Veteran and Provider Satisfaction with a Home-Based Telerehabilitation Assessment for Wheelchair Seating and Mobility
DOI:
https://doi.org/10.5195/ijt.2020.6341Keywords:
Satisfaction, Service delivery, Telerehabilitation, Wheeled mobilityAbstract
The objective of this project was to measure Veteran and provider satisfaction with a home-based telerehabilitation assessment for wheelchair seating and mobility. Forty-three Veterans were seen remotely at their place of residence by a provider, using a VA Video Connect synchronous videoconferencing system. Veteran and provider satisfaction were collected using the Telerehabilitation Questionnaire (TRQ). Mean individual TRQ scores for both Veterans and providers were significantly higher than the scale midpoint of 3.5. Veterans had higher scores than providers for five individual items on the TRQ. Higher scores by Veterans on the technology and quality and clarity of the video and audio likely correspond to the differences in environmental settings in which the visit occurred for the Veteran compared with the provider. High satisfaction scores with the telerehabilitation assessments are likely attributed to the positive working relationship between the provider and the rehabilitation technician, who provided in-person technical support to the Veteran in the home during the wheeled mobility evaluation. Overall, the results indicate a high level of Veteran and provider satisfaction using telerehabilitation for wheelchair seating and mobility evaluations.
References
Barlow, I.G., Liu, L., & Sekulic, A. (2009). Wheelchair seating assessment and intervention: A comparison between telerehabilitation and face-to-face service. International Journal of Telerehabilitation, 1(1), 17–28. https://doi.org/10.5195/ijt.2009.868
Cooper RA, Fitzgerald, S.G., Boninger, M.L., Brienza, D.M., Shapcott, N., Cooper, R., & Foot, K. (2001). "Telerehabilitation: Expanding access to rehabilitation expertise," in Proceedings of the IEEE, 89(8), 1174-1193. https://doi.org/10.1109/5.940286
Crandall, L.A., & Coggan, J.M. (1994). Impact of new information technologies on training and continuing education for rural health professionals. The Journal of Rural Health, 10(3), 208–215. https://doi.org/10.1111/j.1748-0361.1994.tb00231.x
Donelan, K., Barreto, E. A., Sossong, S., Michael, C., Estrada, J. J., Cohen, A. B., Wozniak, J., & Schwamm, L. H. (2019). Patient and clinician experiences with telehealth for patient follow-up care. American Journal of Managed Care, 25(1), 40–44.
Gladden, C., Beck, L., & Chandler, D. (2015). Tele-audiology: Expanding access to hearing care and enhancing patient connectivity. Journal of the American Academy of Audiology, 26(9), 792–799. https://doi.org/10.3766/jaaa.14107
Graham, F., Boland, P., Grainger, R. & Wallace, S. (2020) Telehealth delivery of remote assessment of wheelchair and seating needs for adults and children: A scoping review. Disability and Rehabilitation, 42, 3538-3548. https://doi.org/10.1080/09638288.2019.1595180
Grenier, Kaila (2018). Veteran and provider satisfaction of a home-based telerehabilitation assessment for wheelchair seating and mobility. [Unpublished master's thesis]. University of Pittsburgh.
Gustke, S.S., Balch, D.C., West, V.L. & Rogers, L.O. (2000). Patient satisfaction with telemedicine. Telemedicine Journal, 6(1), 5-13. https://doi.org/10.1089/107830200311806
Kruse, C.S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: a systematic review and narrative analysis. British Medical Journal – Open, 7(8), 1-12. https://doi.org/10.1136/bmjopen-2017-016242
Lemaire, E.D., Boudrias, Y., & Greene, G. (2001). Low-bandwidth, Internet-based videoconferencing for physical rehabilitation consultations. Journal of Telemedicine and Telecare, 7(2), 82–89. https://doi.org/10.1258/1357633011936200
Mair, F., & Whitten, P. (2000). Systematic review of studies of patient satisfaction with telemedicine. British Medical Journal (Clinical research ed.), 320(7248), 1517–1520. https://doi.org/10.1136/bmj.320.7248.1517
Malagodi, M., Schmeler, M.R., Shapcott, N.G., & Pelleschi, T. (1998). The use of telemedicine in assistive technology service delivery: Results of a pilot study. AOTA Technology Special Interest Section Quarterly, 8.
McCue, M., Fairman, A., & Pramuka, M. (2010). Enhancing quality of life through telerehabilitation. Physical Medicine and Rehabilitation Clinics of North America, 21(1), 195–205. https://doi.org/10.1016/j.pmr.2009.07.005
Nguyen, M., Waller, M., Pandya, A., & Portnoy, J. (2020) A review of patient and provider satisfaction with telemedicine. Current Allergy and Asthma Reports, 20(11), 72. https://doi.org/10.1007/s11882-020-00969-7
Orlando, J.F., Beard, M., & Kumar, S. (2019). Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PLOS ONE, 14(8): e0221848. https://doi.org/10.1371/journal.pone.0221848
Ramaswamy, A., Yu, M., Drangsholt, S., Ng, E., Culligan, P.J., Schlegel, P.N., & Hu, J.C. (2020). Patient satisfaction with telemedicine during the COVID-19 pandemic: Retrospective cohort study. Journal of Medical Internet Research, 22(9): e20786. https://doi.org/10.2196/20786
Russo, J.E., McCool, R.R., & Davies, L. (2016). VA telemedicine: An analysis of cost and time savings. Telemedicine Journal and e-health, 22(3), 209–215. https://doi.org/10.1089/tmj.2015.0055
Schein, R.M., Schmeler, M.R., Holm, M.B., Saptono, A., & Brienza, D.M. (2010). Telerehabilitation wheeled mobility and seating assessments compared with in person. Archives of Physical Medicine and Rehabilitation, 91(6), 874–878. https://doi.org/10.1016/j.apmr.2010.01.017
Schein, R. M., Schmeler, M. R., Saptono, A., & Brienza, D. (2010). Patient satisfaction with telerehabilitation assessments for wheeled mobility and seating. Assistive Technology, 22(4), 215–222. https://doi.org/10.1080/10400435.2010.518579
Schmeler, M. R., Schein, R. M., McCue, M., & Betz, K. (2009). Telerehabilitation clinical and vocational applications for assistive technology: Research, opportunities, and challenges. International Journal of Telerehabilitation, 1(1), 59–72. https://doi.org/10.5195/ijt.2009.6014
U.S. Department of Veterans Affairs: 2016 Annual Report. Retrieved from https://www.visn4.va.gov/news/annual-reports/2016/VISN4-annual-report-print.pdf
Whitten, P., & Love, B. (2005). Patient and provider satisfaction with the use of telemedicine: Overview and rationale for cautious enthusiasm. Journal of Postgraduate Medicine, 51(4), 294–300.
Williams, T. L., May, C. R., & Esmail, A. (2001). Limitations of patient satisfaction studies in telehealthcare: A systematic review of the literature. Telemedicine Journal and e-health, 7(4), 293–316. https://doi.org/10.1089/15305620152814700
World Health Organization (2011). World Report on Disability. https://www.who.int/publications/i/item/world-report-on-disability
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