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COVID-19 Lessons From The Field: Toward A Pediatric Physical Therapy Telehealth Framework. 2019冠状病毒病的经验教训:建立儿科物理治疗远程医疗框架。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6448
Galia Daube Fishman, Jeananne Elkins

Introduction: Telehealth is an established health service delivery method, yet little is known regarding pediatric physical therapy telehealth. We aimed to evaluate users' experiences and create a framework for effective delivery.

Methods: A pediatric physical therapists' telehealth user survey was conducted.

Results: Seventy-three respondents varied in years of experience and caseload. Most found telehealth easy to learn and use, and they believed the treatment they delivered was useful. Three main themes for successful treatments emerged and were organized into a framework for effective delivery: (1) caregivers' involvement; (2) therapist telehealth 'toolbox' (sub-divided into: treatment management tools, and therapist-caregivers' collaboration tools); and (3) telehealth client (child) characteristics.

Conclusion: This study suggests a new framework for effective pediatric physical therapy telehealth delivery to support best practice, for use by administrators and therapists, and recommends directions for further research.

远程医疗是一种成熟的卫生服务提供方法,但对儿童物理治疗远程医疗知之甚少。我们的目标是评估用户体验,并创建一个有效交付的框架。方法:对儿童物理治疗师远程医疗使用情况进行调查。结果:73名受访者的经验和工作量各不相同。大多数人认为远程保健易于学习和使用,他们认为他们提供的治疗是有用的。成功的治疗出现了三个主要主题,并被组织成一个有效提供的框架:(1)护理人员的参与;(2)治疗师远程医疗“工具箱”(细分为:治疗管理工具和治疗师-护理者协作工具);(3)远程医疗客户(儿童)特征。结论:本研究为有效的儿科物理治疗远程医疗提供了一个新的框架,以支持最佳实践,供管理人员和治疗师使用,并为进一步的研究提出了方向。
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引用次数: 4
Quality of Life in Patients With Heart Failure Assisted By Telerehabilitation: A Systematic Review and Meta-Analysis. 远程康复辅助心力衰竭患者的生活质量:一项系统综述和荟萃分析。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6456
André Luiz Lisboa Cordeiro, Andrêza da Silva Miranda, Halana Melo de Almeida, Paulo Santos

Introduction: Heart failure (HF) is a syndrome that implies several physical and emotional changes that compromise quality of life. Telerehabilitation is a strategy developed with the aim of involving and motivating cardiac patients to participate in cardiac rehabilitation in their daily routine at home.

Objective: To review the impact of telerehabilitation on the quality of life of patients with HF.

Methods: This is a systematic review using the PICO strategy, with a search conducted in the electronic data sources PubMed, LILACS (Latin American and Caribbean Literature in Health Sciences) and SciELO (Scientific Electronic Library Online), with the following descriptors: heart failure, congestive heart failure, chronic heart failure, distance rehabilitation, virtual rehabilitation, telerehabilitation, telemedicine, quality of life and HRQoL, combined by the Boolean operators "AND" and "OR", including articles between 2011 and 2021.

Results: Nine articles were found after reading the abstract and titles; five of these met the inclusion criteria. They showed that telerehabilitation contributes to a better quality of life due to the daily increase in mental, social, and sexual activities, exercise tolerance, improvement of symptoms such as edema, fatigue, and dyspnea and reduction of mortality and readmission rates. Telerehabilitation was effective in improving quality of life in patients with HF (mean difference (MD) = -0,22; CI 95% -0.40 to 0.04.

Conclusion: Telerehabilitation was at least as effective as usual care and conventional cardiac rehabilitation in improving the quality of life in patients with HF.

