Home-based intervention and monitoring in spinal cord injury: evaluating method and compliance in a telehealth trial.

IF 1.2 Q4 HEALTH POLICY & SERVICES

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-07-03 DOI:10.1080/01621424.2025.2522702

Tassanai Parittotokkaporn, Romana Pylypchuk, Anna Lawrence, Bensy Mathew, Sureshbabu Subramanian, Simon J O'Carroll

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引用次数: 0

Abstract

Telehealth, accelerated by the COVID-19 pandemic, has become essential in-home health care, particularly for individuals with spinal cord injury (SCI). However, traditional telehealth often lacks adequate remote intervention and monitoring for SCI patients. This study evaluated a novel telehealth trial using transcutaneous electrical stimulation (TES) with innovative approaches to improve bladder function in SCI patients. Fifteen participants completed daily 15-minute TES sessions over four weeks, supported by courier-delivered equipment, video conferencing, and online assessments with self-reported monitoring at home. The trial achieved 100% adherence, with 80% of participants expressing confidence in device use and 87% indicating willingness to continue TES. Most participants found the device user-friendly, and 66% reported symptom improvement. This study highlights the potential of telehealth trials to enhance access to care, improve patient outcomes, and promote health equity in home care settings, particularly during periods of restricted in-person healthcare delivery.

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脊髓损伤的家庭干预和监测：远程医疗试验中的评估方法和依从性。

在COVID-19大流行的加速下，远程医疗已成为必不可少的家庭医疗保健，特别是对脊髓损伤患者而言。然而，传统的远程医疗往往缺乏足够的远程干预和监测脊髓损伤患者。本研究评估了一种新的远程医疗试验，采用经皮电刺激（TES）和创新方法改善脊髓损伤患者的膀胱功能。15名参与者在四周的时间里每天完成15分钟的TES课程，通过快递设备、视频会议和在家自我报告监控的在线评估提供支持。试验达到了100%的依从性，80%的参与者表示对设备使用有信心，87%的参与者表示愿意继续进行TES。大多数参与者发现该设备用户友好，66%的人报告症状有所改善。本研究强调了远程医疗试验在提高护理可及性、改善患者预后和促进家庭护理环境中的健康公平方面的潜力，特别是在面对面医疗服务受到限制的时期。

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

HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.