首页 > 最新文献

International Journal of Telerehabilitation最新文献

英文 中文
Telehealth Competency Questionnaire-Consumer: Psychometric Validation of a Client-centered Measure 远程保健能力问卷--消费者:以客户为中心的测量方法的心理计量学验证
IF 3.3 Q1 Medicine Pub Date : 2023-12-12 DOI: 10.5195/ijt.2023.6598
Steven Taylor, PhD, OTR/L, Lauren M. Little, PhD, OTR/L, FAOTA
To effectively access telehealth services, individuals must possess certain competencies; yet, telehealth consumer focused measures are limited. The purpose of this study was to describe the development and validation of the Telehealth Competency Questionnaire – Consumer (TCQ-C). Among a sample of adults with chronic health conditions (n=134), findings showed that the TCQ-C is comprised of one factor that accounts for 66.6% of the variance, and internal consistency of subscales are good (range α = 0.80-0.87) and may be used for clinical or research purposes. The TCQ-C demonstrated moderate concurrent validity with the Telehealth Usability Questionnaire-Usability subscale (r = 0.728, p<.001), and significantly discriminates between adults >65 years and those younger as well as those with and without previous telehealth experience. The TCQ-C is a psychometrically sound instrument to evaluate baseline competencies among telehealth consumers so that education, research, and clinical practices are tailored to increase effective engagement between clients and providers.
要有效获得远程保健服务,个人必须具备一定的能力;然而,以远程保健消费者为重点的测量方法却很有限。本研究旨在描述远程保健能力问卷--消费者(TCQ-C)的开发和验证。研究结果表明,TCQ-C 由一个因子组成,占变异的 66.6%,各分量表的内部一致性良好(范围 α = 0.80-0.87),可用于临床或研究目的。TCQ-C 与远程保健可用性问卷--可用性分量表(r = 0.728,p65)、65 岁及以下人群、有远程保健经验及无远程保健经验人群之间具有适度的并发效度。TCQ-C 是一种心理计量学上可靠的工具,可用于评估远程保健消费者的基本能力,从而对教育、研究和临床实践进行调整,以提高客户与医疗服务提供者之间的有效接触。
{"title":"Telehealth Competency Questionnaire-Consumer: Psychometric Validation of a Client-centered Measure","authors":"Steven Taylor, PhD, OTR/L, Lauren M. Little, PhD, OTR/L, FAOTA","doi":"10.5195/ijt.2023.6598","DOIUrl":"https://doi.org/10.5195/ijt.2023.6598","url":null,"abstract":"To effectively access telehealth services, individuals must possess certain competencies; yet, telehealth consumer focused measures are limited. The purpose of this study was to describe the development and validation of the Telehealth Competency Questionnaire – Consumer (TCQ-C). Among a sample of adults with chronic health conditions (n=134), findings showed that the TCQ-C is comprised of one factor that accounts for 66.6% of the variance, and internal consistency of subscales are good (range α = 0.80-0.87) and may be used for clinical or research purposes. The TCQ-C demonstrated moderate concurrent validity with the Telehealth Usability Questionnaire-Usability subscale (r = 0.728, p<.001), and significantly discriminates between adults >65 years and those younger as well as those with and without previous telehealth experience. The TCQ-C is a psychometrically sound instrument to evaluate baseline competencies among telehealth consumers so that education, research, and clinical practices are tailored to increase effective engagement between clients and providers.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Virtual Caregiver Coaching in Antigua & Barbuda on the Implementation of EMT Language Support Strategies in Naturalistic Environments 安提瓜和巴布达虚拟护理人员辅导对在自然环境中实施急救语言支持策略的影响
IF 3.3 Q1 Medicine Pub Date : 2023-12-12 DOI: 10.5195/ijt.2023.6586
Sensemillah Peters, Klaire Brumbaugh, Amanda Blackwell
This single-case multiple baseline design investigation set out to determine the effectiveness of using a telepractice service delivery model to coach caregivers in Antigua & Barbuda in the use of Enhanced Milieu Teaching (EMT) language support strategies with a child with language impairment. A slightly modified version of the Teach-Model-Coach-Review (TMCR) method was used during virtual instruction to train a caregiver on the language support strategies of environmental arrangement, matched turns, expansions, and time delay with milieu prompting. The caregiver attended sessions three times a week for up to 45 minutes for four weeks. The results of this study indicated a positive relationship between the intervention and caregiver use of strategies. The caregiver demonstrated increased responsiveness to the child’s communication attempts and exhibited the use of language support strategies across activities. This study suggests that telepractice can be an effective service delivery model for providing coaching to caregivers.
