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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 REHABILITATION 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。
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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 REHABILITATION 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。
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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 REHABILITATION 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。
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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 REHABILITATION 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。
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引用次数: 0
Development and Validation of the Protocol for Administering Telehealth Home (PATH) Assessments. 远程健康家庭(PATH)评估管理协议的制定和验证
IF 3.3 Q1 REHABILITATION Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.5195/ijt.2023.6545
Cicily McBride, Sara Story, Jana Cason

Home safety assessments and subsequent modifications can prevent hospitalization, institutionalization, and death among older adults. Telehealth has been shown to be an effective means to administer home safety assessments. However, a structured approach to synchronous telehealth home assessments has not been examined. This study involved development and validation of a structured telehealth home assessment protocol. The Protocol for Administering Telehealth Home (PATH) assessment was developed based on literature review, clinical experience with in-person and telehealth home assessments, and interviews with content experts. Six older adults participated in the validation phase of the protocol using a quasi-experimental, mixed-methods, one-group research design. The validation process resulted in modifications to the protocol to enhance its utility in practice. The PATH protocol provides a valid, structured approach to conducting synchronous telehealth home assessments and can be used by occupational therapists to administer home assessments for older adults desiring to age in place.

家庭安全评估和随后的修改可以防止老年人住院、住院和死亡。远程健康已被证明是管理家庭安全评估的有效手段。然而,尚未审查同步远程医疗家庭评估的结构化方法。本研究涉及结构化远程医疗家庭评估协议的开发和验证。远程健康家庭管理方案(PATH)评估是根据文献综述、亲自和远程健康家庭评估的临床经验以及对内容专家的采访制定的。六名老年人使用准实验、混合方法、一组研究设计参与了该方案的验证阶段。验证过程对协议进行了修改,以提高其在实践中的实用性。PATH协议为进行同步远程健康家庭评估提供了一种有效、结构化的方法,职业治疗师可以使用该协议为希望就地养老的老年人进行家庭评估。
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引用次数: 0
Editors' Note 编者注
Q1 REHABILITATION Pub Date : 2023-05-11 DOI: 10.5195/ijt.2023.6563
Ellen R. Cohn, Jana Cason
The International Journal of Telerehabilitation (IJT) is a biannual journal dedicated to advancing telerehabilitation by disseminating peer-reviewed information about current research and practices. IJT is indexed by PubMed and Scopus. IJT is published via the open journal system (OJS) and sponsored by the University of Pittsburgh’s Office of Scholarly Communication and Publishing at the University Library System.
《国际远程康复杂志》(IJT)是一本每两年出版一次的杂志,通过传播有关当前研究和实践的同行评议信息,致力于推进远程康复。IJT被PubMed和Scopus检索。IJT通过开放期刊系统(OJS)发布,由匹兹堡大学图书馆系统学术交流与出版办公室赞助。
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引用次数: 0
The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review. 远程医疗提供的肌肉骨骼物理治疗的健康经济影响:系统综述。
IF 3.3 Q1 REHABILITATION Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2023.6524
Darryn Marks, Sarah Kitcher, Elodie Attrazic, Wayne Hing, Michelle Cottrell

Introduction: While the efficacy of telehealth in musculoskeletal physiotherapy has been supported, its cost effectiveness has not been established. Therefore, the objective of this review was to ascertain the health economic impact of outpatient musculoskeletal physiotherapy delivered by telehealth and describe methodology utilized to date.

Methods: Electronic searching of PubMed, CINHAL, PEDro, and Web of Science databases was undertaken alongside handsearching for publications comprising: population: adults with musculoskeletal disorders managed in any type of outpatient ambulatory setting; intervention: physiotherapy delivered by telehealth comparison: traditional in-person physiotherapy; and, outcomes: economic analyses reporting costs and consequences. Appraisal was undertaken with the Downs and Black Questionnaire and the Consolidated Health Economic Evaluation Reporting Standards Checklist.

Results: Eleven studies of mixed methodological quality were included. Most were conducted in the public sector, from the economic perspective of the health service funder. Telehealth consistently produced health outcomes akin to in-person care. In all but one, telehealth was less costly, with savings achieved by reducing in-person consultations and travel costs.

Conclusion: Telehealth is as effective and cheaper than in-person physiotherapy for musculoskeletal disorders in public hospital outpatients. Further health economic research is needed to clarify the economic impact of telehealth upon non-government providers of musculoskeletal physiotherapy.

