Quality Appraisal of Telerehabilitation Guidelines: A Systematic Review.

IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2026-06-24 eCollection Date: 2026-01-01 DOI:10.1155/ijta/2404971
Faridokht Salahshoori, Majid Jangi, Ebrahim Sadeghi-Demneh, Farhad Fatehi, Alireza Rahimi
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引用次数: 0

Abstract

Background: Telerehabilitation is an expanding domain of telehealth offering remote rehabilitation services. The quality of clinical guidelines, despite significant growth, is highly inconsistent, which may affect the quality of care and policy execution. We endeavored to systematically assess the quality of general telerehabilitation guidelines using the AGREE II instrument.

Methods: A systematic search of six databases and grey literature identified 2575 records. After screening and eligibility assessment, seven guidelines were appraised independently by two reviewers using the AGREE II tool, covering six quality domains.

Results: Only the American Physical Therapy Association's 2024 guideline was rated high quality across all domains. Three guidelines were rated medium quality and recommended with modifications. The remaining three were deemed low quality due to weak methodological rigor and limited stakeholder involvement.

Conclusion: The quality of telerehabilitation guidelines differs significantly, and high-quality, evidence-based, and inclusive guidelines are essential for promoting secure, efficient, and telerehabilitation practices globally.

远程康复指南的质量评价:系统综述。
背景:远程康复是提供远程康复服务的远程医疗的一个扩展领域。临床指南的质量尽管显著增长,但高度不一致,这可能影响护理质量和政策执行。我们努力使用AGREE II工具系统地评估一般远程康复指南的质量。方法:系统检索6个数据库和灰色文献2575条。在筛选和合格性评估之后,七个指南由两位审稿人使用AGREE II工具独立评估,涵盖六个质量领域。结果:只有美国物理治疗协会的2024指南在所有领域被评为高质量。三个指南被评为中等质量,并建议进行修改。其余三个被认为是低质量的,因为方法的严谨性和有限的利益相关者参与。结论:远程康复指南的质量差异很大,高质量、循证和包容性的指南对于促进全球安全、高效和远程康复实践至关重要。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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