这项单一案例多基线设计调查旨在确定安提瓜和巴布达的护理人员在使用强化环境教学(EMT)语言支持策略对语言障碍儿童进行指导时,使用远程实践服务交付模式的有效性。在虚拟教学过程中,我们采用了略有改动的 "教学-示范-辅导-复习(TMCR)"方法,对一名保育员进行了语言支持策略的培训,包括环境安排、配对轮流、扩展和环境提示的时间延迟。照顾者每周参加三次课程,每次最多 45 分钟,为期四周。研究结果表明,干预与照顾者使用策略之间存在积极的关系。照顾者对孩子的交流尝试做出了更多的反应,并在各种活动中使用了语言支持策略。这项研究表明,远程练习可以作为一种有效的服务模式,为照顾者提供辅导。
{"title":"The Effects of Virtual Caregiver Coaching in Antigua & Barbuda on the Implementation of EMT Language Support Strategies in Naturalistic Environments","authors":"Sensemillah Peters, Klaire Brumbaugh, Amanda Blackwell","doi":"10.5195/ijt.2023.6586","DOIUrl":"https://doi.org/10.5195/ijt.2023.6586","url":null,"abstract":"This single-case multiple baseline design investigation set out to determine the effectiveness of using a telepractice service delivery model to coach caregivers in Antigua & Barbuda in the use of Enhanced Milieu Teaching (EMT) language support strategies with a child with language impairment. A slightly modified version of the Teach-Model-Coach-Review (TMCR) method was used during virtual instruction to train a caregiver on the language support strategies of environmental arrangement, matched turns, expansions, and time delay with milieu prompting. The caregiver attended sessions three times a week for up to 45 minutes for four weeks. The results of this study indicated a positive relationship between the intervention and caregiver use of strategies. The caregiver demonstrated increased responsiveness to the child’s communication attempts and exhibited the use of language support strategies across activities. This study suggests that telepractice can be an effective service delivery model for providing coaching to caregivers.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical and Legal Aspects of Telerehabilitation in Saudi Arabia 沙特阿拉伯远程康复的伦理和法律问题
IF 3.3 Q1 Medicine Pub Date : 2023-12-12 DOI: 10.5195/ijt.2023.6569
A. Alhabter, A. Qureshi, Sami Ullah
Organizations have their own policies and procedures to govern operational aspects of health care facilities. With the advent of telemedicine, there has been a growing trend in providing telehealth practices without formally exploring the ethical and legislative aspects.  The potential use of electronic and digital services in telerehabilitation can influence various ethical and legal factors, such as confidentiality, consent. and negligence. Thus, establishing clear strategies in this regard is necessary. Ethical and legal aspects of healthcare are influenced by cultural, religious, and legislative rulings of a state. At the same time, the multidimensional scope of rehabilitation in a health system has its own challenges. This narrative review intends to highlight the importance of incorporating the ethical and legislative framework in the telerehabilitation process in Saudi Arabia. A summary of various aspects in-line with unique local attributes is included, which can also help to facilitate regional telerehabilitation services in the Arab World.
各组织都有自己的政策和程序来管理医疗机构的运营方面。随着远程医疗的出现,在没有正式探讨伦理和法律问题的情况下提供远程保健服务的趋势日益明显。 在远程康复中使用电子和数字服务的可能性会影响各种伦理和法律因素,如保密、同意和疏忽。因此,有必要在这方面制定明确的战略。医疗保健的伦理和法律问题受到国家文化、宗教和立法裁决的影响。同时,医疗系统中多层面的康复工作也有其自身的挑战。本综述旨在强调将伦理和法律框架纳入沙特阿拉伯远程康复过程的重要性。其中包括对符合当地独特属性的各个方面的总结,这也有助于促进阿拉伯世界的区域远程康复服务。
