Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study

Authors

  • Kristie J. Harper Occupational Therapy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia; Curtin University, School of Allied Health, Perth, Western Australia, Australia; Enable Institute for Health Research, Perth, Western Australia, Australia
  • Siân Fitzgerald Occupational Therapy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
  • Png Xiyin Curtin University, School of Allied Health, Perth, Western Australia, Australia
  • Jordan Kuzich Occupational Therapy Department, Rockingham Hospital, Rockingham, Western Australia, Australia
  • Soon Hui Leow Curtin University, School of Allied Health, Perth, Western Australia, Australia
  • Angela Jacques Institute for Health Research, The University of Notre Dame, Perth, Western Australia Australia; Department of Research, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
  • Courtenay Harris Curtin University, School of Allied Health, Perth, Western Australia, Australia

DOI:

https://doi.org/10.5195/ijt.2022.6505

Keywords:

Hand and upper limb rehabilitation, Occupational therapy, Telehealth, Telemedicine

Abstract

Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy.

  

References

Acharya, R. V., & Rai, J. J. (2016). Evaluation of patient and doctor perception toward the use of telemedicine in Apollo Tele Health Services, India. Journal of Family Medicine and Primary Care, 5(4), 798-803. https://doi.org/10.4103/2249-4863.201174

Bykowski, M. R., Sivak, W. N., Cray, J., Buterbaugh, G., Imbriglia, J. E., & Lee, W. A. (2011). Assessing the impact of antibiotic prophylaxis in outpatient elective hand surgery: a single-center, retrospective review of 8,850 cases. The Journal of Hand Surgery, 36(11), 1741-1747. https://doi.org/10.1016/j.jhsa.2011.08.005

Cottrell, E., McMillan, K., & Chambers, R. (2012). A cross-sectional survey and service evaluation of simple telehealth in primary care: What do patients think? BMJ Open, 2(6), e001392. http://dx.doi.org/10.1136/bmjopen-2012-001392

Cottrell, M. A., O'Leary, S. P., Swete-Kelly, P., Elwell, B., Hess, S., Litchfield, M.A., McLoughlin, I., Tweedy, R., Raymer, M., & Hill, A. J. (2018). Agreement between telehealth and in-person assessment of patients with chronic musculoskeletal conditions presenting to an advanced-practice physiotherapy screening clinic. Musculoskeletal Science and Practice, 38, 99-105. https://doi.org/10.1016/j.msksp.2018.09.014

Cottrell, M. A., & Russell, T. G. (2020). Telehealth for musculoskeletal physiotherapy. Musculoskeletal Science and Practice, 48, 102193. https://doi.org/10.1016/j.msksp.2020.102193

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.

Dorsey, E. R., & Topol, E. J. (2016). State of telehealth. New England Journal of Medicine, 375(2), 154-161. https://doi.org/10219310.1056/NEJMra1601705

Faett, B. L., Brienza, D. M., Geyer, M. J., & Hoffman, L. A. (2013). Teaching self-management skills in persons with chronic lower limb swelling and limited mobility: Evidence for usability of telerehabilitation. International Journal of Telerehabilitation, 5(1), 17-26. https://doi.org/10.5195/ijt.2013.6114

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218-221. https://doi.org/10.1016/j.nurpra.2020.09.013

Grona, S. L., Bath, B., Busch, A., Rotter, T., Trask, C., & Harrison, E. (2018). Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review. Journal of Telemedicine and Telecare, 24(5), 341-355. https://doi.org/10.1177/1357633X17700781

Hagge, D., Knopf, A., & Hofauer, B. (2020). Telemedicine in the fight against SARS-COV-2-opportunities and possible applications in otorhinolaryngology: Narrative review. HNO, 68(6), 433-439. https://doi.org/10.1007/s00106-020-00864-7

Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap): A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377-381. https://doi.org/10.1016/j.jbi.2008.08.010

Harris, P. A., Taylor, R., Minor, B. L., Elliott, V., Fernandez, M., O'Neal, L., McLeod, L., Delacqua, G., Kirby, J., Duda, S.N., & REDCap Consortium. (2019). The REDCap consortium: Building an international community of software platform partners. Journal of Biomedical Informatics, 95, 103208. https://doi.org/10.1016/j.jbi.2019.103208

