivors, and the other addresses the special health care needs of children with developmental disabilities. We discuss the benefits of using telemedicine via real-time videoconferencing to care for individuals with disabilities, outline the challenges of successfully implementing a physiatric telerehabilitation program, and finish with a list of potential applications for physiatrists interested in incorporating telemedicine into their practice. Further investigation of the use of telehealth technologies to deliver physiatric services, care coordination, and education is needed. We recommend that our professional societies develop and publish guidelines to facilitate development and use of telerehabilitation technologies to increase access to physiatric services.

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Section: Telerehabilitation Use By Allied Health Providersmentioning

confidence: 99%

Clinical Telerehabilitation: Applications for Physiatrists

Gregory

Alexander

Satinsky

2011

PM&R

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“…Evidence for using telerehabilitation to provide wheelchair positioning and seating service is limited ( Allegretti et al, 2003 ; Cooper et al, 2002 ; Khoja, Casebeer, & Young, 2005 ; Malagodi, Schmeler, Shapcott, & Pelleschi, 1998 ; Malagodi & Smith, 1999 ). Despite this, consultation with seating specialists via telerehabilitation is a commonly cited example of telerehabilitation applications in the literature ( Hjelm, 2005 ; Hughes, Hudgins, Hooper, & Wallace, 2003 ; Lemaire, Boudrias, & Greene, 2001 ). According to the National Initiative for Telehealth Framework, clinicians should use telerehabilitation for assessment and intervention only if they are confident that the standard of care is “reasonable and at least equivalent to any other type of care that can be delivered to the patient/client…” ( National Initiative for Telehealth Framework [NIFTE], 2003 , Clinical Standards and Outcomes [CSO]-6, p.8).…”

Section: Introductionmentioning

confidence: 99%

Wheelchair Seating Assessment and Intervention: A Comparison between Telerehabilitation and Face-to-Face Service

2009

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Abstr actThis study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10) and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural). Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen faceto-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete.

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“…5 The clinicians emphasized the importance of relationship building with technicians at the peripheral site, working as a team, assigning tasks and overcoming barriers to visualization. Some other studies, such as those conducted by Engbers et al 6 and Hughes et al, 7 focused mainly on the clients' perspectives. In another study, Lemaire et al 8 collected quantitative feedback from the providers on Internet-based technology for providing seating services.…”

Section: Introductionmentioning

confidence: 99%

Role of telehealth in seating clinics: a case study of learners' perspectives

Khoja

Casebeer

Young³

2005

J Telemed Telecare

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We conducted a qualitative case study of the introduction of telehealth in a seating clinic, which was an existing outreach service between two hospitals in Alberta, approximately 300 km apart. Interviews were conducted with the staff who were involved in planning and implementing the telehealth initiative. The study showed that, from the perspective of the staff (who were learners), implementation of telehealth in seating clinics differs from other less tactile telehealth applications in certain ways: (1) the importance of multidisciplinary teams in the procedures, (2) the importance of proper visualization and communication among the staff to convey the pressure changes and measurements to the technicians at the major centre to help them build or adjust the seating devices and (3) the reluctance of staff to trust others' judgements. Planning of service provision and telelearning for seating clinics requires the involvement of staff at all stages. Thus, the implementation of telehealth should be a stepwise process, allowing a highly interactive approach, without affecting the multidisciplinary nature of seating clinics.

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User satisfaction with rehabilitation services delivered using Internet video

Cited by 7 publications

References 4 publications

Clinical Telerehabilitation: Applications for Physiatrists

Clinical Telerehabilitation: Applications for Physiatrists

Wheelchair Seating Assessment and Intervention: A Comparison between Telerehabilitation and Face-to-Face Service

Role of telehealth in seating clinics: a case study of learners' perspectives

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