Research, education and practice of tele-neurorehabilitation in low and middle-income countries: A Scoping Review.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2024-09-18 DOI:10.3233/NRE-240053

Dorcas B C Gandhi, Sureshkumar Kamalakannan, Jennifer V Dsouza, Vinicius Montanaro, Nistara S Chawla, Amreen Mahmood, Etienne Ngeh, Sania Zarreen, Pranay J Vijayanand, John M Solomon

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引用次数: 0

Abstract

Background: Tele-neurorehabilitation (TNR) allows for remote delivery of rehabilitation services for those with neurological disabilities. Despite growing global interest and uptake, its adoption remains challenging in Low-and-Middle-Income-Countries (LMICs).

Objective: To explore available literature on the nature of training and education, research and practice of TNR in LMICs.

Methods: Following PRISMA-ScR guidelines and predefined selection criteria, four databases were screened. Quality assessment was performed using the Joanna Briggs Institute tools. Relevant data was extracted to using a data extraction form in Microsoft Excel and were narratively synthesised under Education/training, Research and Clinical Practice of TNR.

Results: We identified no formal structured training courses/programs for TNR users/providers. Sessions were mainly delivered as part of a research project. The included studies highlighted the need to engage stakeholders in TNR research and improve digital-literacy among healthcare providers/users. Development and use of clinical decision-making-tools, models of TNR suitable for varied populations and prior area-mapping were a few suggestions for clinical/research practice.

Conclusion: There is an immense need to develop academic/structured programs for TNR to build capacity among providers/users in LMICs. Practice must adhere to principles of safety, effectiveness, and based on high quality clinical-guidelines suitable to the context to ensure optimal uptake and practice of TNR in LMICs.

查看原文本刊更多论文

中低收入国家远程神经康复的研究、教育和实践：范围综述》。

背景：远程神经康复（TNR）可为神经残疾患者提供远程康复服务。尽管全球对远程神经康复的兴趣与日俱增，但在中低收入国家（LMICs）采用远程神经康复仍面临挑战：目的：探讨有关中低收入国家 TNR 培训与教育、研究与实践性质的现有文献：按照 PRISMA-ScR 指南和预定义的选择标准，筛选了四个数据库。使用乔安娜-布里格斯研究所（Joanna Briggs Institute）的工具进行了质量评估。使用 Microsoft Excel 中的数据提取表提取相关数据，并在 TNR 的教育/培训、研究和临床实践项下进行叙述性综合：我们没有发现针对 TNR 使用者/提供者的正式结构化培训课程/项目。培训课程主要是作为研究项目的一部分开展的。所纳入的研究强调了让利益相关者参与 TNR 研究和提高医疗服务提供者/用户数字素养的必要性。临床决策工具的开发和使用、适合不同人群的 TNR 模型以及事先绘制区域图是对临床/研究实践的几点建议：结论：在低收入和中等收入国家，亟需开发TNR的学术/结构化项目，以提高提供者/使用者的能力。在实践中必须坚持安全、有效的原则，并以适合当地情况的高质量临床指南为基础，以确保TNR在低收入和中等收入国家的最佳吸收和实践。

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.