International Journal of Telerehabilitation https://telerehab.pitt.edu/ojs/Telerehab <p>The International Journal of Telerehabilitation (IJT) is a biannual journal dedicated to advancing telerehabilitation by disseminating information about current research and practices.</p> <p>IJT accepts original research, systematic reviews on novel topics, case studies, viewpoints, technology reviews, book reviews, and country reports that detail the status of telerehabilitation. IJT accepts manuscript submissions between January 5<sup>th</sup> – March 31<sup>st</sup> for the Spring issue and July 1<sup>st</sup> – September 30<sup>th</sup> for the Fall issue.&nbsp; All manuscripts receive a first-level review by Editorial Board members.&nbsp; Results of the first-level review are shared with authors immediately upon review completion.&nbsp; Manuscripts receiving favorable first-level reviews are sent for blinded second-level reviews to reviewers (Editorial Board members, Section Editors, and/or invited reviewers with expertise in the subject matter).&nbsp; Authors are notified of second-level review results for the Spring issue in April, and in October for the Fall issue.&nbsp; The Spring issue of IJT is published in June and the Fall issue of IJT is published in December of each year.&nbsp;</p> University Library System, University of Pittsburgh en-US International Journal of Telerehabilitation 1945-2020 <p>Authors who publish with this journal agree to the following terms:</p><ol><li>The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.</li><li>Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.</li><li>The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a <a title="CC-BY" href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</a> or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:<ol type="a"><li>Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;</li></ol>with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.</li><li>The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.</li><li>Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.</li><li>Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.</li><li>The Author represents and warrants that:<ol type="a"><li>the Work is the Author’s original work;</li><li>the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;</li><li>the Work is not pending review or under consideration by another publisher;</li><li>the Work has not previously been published;</li><li>the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and</li><li>the Work contains no libel, invasion of privacy, or other unlawful matter.</li></ol></li><li>The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.</li></ol><p><span style="font-size: 75%;">Revised 7/16/2018. Revision Description: Removed outdated link. </span></p> Editors' Note https://telerehab.pitt.edu/ojs/Telerehab/article/view/6381 <p>Editors' Note for Vol. 13, No 1 (2021)</p> Ellen R. Cohn Jana Cason Copyright (c) 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6381 Practice Considerations for Adapting In-Person Groups to Telerehabilitation https://telerehab.pitt.edu/ojs/Telerehab/article/view/6374 <p class="AbstractBodyText">The Coronavirus-2019 (COVID-19) pandemic has shifted research and healthcare system priorities, stimulating literature on implementation and evaluation of telerehabilitation for a variety of patient populations. While there is substantial literature on individual telerehabilitation, evidence about group telerehabilitation remains limited despite its increasing use by rehabilitation providers. Therefore, the purpose of this manuscript is to describe our expert team’s consensus on practice considerations for adapting in-person group rehabilitation to group telerehabilitation to provide rapid guidance during a pandemic and create a foundation for sustainability of group telerehabilitation beyond the pandemic’s end.