Patient Satisfaction with Telehealth in Rural Settings: A Systematic Review

Authors

DOI:

https://doi.org/10.5195/ijt.2020.6303

Keywords:

Client satisfaction, Occupational therapy, Patient preference, Patient satisfaction, Physical therapy, Remote, Rural, Speech-language therapy, Telehealth, Telemedicine

Abstract

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.

  

Author Biographies

Loriana C. Harkey, Creighton University

Occupational Therapy Student

Sadie M. Jung, Creighton University

Occupational Therapy Student

Elizabeth R Newton, Creighton University School of Pharmacy and Health Professions

Occupational Therapy Student

Angela Patterson, Creighton University

Professor at Creighton University and OTD, OTR/L

References

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.

https://doi.org/10.1258/jtt.2012.120501

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.

https://doi.org/10.1080/21679169.2017.138130

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

Published

2020-12-08

How to Cite

Harkey, L. C., Jung, S. M., Newton, E. R., & Patterson, A. (2020). Patient Satisfaction with Telehealth in Rural Settings: A Systematic Review. International Journal of Telerehabilitation, 12(2), 53–64. https://doi.org/10.5195/ijt.2020.6303

Issue

Section

Clinical Research