{"title":"Ethical and Legal Aspects of Telerehabilitation in Saudi Arabia","authors":"A. Alhabter, A. Qureshi, Sami Ullah","doi":"10.5195/ijt.2023.6569","DOIUrl":"https://doi.org/10.5195/ijt.2023.6569","url":null,"abstract":"Organizations have their own policies and procedures to govern operational aspects of health care facilities. With the advent of telemedicine, there has been a growing trend in providing telehealth practices without formally exploring the ethical and legislative aspects.  The potential use of electronic and digital services in telerehabilitation can influence various ethical and legal factors, such as confidentiality, consent. and negligence. Thus, establishing clear strategies in this regard is necessary. Ethical and legal aspects of healthcare are influenced by cultural, religious, and legislative rulings of a state. At the same time, the multidimensional scope of rehabilitation in a health system has its own challenges. This narrative review intends to highlight the importance of incorporating the ethical and legislative framework in the telerehabilitation process in Saudi Arabia. A summary of various aspects in-line with unique local attributes is included, which can also help to facilitate regional telerehabilitation services in the Arab World.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guiding Documents for Engaging with Remote Chronic Disease Management Programs as a Healthcare Provider: A Scoping Review 作为医疗服务提供者参与远程慢性病管理计划的指导文件:范围审查
IF 3.3 Q1 Medicine Pub Date : 2023-12-12 DOI: 10.5195/ijt.2023.6583
J. Van Damme, V. Dal Bello-Haas, A. Kuspinar, Patricia Strachan, N. Peters, Khang Trong Nguyen, Greg Bolger
Introduction: Chronic disease management programs (CDMP) that include education and exercise enhance outcomes and reduce healthcare costs. Remote CDMP have the potential to provide convenient, cost-effective, and accessible options for individuals, but it is unclear how to best implement programs that include education and exercise. This review identified and synthesized resources for implementing remote CDMP programs that incorporate education and exercise. Methods: Peer-reviewed and grey literature were systematically searched from January 1998 to May 2022. Covidence software was used for screening and extraction. The data were synthesized and presented in a narrative and tabular format. Results: Six peer-reviewed manuscripts and six grey literature documents published between 2006-2022 were included. All resources described individual programs targeting various chronic conditions. Provider training, consent, participant screening, and safety considerations were identified. Conclusions: Guidelines for remote CFMP programs are lacking. Additional work is needed to design remote CDMP guidelines incorporating education and exercise. 
导言:包含教育和锻炼的慢性病管理计划(CDMP)可提高疗效并降低医疗成本。远程慢性病管理计划有可能为个人提供方便、经济、可及的选择,但目前尚不清楚如何最好地实施包含教育和锻炼的计划。本综述确定并综合了实施包含教育和锻炼的远程 CDMP 计划的资源。方法:系统检索了 1998 年 1 月至 2022 年 5 月期间的同行评议文献和灰色文献。使用 Covidence 软件进行筛选和提取。对数据进行了综合,并以叙述和表格的形式呈现。研究结果共收录了 2006-2022 年间发表的六篇同行评审手稿和六篇灰色文献。所有资料都描述了针对各种慢性疾病的个别计划。确定了提供者培训、同意书、参与者筛选和安全注意事项。结论:目前还缺乏远程 CFMP 项目的指南。还需要做更多的工作来设计包含教育和锻炼的远程 CDMP 指南。
{"title":"Guiding Documents for Engaging with Remote Chronic Disease Management Programs as a Healthcare Provider: A Scoping Review","authors":"J. Van Damme, V. Dal Bello-Haas, A. Kuspinar, Patricia Strachan, N. Peters, Khang Trong Nguyen, Greg Bolger","doi":"10.5195/ijt.2023.6583","DOIUrl":"https://doi.org/10.5195/ijt.2023.6583","url":null,"abstract":"Introduction: Chronic disease management programs (CDMP) that include education and exercise enhance outcomes and reduce healthcare costs. Remote CDMP have the potential to provide convenient, cost-effective, and accessible options for individuals, but it is unclear how to best implement programs that include education and exercise. This review identified and synthesized resources for implementing remote CDMP programs that incorporate education and exercise. Methods: Peer-reviewed and grey literature were systematically searched from January 1998 to May 2022. Covidence software was used for screening and extraction. The data were synthesized and presented in a narrative and tabular format. Results: Six peer-reviewed manuscripts and six grey literature documents published between 2006-2022 were included. All resources described individual programs targeting various chronic conditions. Provider training, consent, participant screening, and safety considerations were identified. Conclusions: Guidelines for remote CFMP programs are lacking. Additional work is needed to design remote CDMP guidelines incorporating education and exercise. ","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Telerehabilitation on Physical Fitness and Depression/Anxiety in Post-COVID-19 Patients: A Randomized Controlled Trial. 远程康复对covid -19后患者体质和抑郁/焦虑的影响:一项随机对照试验