</p> <p class="AbstractBodyText">&nbsp;</p> Allison M. Gustavson Michelle R. Rauzi Molly J. Lahn Hillari S.N. Olson Melissa Ludescher Stephanie Bazal Elizabeth Roddy Christine Interrante Estee Berg Jennifer P. Wisdom Howard A. Fink Copyright (c) 2021 Allison M. Gustavson, Michelle Rauzi, Molly Lahn, Hillari S.N. Olson, Melissa Ludescher, Stephanie Bazal, Elizabeth Roddy, Christine Interrante, Estee Berg, Jennifer P. Wisdom, Howard A. Fink https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6374 Ethical Issues Linked to the Development of Telerehabilitation: A Qualitative Study https://telerehab.pitt.edu/ojs/Telerehab/article/view/6367 <p>While telerehabilitation (TR) makes it possible to respond to many significant health system problems, TR still gives rise to debates, particularly concerning ethical issues. This qualitative study collected the opinions of stakeholders with varied profiles. A guided interview focused on discerning strategies that might foster the ethical deployment of TR. Such strategies were found to be linked to the decision-making of the public authorities, the role of scientific and professional bodies, the training of health professionals, and the management of patient information. Ethical issues relating to the development of TR included universal accessibility, patients’ free choice, respect of privacy, and professional confidentiality. The ethical development of TR can be fostered by the provision of information to stakeholders as well as reminding practitioners of the ethical framework that regulates medical practice.</p> Marin Guy Alexandra Blary Joel Ladner Maxime Gilliaux Copyright (c) 2021 Marin GUY, Alexandra BLARY, Joel LADNER, Maxime GILLIAUX https://creativecommons.org/licenses/by/4.0 2021-05-20 2021-05-20 13 1 10.5195/ijt.2021.6367 Keeping PACE With 21st Century Healthcare: A Framework for Telehealth Research, Practice, and Program Evaluation in Occupational Therapy https://telerehab.pitt.edu/ojs/Telerehab/article/view/6379 <p>The use of telehealth to deliver occupational therapy services rapidly expanded during the COVID-19 pandemic. There are frameworks to evaluate services delivered through telehealth; however, none are specific to occupational therapy. Therefore, occupational therapy would benefit from a framework to systematically evaluate components of telehealth service delivery and build evidence to demonstrate the distinct value of occupational therapy.&nbsp; The PACE Framework outlines four priority domains to address areas of need: (1) <strong>P</strong>opulation and Health Outcomes; (2) <strong>A</strong>ccess for All Clients; (3) <strong>C</strong>osts and Cost Effectiveness; and (4) <strong>E</strong>xperiences of Clients and Occupational Therapy Practitioners. This article describes the development and expert reviewer evaluation of the PACE Framework. In addition, the PACE Framework’s domains, subdomains, and outcome measure examples are described along with future directions for implementation in occupational therapy research, practice, and program evaluation.&nbsp;</p> Lauren M. Little Kristen A. Pickett Rachel Proffitt Jana Cason Copyright (c) 2021 Lauren M. Little, Kristen A. Pickett, Rachel Proffitt, Jana Cason https://creativecommons.org/licenses/by/4.0 2021-06-01 2021-06-01 13 1 10.5195/ijt.2021.6379 Speech-Language Pathology and Audiology in South Africa: Clinical Training and Service in the Era of COVID-19 https://telerehab.pitt.edu/ojs/Telerehab/article/view/6376 <p><em>Introduction and purpose:</em> The novel coronavirus (COVID-19) presented new and unanticipated challenges to the provision of clinical services, from student training to the care of patients with speech-language and hearing (SLH) disorders. Prompt changes in information and communication technologies (ICT), were required to ensure that clinical training continued to meet the Health Professions Council of South Africa’s regulations and patients received effective clinical care. The purpose of this study was to investigate online clinical training and supervision to inform current and future training and clinical care provision in SLH professions. <em>Methodology:</em> A scoping review was conducted using the Arksey and O'Malley (2005) framework. The electronic bibliographic databases Science Direct, PubMed, Scopus, MEDLINE, and ProQuest were searched to identify publications about online clinical training and supervision and their impact on clinical service during COVID-19. Selection and analysis were performed by three independent reviewers using pretested forms. <em>Results and Conclusions:</em> The findings revealed important benefits of teletraining and telepractice with potential application to South African clinical training and service provision. Five themes emerged: (1) practice produces favorable outcomes, (2) appreciation for hybrid models of training and service delivery, (3) cost effectiveness is a “big win” (4) internationalizati<strong>o</strong>n of remote clinical training and service provision, and (5) comparable modality outcomes. These findings may have significant implications for teletraining and telepractice in low-and-middle income countries (LMICs) in the COVID-19 era and beyond, wherein demand versus capacity challenges (e.g., in human resources) persist. Current findings highlight the need for SLH training programmes to foster a hybrid clinical training model. &nbsp;Few studies were conducted in LMICs, indicating a gap in such research.</p> <p>&nbsp;</p> Katijah Khoza-Shangase Nomfundo Moroe Joanne Neille Copyright (c) 2021 Katijah Khoza-Shangase, Nomfundo Moroe, Joanne Neille https://creativecommons.org/licenses/by/4.0 2021-06-23 2021-06-23 13 1 10.5195/ijt.2021.6376 Defining Roles and Responsibilities for School-Based Tele-Facilitators: Intraclass Correlation Coefficient (ICC) Ratings of Proposed Competencies https://telerehab.pitt.edu/ojs/Telerehab/article/view/6351 <p>The primary purpose of this study was to craft and validate a set of core competencies necessary for a tele-facilitator to possess in the school setting.&nbsp; Competencies were created through literature review and qualitative analysis. Following expert review, the competencies were revised and formatted into an online survey which was sent to respondents in four target groups: (a) school administrators who had adopted telepractice as a service delivery model; (b) speech-language pathologists (SLPs) experienced in telepractice within a school setting; (c) current tele-facilitators, and (d) scholars experienced in telepractice. Fifty-seven percent (20 out of 35) of the competencies were rated as “Essential Skills.” The remaining competencies could be more or less important depending on workplace requirements.</p> Hannah Douglass J. Joneen Lowman Vrushali Angadi Copyright (c) 2021 Hannah Douglass, J. Joneen Lowman, Vrushali Angadi https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6351 Perceptions of School-Based Telehealth in a Rural State: Moving Forward After COVID-19 https://telerehab.pitt.edu/ojs/Telerehab/article/view/6370 <p>&nbsp;</p> <p>The purpose of this study was to discern the barriers faced by school-based clinicians, chiefly occupational therapists (OTs) and speech-language pathologists (SLPs) who provided telehealth in a primarily rural state during an unexpected declaration of a state of emergency in response to the COVID-19 pandemic. Survey results found the major barriers to implementation of telehealth services to be lack of practitioner training, a lack of access to technology for students, and concerns that the quality of intervention might not be equivalent to in-person service delivery. This article discusses both the benefits and barriers to providing telehealth services in school-based practice and offers considerations for future studies on this topic.</p> Susan Skees Hermes Jade Rauen Shirley O'Brien Copyright (c) 2021 Susan Skees Hermes, Jade Rauen, Shirley O'Brien https://creativecommons.org/licenses/by/4.0 2021-05-19 2021-05-19 13 1 10.5195/ijt.2021.6370 Motivating Patients in Cardiac Rehabilitation Programs: A Multicenter Randomized Controlled Trial https://telerehab.pitt.edu/ojs/Telerehab/article/view/6365 <p class="Keywords"><span style="font-style: normal;">Concerns have been raised about motivation and psychological distress when implementing telerehabilitation in patients with heart failure. The current study compared conventional and telerehabilitation in two groups (n=67; n=70) of patients with heart failure at 0, 6, and 12 months on measures of motivation (Self-Determination Theory measures) and psychological distress (Hospital Anxiety and Depression scale). We found no significant changes in motivation across groups, although our telerehabilitation group had a slightly lower level of controlled motivation and higher levels of relatedness. In addition, there were no differences between groups with regard to psychological distress. This study demonstrates that telerehabilitation motivates patients with heart failure to the same degree as conventional rehabilitation, and that telerehabilitation is not