Perceptions and Willingness of Physiotherapists in India to Use Telerehabilitation During the COVID-19 Pandemic

Authors

DOI:

https://doi.org/10.5195/ijt.2021.6425

Keywords:

COVID-19 Pandemic, Perception, Physiotherapists, Telehealth, Telerehabilitation

Abstract

The COVID-19 pandemic and ensuing lockdowns have restricted regular clinical physiotherapy services. This has necessitated a sudden shift to the use of telerehabilitation to prevent disruption in the delivery of physiotherapy interventions. This survey investigates the perceptions of physiotherapists in India and their willingness to use telerehabilitation during the pandemic. An electronic questionnaire was sent to 176 physiotherapists around India, and 118 completed questionnaires were received (acceptance rate of 67.04%). A majority of the respondents (n=67; 77%) had used telerehabilitation for the first time during the pandemic, and 72.9% (n=86) found telerehabilitation to be a viable option for healthcare delivery during the pandemic. Some of the barriers identified were lack of training (n=64; 52%) and a lack of connection between information and communication technology experts and clinicians (n=62; 52.5%). Overall, physiotherapists in India expressed a positive perception of telerehabilitation and are willing to use such services.

  

References

Albahrouh, S. I., & Buabbas, A. J. (2021). Physiotherapists’ perceptions of and willingness to use telerehabilitation in Kuwait during the COVID-19 pandemic. BMC Medical Informatics and Decision Making, 21, 122. https://doi.org/10.1186/s12911-021-01478-x

Australian Physiotherapy Association (APA). (2020). Telehealth Guidelines Response to COVID-19. In Australian Physiotherapy Association. https://australian.physio/sites/default/files/APA_Telehealth-Guidelines-COVID19_FA.pdf

American Physical Therapy Association (APTA) (2020). Digital Telehealth Practice - Connect for Best Practice, Compliance, and Healthcare - APTA Learning Center. American Physical Therapy Association. https://learningcenter.apta.org/student/mycourse.aspx?id=f4259a2e-9c55-485c-a353-079e073de74d

Barach, P., Fisher, S. D., Adams, M. J., Burstein, G. R., Brophy, P. D., Kuo, D. Z., & Lipshultz, S. E. (2020). Disruption of healthcare: Will the COVID pandemic worsen non-COVID outcomes and disease outbreaks? Progress in Pediatric Cardiology, 59, 101254. https://doi.org/10.1016/j.ppedcard.2020.101254

Brennan, D. M., Mawson, S., & Brownsell, S. (2009). Telerehabilitation: Enabling the remote delivery of healthcare, rehabilitation, and self management. Studies in Health Technology and Informatics, 145, 231–248. https://doi.org/10.3233/978-1-60750-018-6-231

Cranen, K., Groothuis-Oudshoorn, C. G., Vollenbroek-Hutten, M. M., & IJzerman, M. J. (2017). Toward patient-centered telerehabilitation design: Understanding chronic pain patients’ preferences for web-based exercise telerehabilitation using a discrete choice experiment. Journal of Medical Internet Research, 19(1), e26. https://doi.org/10.2196/jmir.5951

Chartered Society of Physiotherapy (CSP), (2020). Remote physiotherapy delivery options. Chartered Society of Physiotherapists. https://www.csp.org.uk/news/coronavirus/remote-service-delivery-options

de Biase, S., Cook, L., Skelton, D. A., Witham, M., & ten Hove, R. (2020). The COVID-19 rehabilitation pandemic. Age and Ageing, 49(5), 696–700. https://doi.org/10.1093/ageing/afaa118

Fioratti, I., Fernandes, L. G., Reis, F. J., & Saragiotto, B. T. (2021). Strategies for a safe and assertive telerehabilitation practice. Brazilian Journal of Physical Therapy, 25(2), 113–116. https://doi.org/10.1016/j.bjpt.2020.07.009

Hall, J. L., & Mcgraw, D. (2014). For telehealth to succeed, privacy and security risks must be identified and addressed. Health Affairs, 33(2), 216–221. https://doi.org/10.1377/hlthaff.2013.0997

Hinman, R., Lawford, B., & Bennell, K. (2020). Physiotherapy care via telerehabilitation: Evidence summary. Centre for Health Exercise & Sports Medicine, University of Melbourne. https://world.physio/sites/default/files/2020-11/Telerehab report.pdf

