首页 > 最新文献

International Journal of Telerehabilitation最新文献

英文 中文
Best Practices for Building Interprofessional Telehealth: Report of a Conference 建立跨专业远程医疗的最佳实践:一次会议的报告
IF 3.3 Q1 REHABILITATION Pub Date : 2021-12-01 DOI: 10.5195/ijt.2021.6434
L. Ransdell, M. Greenberg, E. Isaki, A. Lee, J. Bettger, G. Hung, Amy Gelatt, Ambur Lindstrom-Mette, J. Cason
The Arizona Biomedical Research Centre (ABRC) has funded a series of workshops and conferences since 2016 to build the capacity of local, tribal, and state agencies, healthcare delivery organizations, and non-governmental organizations to engage in meaningful research related to health disparities. With the COVID-19 pandemic, the use of telehealth has dramatically increased, particularly in nursing, occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP). The purpose of this paper is to summarize the presentations and discussion from the conference titled “Telerehabilitation and Telepractice: An Interprofessional Conference to Build Connections and Best Practices,” held remotely on March 4-5, 2021. Terminology and concepts from the conference were debated, modified, and refined, based on an interprofessional audience. Presenters at the conference, all leaders in their field, discussed the current status of telehealth in their professions, including best practices, challenges, future trends, and research needs.
亚利桑那州生物医学研究中心(ABRC)自2016年以来资助了一系列研讨会和会议,以培养地方、部落和州机构、医疗保健提供组织和非政府组织参与与健康差距相关的有意义研究的能力。随着新冠肺炎大流行,远程医疗的使用急剧增加,尤其是在护理、职业治疗(OT)、物理治疗(PT)和语言病理学(SLP)方面。本文的目的是总结2021年3月4日至5日远程举行的题为“远程康复和远程实践:建立联系和最佳实践的跨专业会议”的会议的演讲和讨论。会议的术语和概念在跨专业观众的基础上进行了辩论、修改和完善。会议的主持人,他们所在领域的所有领导者,讨论了远程医疗在其职业中的现状,包括最佳实践、挑战、未来趋势和研究需求。
{"title":"Best Practices for Building Interprofessional Telehealth: Report of a Conference","authors":"L. Ransdell, M. Greenberg, E. Isaki, A. Lee, J. Bettger, G. Hung, Amy Gelatt, Ambur Lindstrom-Mette, J. Cason","doi":"10.5195/ijt.2021.6434","DOIUrl":"https://doi.org/10.5195/ijt.2021.6434","url":null,"abstract":"The Arizona Biomedical Research Centre (ABRC) has funded a series of workshops and conferences since 2016 to build the capacity of local, tribal, and state agencies, healthcare delivery organizations, and non-governmental organizations to engage in meaningful research related to health disparities. With the COVID-19 pandemic, the use of telehealth has dramatically increased, particularly in nursing, occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP). The purpose of this paper is to summarize the presentations and discussion from the conference titled “Telerehabilitation and Telepractice: An Interprofessional Conference to Build Connections and Best Practices,” held remotely on March 4-5, 2021. Terminology and concepts from the conference were debated, modified, and refined, based on an interprofessional audience. Presenters at the conference, all leaders in their field, discussed the current status of telehealth in their professions, including best practices, challenges, future trends, and research needs.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45778009","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: 4
Editors' Note 编者注
IF 3.3 Q1 REHABILITATION Pub Date : 2021-12-01 DOI: 10.5195/ijt.2021.6440
E. Cohn, J. Cason
.
{"title":"Editors' Note","authors":"E. Cohn, J. Cason","doi":"10.5195/ijt.2021.6440","DOIUrl":"https://doi.org/10.5195/ijt.2021.6440","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"66 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70734416","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
Perceptions and Willingness of Physiotherapists in India to Use Telerehabilitation During the COVID-19 Pandemic 新冠肺炎大流行期间印度物理治疗师使用远程康复的认知和意愿
IF 3.3 Q1 REHABILITATION Pub Date : 2021-12-01 DOI: 10.5195/ijt.2021.6425
Arnold Fredrick D’Souza, S. Rebello