associated with increased psychological distress. As such, telerehabilitation offers an alternative to conventional rehabilitation and addresses some of the barriers for participating in rehabilitation identified in the literature. </span></p> Helle Spindler Malene Hollingdal Jens Refsgaard Birthe Dinesen Copyright (c) 2021 Helle Spindler, Malene Hollingdal, Jens Refsgaard, Birthe Dinesen https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6365 Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform https://telerehab.pitt.edu/ojs/Telerehab/article/view/6346 <p><em>Objective:</em> Due to social distancing guidelines during the Coronavirus (COVID-19) pandemic, most providers and patients have wanted to avoid close contact. This makes physical therapy (PT) assessments difficult because of the lack of empirical evidence about the reliability of various clinical measurements performed in a virtual environment. One such procedure is the photometric measurement of craniovertebral (CV) angle. Craniovertebral angle measurement is usually performed in an outpatient setting and is defined as the acute angle formed between a straight line connecting the spinous process of C7 to the tragus of the ear, and the horizontal line passing through the spinous process of the C7. Although the photometric measurement of CV angles is considered both valid and reliable in the clinics, no empirical evidence exists about the CV angle measurement reliability when performed in a virtual environment. Thus, the purpose of this study was to assess the inter- and intra-rater reliability of photometric CV angle measurement using a cloud-based video communication platform. <em>Number of Subjects:</em> 66 subjects (57 females). <em>Methods: </em>All measurements were performed by two final year PT students who had completed the musculoskeletal part of the curriculum and were blinded to each other’s measurements. Each subject was photographed in two postures over a HIPAA-compliant video-based telehealth platform: (1) normal/ relaxed posture and (2) ideal posture (posture the subject considered good). Student researcher 1 measured the CV angle in both the relaxed posture and ideal posture, while student researcher 2 measured the CV angle only in the relaxed posture. Each subject's CV angle measurement was performed three times on three separate days and the means were used for further analysis. The shape of the CV angle frequency distribution was assessed using kurtosis and skewness values. Rater reliability was assessed using intraclass correlation coefficients (ICC), and interpreted based on the guidelines provided by Portney and Watkins (2009). <em>Results:</em> The CV angles were normally distributed in both relaxed and ideal postures. The mean and standard deviation (SD) of relaxed posture was 50.7o ± 6.3o with kurtosis and skewness of 0.67 and -0.74 respectively. The mean and SD of ideal posture was 55.5o ± 5.4o, with kurtosis and skewness of 0.1 and -0.54 respectively. The ICC for inter-rater reliability in the relaxed posture was 0.88 and the ICC for intra-rater reliability for relaxed posture was 0.91.&nbsp; <em>Conclusion:</em> Craniovertebral angles were normally distributed in the sample. An acceptable level of inter- and intra-rater reliability can be attained when measuring CV angle using a cloud-based video communication platform.</p> <p>&nbsp;</p> Rylan Cote Cassandra Vietas Megan Kolakowski Kayla Lombardo Jacob Prete Amit Dashottar Copyright (c) 2021 Rylan Cote, Cassandra Vietas, Megan Kolakowski, Kayla Lombardo, Jacob Prete, Amit Dashottar https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6346 Comparing In-Person and Telepractice Service Delivery for Spoken Language Production and Comprehension Using the National Outcomes Measurement System https://telerehab.pitt.edu/ojs/Telerehab/article/view/6373 <p><span id="page1376R_mcid13" class="markedContent"><span dir="ltr" style="left: 104.4px; top: 630.421px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.02848);">The American Speech-Language-Hearing Association (ASHA) developed the National Outcomes Measurement System for </span><span dir="ltr" style="left: 104.4px; top: 647.026px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.0112);">aggregating standardized patient outcomes. Outcomes are standardized using Functional