IF 3.3 Q1 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6560
Paloma Lopes de Araújo Furtado, Maria do Socorro Brasileiro-Santos, Brenda Lopes Cavalcanti de Mello, Alex Andrade Araújo, Maria Alessandra Sipriano da Silva, Jennifer Arielly Suassuna, Gabriella Brasileiro-Santos, Renata de Lima Martins, Amilton da Cruz Santos
Aim: The aim of this research was to evaluate the impact of a telerehabilitation program on physical fitness, muscle strength, and levels of depression and anxiety in post-COVID-19 patients. Methods: Thirty-two individuals recovered from COVID-19 (48.20±12.82 years) were allocated into either a telerehabilitation (TG n=16) or control (CG n=16) group. Physical fitness, handgrip strength, depression and anxiety levels were assessed before and after an 8-week intervention. Results: There was a significant improvement in muscle strength in both groups. Physical fitness significantly increased compared to the CG at the end of the intervention. Levels of anxiety and depression significantly decreased after the intervention when compared to the CG. Conclusion: Eight weeks of functional telerehabilitation training is a viable and efficient way to rehabilitate patients affected by COVID-19, as it improved physical conditioning and mental health.
目的:本研究的目的是评估远程康复计划对covid -19后患者的身体健康、肌肉力量以及抑郁和焦虑水平的影响。方法:32例新冠肺炎患者(48.20±12.82岁)分为远程康复组(TG n=16)和对照组(CG n=16)。在8周干预前后评估身体健康、握力、抑郁和焦虑水平。结果:两组患者肌力均有明显改善。在干预结束时,与CG相比,身体健康显著增加。与CG相比,干预后焦虑和抑郁水平显著降低。结论:8周功能远程康复训练可改善新冠肺炎患者的身体状况和心理健康,是一种可行且有效的康复方式。
{"title":"The Effect of Telerehabilitation on Physical Fitness and Depression/Anxiety in Post-COVID-19 Patients: A Randomized Controlled Trial.","authors":"Paloma Lopes de Araújo Furtado, Maria do Socorro Brasileiro-Santos, Brenda Lopes Cavalcanti de Mello, Alex Andrade Araújo, Maria Alessandra Sipriano da Silva, Jennifer Arielly Suassuna, Gabriella Brasileiro-Santos, Renata de Lima Martins, Amilton da Cruz Santos","doi":"10.5195/ijt.2023.6560","DOIUrl":"10.5195/ijt.2023.6560","url":null,"abstract":"Aim: The aim of this research was to evaluate the impact of a telerehabilitation program on physical fitness, muscle strength, and levels of depression and anxiety in post-COVID-19 patients. Methods: Thirty-two individuals recovered from COVID-19 (48.20±12.82 years) were allocated into either a telerehabilitation (TG n=16) or control (CG n=16) group. Physical fitness, handgrip strength, depression and anxiety levels were assessed before and after an 8-week intervention. Results: There was a significant improvement in muscle strength in both groups. Physical fitness significantly increased compared to the CG at the end of the intervention. Levels of anxiety and depression significantly decreased after the intervention when compared to the CG. Conclusion: Eight weeks of functional telerehabilitation training is a viable and efficient way to rehabilitate patients affected by COVID-19, as it improved physical conditioning and mental health.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43168670","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}
引用次数: 0
Evaluating Efficiency of a Provincial Telerehabilitation Service in Improving Access to Care During the COVID-19 Pandemic. 评估省级远程康复服务在COVID-19大流行期间改善护理可及性的效率
IF 3.3 Q1 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6523
Katelyn Brehon, Jay Carriere, Katie Churchill, Adalberto Loyola-Sanchez, Elizabeth Papathanassoglou, Rob MacIsaac, Mahdi Tavakoli, Chester Ho, Kiran Pohar Manhas