The COVID-19 pandemic and ensuing lockdowns have restricted regular clinical physiotherapy services. This has necessitated a sudden shift to the use of telerehabilitation to prevent disruption in the delivery of physiotherapy interventions. This survey investigates the perceptions of physiotherapists in India and their willingness to use telerehabilitation during the pandemic. An electronic questionnaire was sent to 176 physiotherapists around India, and 118 completed questionnaires were received (acceptance rate of 67.04%). A majority of the respondents (n=67; 77%) had used telerehabilitation for the first time during the pandemic, and 72.9% (n=86) found telerehabilitation to be a viable option for healthcare delivery during the pandemic. Some of the barriers identified were lack of training (n=64; 52%) and a lack of connection between information and communication technology experts and clinicians (n=62; 52.5%). Overall, physiotherapists in India expressed a positive perception of telerehabilitation and are willing to use such services.
新冠肺炎大流行和随之而来的封锁限制了常规临床理疗服务。这就需要突然转向使用远程康复,以防止物理治疗干预措施的中断。这项调查调查了印度物理治疗师的看法以及他们在疫情期间使用远程康复的意愿。向印度各地的176名理疗师发送了一份电子问卷,共收到118份完整的问卷(接受率为67.04%)。大多数受访者(n=67;77%)在疫情期间首次使用远程康复,72.9%(n=86)认为远程康复是疫情期间提供医疗服务的可行选择。发现的一些障碍包括缺乏培训(n=64;52%)以及信息和通信技术专家与临床医生之间缺乏联系(n=62;52.5%)。总体而言,印度的物理治疗师对远程康复表示了积极的看法,并愿意使用此类服务。
{"title":"Perceptions and Willingness of Physiotherapists in India to Use Telerehabilitation During the COVID-19 Pandemic","authors":"Arnold Fredrick D’Souza, S. Rebello","doi":"10.5195/ijt.2021.6425","DOIUrl":"https://doi.org/10.5195/ijt.2021.6425","url":null,"abstract":"The COVID-19 pandemic and ensuing lockdowns have restricted regular clinical physiotherapy services. This has necessitated a sudden shift to the use of telerehabilitation to prevent disruption in the delivery of physiotherapy interventions. This survey investigates the perceptions of physiotherapists in India and their willingness to use telerehabilitation during the pandemic. An electronic questionnaire was sent to 176 physiotherapists around India, and 118 completed questionnaires were received (acceptance rate of 67.04%). A majority of the respondents (n=67; 77%) had used telerehabilitation for the first time during the pandemic, and 72.9% (n=86) found telerehabilitation to be a viable option for healthcare delivery during the pandemic. Some of the barriers identified were lack of training (n=64; 52%) and a lack of connection between information and communication technology experts and clinicians (n=62; 52.5%). Overall, physiotherapists in India expressed a positive perception of telerehabilitation and are willing to use such services.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44914069","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: 9
Feasibility and Acceptability of a Real-Time Telerehabilitation Intervention for Children and Young Adults with Acquired Brain Injury During the COVID-19 Pandemic: An Experience Report 新冠肺炎大流行期间获得性脑损伤儿童和年轻人实时远程康复干预的可行性和可接受性:经验报告
IF 3.3 Q1 REHABILITATION Pub Date : 2021-12-01 DOI: 10.5195/ijt.2021.6423
M. C. Oprandi, A. Bardoni, Luisa Corno, A. Marchetti Guerrini, Luigi Molatore, Luisella Negri, E. Beretta, F. Locatelli, S. Strazzer, G. Poggi
This study examined the feasibility and acceptability of a telerehabilitation intervention during the COVID-19 pandemic in a sample of children and young adults with Acquired Brain Injury (ABI). Thirteen patients and/or their families agreed to participate in the speech and neuropsychological telerehabilitation sessions. The treatment was synchronous, patient centered and aimed at improving specific abilities. Sessions were held twice a week over a 10-week period. Two questionnaires were completed both by parents and therapists to assess feasibility and acceptability. Neither technical issues nor clinical obstacles were found. The quality of the therapeutic relationship played a key role in the intervention. Synchronous telerehabilitation provided several advantages both for patients and therapists. Moreover, the patient centered intervention eased the burden of the caregivers at a time of high stress. The real-time telerehabilitation treatments were deemed suitable for children and young adults with ABI. Further studies are needed to support the use of telerehabilitation as an integral part of their standard care.
