International Journal of Telerehabilitation最新文献

{"title":"Self-determination Theory as a Lens to Explore the Implementation Challenges of Telehealth.","authors":"Yafit Gilboa, Michal Pagis, Kathleen Lyons","doi":"10.5195/ijt.2024.6648","DOIUrl":"10.5195/ijt.2024.6648","url":null,"abstract":"<p><p>Many benefits can be gained from telehealth, including reduced travel time, flexible work schedules, increased patient satisfaction, and a cost-effective method of providing care. Furthermore, telehealth provides rehabilitation professionals with the opportunity to observe people in their natural environment as they conduct their daily activities and identify any barriers to their functioning. Despite these advantages, and after a substantial amount of research supporting its effectiveness, telehealth remains relatively underutilized. Self-determination theory (SDT) is a theoretical framework for explaining motivation in terms of three basic psychological needs: competence, relatedness, and autonomy. Using the SDT, we suggest analyzing the motivational challenges faced by the therapists when implementing telehealth. We assert that the transition to a remote treatment model can be advantageous for rehabilitation professionals since it provides them with a greater degree of autonomy. Nevertheless, a turning point can only be achieved if relatedness and competence are maintained.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 2","pages":"e6648"},"PeriodicalIF":2.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Group Telerehabilitation for Older Adults: A Quality Improvement Project.","authors":"Emily M Hudson, Stephanie P Bazal, Michelle R Rauzi, Hillari S N Olson, Melissa J Ludescher, Christine Interrante, Molly Lahn, Estee Berg, Howard A Fink, Jennifer P Wisdom, Allison M Gustavson","doi":"10.5195/ijt.2024.6651","DOIUrl":"10.5195/ijt.2024.6651","url":null,"abstract":"<p><p>A growing body of evidence suggests group rehabilitation may empower patients to achieve functional goals by leveraging social connectivity. From previous work, we adapted an in-person group for older Veterans to a telerehabilitation group called Fit for Life. The current quality improvement project aimed to evaluate the feasibility of implementing Fit for Life. Eligible Veterans lived in the community and were at risk for falls or hospitalization per functional performance measures. We used convergent parallel mixed methods approach in the evaluation. Eighteen Veterans ≥55 years old (all male, mean 77 years, 39% rural) received a referral to Fit for Life, two did not participate. We analyzed and integrated adaptations posed by clinicians and Veterans in real-time to enhance access to and participation in Fit for Life. Future work will explore clinical effectiveness, tools to identify patients most likely to benefit, and care delivery structures that integrate telerehabilitation groups for older Veterans.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 2","pages":"e6651"},"PeriodicalIF":2.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telerehabilitation in Colombia: A Country Report and Qualitative Analysis During the Covid-19 Pandemic - Perceptions of Healthcare Providers and Patients.","authors":"Sara Gabriela Pacichana-Quinayaz, Lina María Rodríguez Vélez, Daniel Sánchez Cano, Yisel Mabirlly León Sánchez, Olga Marina Hernández Orobio, Maria Ana Tovar Sánchez, Gloria Isabel Toro Córdoba, Francisco Javier Bonilla-Escobar","doi":"10.5195/ijt.2024.6605","DOIUrl":"10.5195/ijt.2024.6605","url":null,"abstract":"<p><p>Given Colombia's status as a middle-income country with healthcare challenges, leveraging telemedicine could significantly benefit hard-to-reach regions, under-resourced and underserved communities. This study provides a comprehensive overview of the country's telerehabilitation landscape, exploring the clinicians' and patients' perspectives during the COVID-19 pandemic through systematic review and qualitative analysis. Sixteen therapists and three patients were identified via snowball sampling. The literature review was scarce and scattered across various topics in the country; some studies delved into specific aspects like legislative frameworks and patient outcomes from different medical specialties. The qualitative analysis demonstrates that despite the learning curve, telerehabilitation strengthens therapeutic support, enhances patient autonomy, fosters a positive patient-provider relationship, achieves treatment goals, promotes family involvement, reduces time and costs, and ensures continuity of therapy services. This study identified research gaps, challenges, and opportunities in telerehabilitation in a Latin American country. Adopting telemedicine technologies in low- and middle-income countries could significantly enhance their healthcare systems.