Communication Measures (FCM), </span><span dir="ltr" style="left: 104.4px; top: 663.631px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.02836);">scales designed to d</span><span dir="ltr" style="left: 241.995px; top: 663.631px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.02424);">escribe communicative function across specific areas of clinical need. This investigation compared in-</span><span dir="ltr" style="left: 104.4px; top: 680.431px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.01642);">person and telepractice service delivery for children in elementary school settings who received treatment targeting the FCM </span><span dir="ltr" style="left: 104.4px; top: 697.036px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.02715);">categories of either “spoken language production” or “spoken language comprehension.” De-identified cases were secured </span><span dir="ltr" style="left: 104.4px; top: 713.641px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.0337);">from ASHA’s NOMS database and the database of a private e-learning provider that implemented the NOMS format. There </span><span dir="ltr" style="left: 104.4px; top: 730.441px; font-size: 15px; font-family: sans-serif; transform: scaleX(0.982893);">were minimal significant differences in the median </span><span dir="ltr" style="left: 450.795px; top: 730.441px; font-size: 15px; font-family: sans-serif; transform: scaleX(0.987545);">change scores between the traditional and telepractice interventions. </span><span dir="ltr" style="left: 104.4px; top: 747.046px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.02204);">These results support comparable treatment outcomes between in-person service delivery and telepractice for treatment of </span><span dir="ltr" style="left: 104.4px; top: 763.651px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.00638);">children exhibiting impaired spoken language production or spoken language comprehension in an elementary school </span><span dir="ltr" style="left: 104.4px; top: 780.451px; font-size: 15px; font-family: sans-serif; transform: scaleX(1.03468);">setting</span></span></p> Imran Musaji Blake Roth Kathy Coufal Douglas F. Parham Trisha L. Self Copyright (c) 2021 Imran Musaji, Blake Roth, Kathy Coufal, Douglas F. Parham, Trisha L. Self https://creativecommons.org/licenses/by/4.0 2021-05-19 2021-05-19 13 1 10.5195/ijt.2021.6373 The Canadian Occupational Performance Measure: A Feasible Multidisciplinary Outcome Measure for Pediatric Telerehabilitation https://telerehab.pitt.edu/ojs/Telerehab/article/view/6372 <p>This study describes the feasibility of using the Canadian Occupational Performance Measure (COPM) as a multidisciplinaryoutcome measure for pediatric telerehabilitation (TR). The COPM was administered at monthly time points over four months. A follow-up survey was conducted with the therapists to assess clinical utility of the COPM. Seventy-three percent of the children seen in TR &gt; one month had at least two administrations of the COPM. Eighty percent of therapists agreed or strongly agreed that the COPM was easy to use in a reasonable amount of time, helped identify functional goals, could be used with various children with varied diagnoses, and measured functional change. In 37 children, the median clinical change in performance and satisfaction was two points or greater on the COPM over the episode of TR. The COPM is a feasible measure perceived positively by pediatric therapists for TR use.</p> Lynn R Tanner Kathy Grinde Cristin McCormick Copyright (c) 2021 Lynn R Tanner, Kathy Grinde, Cristin McCormick https://creativecommons.org/licenses/by/4.0 2021-06-21 2021-06-21 13 1 10.5195/ijt.2021.6372 Telepractice in School-age Children Who Stutter: A Controlled Before and After Study to Evaluate the Efficacy of MIDA-SP https://telerehab.pitt.edu/ojs/Telerehab/article/view/6380 <p>The COVID-19 pandemic necessitated a general reorganization of rehabilitation services in Italy. The lockdown in Italy led to the use of telepractice for the delivery of speech therapy, including stuttering. The aim of the present work was to evaluate the effectiveness of the MIDA-SP (Tomaiuoli et al., 2012), delivered online for school-age children who stutter. A non-randomized controlled pre- and post-treatment study included an experimental group (11 children) receiving a telepractice adaptation of MIDA-SP and a historical control group (11 children) receiving in-person MIDA-SP. Both groups had been assessed with SSI-4 and OASES-S pre- and post-treatment. No statistically significant differences were found between the two modes of delivery. These findings suggest that MIDA-SP treatment delivered via telepractice is effective for school-age children who stutter.