导言:虽然远程医疗在肌肉骨骼物理治疗中的疗效得到了支持,但其成本效益尚未确定。因此,本综述的目的是确定远程医疗提供的门诊肌肉骨骼物理治疗的健康经济影响,并描述迄今为止使用的方法。方法:电子检索PubMed、CINHAL、PEDro和Web of Science数据库,同时手工检索出版物,包括:人群:在任何类型的门诊门诊环境中治疗的肌肉骨骼疾病的成年人;干预措施:远程医疗提供的物理治疗比较:传统的面对面物理治疗;结果:报告成本和后果的经济分析。评估采用唐斯和布莱克调查表和综合卫生经济评估报告标准清单进行。结果:纳入了11项方法学质量参差不齐的研究。从保健服务资助者的经济角度来看,大多数是在公共部门进行的。远程保健始终产生与面对面护理类似的健康结果。除了一个以外,所有国家的远程保健费用都较低,通过减少面对面咨询和旅行费用实现了节省。结论:对于公立医院门诊的肌肉骨骼疾病患者,远程医疗与面对面的物理治疗一样有效且便宜。需要进行进一步的卫生经济学研究,以澄清远程保健对非政府提供肌肉骨骼物理治疗的经济影响。
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引用次数: 1
The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review 远程医疗提供的肌肉骨骼物理治疗的健康经济影响:系统综述
IF 3.3 Q1 REHABILITATION Pub Date : 2022-12-13 DOI: 10.5195/ijt.2022.6524
Darryn Marks, Sarah Kitcher, Elodie Attrazic, W. Hing, M. Cottrell
Introduction: While the efficacy of telehealth in musculoskeletal physiotherapy has been supported, its cost effectiveness has not been established. Therefore, the objective of this review was to ascertain the health economic impact of outpatient musculoskeletal physiotherapy delivered by telehealth and describe methodology utilized to date. Methods: Electronic searching of PubMed, CINHAL, PEDro, and Web of Science databases was undertaken alongside handsearching for publications comprising: population: adults with musculoskeletal disorders managed in any type of outpatient ambulatory setting; intervention: physiotherapy delivered by telehealth comparison: traditional in-person physiotherapy; and, outcomes: economic analyses reporting costs and consequences. Appraisal was undertaken with the Downs and Black Questionnaire and the Consolidated Health Economic Evaluation Reporting Standards Checklist. Results: Eleven studies of mixed methodological quality were included. Most were conducted in the public sector, from the economic perspective of the health service funder. Telehealth consistently produced health outcomes akin to in-person care. In all but one, telehealth was less costly, with savings achieved by reducing in-person consultations and travel costs. Conclusion: Telehealth is as effective and cheaper than in-person physiotherapy for musculoskeletal disorders in public hospital outpatients. Further health economic research is needed to clarify the economic impact of telehealth upon non-government providers of musculoskeletal physiotherapy.
引言:虽然远程医疗在肌肉骨骼理疗中的疗效得到了支持,但其成本效益尚未确定。因此,本综述的目的是确定远程医疗提供的门诊肌肉骨骼理疗对健康经济的影响,并描述迄今为止使用的方法。方法:在对PubMed、CINHAL、PEDro和Web of Science数据库进行电子搜索的同时,对包括以下内容的出版物进行手查:人群:在任何类型的门诊环境中管理的患有肌肉骨骼疾病的成年人;干预:远程医疗提供的物理治疗比较:传统的面对面物理治疗;以及成果:报告成本和后果的经济分析。使用Downs and Black问卷和综合健康经济评估报告标准检查表进行评估。结果:纳入了11项混合方法学质量的研究。从医疗服务资助者的经济角度来看,大多数都是在公共部门进行的。远程医疗始终产生类似于亲自护理的健康结果。除一项外,远程医疗的成本较低,通过减少当面咨询和差旅成本节省了费用。结论:对于公立医院门诊的肌肉骨骼疾病,远程医疗与亲自理疗一样有效且便宜。需要进一步的健康经济研究,以阐明远程医疗对非政府肌肉骨骼理疗提供者的经济影响。
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引用次数: 0
Editors' Note. 编者注。
IF 3.3 Q1 REHABILITATION Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6533
Ellen R Cohn, Jana Cason
{"title":"Editors' Note.","authors":"Ellen R Cohn, Jana Cason","doi":"10.5195/ijt.2022.6533","DOIUrl":"https://doi.org/10.5195/ijt.2022.6533","url":null,"abstract":"","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 2","pages":"e6533"},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463452","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
Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study. 将远程医疗整合到职业治疗实践中会影响手部和上肢康复的临床结果吗?配对病例对照研究
IF 3.3 Q1 REHABILITATION Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6505
Kristie J Harper, Siân Fitzgerald, Png Xiyin, Jordan Kuzich, Soon Hui Leow, Jacques Angela, Courtenay Harris

Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy.

保健服务正在利用远程保健的兴起,并寻求发展将远程保健纳入标准保健的可持续模式。远程医疗在手部和上肢职业治疗实践中的服务和临床效果有待进一步研究。本研究利用病例对照研究来探讨病例匹配患者接受远程医疗混合模式与传统面对面护理的可行性和临床结果。共招募了102例患者(对照组和病例组共51例),平均年龄为45岁。远程保健并不逊于标准护理,治疗时间(p=0.441)或转诊时间(p=0.047)均无显著增加。两组临床不良事件差异无统计学意义(p=0.741)。接受远程医疗的患者退出服务的次数显著减少(p = 0.031)。患者和治疗师的满意度很高,支持在职业治疗中持续使用和继续实施远程保健。
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引用次数: 1
期刊
International Journal of Telerehabilitation
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