Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 10.5195/ijt.2022.6532
Mohamed Salaheldien Alayat, Nahla Ahmad Almatrafi, Abdulqader Abdulrazaq Almutairi, Amir Abdel Raouf El Fiky, Ahmed Mohamed Elsodany
Objective: The aim of this systematic review and meta-analysis was to investigate the effectiveness of telerehabilitation on improving balance and functional mobility in stroke survivors.
Methods: Comprehensive searching was conducted from inception to May 2022. The inclusion criteria were studies evaluating the effectiveness of telerehabilitation in stroke survivors. Data regarding participants, intervention, outcome measures, and main results were extracted. PEDro scale and the Grading of Recommendations Assessment Development and Evaluation (GRADE) were used to assess the methodological quality and quality of evidence, respectively.
Data analysis: A total of fourteen articles) 594 patients) were included. A meta-analysis using a random-effect model was performed on thirteen studies )530 patients). Standardized mean difference (SMD) with 95% confidence interval (CI) was calculated for balance and functional mobility. Results: PEDro scale revealed ten good-quality studies, three fair-quality studies, and one poor-quality study. According to the available evidence, telerehabilitation has a small effect size in improving both balance (SMD 0.33 [95% CI 0.03 to 0.63]; P =0.03; low quality of evidence) and functional mobility (SMD 0.27 [95% CI 0.02 to 0.52]; P =0.03; low quality of evidence).
Conclusion: Telerehabilitation may improve balance and functional mobility in stroke survivors. However, it is evident that more high-quality research is required due to the existence of low to very low-quality evidence with limited confidence in the effect estimate.
Registration: PROSPERO registration number (CRD42022306410).
{"title":"The Effectiveness of Telerehabilitation on Balance and Functional Mobility in Patients with Stroke: A Systematic Review and Meta-Analysis.","authors":"Mohamed Salaheldien Alayat, Nahla Ahmad Almatrafi, Abdulqader Abdulrazaq Almutairi, Amir Abdel Raouf El Fiky, Ahmed Mohamed Elsodany","doi":"10.5195/ijt.2022.6532","DOIUrl":"10.5195/ijt.2022.6532","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this systematic review and meta-analysis was to investigate the effectiveness of telerehabilitation on improving balance and functional mobility in stroke survivors.</p><p><strong>Methods: </strong>Comprehensive searching was conducted from inception to May 2022. The inclusion criteria were studies evaluating the effectiveness of telerehabilitation in stroke survivors. Data regarding participants, intervention, outcome measures, and main results were extracted. PEDro scale and the Grading of Recommendations Assessment Development and Evaluation (GRADE) were used to assess the methodological quality and quality of evidence, respectively.</p><p><strong>Data analysis: </strong>A total of fourteen articles) 594 patients) were included. A meta-analysis using a random-effect model was performed on thirteen studies )530 patients). Standardized mean difference (SMD) with 95% confidence interval (CI) was calculated for balance and functional mobility. Results: PEDro scale revealed ten good-quality studies, three fair-quality studies, and one poor-quality study. According to the available evidence, telerehabilitation has a small effect size in improving both balance (SMD 0.33 [95% CI 0.03 to 0.63]; P =0.03; low quality of evidence) and functional mobility (SMD 0.27 [95% CI 0.02 to 0.52]; P =0.03; low quality of evidence).</p><p><strong>Conclusion: </strong>Telerehabilitation may improve balance and functional mobility in stroke survivors. However, it is evident that more high-quality research is required due to the existence of low to very low-quality evidence with limited confidence in the effect estimate.</p><p><strong>Registration: </strong>PROSPERO registration number (CRD42022306410).</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48170396","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}
Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 10.5195/ijt.2022.6531
Portia Carr, Dana Moser, Shana Williamson, Greg Robinson, Stephen Kintz
Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and the COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model.
