Evelyn Abrahante Terrell, Andy Bopp, Josh Krantz, Kim Karr, Steve Kline, Kristen Neville, Tammy Richmond, Kyle Zebley
{"title":"Telerehabilitation Policy Report: Interprofessional Policy Principles and Priorities.","authors":"Evelyn Abrahante Terrell, Andy Bopp, Josh Krantz, Kim Karr, Steve Kline, Kristen Neville, Tammy Richmond, Kyle Zebley","doi":"10.5195/ijt.2024.6687","DOIUrl":"10.5195/ijt.2024.6687","url":null,"abstract":"<p><p>While the public health emergency is over, telehealth and telepractice will continue to play a pivotal role in supporting health equity for diverse and vulnerable individuals in underserved communities. The American Occupational Therapy Association, the American Physical Therapy Association, the American Speech-Language-Hearing Association, and the American Telemedicine Association are professional associations representing the interests of more than 564,000 rehabilitation services professionals in the United States. These organizations have shared priorities including legislative, regulatory, and state-based advocacy efforts. Continued advocacy and promotion by professional organizations, providers and patients alike is necessary to ensure that all rehabilitation providers are included in any telehealth lists of federally and state approved providers. In addition, key health care industry stakeholders want telehealth to be a permanent option for care delivery and ensure that telehealth will remain widely available to support health equity and access to critical rehabilitation services for all.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 2","pages":"e6687"},"PeriodicalIF":2.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383540","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}
Alissa R Baker, Erin R Barents, Anna G Cole, Alyssa L Klaver, Kathie Van Kampen, Lucile M Webb, Kallen A Wolfer
{"title":"Use and Perceptions of Telehealth by Pediatric Occupational Therapists Post COVID-19 Pandemic.","authors":"Alissa R Baker, Erin R Barents, Anna G Cole, Alyssa L Klaver, Kathie Van Kampen, Lucile M Webb, Kallen A Wolfer","doi":"10.5195/ijt.2024.6655","DOIUrl":"10.5195/ijt.2024.6655","url":null,"abstract":"<p><p>Telehealth was widely adopted in pediatric occupational therapy practice during the COVID-19 pandemic; however, there is limited knowledge on telehealth use post-pandemic. This study collected 132 responses to a mixed-methods survey from March-October 2023 to explore pediatric occupational therapists' current use and perceptions on telehealth. Results indicated that over half of respondents continue to use telehealth. Frequency of use was differentiated by setting, with a significantly lower proportion of school-based respondents using telehealth compared to outpatient (p<.001) or early intervention (p<.001). The median rate of use was low with 10% of services delivered via telehealth. Respondents view telehealth as moderately effective and satisfactory. Rationale for use of telehealth included parent coaching, access to the natural environment, caregiver involvement, travel convenience, and to accommodate family illness. Challenges included lack of child engagement, limited parent involvement, and regulatory barriers.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 2","pages":"e6655"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383544","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":"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":"Letter to the Editor - Update from Ukraine: Project Results in Oncology Telerehabilitation Approved at the National Cancer Institute and Showcased at the 4th National PM&R Congress.","authors":"Kyrylo S Malakhov","doi":"10.5195/ijt.2024.6686","DOIUrl":"10.5195/ijt.2024.6686","url":null,"abstract":"<p><p>Telerehabilitation has emerged as a vital component of oncology care, particularly under challenging conditions where access to healthcare services may be restricted. This Letter to the Editor provides an update from Ukraine on a pioneering hybrid cloud-based platform designed for the patient-centered telerehabilitation of oncology patients. We summarize the project's main outcomes, including the development of advanced AI-driven models, comprehensive methodological guidelines, and specialized software services. Notably, the platform underwent clinical approbation at the Nonprofit Organization \"National Cancer Institute,\" where its capacity for continuous patient monitoring, real-time data integration, and personalized rehabilitation interventions was demonstrated. Furthermore, the efficacy and innovation of this platform were showcased at the 4th National Congress of Physical and Rehabilitation Medicine in Ukraine, highlighting its potential to optimize resource allocation and improve patient outcomes. By merging mathematical and AI-based methods, the project underscores the importance of interdisciplinary collaboration in developing robust telerehabilitation ecosystems. We hope that this update contributes to the dialogue on expanding and refining telerehabilitation solutions globally, particularly in the realm of oncology care.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"16 2","pages":"e6686"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383282","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}
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
{"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}
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
{"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}
Elizabeth O Tibus, Maryanne Weatherill, Amy D Rodriguez
{"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}
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
{"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}
Amber M Angell, Elinor E Taylor, Joana Nana Serwaa Akrofi, Elaine D Carreon, Marshae D Franklin, Julie Miller, Catherine Crowley, Shona Orfirer Maher
{"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}