心衰(HF)是一种综合征,它意味着一些身体和情绪上的变化会影响生活质量。远程康复是一种策略,其目的是让和激励心脏病患者在日常生活中参与心脏康复。目的:探讨远程康复对心衰患者生活质量的影响。方法:这是一项使用PICO策略的系统综述,在PubMed、LILACS(拉丁美洲和加勒比健康科学文献)和SciELO(科学电子图书馆在线)电子数据源中进行了搜索,描述如下:心力衰竭、充血性心力衰竭、慢性心力衰竭、远程康复、虚拟康复、远程康复、远程医疗、生活质量和HRQoL,由布尔运算符“and”和“OR”组合,包括2011年至2021年之间的文章。结果:阅读摘要和标题后共找到9篇文章;其中5个符合纳入标准。他们表明,远程康复有助于提高生活质量,因为每天增加精神、社交和性活动,运动耐受性,改善水肿、疲劳和呼吸困难等症状,降低死亡率和再入院率。远程康复可有效改善心衰患者的生活质量(平均差(MD) = -0,22;CI 95% -0.40至0.04。结论:远程康复在改善心衰患者生活质量方面至少与常规护理和常规心脏康复一样有效。
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引用次数: 3
Editors' Note. 编者注。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6469
Ellen R Cohn, Jana Cason
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引用次数: 0
A Mindfulness Program Addressing Sleep Quality and Stress: Transition to a Telehealth Format for Higher Education Students During COVID-19. 解决睡眠质量和压力的正念计划:在COVID-19期间过渡到高等教育学生的远程医疗格式。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6439
Sara Benham, Nabila Enam, Samanvita Ivaturi

Many higher education students report sleep problems, further exemplified along with stress at the onset of the COVID-19 pandemic. Promising evidence supports the use of mindfulness programming, although synchronous telehealth sessions have not been adequately examined. This exploratory eight-session telehealth mindfulness program utilized a pretest-posttest quantitative design to examine changes in sleep quality and perceived stress for 16 higher education students enrolled at a health professions-focused university. Sleep quality changes were measured using the Pittsburgh Sleep Quality Index (Z=-3.234, p=0.0012, d=-0.808) and perceived stress with the Perceived Stress Scale (Z=-3.102, p=0.0019, d=-0.776), both of which were significant. The results suggest that synchronous mindfulness programming delivered via telehealth has the potential to improve sleep quality and perceived stress in students, however, future studies should consider the use of objective measurements of sleep duration and quality, and a control group.

许多高等教育学生报告睡眠问题,这在新冠疫情爆发时的压力进一步体现出来。有希望的证据支持正念方案的使用,尽管同步远程保健会议尚未得到充分审查。这个探索性的八期远程医疗正念计划利用前测后测定量设计来检查16名就读于一所卫生专业大学的高等教育学生的睡眠质量和感知压力的变化。采用匹兹堡睡眠质量指数(Z=-3.234, p=0.0012, d=-0.808)和感知压力量表(Z=-3.102, p=0.0019, d=-0.776)测量睡眠质量变化,两者均具有显著性。结果表明,通过远程医疗提供的同步正念编程有可能改善学生的睡眠质量和感知压力,然而,未来的研究应考虑使用客观的睡眠持续时间和质量测量,并建立一个对照组。
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引用次数: 1
Implementing Team-Based Post-Stroke Telerehabilitation: A Case Example. 实施基于团队的中风后远程康复:一个案例。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6438
Melissa Anderson, Brad Dexter, Ana Hancock, Nealey Hoffman, Steve Kerschke, Karen Hux, Dipika Aggarwal

Access to extensive, interdisciplinary rehabilitation following stroke is necessary to optimize recovery. Telerehabilitation is an appropriate model for delivering these services. However, given its relatively recent increase in popularity as a service delivery model, researchers have yet to explore the feasibility of interprofessional coordination and collaboration as a guiding framework for telerehabilitation and the effects of team-based remote service delivery on recovery of body functions and activities. This case example reports the development, implementation, and progression of a post-acute treatment program delivered via telerehabilitation to a woman with left hemorrhagic stroke. As is typical, therapy time alone afforded insufficient practice to exploit neuroplasticity and ensure maintenance and generalization of improved functioning; hence, the team worked collaboratively to encourage interdisciplinary activities outside scheduled treatment sessions. Standardized and informal assessments administered at the start and conclusion of treatment confirmed improved functioning as did the client's progress toward independent living and return to work. Implications for telerehabilitation practices are discussed.

