Level of Evidence of Telehealth Rehabilitation and Behavioral Health Services for Traumatic Brain Injury: A Scoping Review.

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2023-10-30 DOI:10.1007/s10880-023-09981-1
Jessica P Conklin, Tracey Wallace, Katherine L McCauley, Jackie Breitenstein, Russell K Gore
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Abstract

Traumatic brain injury (TBI) can result in significant impairments in functioning associated with partial or permanent disabilities. Examining the evidence for domain-specific telehealth interventions is necessary to guide the development of effective clinical and research programs for this population. The present scoping review characterizes the level of evidence across a range of TBI-related disabilities and impairments. A literature search was performed across comprehensive databases using search terms related to TBI, rehabilitation, telehealth, and outcome. A total of 19 publications from 17 studies met inclusion criteria. Articles focused on telehealth interventions to improve global, cognitive, emotional, and physical functioning post-TBI. Levels of evidence ranged from 1 to 4 across domains, with predominantly experimental designs (level 1). Outcomes demonstrating improvement or benefit from telehealth treatments were reported across all functional domains (50-80% of studies). Results highlight the potential of telehealth interventions across the span of comprehensive interdisciplinary rehabilitation care. Expanded research is needed on remote treatment options for physical symptoms, for subgroups within TBI populations (i.e., mild TBI, military populations), as well as on remote and hybrid comprehensive rehabilitation programs.

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创伤性脑损伤远程健康康复和行为健康服务的证据水平:范围界定综述。
创伤性脑损伤(TBI)可导致与部分或永久残疾相关的功能显著受损。检查特定领域远程医疗干预的证据对于指导为这一人群制定有效的临床和研究计划是必要的。本范围界定审查描述了一系列TBI相关残疾和损伤的证据水平。使用与TBI、康复、远程医疗和结果相关的搜索术语,在综合数据库中进行文献搜索。17项研究共有19篇出版物符合纳入标准。文章侧重于远程医疗干预,以改善脑外伤后的全球、认知、情绪和身体功能。各领域的证据水平从1到4不等,主要是实验设计(1级)。所有功能领域都报告了显示远程医疗治疗改善或受益的结果(50-80%的研究)。研究结果突出了远程医疗干预在跨学科综合康复护理领域的潜力。需要扩大对身体症状的远程治疗选择、TBI人群中的亚组(即轻度TBI、军事人群)以及远程和混合综合康复计划的研究。
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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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