本研究在COVID-19大流行期间对获得性脑损伤(ABI)的儿童和年轻人进行了远程康复干预的可行性和可接受性。13名患者和/或其家属同意参加演讲和神经心理远程康复课程。治疗是同步的,以患者为中心,旨在提高特定能力。会议每周举行两次,为期10周。两份问卷由家长和治疗师共同完成,以评估可行性和可接受性。没有发现技术问题和临床障碍。治疗关系的质量在干预中起着关键作用。同步远程康复为患者和治疗师提供了几个优势。此外,以患者为中心的干预减轻了照顾者在高压力时的负担。实时远程康复治疗适用于ABI患儿和青少年。需要进一步的研究来支持使用远程康复作为其标准护理的一个组成部分。
{"title":"Feasibility and Acceptability of a Real-Time Telerehabilitation Intervention for Children and Young Adults with Acquired Brain Injury During the COVID-19 Pandemic: An Experience Report","authors":"M. C. Oprandi, A. Bardoni, Luisa Corno, A. Marchetti Guerrini, Luigi Molatore, Luisella Negri, E. Beretta, F. Locatelli, S. Strazzer, G. Poggi","doi":"10.5195/ijt.2021.6423","DOIUrl":"https://doi.org/10.5195/ijt.2021.6423","url":null,"abstract":"This study examined the feasibility and acceptability of a telerehabilitation intervention during the COVID-19 pandemic in a sample of children and young adults with Acquired Brain Injury (ABI). Thirteen patients and/or their families agreed to participate in the speech and neuropsychological telerehabilitation sessions. The treatment was synchronous, patient centered and aimed at improving specific abilities. Sessions were held twice a week over a 10-week period. Two questionnaires were completed both by parents and therapists to assess feasibility and acceptability. Neither technical issues nor clinical obstacles were found. The quality of the therapeutic relationship played a key role in the intervention. Synchronous telerehabilitation provided several advantages both for patients and therapists. Moreover, the patient centered intervention eased the burden of the caregivers at a time of high stress. The real-time telerehabilitation treatments were deemed suitable for children and young adults with ABI. Further studies are needed to support the use of telerehabilitation as an integral part of their standard care.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44876552","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: 3
Correction to: Milani, G., Demattè, G., Ferioli, M., Dallagà, G., Lavezzi, S., Basaglia, N., & Straudi, S. (2021). Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study . International Journal of Telerehabilitation 更正:Milani, G., Demattè, G., Ferioli, M., dallag<e:1>, G., Lavezzi, S., Basaglia, N., & Straudi, S.(2021)。COVID-19封锁期间意大利远程康复:可行性和可接受性研究国际远程康复杂志
IF 3.3 Q1 REHABILITATION Pub Date : 2021-07-08 DOI: 10.5195/IJT.2021.6391
E. Cohn
In the metadata for Milani, G., Demattè, G., Ferioli, M., Dallagà, G., Lavezzi, S., Basaglia, N., & Straudi, S. (2021). Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study . International Journal of Telerehabilitation, 13(1). https://doi.org/10.5195/ijt.2021.6334, acceptability was misspelled in the title (i.e., acceptability) by the journal editor. The metadata for the original article has been corrected.
在Milani,G.,Demattè,G.,Ferioli,M.,Dallagà,G.、Lavezzi,S.、Basaglia,N.和Straudi,S.的元数据中(2021)。新冠肺炎封锁期间意大利的远程安置:可行性和可接受性研究。国际远程康复杂志,13(1)。https://doi.org/10.5195/ijt.2021.6334,期刊编辑在标题中拼错了可接受性(即可接受性)。原始文章的元数据已更正。
{"title":"Correction to: Milani, G., Demattè, G., Ferioli, M., Dallagà, G., Lavezzi, S., Basaglia, N., & Straudi, S. (2021). Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study . International Journal of Telerehabilitation","authors":"E. Cohn","doi":"10.5195/IJT.2021.6391","DOIUrl":"https://doi.org/10.5195/IJT.2021.6391","url":null,"abstract":"In the metadata for Milani, G., Demattè, G., Ferioli, M., Dallagà, G., Lavezzi, S., Basaglia, N., & Straudi, S. (2021). Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study . International Journal of Telerehabilitation, 13(1). https://doi.org/10.5195/ijt.2021.6334, acceptability was misspelled in the title (i.e., acceptability) by the journal editor. \u0000The metadata for the original article has been corrected.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"1 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43160668","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
Defining Roles and Responsibilities for School-Based Tele-Facilitators: Intraclass Correlation Coefficient (ICC) Ratings Of Proposed Competencies. 定义校本远程辅导员的角色和责任:班级内相关系数(ICC)评价建议的能力。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6351
Hannah Douglass, J Joneen Lowman, Vrushali Angadi