Scope: Early in the COVID-19 pandemic, community rehabilitation stakeholders from a provincial health system designed a novel telerehabilitation service. The service provided wayfinding and self-management advice to individuals with musculoskeletal concerns, neurological conditions, or post-COVID-19 recovery needs. This study evaluated the efficiency of the service in improving access to care.

Methodology: We used multiple methods including secondary data analyses of call metrics, narrative analyses of clinical notes using artificial intelligence (AI) and machine learning (ML), and qualitative interviews.

Conclusions: Interviews revealed that the telerehabilitation service had the potential to positively impact access to rehabilitation during the COVID-19 pandemic, for individuals living rurally, and for individuals on wait lists. Call metric analyses revealed that efficiency may be enhanced if call handling time was reduced. AI/ML analyses found that pain was the most frequently-mentioned keyword in clinical notes, suggesting an area for additional telerehabilitation resources to ensure efficiency.

范围:在2019冠状病毒病大流行早期,来自省级卫生系统的社区康复利益相关者设计了一种新型远程康复服务。该服务为有肌肉骨骼问题、神经系统疾病或covid -19后恢复需求的个人提供寻路和自我管理建议。这项研究评估了该服务在改善获得护理方面的效率。方法:我们使用了多种方法,包括呼叫指标的辅助数据分析,使用人工智能(AI)和机器学习(ML)对临床记录进行叙事分析,以及定性访谈。结论:访谈显示,在2019冠状病毒病大流行期间,远程康复服务有可能对农村居民和等候名单上的个人获得康复产生积极影响。呼叫度量分析显示,如果呼叫处理时间减少,效率可能会提高。人工智能/机器学习分析发现,疼痛是临床记录中最常提到的关键词,这表明需要额外的远程康复资源来确保效率。
{"title":"Evaluating Efficiency of a Provincial Telerehabilitation Service in Improving Access to Care During the COVID-19 Pandemic.","authors":"Katelyn Brehon, Jay Carriere, Katie Churchill, Adalberto Loyola-Sanchez, Elizabeth Papathanassoglou, Rob MacIsaac, Mahdi Tavakoli, Chester Ho, Kiran Pohar Manhas","doi":"10.5195/ijt.2023.6523","DOIUrl":"10.5195/ijt.2023.6523","url":null,"abstract":"<p><strong>Scope: </strong>Early in the COVID-19 pandemic, community rehabilitation stakeholders from a provincial health system designed a novel telerehabilitation service. The service provided wayfinding and self-management advice to individuals with musculoskeletal concerns, neurological conditions, or post-COVID-19 recovery needs. This study evaluated the efficiency of the service in improving access to care.</p><p><strong>Methodology: </strong>We used multiple methods including secondary data analyses of call metrics, narrative analyses of clinical notes using artificial intelligence (AI) and machine learning (ML), and qualitative interviews.</p><p><strong>Conclusions: </strong>Interviews revealed that the telerehabilitation service had the potential to positively impact access to rehabilitation during the COVID-19 pandemic, for individuals living rurally, and for individuals on wait lists. Call metric analyses revealed that efficiency may be enhanced if call handling time was reduced. AI/ML analyses found that pain was the most frequently-mentioned keyword in clinical notes, suggesting an area for additional telerehabilitation resources to ensure efficiency.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47257795","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}
引用次数: 0
Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19. 全喉切除术后康复:COVID-19期间远程交付的综合方案
IF 3.3 Q1 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6548
Ylenia Longobardi, Vezio Savoia, Rosa Libero, Maria Elisabetta Marenda, Ilaria Proietti, Pasqualina Maria Picciotti, Giorgia Mari, Claudio Parrilla, Lucia D'Alatri

The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The results were compared with those of 17 patients ("In-Person Group") previously studied. The two groups obtained comparable results on all parameters of the INFVo perceptual rating scale, in the DEP, ANX, PHO and HOS areas of the Symptom Check List-90-Revised questionnaire, and in the areas investigated by the WHOQOL-B questionnaire. The "In-Person Group" obtained statistically better results on the Italian Self-Evaluation of Communication Experiences after Laryngeal Cancer questionnaire. Although the in-person treatment favored the acceptance of the new voice and the development of conversational skills, telerehabilitation guaranteed an adequate level of assistance in terms of voice acquisition, prevention of anxiety and depression, and recovery of a good QoL.