</p> Donatella Tomaiuoli Francesca Del Gado Sara Marchetti Lisa Scordino Diletta Vedovelli Copyright (c) 2021 Donatella Tomaiuoli, Francesca Del Gado, Sara Marchetti, Lisa Scordino, Diletta Vedovelli https://creativecommons.org/licenses/by/4.0 2021-06-21 2021-06-21 13 1 10.5195/ijt.2021.6380 Telerehabilitation for Post-Hospitalized COVID-19 Patients: A Proof-of-Concept Study During a Pandemic https://telerehab.pitt.edu/ojs/Telerehab/article/view/6383 <p><em>Purpose:</em> Telerehabilitation could prevent sequelae from COVID-19. We aimed to assess the feasibility of telerehabilitation; describe pulmonary and functional profiles of COVID-19 patients; and explore the effect of telerehabilitation on improving pulmonary symptoms and quality of life. <em>Methods:</em> We conducted a pre-experimental, pre-post pilot study. We recruited COVID-19 patients who had returned home following hospitalization. The intervention included eight weeks of supervised physiotherapy sessions. We documented technological issues, success of recruitment strategies, and participants’ attendance to supervised sessions. We measured the impact of pulmonary symptoms on quality of life and functional health. <em>Results:</em> We scheduled 64 supervised sessions with seven participants with few technological issues. Initial scores showed that pulmonary symptoms moderately to highly impacted quality of life. At eight weeks, all patients had improved from 10 to 45 points on the EuroQol-Visual Analog Scale (EQ-VAS) instrument, indicating clinical significance. <em>Conclusion:</em> We developed and administered a telerehabilitation intervention during a global pandemic that targets key symptoms of the relevant disease.</p> Pamela Tanguay Nicole Marquis Isabelle Gaboury Dahlia Kairy Matthieu Touchette Michel Tousignant Simon Décary Copyright (c) 2021 Pamela Tanguay, Nicole Marquis, Isabelle Gaboury, Dahlia Kairy, Matthieu Touchette, Michel Tousignant, Simon Décary https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6383 Effects of Supervised Exercise-based Telerehabilitation on Walk Test Performance and Quality of Life in Patients in India with Chronic Disease: Combatting COVID-19 https://telerehab.pitt.edu/ojs/Telerehab/article/view/6349 <p><em>Background:</em> The world is currently undergoing a pandemic, caused by the SARS-CoV-2 virus (COVID-19). According to the World Health Organization, patients with chronic illnesses appear to be at the highest risk for COVID-19 associated sequelae. Inability to participate in outpatient-based rehabilitation programs and being home-bound can increase the risk for and potential worsening of chronic health conditions. This study evaluated the short-term effects of telerehabilitation on patients’ walk test performance and health related quality of life (HRQoL).&nbsp; <em>Methods:</em> 47 patients (23 cardiovascular, 15 pulmonary, 9 oncology) participated in the telerehabilitation program. At baseline and following a 1-month intervention, patients had their 6-minute walk test distance (6MWTD) and HRQoL assessed. Average daily step counts were measured by the PACER App. <em>Conclusion:</em> Our results indicate that a short-term, supervised virtual telerehabilitation program had significant positive effects on 6MWTD and HRQoL in cardiac, pulmonary and oncology patients during COVID-19.</p> Jaini Patel Barry A. Franklin Disha Pujary Gagandeep Kaur Ankita Deodhar Sakshi Kharbanda Aashish Contractor Copyright (c) 2021 Jaini Patel, Barry A. Franklin, Disha Pujary, Gagandeep Kaur, Ankita Deodhar, Sakshi Kharbanda, Aashish Contractor https://creativecommons.org/licenses/by/4.0 2021-05-28 2021-05-28 13 1 10.5195/ijt.2021.6349 The Implementation of Teleconsultations in a Physiotherapy Service During COVID-19 Pandemic in Brazil: A Case Report https://telerehab.pitt.edu/ojs/Telerehab/article/view/6368 <p><em>Introduction:</em> The Brazilian Council of Physiotherapy and Occupational Therapy regulated the use of teleconsultation during the COVID-19 pandemic, creating uncertainty about its use in Brazil<strong>. </strong><em>Objective:</em> To describe the experience of teleconsultations during the COVID-19 pandemic. <em>Methods:</em> Four patients participated in the study with the following diagnoses: Parkinson’s disease, stroke, peripheral facial paralysis, and tibial plateau fracture. Patients underwent up to 10 physiotherapy sessions via digital tools.