Implementation of telehealth and hybrid service delivery of interdisciplinary rehabilitation for military populations with traumatic brain injury

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2023-12-22 DOI:10.3233/nre-230154

Jessica P Conklin, Katherine L. McCauley, Jackie Breitenstein, Lyndsey Edelman, Russell K. Gore, Tracey Wallace

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引用次数: 0

Abstract

BACKGROUND: The COVID-19 pandemic necessitated the implementation of telehealth and hybrid service delivery models and provided an opportunity to study the impact of this care model in military populations with history of traumatic brain injury (TBI). OBJECTIVE: To present telehealth service utilization rates across rehabilitation specialties, treatment outcome indicators, and patient satisfaction outcomes from a retrospective clinical sample. METHODS: The study sample consists of 34 patients who underwent telehealth/hybrid Intensive Outpatient Programming (IOP) at a major rehabilitation hospital. Retrospective chart review and clinical data extraction were performed. A historical cohort receiving in-person care was used as a comparison group. Statistical analyses included partial correlations, mixed method analysis of variance (ANOVA), and independent sample t-tests. RESULTS: Medical, behavioral health, physical, occupational, and speech-language therapy providers exhibited similar rates of telehealth service delivery (35 to 41% of all sessions). No significant association was found between percent telehealth sessions and the global treatment outcome indicator. Comparison of treatment effects across cohorts revealed similar benefits of IOP. No between-group differences were noted in satisfaction ratings. CONCLUSION: The comparable treatment-related gains and reports of positive patient experience support the use of a telehealth and hybrid delivery model for military service members and veterans with TBI.

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为脑外伤军人实施远程医疗和跨学科混合康复服务

背景：由于 COVID-19 大流行，有必要实施远程医疗和混合服务提供模式，这也为研究这种医疗模式对有脑外伤（TBI）病史的军人群体的影响提供了机会。目的：通过回顾性临床样本，介绍各康复专科的远程医疗服务利用率、治疗效果指标和患者满意度结果。方法：研究样本包括在一家大型康复医院接受远程医疗/混合强化门诊计划（IOP）治疗的 34 名患者。研究人员进行了病历回顾和临床数据提取。接受面对面治疗的历史队列作为对比组。统计分析包括偏相关、混合方差分析（ANOVA）和独立样本 t 检验。结果：医疗、行为健康、物理、职业和言语治疗提供者提供远程医疗服务的比例相似（占所有疗程的 35% 至 41%）。在远程医疗疗程百分比与总体治疗效果指标之间没有发现明显的关联。对不同组群的治疗效果进行比较后发现，IOP 带来的益处相似。在满意度评分方面没有发现组间差异。结论：可比的治疗相关收益和积极的患者体验报告支持对患有创伤性脑损伤的军人和退伍军人使用远程医疗和混合治疗模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.