本文的目的是评估使用语音假体对喉切除术患者进行远程综合治疗的结果。18名喉切除术患者在言语治疗师和心理学家(“在线小组”)的共同领导下进行远程治疗。将结果与之前研究的17名患者(“面对面组”)的结果进行比较。两组在INFVo知觉评定量表的所有参数上,在症状检查表90修订问卷的DEP、ANX、PHO和HOS领域,以及在WHOQOL-B问卷调查的领域,获得了可比较的结果。在癌症后意大利自我评估交流经验问卷中,“人际小组”获得了更好的统计结果。尽管面对面的治疗有利于接受新声音和发展会话技能,但远程康复保证了在声音获取、预防焦虑和抑郁以及恢复良好生活质量方面提供足够的帮助。
{"title":"Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19.","authors":"Ylenia Longobardi, Vezio Savoia, Rosa Libero, Maria Elisabetta Marenda, Ilaria Proietti, Pasqualina Maria Picciotti, Giorgia Mari, Claudio Parrilla, Lucia D'Alatri","doi":"10.5195/ijt.2023.6548","DOIUrl":"10.5195/ijt.2023.6548","url":null,"abstract":"<p><p>The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist (\"Online Group\"). The results were compared with those of 17 patients (\"In-Person Group\") previously studied. The two groups obtained comparable results on all parameters of the INFVo perceptual rating scale, in the DEP, ANX, PHO and HOS areas of the Symptom Check List-90-Revised questionnaire, and in the areas investigated by the WHOQOL-B questionnaire. The \"In-Person Group\" obtained statistically better results on the Italian Self-Evaluation of Communication Experiences after Laryngeal Cancer questionnaire. Although the in-person treatment favored the acceptance of the new voice and the development of conversational skills, telerehabilitation guaranteed an adequate level of assistance in terms of voice acquisition, prevention of anxiety and depression, and recovery of a good QoL.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48777683","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}
引用次数: 0
Continuity of Early Intervention Services in New York City During the COVID-19 Pandemic. 2019冠状病毒病大流行期间纽约市早期干预服务的连续性
IF 3.3 Q1 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6553
Stella Kasamba, Katharine H McVeigh, Aurora Moraes, Ying Huang, Nora Puffett, Lidiya Lednyak

In response to COVID-19, the New York City Early Intervention (EI) Program rapidly transitioned from in-person to teletherapy services. We describe the timing of service resumption among children who received EI services between March 1 and March 17, 2020. The proportion of children who transitioned to teletherapy-only was 25% as of March 24, rising to 78% by July 6. By December 31, 2020, 87% of the cohort had resumed either teletherapy or in-person services. Child age, race, language, and neighborhood poverty all predicted service resumption timing. Children with a diagnosis of autism spectrum disorder were more likely to transition to teletherapy, and children with only 1-2 domains of delay were more likely to discontinue services altogether. Continuity of EI services during the COVID-19 public health emergency was a critical priority. Timely policy changes facilitated swift return to services and avoided exacerbation of the long-standing racial disparities in access to EI services.