The primary purpose of this study was to craft and validate a set of core competencies necessary for a tele-facilitator to possess in the school setting. Competencies were created through literature review and qualitative analysis. Following expert review, the competencies were revised and formatted into an online survey which was sent to respondents in four target groups: (a) school administrators who had adopted telepractice as a service delivery model; (b) speech-language pathologists (SLPs) experienced in telepractice within a school setting; (c) current tele-facilitators, and (d) scholars experienced in telepractice. Fifty-seven percent (20 out of 35) of the competencies were rated as "Essential Skills." The remaining competencies could be more or less important depending on workplace requirements.

本研究的主要目的是设计并验证远程辅导员在学校环境中所必须具备的一套核心能力。胜任力是通过文献回顾和定性分析产生的。经过专家审查后,这些能力被修订并格式化成一份在线调查,发给四个目标群体的受访者:(a)采用远程实践作为服务提供模式的学校行政人员;(b)在学校环境中有远程实践经验的语言病理学家(slp);(c)现任远程辅导员,(d)有远程实践经验的学者。57%(35人中有20人)的能力被评为“基本技能”。根据工作场所的要求,其余的能力可能或多或少重要。
{"title":"Defining Roles and Responsibilities for School-Based Tele-Facilitators: Intraclass Correlation Coefficient (ICC) Ratings Of Proposed Competencies.","authors":"Hannah Douglass,&nbsp;J Joneen Lowman,&nbsp;Vrushali Angadi","doi":"10.5195/ijt.2021.6351","DOIUrl":"https://doi.org/10.5195/ijt.2021.6351","url":null,"abstract":"<p><p>The primary purpose of this study was to craft and validate a set of core competencies necessary for a tele-facilitator to possess in the school setting. Competencies were created through literature review and qualitative analysis. Following expert review, the competencies were revised and formatted into an online survey which was sent to respondents in four target groups: (a) school administrators who had adopted telepractice as a service delivery model; (b) speech-language pathologists (SLPs) experienced in telepractice within a school setting; (c) current tele-facilitators, and (d) scholars experienced in telepractice. Fifty-seven percent (20 out of 35) of the competencies were rated as \"Essential Skills.\" The remaining competencies could be more or less important depending on workplace requirements.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"13 1","pages":"e6351"},"PeriodicalIF":3.3,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39281395","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: 7
Practice Considerations for Adapting in-Person Groups to Telerehabilitation. 现场团体适应远程康复的实践考虑。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6374
Allison M Gustavson, Michelle R Rauzi, Molly J Lahn, Hillari S N Olson, Melissa Ludescher, Stephanie Bazal, Elizabeth Roddy, Christine Interrante, Estee Berg, Jennifer P Wisdom, Howard A Fink