Irish Society of Chartered Physiotherapists (ICSP). (2020). POLICY and GUIDELINES on e-Health for Physiotherapists in Private Practice. Irish Chartered Society of Physiotherapists. https://world.physio/sites/default/files/2020-06/e-Health-for-PTs-in-PP-March-2020-Ireland.pdf

Leochico, C. F. D. (2020). Adoption of telerehabilitation in a developing country before and during the COVID-19 pandemic. Annals of Physical and Rehabilitation Medicine, 63(6), 563. https://doi.org/10.1016/J.REHAB.2020.06.001

Leochico, C. F. D., Espiritu, A. I., Ignacio, S. D., & Mojica, J. A. P. (2020). Challenges to the emergence of telerehabilitation in a developing country: A systematic review. Frontiers in Neurology, 11, 1007. https://doi.org/10.3389/fneur.2020.01007

Minghelli, B., Soares, A., Guerreiro, A., Ribeiro, A., Cabrita, C., Vitoria, C., Nunes, C., Martins, C., Gomes, D., Goulart, F., Dos Santos, R. M., & Antunes, R. (2020). Physiotherapy services in the face of a pandemic. Revista Da Associacao Medica Brasileira, 66(4), 491–497. https://doi.org/10.1590/1806-9282.66.4.491

Mukaino, M., Tatemoto, T., Kumazawa, N., Tanabe, S., Katoh, M., Saitoh, E., & Otaka, Y. (2020). An affordable, user-friendly telerehabilitation system assembled using existing technologies for individuals isolated with COVID-19: Development and feasibility study. JMIR Rehabilitation and Assistive Technologies, 7(2), e24960. https://doi.org/10.2196/24960

Olson, K. E., O’Brien, M. A., Rogers, W. A., & Charness, N. (2011). Diffusion of technology: Frequency of use for younger and older adults. Ageing International, 36(1), 123–145. https://doi.org/10.1007/s12126-010-9077-9

Peretti, A., Amenta, F., Tayebati, S. K., Nittari, G., & Mahdi, S. S. (2017). Telerehabilitation: review of the state-of-the-art and areas of application. JMIR Rehabilitation and Assistive Technologies, 4(2), e7. https://doi.org/10.2196/REHAB.7511

Seron, P., Oliveros, M. J., Gutierrez-Arias, R., Fuentes-Aspe, R., Torres-Castro, R. C., Merino-Osorio, C., Nahuelhual, P., Inostroza, J., Jalil, Y., Solano, R., Marzuca-Nassr, G. N., Aguilera-Eguía, R., Lavados-Romo, P., Soto-Rodríguez, F. J., Sabelle, C., Villarroel-Silva, G., Gomolán, P., Huaiquilaf, S., & Sanchez, P. (2021). Effectiveness of telerehabilitation in physical therapy: A rapid overview. Physical Therapy, 101(6), pzab053. https://doi.org/10.1093/ptj/pzab053

Shenoy, M. P., & Shenoy, P. D. (2018). Identifying the challenges and cost-effectiveness of telerehabilitation: A narrative review. Journal of Clinical and Diagnostic Research, 12(12), 1–4. https://doi.org/10.7860/JCDR/2018/36811.12311

World Confederation for Physical Therapy (WCPT), (2020a). Report of the WCPT / INPTRA Digital Physical Therapy. World Confederation for Physical Therapy, International Network of Physiotherapy Regulatory Authorities. Report of the WCPT/INPTRA Digital Physical Therapy Practice Task Force, 2020. http://www.inptra.org/portals/0/pdfs/ReportOfTheWCPTINPTRA_DigitalPhysicalTherapyPractice_TaskForce.pdf

World Confederation for Physical Therapy (WCPT), (2020b). Report sets out future of digital physical therapy practice | World Confederation for Physical Therapy. World Confederation for Physical Therapy, International Network of Physiotherapy Regulatory Authorities. Report of the WCPT/INPTRA Digital Physical Therapy Practice Task Force. https://world.physio/news/report-sets-out-future-digital-physical-therapy-practice

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Published

2021-12-01

How to Cite

D’Souza, A. F., & Rebello, S. R. (2021). Perceptions and Willingness of Physiotherapists in India to Use Telerehabilitation During the COVID-19 Pandemic. International Journal of Telerehabilitation, 13(2). https://doi.org/10.5195/ijt.2021.6425

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Country Reports