&nbsp; The 5-A self-management tool (Assess, Advise, Agree, Assist, Arrange) guided the sessions. <em>Results:</em> The teleconsultation type varied between synchronous (n = 1; 25%); asynchronous (n = 2; 50%) and synchronous/asynchronous (n = 1; 25%). There was 75% (n = 3) adherence and one withdrawal (25%). As the benefits of teleconsultations, the patients pointed out the convenience, maintenance of the exercises, and contact with the professional. The reported limitations were the lack of the use of physiotherapeutic devices. <em>Conclusion:</em> Teleconsultations contribute to the continuity of physiotherapy treatment during social isolation. Adherence to treatment was facilitated by access to the technology and by offering patients the choice of teleconsultation type.</p> <p>&nbsp;</p> Thaiana B.F. Pacheco Dayse A. Bezerra João Pedro de S. Silva Ênio W. A. Cacho Clécio G. de Souza Roberta O. Cacho Copyright (c) 2021 Thaiana B.F. Pacheco, Dayse A. Bezerra, João Pedro de S. Silva, Ênio W. A. Cacho, Clécio G. de Souza, Roberta O. Cacho https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6368 Rapid Implementation of Telerehabilitation for Pediatric Patients During COVID-19 https://telerehab.pitt.edu/ojs/Telerehab/article/view/6371 <p>The COVID-19 pandemic necessitated a sudden limitation of in-person outpatient occupational and physical therapy services for most patients at a large, multisite pediatric hospital located in the Midwest, United States. &nbsp;To ensure patient and staff safety, the hospital rapidly shifted to deliver most of these services via telerehabilitation. The purposes of this study were to (1) describe the rapid implementation of telerehabilitation during the COVID-19 pandemic, (2) describe the demographic characteristics of patients who continued in-person services and those who received telerehabilitation, and (3) evaluate the therapists’ perceptions of telerehabilitation for physical and occupational therapy. Most of the children (83.4% of <em>n</em>=1352) received telerehabilitation services. A family was more likely to choose to continue in-person visits if their child was &lt;1-year-old, had a diagnosis of torticollis, received serial casting, or was post-surgical. Occupational and physical therapy therapists (<em>n</em>=9) completed surveys to discern their perceptions of the acceptability of telerehabilitation, with most reporting that telerehabilitation was as effective as in-person care.</p> <p><em>&nbsp;</em></p> Rachel Bican Catie Christensen Kristin Fallieras Grace Sagester Sara O'Rourke Michelle Byars Kelly Tanner Copyright (c) 2021 Rachel Bican, Catie Christensen, Kristin Fallieras, Grace Sagester, Sara O'Rourke, Michelle Byars, Kelly Tanner https://creativecommons.org/licenses/by/4.0 2021-05-28 2021-05-28 13 1 10.5195/ijt.2021.6371 Early Intervention Service Delivery via Telehealth During COVID-19: A Research-Practice Partnership https://telerehab.pitt.edu/ojs/Telerehab/article/view/6363 <p>Coaching has been identified as a best practice for early intervention (EI) services provided through the Individuals with Disabilities Education Act (IDEA) Part C. The current study describes the establishment and progress of a research-relationship partnership to deliver coaching via telehealth during the COVID-19 pandemic. Community-based EI providers implemented 9-weeks of telehealth coaching and evaluated the extent to which child and caregiver outcomes differed between families that had previously received in-person services versus telehealth only. Four EI providers completed the intervention with n=17 families of children aged 6-34 months during the pandemic (April-August 2020). We used the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) to collect outcomes on caregiver identified goals; we used Wilcoxon Signed Rank Tests to examine pre- to post-intervention data. Results showed significant improvements in parent satisfaction, child performance, and goal attainment (all <em>p&lt;.