The Coronavirus-2019 (COVID-19) pandemic has shifted research and healthcare system priorities, stimulating literature on implementation and evaluation of telerehabilitation for a variety of patient populations. While there is substantial literature on individual telerehabilitation, evidence about group telerehabilitation remains limited despite its increasing use by rehabilitation providers. Therefore, the purpose of this manuscript is to describe our expert team's consensus on practice considerations for adapting in-person group rehabilitation to group telerehabilitation to provide rapid guidance during a pandemic and create a foundation for sustainability of group telerehabilitation beyond the pandemic's end.

2019冠状病毒(COVID-19)大流行改变了研究和医疗保健系统的重点,促进了对各种患者群体实施和评估远程康复的文献。虽然有大量关于个人远程康复的文献,但关于团体远程康复的证据仍然有限,尽管康复提供者越来越多地使用它。因此,本文的目的是描述我们的专家团队在实践考虑方面的共识,使面对面的团体康复适应团体远程康复,以便在大流行期间提供快速指导,并为大流行结束后的团体远程康复的可持续性奠定基础。
{"title":"Practice Considerations for Adapting in-Person Groups to Telerehabilitation.","authors":"Allison M Gustavson,&nbsp;Michelle R Rauzi,&nbsp;Molly J Lahn,&nbsp;Hillari S N Olson,&nbsp;Melissa Ludescher,&nbsp;Stephanie Bazal,&nbsp;Elizabeth Roddy,&nbsp;Christine Interrante,&nbsp;Estee Berg,&nbsp;Jennifer P Wisdom,&nbsp;Howard A Fink","doi":"10.5195/ijt.2021.6374","DOIUrl":"https://doi.org/10.5195/ijt.2021.6374","url":null,"abstract":"<p><p>The Coronavirus-2019 (COVID-19) pandemic has shifted research and healthcare system priorities, stimulating literature on implementation and evaluation of telerehabilitation for a variety of patient populations. While there is substantial literature on individual telerehabilitation, evidence about group telerehabilitation remains limited despite its increasing use by rehabilitation providers. Therefore, the purpose of this manuscript is to describe our expert team's consensus on practice considerations for adapting in-person group rehabilitation to group telerehabilitation to provide rapid guidance during a pandemic and create a foundation for sustainability of group telerehabilitation beyond the pandemic's end.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"13 1","pages":"e6374"},"PeriodicalIF":3.3,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39273367","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: 4
Ethical Issues Linked to the Development of Telerehabilitation: a Qualitative Study. 与远程康复发展相关的伦理问题:一项定性研究。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6367
Marin Guy, Alexandra Blary, Joel Ladner, Maxime Gilliaux

While telerehabilitation (TR) makes it possible to respond to many significant health system problems, TR still gives rise to debates, particularly concerning ethical issues. This qualitative study collected the opinions of stakeholders with varied profiles. A guided interview focused on discerning strategies that might foster the ethical deployment of TR. Such strategies were found to be linked to the decision-making of the public authorities, the role of scientific and professional bodies, the training of health professionals, and the management of patient information. Ethical issues relating to the development of TR included universal accessibility, patients' free choice, respect of privacy, and professional confidentiality. The ethical development of TR can be fostered by the provision of information to stakeholders as well as reminding practitioners of the ethical framework that regulates medical practice.

