Patient Satisfaction with Telehealth in Rural Settings: A Systematic Review
Telehealth provides health care services to clients through telecommunications. Rehabilitation services such as occupational therapy, physical therapy, and speech-language therapy can be delivered via telehealth. The aim of this study was to evaluate patients’ reports of their satisfaction with telehealth compared to standard in-person therapy for patients living in rural areas. Four databases were utilized for this systematic review. The following words were searched: telehealth, rural, and patient satisfaction. Abstract searches identified 251 articles, and 55 were read in full text. Four articles met inclusion criteria. There was high satisfaction for patients in all studies regarding the use of telehealth. Findings showed that overall, telehealth supported increased rates of patient satisfaction for OT, PT, and SLP services delivered to rural communities.
American Occupational Therapy Association. (2010). Telerehabilitation. American Journal of Occupational Therapy, 64(6), S92-S102. https://doi.org/10.5014/ajot.2010.64S92
American Occupational Therapy Association. (2013). Telehealth [Position paper]. American Journal of Occupational Therapy, 67(6), S69-S90. https://doi.org/10.5014/ajot.2013.67S69
American Occupational Therapy Association. (2017). Guidelines for systematic reviews. Retrieved from https://ajot.submit2aota.org/journals/ajot/forms/systematic_reviews.pdf
American Occupational Therapy Association. (2018). Telehealth in Occupational Therapy [Position paper]. American Journal of Occupational Therapy, 72(Supplement_2), 7212410059. https://doi.org/10.5014/ajot.2018.72S219
American Physical Therapy Association. (2019). Telehealth. Retrieved from http://www.apta.org/telehealth/
Australian Institute of Health and Welfare. (2018). Australia's health 2018. Retrieved from https://www.aihw.gov.au/getmedia/0c0bc98b-5e4d-4826-af7f-b300731fb447/aihw-aus-221-chapter-5-2.pdf.aspx
Balestra, M. (2018). Telehealth and legal implications for nurse practitioners. Journal for Nurse Practitioners, 14(1), 33–39. https://doi.org/10.1016/j.nurpra.2017.10.003
Bagchi, A. D., Melamed, B., Yeniyurt, S., Holzemer, W., & Reyes, D. (2018). Telemedicine delivery for urban seniors with low computer literacy: A pilot study. Online Journal of Nursing Informatics, 22(2), 11–1. https://www.himss.org/library/telemedicine-delivery-urban-seniors-low-computer-literacy-pilot-study
Betts, S., Feichter, L., Kleinig, Z., O'Connell-Debais, A., Thai, H., Wong, C., & Kumar, S. (2018). Telerehabilitation versus standard care for improving cognitive function and quality of life for adults with traumatic brain injury: A systematic review. Internet Journal of Allied Health Sciences & Practice, 16(3), 1-16.
Breeden, L. (2016). Occupational therapy home safety intervention via telehealth. International Journal of Telerehabilitation, 8(1), 29-40. https://doi.org/10.5195/ijt.2016.6183
Cady, R. G., & Finkelstein, S. M. (2014). Task-technology fit of video telehealth for nurses in an outpatient clinic setting. Telemedicine and e-Health, 20(7), 633-639. https://doi.org/10.1089/tmj.2013.0242
Cary, M. P., Jr, Spencer, M., Carroll, A., Hand, D. H., Amis, K., Karan, E., Cannon, R. F., Morgan, M. S., & Hoenig, H. M. (2016). Benefits and challenges of delivering tele-rehabilitation services to rural veterans. Home Healthcare Now, 34(8), 440–446. https://doi.org/10.1097/NHH.0000000000000441
Chedid R., Dew A., & Veitch C. (2013). Barriers to the use of information and communication technology by occupational therapists working in a rural area of New South Wales, Australia. Australian Occupational Therapy Journal, 60(3), 197–205. https://doi.org/10.1111/1440-1630.12016
Cottrell, M., Galea, O., O’Leary, S., Hill, A., & Russell, T. (2017). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clinical Rehabilitation, 31(5), 625-638. https://doi.org/10.1177/0269215516645148
Desko, L., & Nazario, M. (2014). Evaluation of a clinical video telehealth pain management clinic. Journal of Pain and Palliative Care Pharmacotherapy, 28(4), 359-366. https://doi.org/10.3109/15360288.2014.969875
Flanagan, T. (2018). Telehealth: The 2018 predicted dramatic rise in popularity. Retrieved from http://www.hcrnetwork.com/telehealth-2018-predicted-dramatic-rise-popularity/
Grogan-Johnson, S., Alvares, R., Rowan, L., & Creaghead, N. (2010). A pilot study comparing the effectiveness of speech language therapy provided by telemedicine with conventional on-site therapy. Journal of Telemedicine and Telecare, 16(3), 134-139. https://doi.org/10.1258/jtt.2009.090608
Hall, N., Boisvert, M., & Steele, R. (2013). Telepractice in the assessment and treatment of individuals with aphasia: A systematic review. International Journal of Telerehabilitation, 5(1), 27-38. https://doi:org/10.5195/ijt.2013.6119
Hall, F., Gordon, S., Hulcombe, J., & Stephens, C. (2019). Compression garment service model: Facilitating access to compression garments through workforce and service redesign. Australian Journal of Rural Health, 27(3), 257-261. https://doi.org/10.1111/ajr.12509
Health Resources & Service Administration. (2018). Defining rural population. Retrieved from https://www.hrsa.gov/rural-health/about-us/definition/index.html
Hung, G., & Fong, K. (2019). Effects of telerehabilitation in occupational therapy practice: A systematic review. Hong Kong Journal of Occupational Therapy 32(1), 3-21. https://doi.10.1177/1569186119849119
Jacobs, K., Cason, J., & McCullough, A. (2015). The process for the formulation of the international telehealth position statement for occupational therapy. International Journal of Telerehabilitation, 7(1), 21-32. https://doi.org/10.5195/ijt.2015.6163
Koivunen, M., & Saranto, K. (2018). Nursing professionals’ experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies. Scandinavian Journal of Caring Sciences, 32(1), 24–44. https://doi.org/10.1111/scs.12445
Lade, H., McKenzie, S., Steele, L., & Russell, T. G. (2012). Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. Journal of Telemedicine and Telecare, 18(7), 413–418.