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6605"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Technology Enablers of Tele-Neurorehabilitation in Pre- and Post-COVID-19 Pandemic Era - A Scoping Review.","authors":"Mohy Uddin, Krishnan Ganapathy, Shabbir Syed-Abdul","doi":"10.5195/ijt.2024.6611","DOIUrl":"10.5195/ijt.2024.6611","url":null,"abstract":"<p><p>Neurorehabilitation (NR), a major component of neurosciences, is the process of restoring a patient's damaged/disorganized neurological function, through training, therapy, and education, while focusing on patient's independence and well-being. Since the advent of the COVID-19 pandemic, various applications of telecare and telehealth services surged drastically and became an integral part of current clinical practices. Tele-Neurorehabilitation (TNR) is one of such applications. When rehabilitation services were disrupted globally due to lockdown and travel restrictions, the importance of TNR was recognized, especially in developed, low, and middle-income countries. With exponential deployment of telehealth interventions in neurosciences, TNR has become a distinct stand-alone sub-specialty of neurosciences and telehealth. Digital technologies, such as wearables, robotics, and Virtual Reality (VR) have enabled TNR to improve the quality of patients' lives. Providing NR remotely using digital technologies and customized digital devices is now a reality, and likely to be the new norm soon. This article provides an overview of the needs, utilization, and deployment of TNR, and focuses on digital technology enablers of TNR in pre- and post-COVID-19 pandemic era.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6611"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Telepractice Selection and Implementation for Persons with Aphasia.","authors":"Elizabeth O Tibus, Maryanne Weatherill, Amy D Rodriguez","doi":"10.5195/ijt.2024.6604","DOIUrl":"10.5195/ijt.2024.6604","url":null,"abstract":"<p><p>Telepractice is used to conduct many aspects of healthcare, including rehabilitation and research. However, information regarding how to identify optimal candidates and overcome barriers to participating in telepractice are limited. In the context of aphasia rehabilitation research, we developed two tools for optimizing telepractice: (1) the Participant Technology Questionnaire (PTQ), an aphasia-friendly tool for gathering information about potential telepractice participants; and (2) the Virtual-Appropriate Decision Approach (VADA), a framework for assessing and modifying methods that support virtual activities. The PTQ provides valuable information about the effects of human, technology and setting influences that may impact the success of transitioning activities to a virtual format, while the VADA takes findings from the PTQ one step further into application. The PTQ and the VADA can help researchers and clinicians with planning and directing virtual engagement, and both tools have potential to be applied broadly in all areas of telepractice.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6604"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Delphi Method: Developing a Telerehabilitation Practice Guideline for Patients in Indonesia with Long COVID.","authors":"Nurul Paramita, Dewi Irawati Soeria Santoso, Nury Nusdwinuringtyas, Menaldi Rasmin, Neng Tine Kartinah, Sri Widia A Jusman, Murdani Abdullah, Damayanti Tinduh, Siti Chandra Widjanantie, Melinda Harini, Imelda Rosalyn Sianipar, Boya Nugraha, Christoph Gutenbrunner, Sandra Widaty","doi":"10.5195/ijt.2024.6610","DOIUrl":"10.5195/ijt.2024.6610","url":null,"abstract":"<p><p>Telerehabilitation has the potential to help expand the reach of rehabilitation intervention. An online questionnaire-based Delphi method set out to develop a telerehabilitation guideline for patients in Indonesia with Long COVID. A Delphi panel comprised of 24 experts was selected from all relevant disciplines. Over two rounds of Delphi testing, panelists gave opinions and indicated their level of agreement with each recommendation. Key elements of consensus for a telerehabilitation guideline for patients with Long COVID includes: the benefit of telerehabilitation, types of rehabilitation intervention needed, methods of intervention, criteria for home-based self-exercise training, set-up of rehabilitation prescription, exercise monitoring, evaluation of rehabilitation intervention and duration of rehabilitation intervention. Further research is needed to determine the feasibility and effectiveness of this guideline.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6610"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"This Is Going To Be Different, But It's Not Impossible\": Adapting To Telehealth Occupational Therapy For Autistic Children.","authors":"Amber M Angell, Elinor E Taylor, Joana Nana Serwaa Akrofi, Elaine D Carreon, Marshae D Franklin, Julie Miller, Catherine Crowley, Shona Orfirer Maher","doi":"10.5195/ijt.2024.6608","DOIUrl":"10.5195/ijt.2024.6608","url":null,"abstract":"<p><p>This qualitative study examined participants' experiences of transitioning to telehealth-delivered pediatric occupational therapy for autistic children during the COVID-19 pandemic. We interviewed three clinic administrators, four occupational therapists, and six parents of autistic children (<i>n</i>=13) from three Los Angeles area clinics over a 7-month period. Our narrative and thematic analyses yielded three overarching themes: <i>Transformative Experiences</i>, <i>Reimagining Therapy</i>, and <i>Going Forward</i>. Overall, we found that the transition to telehealth shifted participants' preconceptions about themselves, their relationships, and the nature of occupational therapy. Many deepened their relationships; adapted interventions; uncovered surprising capabilities; and challenged the occupational therapy status quo to advocate for ongoing virtual delivery. Our findings bear relevance to the body of current literature debating the post-pandemic viability of telehealth-delivered occupational therapy.