尽管远程康复(TR)可以应对许多重大的医疗系统问题,但它仍然引起了争论,尤其是有关伦理问题的争论。这项定性研究收集了不同背景的利益相关者的意见。引导式访谈的重点是找出可能促进符合伦理的 TR 部署的策略。研究发现,这些策略与公共机构的决策、科学和专业机构的作用、卫生专业人员的培训以及患者信息的管理有关。与 TR 的发展有关的伦理问题包括普遍可及性、病人的自由选择、尊重隐私和专业保密。通过向利益相关者提供信息,以及提醒从业人员注意规范医疗行为的伦理框架,可以促进数据库的伦理发展。
{"title":"Ethical Issues Linked to the Development of Telerehabilitation: a Qualitative Study.","authors":"Marin Guy, Alexandra Blary, Joel Ladner, Maxime Gilliaux","doi":"10.5195/ijt.2021.6367","DOIUrl":"10.5195/ijt.2021.6367","url":null,"abstract":"<p><p>While telerehabilitation (TR) makes it possible to respond to many significant health system problems, TR still gives rise to debates, particularly concerning ethical issues. This qualitative study collected the opinions of stakeholders with varied profiles. A guided interview focused on discerning strategies that might foster the ethical deployment of TR. Such strategies were found to be linked to the decision-making of the public authorities, the role of scientific and professional bodies, the training of health professionals, and the management of patient information. Ethical issues relating to the development of TR included universal accessibility, patients' free choice, respect of privacy, and professional confidentiality. The ethical development of TR can be fostered by the provision of information to stakeholders as well as reminding practitioners of the ethical framework that regulates medical practice.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"13 1","pages":"e6367"},"PeriodicalIF":3.3,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39273361","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
Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform. 基于云视频通信平台测量光度颅椎角的内部可靠性研究。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6346
Rylan Cote, Cassandra Vietas, Megan Kolakowski, Kayla Lombardo, Jacob Prete, Amit Dashottar

Objective: Due to social distancing guidelines during the Coronavirus (COVID-19) pandemic, most providers and patients have wanted to avoid close contact. This makes physical therapy (PT) assessments difficult because of the lack of empirical evidence about the reliability of various clinical measurements performed in a virtual environment. One such procedure is the photometric measurement of craniovertebral (CV) angle. Craniovertebral angle measurement is usually performed in an outpatient setting and is defined as the acute angle formed between a straight line connecting the spinous process of C7 to the tragus of the ear, and the horizontal line passing through the spinous process of the C7. Although the photometric measurement of CV angles is considered both valid and reliable in the clinics, no empirical evidence exists about the CV angle measurement reliability when performed in a virtual environment. Thus, the purpose of this study was to assess the inter- and intra-rater reliability of photometric CV angle measurement using a cloud-based video communication platform. Number of Subjects: 66 subjects (57 females).

Methods: All measurements were performed by two final year PT students who had completed the musculoskeletal part of the curriculum and were blinded to each other's measurements. Each subject was photographed in two postures over a HIPAA-compliant video-based telehealth platform: (1) normal/relaxed posture and (2) ideal posture (posture the subject considered good). Student researcher 1 measured the CV angle in both the relaxed posture and ideal posture, while student researcher 2 measured the CV angle only in the relaxed posture. Each subject's CV angle measurement was performed three times on three separate days and the means were used for further analysis. The shape of the CV angle frequency distribution was assessed using kurtosis and skewness values. Rater reliability was assessed using intraclass correlation coefficients (ICC), and interpreted based on the guidelines provided by Portney and Watkins (2009).

Results: The CV angles were normally distributed in both relaxed and ideal postures. The mean and standard deviation (SD) of relaxed posture was 50.7o ± 6.3o with kurtosis and skewness of 0.67 and -0.74 respectively. The mean and SD of ideal posture was 55.5o ± 5.4o, with kurtosis and skewness of 0.1 and -0.54 respectively. The ICC for inter-rater reliability in the relaxed posture was 0.88 and the ICC for intra-rater reliability for relaxed posture was 0.91.

Conclusions: Craniovertebral angles were normally distributed in the sample. An acceptable level of inter- and intra-rater reliability can be attained when measuring CV angle using a cloud-based video communication platform.