为应对COVID-19,纽约市早期干预计划(EI)迅速从面对面的治疗服务转变为远程治疗服务。我们描述了在2020年3月1日至3月17日期间接受EI服务的儿童恢复服务的时间。截至3月24日,仅接受远程治疗的儿童比例为25%,到7月6日上升至78%。到2020年12月31日,87%的队列恢复了远程治疗或面对面的服务。儿童年龄、种族、语言和社区贫困都预测了服务恢复的时间。被诊断为自闭症谱系障碍的儿童更有可能过渡到远程治疗,而只有1-2个领域延迟的儿童更有可能完全停止服务。在2019冠状病毒病突发公共卫生事件期间,EI服务的连续性是一项关键优先事项。及时的政策变化促进了服务的迅速恢复,并避免了长期以来在获得EI服务方面的种族差异加剧。
{"title":"Continuity of Early Intervention Services in New York City During the COVID-19 Pandemic.","authors":"Stella Kasamba, Katharine H McVeigh, Aurora Moraes, Ying Huang, Nora Puffett, Lidiya Lednyak","doi":"10.5195/ijt.2023.6553","DOIUrl":"10.5195/ijt.2023.6553","url":null,"abstract":"<p><p>In response to COVID-19, the New York City Early Intervention (EI) Program rapidly transitioned from in-person to teletherapy services. We describe the timing of service resumption among children who received EI services between March 1 and March 17, 2020. The proportion of children who transitioned to teletherapy-only was 25% as of March 24, rising to 78% by July 6. By December 31, 2020, 87% of the cohort had resumed either teletherapy or in-person services. Child age, race, language, and neighborhood poverty all predicted service resumption timing. Children with a diagnosis of autism spectrum disorder were more likely to transition to teletherapy, and children with only 1-2 domains of delay were more likely to discontinue services altogether. Continuity of EI services during the COVID-19 public health emergency was a critical priority. Timely policy changes facilitated swift return to services and avoided exacerbation of the long-standing racial disparities in access to EI services.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47273798","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}
引用次数: 0
Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and Outcomes. 急性冠脉综合征后的混合心脏远程康复:自我选择预测因素和结果
IF 3.3 Q1 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6475
José Bernardo Ferreira, Margarida Cabral, Rita Santos, Marta Ferreira, Rui Fonseca-Pinto, Alexandre Antunes, Filipa Januário

Aims: To evaluate the effectiveness of a hybrid cardiac telerehabilitation (HCTR) program after acute coronary syndrome (ACS) on patient quality of life (QoL) and physical activity indices throughout phases 2-3 and establish predictors for hybrid program self-selection.

Methodology: This single-centre longitudinal retrospective study included patients who attended a cardiac rehabilitation program (CRP) between 2018-2021. Patients self-selected between two groups: Group 1 - conventional CRP (CCRP); Group 2 - HCTR. Baseline characteristics were registered. EuroQol-5D (EQ-5D) and International Physical Activity Questionnaire (IPAQ) were applied at three times: T0 - phase 2 onset; T1 - phase 3 onset; T2 - 3 months after T1.

Results: 59 patients participated (Group 1 - 27; Group 2 - 32). We found significant between-group differences regarding occupation (p=0.003). Diabetic patients were less likely to self-select into HCTR (OR=0.21; p<0.05). EQ-5D visual analogue scale and IPAQ result significantly improved between T0-T2 only for HCTR (p=0.001; p=0.021).

Conclusions: HCTR was superior to CCRP on physical activity indices and QoL of ACS patients.

目的:评价急性冠脉综合征(ACS)后混合心脏远程康复(HCTR)方案对患者2-3期生活质量(QoL)和体力活动指标的影响,建立混合方案自我选择的预测指标。方法:这项单中心纵向回顾性研究纳入了2018-2021年间参加心脏康复计划(CRP)的患者。患者自行选择两组:1组-常规CRP (CCRP);第二组- HCTR。记录基线特征。EuroQol-5D (EQ-5D)和国际身体活动问卷(IPAQ)应用于3次:T0 - 2期发病;T1 -第3期发病;T2 - T1后3个月。结果:59例患者参与研究(1 ~ 27组;第2 - 32组)。我们发现在职业方面组间差异显著(p=0.003)。糖尿病患者自我选择进入HCTR的可能性较小(OR=0.21;p < 0.05)。仅HCTR在T0-T2期间EQ-5D视觉模拟量表和IPAQ结果显著改善(p=0.001;p = 0.021)。结论:HCTR在ACS患者的身体活动指标和生活质量方面优于CCRP。
{"title":"Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and Outcomes.","authors":"José Bernardo Ferreira, Margarida Cabral, Rita Santos, Marta Ferreira, Rui Fonseca-Pinto, Alexandre Antunes, Filipa Januário","doi":"10.5195/ijt.2023.6475","DOIUrl":"10.5195/ijt.2023.6475","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the effectiveness of a hybrid cardiac telerehabilitation (HCTR) program after acute coronary syndrome (ACS) on patient quality of life (QoL) and physical activity indices throughout phases 2-3 and establish predictors for hybrid program self-selection.</p><p><strong>Methodology: </strong>This single-centre longitudinal retrospective study included patients who attended a cardiac rehabilitation program (CRP) between 2018-2021. Patients self-selected between two groups: Group 1 - conventional CRP (CCRP); Group 2 - HCTR. Baseline characteristics were registered. EuroQol-5D (EQ-5D) and International Physical Activity Questionnaire (IPAQ) were applied at three times: T0 - phase 2 onset; T1 - phase 3 onset; T2 - 3 months after T1.</p><p><strong>Results: </strong>59 patients participated (Group 1 - 27; Group 2 - 32). We found significant between-group differences regarding occupation (p=0.003). Diabetic patients were less likely to self-select into HCTR (OR=0.21; p<0.05). EQ-5D visual analogue scale and IPAQ result significantly improved between T0-T2 only for HCTR (p=0.001; p=0.021).</p><p><strong>Conclusions: </strong>HCTR was superior to CCRP on physical activity indices and QoL of ACS patients.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43041634","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}
引用次数: 0
Letter to the Editor - Update from Ukraine: Development of the Cloud-based Platform for Patient-centered Telerehabilitation of Oncology Patients with Mathematical-related Modeling. 给编辑的信-来自乌克兰的更新:开发基于云的平台,以数学相关建模为肿瘤患者提供以患者为中心的远程康复
IF 3.3 Q1 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6562
Kyrylo S Malakhov

