Telerehabilitation for physical disabilities and movement impairment: A service evaluation in South West England.
Rationale, Aims and Objectives: Telerehabilitation was used to ensure continued provision of care during the COVID‐19 pandemic, but there was a lack of guidance on how to use it safely and effectively for people with physical disabilities and movement impairment. In this service evaluation, we aimed...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 28; no. 6; pp. 1084 - 1096 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2022
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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=160177708&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160177708 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Dec2022 vid: 28 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160177708 156367845 160177708 160177708 10.1111/jep.13689 160177708 ppf: 1084 ppct: 12 formats: tig: atl: Telerehabilitation for physical disabilities and movement impairment: A service evaluation in South West England. aug: au: Buckingham, Sarah A. Sein, Kim Anil, Krithika Demain, Sara Gunn, Hilary Jones, Ray B. Kent, Bridie Logan, Angela Marsden, Jonathan Playford, E D. Freeman, Jenny affil: Peninsula Allied Health Centre, School of Health Professions, University of Plymouth, Plymouth, UK sug: subj: Telerehabilitation Movement Disorders Rehabilitation Persons with Disabilities Patient Satisfaction Attitude of Health Personnel Work Experiences Remote Consultation Quality of Health Care Evaluation Human England Thematic Analysis Patient-Reported Outcomes Implementation Science Purposive Sample Patient Safety Male Female Field Notes Audiorecording Videorecording COVID-19 Pandemic Male Female ab: Rationale, Aims and Objectives: Telerehabilitation was used to ensure continued provision of care during the COVID‐19 pandemic, but there was a lack of guidance on how to use it safely and effectively for people with physical disabilities and movement impairment. In this service evaluation, we aimed to collate information on practitioner and patient experiences, challenges and facilitators, and examples of best practice to inform the development of an online toolkit and training package. Methods: Guided discussions were carried out with 44 practitioners, 7 patients and 2 carers from five health and social care organisations in South West England, and analysed thematically. Results: Practitioners and patients had positive experiences of telerehabilitation and were optimistic about its future use. Recognized benefits for people with physical disabilities included greater flexibility, reduced travel and fatigue, having appointments in a familiar environment and ease of involving family members. Challenges encountered were: technological (usability issues, access to technology and digital skills); difficulties seeing or hearing patients; the lack of 'hands‐on' care; and safety concerns. Facilitators were supported by colleagues or digital champions, and family members or carers who could assist patients during their appointments. Key themes in best practice were: person‐centred and tailored care; clear and open communication and observation and preparation and planning. Practitioners shared tips for remote physical assessments; for example, making use of patient‐reported outcomes, and asking patients to wear bright and contrasting coloured clothing to make it easier to see movement. Conclusion: Telerehabilitation holds promise in health and social care, but it is necessary to share good practice to ensure it is safe, effective and accessible. We collated information and recommendations that informed the content of the Telerehab Toolkit (https://www.plymouth.ac.uk/research/telerehab), a practical resource for practitioners, patients and carers, with a focus on remote assessment and management of physical disabilities and movement impairment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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