获得广泛的,跨学科的康复中风后是必要的优化恢复。远程康复是提供这些服务的合适模式。然而,鉴于其作为一种服务提供模式的相对流行,研究人员尚未探索跨专业协调和合作作为远程康复指导框架的可行性以及基于团队的远程服务提供对身体功能和活动恢复的影响。本病例报告了通过远程康复治疗一位左出血性中风妇女的急性后治疗方案的发展、实施和进展。典型的是,单独的治疗时间不能提供充分的实践来开发神经可塑性,并确保维持和推广改善的功能;因此,团队合作鼓励在计划治疗之外的跨学科活动。在治疗开始和结束时进行的标准化和非正式评估证实了功能的改善,以及客户在独立生活和重返工作方面的进展。讨论了远程康复实践的意义。
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引用次数: 2
Feasibility of Virtual Assessment of Physical Frailty in Solid Organ Transplant Recipients: A Single Center, Observational Study. 实体器官移植受者身体虚弱虚拟评估的可行性:单中心观察性研究。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6447
Manoela de Paula Ferreira, Noori Chowdhury, Lisa Wickerson, Heather Ross, Nazia Selzner, S Joseph Kim, Lianne G Singer, Sunita Mathur

Objectives: To describe the feasibility of virtual assessments of physical frailty in solid organ transplant (SOT) recipients using a modified Fried Frailty Index (mFFI) and Short Physical Performance Battery (SPPB), and to describe the prevalence of frailty 12-months post-transplant using virtual assessment.

Methods: Virtual assessments were performed using an e-questionnaire and a video-call for functional tests. Feasibility variables included: internet quality, video-call duration, presence of a companion, and adverse events.

Results: 34 SOT recipients, median age 62 (46-67), 76% lung recipients, 47% female, were included. The video-call had a median duration of 12 minutes (10-15 min), without adverse events. A companion was present in 23 (68%) video-call assessments. Fifteen SOT recipients (44%) were classified as pre-frail by the mFFI, and none were frail. Three participants (8.8%) were classified as frail using the SPPB.

Conclusion: Virtual frailty assessments can be used as an alternative to in-person assessments in SOT recipients.

目的:描述使用改进的Fried虚弱指数(mFFI)和短物理性能电池(SPPB)对实体器官移植(SOT)受者身体虚弱进行虚拟评估的可行性,并使用虚拟评估来描述移植后12个月虚弱的患病率。方法:采用电子问卷和视频通话进行功能测试的虚拟评估。可行性变量包括:网络质量、视频通话时长、陪伴者的存在和不良事件。结果:纳入34例SOT受体,中位年龄62岁(46-67岁),76%为肺受体,47%为女性。视频通话的中位持续时间为12分钟(10-15分钟),无不良事件发生。在23次(68%)视频通话评估中有同伴在场。15名SOT接受者(44%)被mFFI归类为虚弱前期,没有人虚弱。3名参与者(8.8%)被SPPB分类为体弱。结论:虚拟虚弱评估可作为SOT受者面对面评估的替代方法。
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引用次数: 1
Feasibility and Perception of a Diet and Exercise Intervention Delivered via Telehealth to Firefighters. 通过远程医疗向消防员提供饮食和运动干预的可行性和感知。
IF 2.5 Q1 REHABILITATION Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6458
Stephanie Donahue, Carly McMorrow, Andrew A Almeida, Deborah L Feairheller

Introduction: Firefighters have a high risk of cardiovascular incidence due to their poor health, fitness, and dietary habits. The purpose of this study was to examine the feasibility of a diet and exercise intervention within firefighters delivered exclusively via telehealth to help reduce the risks of cardiovascular disease. Additionally, the firefighters' perception of their health was assessed.

Methods: Fifteen firefighters participated in a six-week Mediterranean diet and a functional circuit exercise intervention with pre- and post-fitness testing and survey completion. The firefighters had weekly video calls with their telehealth coach.

Results: Self-assessed health improved with the intervention from an average of 5.9 to 7.9 out of 10. Both weight and BMI significantly decreased with the intervention. Overall, firefighters had high adherence to both portions of the intervention.