This Letter to the Editor provides an update on the research from the Glushkov Institute of Cybernetics of the National Academy of Sciences of Ukraine. The Institute's research team in collaboration with Ternopil National Medical University began a new project called "Development of the cloud-based platform for patient-centered telerehabilitation of oncology patients with mathematical-related modeling." The project is dedicated to the development of a hybrid cloud-based platform, and the creation on its basis of information technology for the telemedicine rehabilitation of cancer patients, and adapted for patients with combat stress disorder. The distinctive features of the proposed technology are a combination of artificial intelligence methods with accurate mathematical methods for optimization: developing mathematical models of problems of discrete, and non-smooth optimization, subgradient space transformation algorithms (to minimize non-smooth functions with tens of thousands of variables), and a method of global equilibrium search, etc.

这封致编辑的信提供了乌克兰国家科学院格卢什科夫控制论研究所的最新研究。该研究所的研究团队与捷尔诺波尔国立医科大学合作,开始了一个名为“开发基于云的平台,用于肿瘤患者以患者为中心的远程康复,并进行数学相关建模”的新项目。该项目致力于开发一个基于云的混合平台,以及在其信息技术的基础上创建癌症患者的远程医疗康复,并适用于与应激障碍作斗争的患者。所提出的技术的显著特点是将人工智能方法与精确的数学优化方法相结合:开发离散和非光滑优化问题的数学模型,次梯度空间变换算法(最小化具有数万个变量的非光滑函数),以及全局均衡搜索方法等。
{"title":"Letter to the Editor - Update from Ukraine: Development of the Cloud-based Platform for Patient-centered Telerehabilitation of Oncology Patients with Mathematical-related Modeling.","authors":"Kyrylo S Malakhov","doi":"10.5195/ijt.2023.6562","DOIUrl":"10.5195/ijt.2023.6562","url":null,"abstract":"<p><p>This Letter to the Editor provides an update on the research from the Glushkov Institute of Cybernetics of the National Academy of Sciences of Ukraine. The Institute's research team in collaboration with Ternopil National Medical University began a new project called \"Development of the cloud-based platform for patient-centered telerehabilitation of oncology patients with mathematical-related modeling.\" The project is dedicated to the development of a hybrid cloud-based platform, and the creation on its basis of information technology for the telemedicine rehabilitation of cancer patients, and adapted for patients with combat stress disorder. The distinctive features of the proposed technology are a combination of artificial intelligence methods with accurate mathematical methods for optimization: developing mathematical models of problems of discrete, and non-smooth optimization, subgradient space transformation algorithms (to minimize non-smooth functions with tens of thousands of variables), and a method of global equilibrium search, etc.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43790653","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}
引用次数: 3
期刊
International Journal of Telerehabilitation
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1