目的:由于新冠肺炎大流行期间的社交距离指南,大多数医护人员和患者都希望避免密切接触。这使得物理治疗(PT)评估困难,因为缺乏关于在虚拟环境中进行的各种临床测量的可靠性的经验证据。其中一种方法是颅椎角的光度测量。颅椎角测量通常在门诊进行,定义为连接C7棘突与耳屏的直线与穿过C7棘突的水平线之间形成的锐角。虽然光度法测量的CV角在临床上被认为是有效和可靠的,但没有经验证据表明在虚拟环境中进行的CV角测量的可靠性。因此,本研究的目的是利用基于云的视频通信平台评估光度CV角测量的内部和内部可靠性。受试者人数:66名受试者(女性57名)。方法:所有的测量都是由两名完成了课程肌肉骨骼部分的最后一年PT学生进行的,并且对彼此的测量结果不知情。每个受试者在符合hipaa的基于视频的远程医疗平台上以两种姿势拍照:(1)正常/放松姿势和(2)理想姿势(受试者认为良好的姿势)。学生研究者1测量了放松姿势和理想姿势下的CV角,而学生研究者2只测量了放松姿势下的CV角。每个受试者的CV角测量分别在三天内进行三次,并使用该方法进行进一步分析。利用峰度值和偏度值评估CV角频率分布的形状。使用类内相关系数(ICC)评估评分信度,并根据Portney和Watkins(2009)提供的指南进行解释。结果:放松体位和理想体位的CV角均呈正态分布。放松体位的均值和标准差(SD)为50.70±6.30,峰度和偏度分别为0.67和-0.74。理想体态的均值为55.50±5.40,峰度为0.1,偏度为-0.54。放松体位的评分间信度ICC为0.88,放松体位的评分内信度ICC为0.91。结论:标本颅椎角呈正态分布。当使用基于云的视频通信平台测量CV角时,可以获得可接受水平的内部和内部可靠性。
{"title":"Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform.","authors":"Rylan Cote,&nbsp;Cassandra Vietas,&nbsp;Megan Kolakowski,&nbsp;Kayla Lombardo,&nbsp;Jacob Prete,&nbsp;Amit Dashottar","doi":"10.5195/ijt.2021.6346","DOIUrl":"https://doi.org/10.5195/ijt.2021.6346","url":null,"abstract":"<p><strong>Objective: </strong>Due to social distancing guidelines during the Coronavirus (COVID-19) pandemic, most providers and patients have wanted to avoid close contact. This makes physical therapy (PT) assessments difficult because of the lack of empirical evidence about the reliability of various clinical measurements performed in a virtual environment. One such procedure is the photometric measurement of craniovertebral (CV) angle. Craniovertebral angle measurement is usually performed in an outpatient setting and is defined as the acute angle formed between a straight line connecting the spinous process of C7 to the tragus of the ear, and the horizontal line passing through the spinous process of the C7. Although the photometric measurement of CV angles is considered both valid and reliable in the clinics, no empirical evidence exists about the CV angle measurement reliability when performed in a virtual environment. Thus, the purpose of this study was to assess the inter- and intra-rater reliability of photometric CV angle measurement using a cloud-based video communication platform. <i>Number of Subjects:</i> 66 subjects (57 females).</p><p><strong>Methods: </strong>All measurements were performed by two final year PT students who had completed the musculoskeletal part of the curriculum and were blinded to each other's measurements. Each subject was photographed in two postures over a HIPAA-compliant video-based telehealth platform: (1) normal/relaxed posture and (2) ideal posture (posture the subject considered good). Student researcher 1 measured the CV angle in both the relaxed posture and ideal posture, while student researcher 2 measured the CV angle only in the relaxed posture. Each subject's CV angle measurement was performed three times on three separate days and the means were used for further analysis. The shape of the CV angle frequency distribution was assessed using kurtosis and skewness values. Rater reliability was assessed using intraclass correlation coefficients (ICC), and interpreted based on the guidelines provided by Portney and Watkins (2009).</p><p><strong>Results: </strong>The CV angles were normally distributed in both relaxed and ideal postures. The mean and standard deviation (SD) of relaxed posture was 50.7o ± 6.3o with kurtosis and skewness of 0.67 and -0.74 respectively. The mean and SD of ideal posture was 55.5o ± 5.4o, with kurtosis and skewness of 0.1 and -0.54 respectively. The ICC for inter-rater reliability in the relaxed posture was 0.88 and the ICC for intra-rater reliability for relaxed posture was 0.91.</p><p><strong>Conclusions: </strong>Craniovertebral angles were normally distributed in the sample. An acceptable level of inter- and intra-rater reliability can be attained when measuring CV angle using a cloud-based video communication platform.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"13 1","pages":"e6346"},"PeriodicalIF":3.3,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39281394","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
Aural Rehabilitation via Telepractice During COVID-19: A Global Perspective on Evolving Early Intervention Practices. 在 COVID-19 期间通过远程练习进行听力康复:早期干预实践发展的全球视角。
IF 2.5 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6362
Rebecca Claridge, Nicholas Kroll