Levy, C. E., Silverman, E., Huanguang Jia, Geiss, M., & Omura, D. (2015). Effects of physical therapy delivery via home video telerehabilitation on functional and health-related quality of life outcomes. Journal of Rehabilitation Research & Development, 52(3), 361–369. https://doi.org/10.1682/JRRD.2014.10.0239
Linder, S. M., Rosenfeldt, A. B., Bay, R. C., Sahu, K., Wolf, S. L., & Alberts, J. L. (2015). Improving quality of life and depression after stroke through telerehabilitation. American Journal of Occupational Therapy, 69(2), 6902290020. https://doi.org/10.5014/ajot.2015.014498
McWilliams, T., Hendricks, J., Twigg, D., Wood, F., & Giles, M. (2016). Telehealth for paediatric burn patients in rural areas: A retrospective audit of activity and cost savings. Journal of the International Society for Burn Injuries, 42(7), 1487-1493. https://doi.org/10.1016/j.burns.2016.03.001
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. British Medical Journal, 339, b2535. https://doi.org/10.1136/bmj.b2535
Parker, S., Prince, A., Thomas, L., Song, H., & Milosevic, D. (2018). Electronic, mobile and telehealth tools for vulnerable patients with chronic disease: A systematic review and realist synthesis. British Medical Journal Open, 8(8), 1-23. https://doi.org/10.1136/bmjopen-2017-019192
Portney, L. G., & Watkins, M. P. (2009). Foundations of clinical research: Applications to practice. Upper Saddle River, N.J: Pearson/Prentice Hall.
Prakash B. (2010). Patient satisfaction. Journal of Cutaneous and Aesthetic Surgery, 3(3), 151-155.
Russell, T.G., Blumke, R., Richardson, B.R., & Truter, P. (2010). Telerehabilitation mediated physiotherapy assessment of ankle disorders. Physiotherapy Research International, 15(3), 167-175. https://doi.org/10.1002/pri.471
Sackett, D.L., Rosenberg, W.M., Muir Gray, J.A., Haynes, R.B. & Richardson, W.S. (1996). Evidence-based medicine: What it is and what it isn’t. British Medical Journal, 312, 71-72.
Sangelaji, B., Smith, C., Paul, L., Treharne, G., & Hale, L. (2017). Promoting physical activity engagement for people with multiple sclerosis living in rural settings: A proof-of-concept case study. European Journal of Physiotherapy, 19, 17-21.
Solovieva, T. I., & Walls, R. T. (2014). Barriers to traumatic brain injury services and supports in rural setting. (Report). Journal of Rehabilitation, 80(4), 10-18.
Tan, K.K., Narayanan, A.S., Koh, G., Kyaw, K.K., & Hoenig, H.M. (2014). Development of telerehabilitation application with designated consultation categories. Journal of Rehabilitation Research and Development, 51 9, 1383-1396. https://doi.org/10.1682/JRRD.2014.02.0052
Trading Economics. (2019a). China - rural population. Retrieved from https://tradingeconomics.com/china/rural-population-percent-of-total-population-wb-data.html
Trading Economics. (2019b). India, rural population. Retrieved from https://tradingeconomics.com/india/rural-population-percent-of-total-population-wb-data.html
United States Department of Health and Human Services: Health Resources and Service Administration. (n.d.). National Center for Health Workforce Analysis: Distribution of U.S. health care providers residing in rural and urban areas. Retrieved from https://www.ruralhealthinfo.org/assets/1275-5131/rural-urban-workforce-distribution-nchwa-2014.pdf
Van Dis, J. (2002). Where we live: Health care in rural vs urban America. Journal of the American Medical Association, 287(1), 108-113. https://doi.org/10.1001/jama.287.1.108-JMS0102-2-1
Worboys, T., Brassington, M., Ward, E. C., & Cornwell, P. L. (2018). Delivering occupational therapy hand assessment and treatment sessions via telehealth. Journal of Telemedicine and Telecare, 24(3), 185–192. https://doi.org/10.1177/1357633X17691861
World Bank. (2018). Rural population: (% of total population). Retrieved from https://data.worldbank.org/indicator/SP.RUR.TOTL.ZS
Xesfingi, S., & Vozikis, A. (2016). Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BioMed Central Health Services Research, 16, 94. https://doi.org/10.1186/s12913-016-1327-4
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