Home tele-rehabilitation for rheumatic patients: impact and satisfaction of care analysis.
Introduction In this paper, we evaluated patients' perspectives on the use of a system for home tele-rehabilitation, designed for subjects with low computer literacy suffering hand impairment due to rheumatic diseases. Methods After a clinical trial assessing device effectiveness, the Psychosocial I...
| Publicado en: | Journal of Telemedicine & Telecare Vol. 23; no. 2; pp. 292 - 301 |
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| Autores principales: | , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Feb2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120818234&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120818234 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1357633X 8OL jtl: Journal of Telemedicine & Telecare issn: 1357633X maglogo: Y pubinfo: dt: Feb2017 vid: 23 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 120818234 120818234 NLM26945913 120818234 10.1177/1357633X16632950 NLM26945913 120818234 ppf: 292 ppct: 9 formats: tig: atl: Home tele-rehabilitation for rheumatic patients: impact and satisfaction of care analysis. aug: au: Pani, D. Piga, M. Barabino, G. Crabolu, M. Uras, S. Mathieu, A. Raffo, L. affil: DIEE – Department of Electrical and Electronic Engineering, University of Cagliari, Italy sug: subj: Rheumatic Diseases Rehabilitation Patient Satisfaction Male Female Middle Age Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Questionnaires Scales Middle Aged: 45-64 years Male Female ab: Introduction In this paper, we evaluated patients' perspectives on the use of a system for home tele-rehabilitation, designed for subjects with low computer literacy suffering hand impairment due to rheumatic diseases. Methods After a clinical trial assessing device effectiveness, the Psychosocial Impact of Assistive Devices Scale (PIADS), Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) and Individually Prioritised Problem Assessment (IPPA) questionnaires were administered to evaluate the system's impact on each patient's life, and the results were correlated with clinical indices. Patients were asked to continue self-administered rehabilitation with common objects. One year later, a semi-structured telephone interview gathered data on their experience. Results The system received a positive QUEST score (4.5 ± 0.3) and a modest PIADS score (0.84 ± 0.8) due to the small impact on adaptability and self-esteem. The IPPA (3.7 ± 3.4) revealed improvement in the ability to perform tasks considered important, which was significantly correlated ( r = 0.60; p < 0.02) with the clinical Health Assessment Questionnaire (HAQ) index improvement. The interviews revealed a positive engagement effect, enhanced by the need to develop skills to be able to use the device (technological challenge) and by the perception of more attention by the medical staff. This may explain the significant dropout rate (80%) from the post-trial rehabilitation of the patients who used the device. Discussion The system was largely accepted by the patients. The results suggest that the need for information on their rehabilitation progress and the technological challenge deserves further study to make patients more autonomous in cases of continuous rehabilitation. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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