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6608"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrections to: Hirunwiwatkul, P., Pongpanich, P., Tulvatana, W., Jariyakosol, S., Phuenpathom, W., Krittanupong, S., Chonramak, R., Pichedvanichok, T., Bhidayasiri, R., Nimnuan, C. (2023). Evaluation of psychometric properties of Thai version Telehealth Usability Questionnaire (T-TUQ), <i>International Journal of Telerehabilitation</i>, <i>15</i>(2), 1-14. https://doi.org/10.5195/ijt.2023.6577.","authors":"Parima Hirunwiwatkul","doi":"10.5195/ijt.2024.6633","DOIUrl":"https://doi.org/10.5195/ijt.2024.6633","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.5195/ijt.2023.6577.].</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6633"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay.","authors":"Karen Hurtubise, Michelle Phoenix, Chantal Camden, Raphaëlle Gauthier, Paul Stratford, Rosalie Dostie, Audrée Jeanne Beaudoin, Désirée Maltais, Jade Berbari, Isabelle Gaboury","doi":"10.5195/ijt.2024.6603","DOIUrl":"10.5195/ijt.2024.6603","url":null,"abstract":"<p><p>This multi-methods study describes the development of a pediatric rehabilitation telehealth intervention fidelity checklist, estimates its inter-rater reliability, and documents raters' implementation experience. A literature scan and expert consultation identified eighteen key behaviors and categorized them into three subdomains, measured using a 5-point measurement system. To estimate the checklist's inter-rater reliability, three raters scored 33 video recordings. A Shrout and Fleiss Class 1,1 intraclass correlation (ICC)) and 95% confidence intervals (CI) calculated ICCs = 0.5 (CI: 0, 0.9) for both the Therapist and the Parent-Therapists subdomains, and the Parent subdomain an ICC = 0.3 (CI: 0, 0.8). In the implementation surveys, raters reported high levels of satisfaction (100%), ease of use (84% to 88%), and confidence in their video ratings (87% to 100%). Changes in procedures and scoring were recommended. Capturing raters' implementation experiences is crucial in the early evaluation of the fidelity checklists for telehealth.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6603"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative Hybrid Cloud Solutions for Physical Medicine and Telerehabilitation Research.","authors":"Kyrylo S Malakhov","doi":"10.5195/ijt.2024.6635","DOIUrl":"10.5195/ijt.2024.6635","url":null,"abstract":"<p><strong>Purpose: </strong>The primary objective of this study was to develop and implement a Hybrid Cloud Environment for Telerehabilitation (HCET) to enhance patient care and research in the Physical Medicine and Rehabilitation (PM&R) domain. This environment aims to integrate advanced information and communication technologies to support both traditional in-person therapy and digital health solutions.</p><p><strong>Background: </strong>Telerehabilitation is emerging as a core component of modern healthcare, especially within the PM&R field. By applying digital health technologies, telerehabilitation provides continuous, comprehensive support for patient rehabilitation, bridging the gap between traditional therapy, and remote healthcare delivery. This study focuses on the design, and implementation of a hybrid HCET system tailored for the PM&R domain.</p><p><strong>Methods: </strong>The study involved the development of a comprehensive architectural and structural organization for the HCET, including a three-layer model (infrastructure, platform, service layers). Core components of the HCET were designed and implemented, such as the Hospital Information System (HIS) for PM&R, the MedRehabBot system, and the MedLocalGPT project. These components were integrated using advanced technologies like large language models (LLMs), word embeddings, and ontology-related approaches, along with APIs for enhanced functionality and interaction.</p><p><strong>Findings: </strong>The HCET system was successfully implemented and is operational, providing a robust platform for telerehabilitation. Key features include the MVP of the HIS for PM&R, supporting patient profile management, and rehabilitation goal tracking; the MedRehabBot and WhiteBookBot systems; and the MedLocalGPT project, which offers sophisticated querying capabilities, and access to extensive domain-specific knowledge. The system supports both Ukrainian and English languages, ensuring broad accessibility and usability.</p><p><strong>Interpretation: </strong>The practical implementation, and operation of the HCET system demonstrate its potential to transform telerehabilitation within the PM&R domain. By integrating advanced technologies, and providing comprehensive digital health solutions, the HCET enhances patient care, supports ongoing rehabilitation, and facilitates advanced research. Future work will focus on optimizing services and expanding language support to further improve the system's functionality and impact.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 1","pages":"e6635"},"PeriodicalIF":2.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}