{"title":"Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations.","authors":"Portia Carr, Dana Moser, Shana Williamson, Greg Robinson, Stephen Kintz","doi":"10.5195/ijt.2022.6531","DOIUrl":"10.5195/ijt.2022.6531","url":null,"abstract":"<p><p>Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and the COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47444967","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}
Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 10.5195/ijt.2022.6497
Sam James, Megan Conrad, Sankar Sengupta
Handgrip strength is an essential function of the hand to perform day-to-day tasks. People lose grip strength due to various factors such as aging, diseases, and other medical conditions. According to neuroplastic and physiological principles, grip strength can be improved using goal-oriented tasks or exercises repeatedly and consistently. People often fail to adhere to repeated movements, including grip strength exercises. Studies have shown that game-based rehabilitation has improved exercise compliance and functional outcomes. This article explains the design and development of an affordable smartphone-based telerehabilitation system that includes an innovatively designed grip strength device (eGripper) and a phone application to play games.
{"title":"Development of an Innovative Telerehabilitation System to Improve Handgrip Strength.","authors":"Sam James, Megan Conrad, Sankar Sengupta","doi":"10.5195/ijt.2022.6497","DOIUrl":"10.5195/ijt.2022.6497","url":null,"abstract":"<p><p>Handgrip strength is an essential function of the hand to perform day-to-day tasks. People lose grip strength due to various factors such as aging, diseases, and other medical conditions. According to neuroplastic and physiological principles, grip strength can be improved using goal-oriented tasks or exercises repeatedly and consistently. People often fail to adhere to repeated movements, including grip strength exercises. Studies have shown that game-based rehabilitation has improved exercise compliance and functional outcomes. This article explains the design and development of an affordable smartphone-based telerehabilitation system that includes an innovatively designed grip strength device (eGripper) and a phone application to play games.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48619482","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}
Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 10.5195/ijt.2022.6506
Karina Rodrigues Mauro, Laura de Menezes Cantusio, Karina Guimarães de Brito Menezes, Karine Jacon Sarro
Introduction: The analysis of movement quality is important for better exercise prescription. This study tested the reproducibility of a protocol for remote assessment of dynamic knee alignment using images taken by patients.
Methods: Thirteen women filmed themselves performing single-leg squats on two days at a 15-day interval. Three raters measured the knee frontal plane projection angle using the resultant images.
Results: Two participants (15.4%) were excluded for not performing the protocol correctly. The intraclass correlation coefficient was between 0.880 and 0.999 for the intra-rater comparison, and between 0.817 and 0.987 for the inter-rater comparison.
Discussion: The success of the protocol in 84.6% of participants and the excellent reproducibility suggest that the methodology of analyzing patient-captured cell phone images might be a plausible alternative for remote evaluation of dynamic knee alignment.