Discussion: Telehealth interventions may be efficacious in improving firefighter fitness levels and overall health as firefighters saw positive health and fitness improvements.

导言:由于健康状况、体能和饮食习惯较差,消防员患心血管疾病的风险很高。本研究的目的是探讨完全通过远程保健对消防员进行饮食和运动干预的可行性,以帮助降低心血管疾病的风险。此外,还评估了消防员对自身健康的看法:方法:15 名消防员参加了为期六周的地中海饮食和功能性巡回运动干预,并完成了前后体能测试和调查。消防员每周与他们的远程保健教练进行视频通话:结果:干预后,自我健康评估从平均 5.9 分提高到 7.9 分(满分 10 分)。干预后,体重和体重指数都明显下降。总体而言,消防员对干预措施两部分的坚持率都很高:讨论:远程保健干预措施可有效提高消防员的体能水平和整体健康水平,因为消防员的健康和体能都得到了积极改善。
{"title":"Feasibility and Perception of a Diet and Exercise Intervention Delivered via Telehealth to Firefighters.","authors":"Stephanie Donahue, Carly McMorrow, Andrew A Almeida, Deborah L Feairheller","doi":"10.5195/ijt.2022.6458","DOIUrl":"10.5195/ijt.2022.6458","url":null,"abstract":"<p><strong>Introduction: </strong>Firefighters have a high risk of cardiovascular incidence due to their poor health, fitness, and dietary habits. The purpose of this study was to examine the feasibility of a diet and exercise intervention within firefighters delivered exclusively via telehealth to help reduce the risks of cardiovascular disease. Additionally, the firefighters' perception of their health was assessed.</p><p><strong>Methods: </strong>Fifteen firefighters participated in a six-week Mediterranean diet and a functional circuit exercise intervention with pre- and post-fitness testing and survey completion. The firefighters had weekly video calls with their telehealth coach.</p><p><strong>Results: </strong>Self-assessed health improved with the intervention from an average of 5.9 to 7.9 out of 10. Both weight and BMI significantly decreased with the intervention. Overall, firefighters had high adherence to both portions of the intervention.</p><p><strong>Discussion: </strong>Telehealth interventions may be efficacious in improving firefighter fitness levels and overall health as firefighters saw positive health and fitness improvements.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225571","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
Comparison of Goal Achievement When Transitioning from In-Person Therapy to Teletherapy in Westchester County Early Intervention Program Due to the COVID-19 Pandemic. 新冠肺炎大流行后威彻斯特县早期干预项目从面对面治疗向远程治疗过渡的目标实现情况比较
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6450
Inna C De Leon, JennaLynn Philipps, Marina Yoegel, Joseph Byrnes, Jordan S Kase

The sudden transition to virtual therapeutic services during the COVID-19 pandemic provided a unique opportunity to explore telehealth as a platform for delivering early intervention (EI) services. Through retrospective chart review of 93 children, we collected the following data: demographics, diagnosed conditions, therapy type, service format, and provider-reported participant goal achievement (1=no progress, 2=little progress, 3=moderate progress, 4=great deal of progress, 5=outcome achieved) over a six-month period before and after transitioning to telehealth. Pre- and post-transition progress scores were compared using the Wilcoxon signed-rank test. Results demonstrated maintained progress among children who transitioned from in-person to virtual services for similar therapy types. Children receiving speech therapy in-person and virtually demonstrated increased achievement (3.00 vs 3.33; p=0.032). Participants receiving a particular therapy post-transition but not in-person attained similar achievement as those who received the same therapy only in-person. Our research suggests that teletherapy may be a viable option for delivering EI services.