Introduction: Pre-pandemic, telepractice was not globally implemented despite its effectiveness. Clinicians reported challenges related to technology, confidence, and inadequate resources.

Objectives: To document global telepractice, identify current obstacles and measure the impact of a possible solution. The timing of this research facilitated tracking telepractice changes during the pandemic.

Methods: Two surveys measured practitioners' experience and attitude towards telepractice. Survey 1 was completed in February-March 2020. Participants then received two specialized lesson kits to trial if desired. Survey 2 was a follow-up after 4-6 weeks.

Results: Between surveys, the proportion of participants providing telepractice increased from 47.6% to 91.7%. The lesson kits were trialled by 74.3%. Their use had a positive impact on three of the top five factors affecting the delivery of telepractice: parent coaching, clinician experience and accessing resources. Conclusion: Telepractice was rapidly adopted globally during the pandemic. The specialized resources were helpful in overcoming some of the barriers to delivery.

前言大流行前,尽管远程医疗很有效,但并未在全球范围内实施。临床医生报告了与技术、信心和资源不足有关的挑战:记录全球远程诊疗的情况,确定目前存在的障碍,并衡量可能的解决方案的影响。这项研究的时间安排有助于在大流行期间跟踪远程实践的变化:方法:通过两项调查了解从业人员对远程实践的经验和态度。调查 1 于 2020 年 2 月至 3 月完成。然后,参与者会收到两套专门的课程工具包,可根据需要试用。调查 2 在 4-6 周后进行:在两次调查之间,提供远程练习的参与者比例从 47.6% 上升到 91.7%。74.3%的参与者试用了教学工具包。在影响远程练习实施的五大因素中,有三个因素对其使用产生了积极影响:家长指导、临床医生经验和资源获取。结论大流行期间,全球迅速采用了远程实践。专业资源有助于克服一些实施障碍。
{"title":"Aural Rehabilitation via Telepractice During COVID-19: A Global Perspective on Evolving Early Intervention Practices.","authors":"Rebecca Claridge, Nicholas Kroll","doi":"10.5195/ijt.2021.6362","DOIUrl":"10.5195/ijt.2021.6362","url":null,"abstract":"<p><strong>Introduction: </strong>Pre-pandemic, telepractice was not globally implemented despite its effectiveness. Clinicians reported challenges related to technology, confidence, and inadequate resources.</p><p><strong>Objectives: </strong>To document global telepractice, identify current obstacles and measure the impact of a possible solution. The timing of this research facilitated tracking telepractice changes during the pandemic.</p><p><strong>Methods: </strong>Two surveys measured practitioners' experience and attitude towards telepractice. Survey 1 was completed in February-March 2020. Participants then received two specialized lesson kits to trial if desired. Survey 2 was a follow-up after 4-6 weeks.</p><p><strong>Results: </strong>Between surveys, the proportion of participants providing telepractice increased from 47.6% to 91.7%. The lesson kits were trialled by 74.3%. Their use had a positive impact on three of the top five factors affecting the delivery of telepractice: parent coaching, clinician experience and accessing resources. <i>Conclusion:</i> Telepractice was rapidly adopted globally during the pandemic. The specialized resources were helpful in overcoming some of the barriers to delivery.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"13 1","pages":"e6362"},"PeriodicalIF":2.5,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39281396","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
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