Harst, L., Lantzsch, H., & Scheibe, M. (2019). Theories predicting end-user acceptance of telemedicine use: systematic review. Journal of Medical Internet Research, 21(5), e13117. https://doi.org/10.2196/13117

Hollander, J. E., & Carr, B. G. (2020). Virtually perfect? Telemedicine for COVID-19. New England Journal of Medicine, 382(18), 1679-1681. https://doi.org/10.1056/NEJMp2003539

Keller, J. L., Caro, C. M., Dimick, M. P., Landrieu, K., Fullenwider, L., & Walsh, J. M. (2016). Thirty years of hand therapy: The 2014 practice analysis. Journal of Hand Therapy, 29(3), 222-234. https://doi.org/10.1016/j.jht.2016.02.011

Lawford, B. J., Delany, C., Bennell, K. L., & Hinman, R. S. (2018). “I was really sceptical...But it worked really well”: A qualitative study of patient perceptions of telephone-delivered exercise therapy by physiotherapists for people with knee osteoarthritis. Osteoarthritis and Cartilage, 26(6), 741-750. https://doi.org/10.1016/j.joca.2018.02.909

Malliaras, P., Merolli, M., Williams, C., Caneiro, J., Haines, T., & Barton, C. (2022). 'It's not hands-on therapy, so it's very limited': Telehealth use and views among allied health clinicians during the coronavirus pandemic. Journal of Science and Medicine in Sport, 25(3), E8-E8. https://doi.org/10.1016/j.jsams.2021.09.111

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20(1), 1-9. https://doi.org/10.1186/s12889-020-09301-4

Parmanto, B., Lewis, A., Graham, K. M., & Bertolet, M. (2016). Development of the Telehealth Usability Questionnaire (TUQ). International Journal of Telerehabilitation, 8(1), 3-10. https://doi.org/10.5195/ijt.2016.6196

Parmanto, B., Pulantara, I. W., Schutte, J. L., Saptono, A., & McCue, M. P. (2013). An integrated telehealth system for remote administration of an adult autism assessment. Telemedicine and e-Health, 19(2), 88-94. https://doi.org/10.1089/tmj.2012.0104

Pelly, F. E., Wiesmayr‐Freeman, T., & Tweedie, J. (2020). Student placement adaptability during COVID‐19: Lessons learnt in 2020. Nutrition & Dietetics, 77(4): 481–483. https://doi.org/10.1111/1747-0080.12625

Serwe, K. M., Hersch, G. I., & Pancheri, K. (2017). Feasibility of using telehealth to deliver the "Powerful Tools for Caregivers" program. International Journal of Telerehabilitation, 9(1), 15-22. https://doi.org/10.5195/ijt.2017.6214

Sloane, E., Dowling, C., Ebert, K., Papadopoulos, E., & Weinstock-Zlotnick, G. (2021). Expected and unexpected: preconceptions of telehealth for hand therapy patients. HSS Journal, 17(1), 94-98. https://doi.org/10.1177/1556331620972072

Tadley, M., Henry, T. W., Horan, D. P., & Beredjiklian, P. K. (2021). The financial implications of telehealth visits within a hand and wrist surgery clinical practice during the COVID-19 pandemic. Journal of Hand Surgery American, 46(8), 660-665. https://doi.org/10.1016/j.jhsa.2021.03.019

Turolla, A., Rossettini, G., Viceconti, A., Palese, A., & Geri, T. (2020). Musculoskeletal physical therapy during the COVID-19 pandemic: is telerehabilitation the answer? Physical Therapy, 100(8), 1260-1264. https://doi.org/10.1093/ptj/pzaa093

von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gotzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. Lancet, 370(9596), 1453-1457. https://doi.org/10.1016/s0140-6736(07)61602-x

Western Australian Government Department of Health. (2019). Sustainable Health Review: Final Report. https://ww2.health.wa.gov.au/Improving-WA-Health/Sustainable-health-review/Final-report

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

Wright-Chisem, J., & Trehan, S. (2021, Feb). The hand and wrist examination for video telehealth encounters. HSS Journal, 17(1), 70-74. https://doi.org/10.1177/1556331620975341

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Published

2022-12-13

How to Cite

Harper, K. J., Fitzgerald, S., Xiyin, P., Kuzich, J., Leow, S. H., Jacques , A., & Harris, C. (2022). Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study. International Journal of Telerehabilitation, 14(2). https://doi.org/10.5195/ijt.2022.6505

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Section

Clinical Research