COVID-19大流行期间突然向虚拟治疗服务过渡,为探索将远程医疗作为提供早期干预(EI)服务的平台提供了独特的机会。通过对93名儿童的回顾性图表审查,我们收集了以下数据:人口统计数据、诊断条件、治疗类型、服务形式和提供者报告的参与者目标实现情况(1=无进展,2=进展甚微,3=中度进展,4=进展很大,5=取得成果)在过渡到远程保健前后的六个月期间。使用Wilcoxon符号秩检验比较过渡前后的进展分数。结果表明,从面对面的儿童过渡到虚拟服务的类似治疗类型的持续进展。接受面对面和虚拟语言治疗的儿童表现出更高的成就(3.00 vs 3.33;p = 0.032)。变性后接受特殊治疗但不当面治疗的参与者与那些只当面接受相同治疗的参与者取得了相似的成就。我们的研究表明,远程治疗可能是提供情商服务的一个可行选择。
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引用次数: 2
An Evaluation of Telepractice use During the Covid-19 Pandemic for the Treatment of Speech and Language Disorders in Belgium. 比利时Covid-19大流行期间远程医疗用于治疗言语和语言障碍的评估
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6411
Ronny Boey, Stefaan Lefevere

The aim of this article was to evaluate the sudden implementation of telepractice in Belgium during the COVID-19 pandemic. A 38-question survey was completed by 1,222 Dutch-speaking speech-language pathologists (SLPs) from Belgium. Most reported good or very good satisfaction with telepractice and that telepractice can be effectively used with clients of different ages and speech disorders with or without comorbidity. The SLPs reported when telepractice could be used most effectively. They also detailed their difficulties with both technology and client-related issues. Limitations when switching to telepractice included a lack of training and experience, and digital materials.

本文的目的是评估在COVID-19大流行期间比利时突然实施的远程医疗。来自比利时的1222名说荷兰语的语言病理学家(slp)完成了一项包含38个问题的调查。大多数报告对远程治疗满意或非常满意,并且远程治疗可以有效地用于不同年龄和有无合并症的语言障碍患者。slp报告了何时远程实践可以最有效地利用。他们还详细介绍了他们在技术和客户相关问题上的困难。转向远程医疗的限制包括缺乏培训和经验,以及数字材料。
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引用次数: 3
Supervising Students During a Global Pandemic: Clinical Educators' Perceptions of a Student-Led Telerehabilitation Service During Covid-19. 在全球大流行期间监督学生:临床教育工作者对Covid-19期间学生主导的远程康复服务的看法。
IF 3.3 Q1 Medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6464
Megan H Ross, Andrea Whitehead, Lauren Jeffery, Nicole Hartley, Trevor Russell

Scope: In March 2020, COVID-19 restrictions prompted services delivered by student-led clinics in the university sector to transition to telehealth. This provided a unique opportunity to explore the challenges and opportunities faced by clinical educators when supervising students to deliver telehealth.

Methodology: Semi-structured interviews were conducted with allied health clinical educators who supervised students on clinical placement who were required to provide services via telehealth. Clinical educators across the disciplines of audiology, occupational therapy, physiotherapy, and speech pathology were asked to reflect on their experiences and perceptions of the rapid transition to a telehealth model for student clinical placements. A content analysis approach was used to analyse qualitative data.

Conclusions: From the perspective of clinical educators, student-led telehealth services can effectively meet client needs while achieving student learning outcomes. This study highlights many opportunities for student learning via telehealth in the clinical education environment and the role of the clinical educator in the learning experience.

范围:2020年3月,COVID-19的限制促使大学部门由学生主导的诊所提供的服务过渡到远程医疗。这为探索临床教育工作者在监督学生提供远程医疗时面临的挑战和机遇提供了一个独特的机会。方法:与监督临床实习学生的专职卫生临床教育工作者进行半结构化访谈,这些学生被要求通过远程医疗提供服务。听力学、职业治疗、物理治疗和言语病理学等学科的临床教育工作者被要求反思他们对学生临床实习迅速过渡到远程医疗模式的经验和看法。采用内容分析法对定性数据进行分析。结论:从临床教育工作者的角度来看,学生主导的远程医疗服务可以有效地满足客户需求,同时实现学生的学习成果。本研究强调了学生在临床教育环境中通过远程医疗学习的许多机会,以及临床教育者在学习经验中的作用。
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引用次数: 4
期刊
International Journal of Telerehabilitation
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