{"title":"Reliability of the Frontal Plane Knee Alignment Measurement Based on a Remote Protocol.","authors":"Karina Rodrigues Mauro, Laura de Menezes Cantusio, Karina Guimarães de Brito Menezes, Karine Jacon Sarro","doi":"10.5195/ijt.2022.6506","DOIUrl":"10.5195/ijt.2022.6506","url":null,"abstract":"<p><strong>Introduction: </strong>The analysis of movement quality is important for better exercise prescription. This study tested the reproducibility of a protocol for remote assessment of dynamic knee alignment using images taken by patients.</p><p><strong>Methods: </strong>Thirteen women filmed themselves performing single-leg squats on two days at a 15-day interval. Three raters measured the knee frontal plane projection angle using the resultant images.</p><p><strong>Results: </strong>Two participants (15.4%) were excluded for not performing the protocol correctly. The intraclass correlation coefficient was between 0.880 and 0.999 for the intra-rater comparison, and between 0.817 and 0.987 for the inter-rater comparison.</p><p><strong>Discussion: </strong>The success of the protocol in 84.6% of participants and the excellent reproducibility suggest that the methodology of analyzing patient-captured cell phone images might be a plausible alternative for remote evaluation of dynamic knee alignment.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45438745","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}
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。
{"title":"The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review","authors":"Darryn Marks, Sarah Kitcher, Elodie Attrazic, W. Hing, M. Cottrell","doi":"10.5195/ijt.2022.6524","DOIUrl":"https://doi.org/10.5195/ijt.2022.6524","url":null,"abstract":"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.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46706771","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}
Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 10.5195/ijt.2022.6517
Shelissa Govender, Annika L Vallabhjee, Chenay R Charles, Darike Roesch, Sadna Balton
South Africa is a low to middle income country (LMIC) with a population of 60 million people. The public health sector serves more than 80% of the population. Chris Hani Baragwanath Academic Hospital is a central level public health care facility situated in Gauteng. The Speech Therapy and Audiology Department provides insight into their telepractice services through a qualitative approach. The onset of the COVID-19 pandemic resulted in therapists exploring telepractice as a sustainable model of service delivery. Therapists and patients encountered many challenges to the implementation of telepractice, however, the commitment of therapists ensured that creative solutions were developed. A comprehensive needs analysis at public health institutions is required to ensure the sustainability of telepractice. A hybrid model (telepractice and in-person consults) holds the potential to reduce the financial burden on patients and increase access to quality patient-centered care.
{"title":"Bridging the Access Gap: The Telepractice Experience of Speech Therapists and Audiologists at a Public Health Care Facility in South Africa.","authors":"Shelissa Govender, Annika L Vallabhjee, Chenay R Charles, Darike Roesch, Sadna Balton","doi":"10.5195/ijt.2022.6517","DOIUrl":"10.5195/ijt.2022.6517","url":null,"abstract":"<p><p>South Africa is a low to middle income country (LMIC) with a population of 60 million people. The public health sector serves more than 80% of the population. Chris Hani Baragwanath Academic Hospital is a central level public health care facility situated in Gauteng. The Speech Therapy and Audiology Department provides insight into their telepractice services through a qualitative approach. The onset of the COVID-19 pandemic resulted in therapists exploring telepractice as a sustainable model of service delivery. Therapists and patients encountered many challenges to the implementation of telepractice, however, the commitment of therapists ensured that creative solutions were developed. A comprehensive needs analysis at public health institutions is required to ensure the sustainability of telepractice. A hybrid model (telepractice and in-person consults) holds the potential to reduce the financial burden on patients and increase access to quality patient-centered care.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45467110","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}
Aims: This study aimed to (1) examine the feasibility of an online interactive exercise class for community-dwelling older adults and (2) preliminarily examine changes in physical activity and self-efficacy.
Methods: Participants were 25 community-dwelling older adults aged 65 years or older, but due to 5 dropouts, the final number of participants for analysis was 20 (mean age 76.9 ± 5.7 years). The intervention program was conducted for 40 minutes each session, twice a week for four consecutive weeks, using the LINE group call (LINE Corporation, Japan). An online questionnaire was used to assess participant characteristics, modified Fall Efficacy Scale score, modified Gait Efficacy Scale (m-GES) score, self-rated health, and daily steps, which were compared pre- and post-intervention using the Wilcoxon signed-rank sum and chi-square tests.
Results: The Wilcoxon signed-rank sum test showed significant improvement in the m-GES score and daily steps. The chi-square test showed that self-rated health was significantly greater in the maintenance/increase group.
Conclusions: Online interactive exercise classes are feasible for community-dwelling older individuals. These results also suggest the possibility of using telehealth to improve physical activity and self-efficacy.
{"title":"Change in Daily Steps and Self-efficacy of Online Interactive Exercise Classes for Community-dwelling Older Adults in Japan: A Preliminary Study.","authors":"Mami Ishizuka-Inoue, Kanako Shimoura, Reika Yamashita, Miyu Onishi, Takanobu Saito, Momoko Nagai-Tanima, Tomoki Aoyama","doi":"10.5195/ijt.2022.6492","DOIUrl":"10.5195/ijt.2022.6492","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to (1) examine the feasibility of an online interactive exercise class for community-dwelling older adults and (2) preliminarily examine changes in physical activity and self-efficacy.</p><p><strong>Methods: </strong>Participants were 25 community-dwelling older adults aged 65 years or older, but due to 5 dropouts, the final number of participants for analysis was 20 (mean age 76.9 ± 5.7 years). The intervention program was conducted for 40 minutes each session, twice a week for four consecutive weeks, using the LINE group call (LINE Corporation, Japan). An online questionnaire was used to assess participant characteristics, modified Fall Efficacy Scale score, modified Gait Efficacy Scale (m-GES) score, self-rated health, and daily steps, which were compared pre- and post-intervention using the Wilcoxon signed-rank sum and chi-square tests.</p><p><strong>Results: </strong>The Wilcoxon signed-rank sum test showed significant improvement in the m-GES score and daily steps. The chi-square test showed that self-rated health was significantly greater in the maintenance/increase group.</p><p><strong>Conclusions: </strong>Online interactive exercise classes are feasible for community-dwelling older individuals. These results also suggest the possibility of using telehealth to improve physical activity and self-efficacy.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45025263","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}
Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 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":null,"pages":null},"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}
The purpose of this research was to investigate speech-language pathologists' (SLPs) perspectives, attitudes, and experiences of using telepractice for preschoolers in Turkey. A mixed-method online survey was used with SLPs who implemented telepractice with preschool children. Frequency distribution and theme analysis were used to examine the data. Therapy was the most offered online service (98%). Further, 67% of SLPs worked with speech sound disorders. More than half of SLPs felt confident offering telepractice to preschoolers. Most respondents thought that telepractice was an appropriate and easily accessible approach for preschool children, with the applicability of telepractice connected to a child's type of problem. The SLPs were motivated by the numerous advantages of telepractice. However, their opinions were divided when telepractice was compared to in-person treatment. The SLPs in Turkey must be better educated about telepractice, and clinical standards established. The findings point to areas of telepractice that might be improved for preschoolers, especially in Turkey.
{"title":"Telepractice with Preschool Children: Speech-Language Pathologists' Perspectives in Turkey.","authors":"Merve Dilbaz Gürsoy, Tuğçe Karahan Tığrak, Ayşen Köse","doi":"10.5195/ijt.2022.6465","DOIUrl":"10.5195/ijt.2022.6465","url":null,"abstract":"<p><p>The purpose of this research was to investigate speech-language pathologists' (SLPs) perspectives, attitudes, and experiences of using telepractice for preschoolers in Turkey. A mixed-method online survey was used with SLPs who implemented telepractice with preschool children. Frequency distribution and theme analysis were used to examine the data. Therapy was the most offered online service (98%). Further, 67% of SLPs worked with speech sound disorders. More than half of SLPs felt confident offering telepractice to preschoolers. Most respondents thought that telepractice was an appropriate and easily accessible approach for preschool children, with the applicability of telepractice connected to a child's type of problem. The SLPs were motivated by the numerous advantages of telepractice. However, their opinions were divided when telepractice was compared to in-person treatment. The SLPs in Turkey must be better educated about telepractice, and clinical standards established. The findings point to areas of telepractice that might be improved for preschoolers, especially in Turkey.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45130273","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}
Pub Date : 2022-12-13eCollection Date: 2022-01-01DOI: 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.
{"title":"Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study.","authors":"Kristie J Harper, Siân Fitzgerald, Png Xiyin, Jordan Kuzich, Soon Hui Leow, Jacques Angela, Courtenay Harris","doi":"10.5195/ijt.2022.6505","DOIUrl":"10.5195/ijt.2022.6505","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42188395","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}