</em>01). Findings suggest that telehealth coaching procedures implemented by community-based EI providers resulted in improvements in caregiver identified goals for young children.</p> Jessica Kronberg Elaine Tierney Anna Wallisch Lauren M. Little Copyright (c) 2021 Jessica Kronberg, Elaine Tierney, Anna Wallisch, Lauren Little https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6363 Aural Rehabilitation via Telepractice During COVID-19: A Global Perspective on Evolving Early Intervention Practices https://telerehab.pitt.edu/ojs/Telerehab/article/view/6362 <p><em>Introduction:</em> Pre-pandemic, telepractice was not globally implemented despite its effectiveness. Clinicians reported challenges related to technology, confidence, and inadequate resources. <em>Objectives:</em> To document global telepractice, identify current obstacles and measure the impact of a possible solution. The timing of this research facilitated tracking telepractice changes during the pandemic. <em>Methods:</em> Two surveys measured practitioners’ experience and attitude towards telepractice. Survey 1 was completed in February-March 2020. Participants then received two specialized lesson kits to trial if desired. Survey 2 was a follow-up after 4-6 weeks. <em>Results:</em> Between surveys, the proportion of participants providing telepractice increased from 47.6% to 91.7%. The lesson kits were trialled by 74.3%. Their use had a positive impact on three of the top five factors affecting the delivery of telepractice: parent coaching, clinician experience and accessing resources. <em>Conclusion:</em> Telepractice was rapidly adopted globally during the pandemic. The specialized resources were helpful in overcoming some of the barriers to delivery.</p> Rebecca Claridge Nicholas Kroll Copyright (c) 2021 Rebecca Claridge, Nicholas Kroll https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6362 Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study https://telerehab.pitt.edu/ojs/Telerehab/article/view/6334 <p>This study examined the feasibility and acceptability of a telerehabilitation program during the COVID-19 pandemic in a sample of adult patients with physical disabilities. Of the twenty-three patients enrolled, 11 agreed to participate in a video-based telerehabilitation program. Barriers and facilitators to the adoption of telerehabilitation were identified and clinical, demographic, and psychological variables were analysed as predictors of success. Age, cognitive reserve, and resilience were significant predictors of satisfaction with telerehabilitation (p&lt;0.05). The telerehabilitation program was perceived as feasible and was well accepted by patients, despite some technology challenges. However, patients who took advantage of telerehabilitation perceived differences in the quality of service and preferred traditional in-person treatment to service delivery via telerehabilitation.</p> Giada Milani Giulia Demattè Matilde Ferioli Giulia Dallagà Susanna Lavezzi Nino Basaglia Sofia Straudi Copyright (c) 2021 Giada Milani, Giulia Dematte, Matilde Ferioli, Giulia Dallagà, Susanna Lavezzi, Nino Basaglia, Sofia Straudi https://creativecommons.org/licenses/by/4.0 2021-06-23 2021-06-23 13 1 10.5195/ijt.2021.6334 Correction to: Dahl-Popolizio, S., Carpenter, H., Coronado, M., Popolizio, N. J., & Swanson, C. (2020). Telehealth for the provision of occupational therapy: Reflections on experiences during the COVID-19 pandemic https://telerehab.pitt.edu/ojs/Telerehab/article/view/6382 <p>Correction to: Dahl-Popolizio, S., Carpenter, H., Coronado, M., Popolizio, N. J., &amp; Swanson, C. (2020). Telehealth for the provision of occupational therapy: Reflections on experiences during the COVID-19 pandemic.&nbsp;<em>International Journal of Telerehabilitation</em>,&nbsp;<em>12</em>(2), 77–92. <a href="https://doi.org/10.5195/ijt.2020.6328">https://doi.org/10.5195/ijt.2020.6328</a></p> Ellen R. Cohn Copyright (c) 2021 Ellen R. Cohn https://creativecommons.org/licenses/by/4.0 2021-05-18 2021-05-18 13 1 10.5195/ijt.2021.6382 Correction to: Bican, R., Christensen, C., Fallieras, K., Sagester, G., O’Rourke, S., Byars, M., & Tanner, K. (2021). Rapid Implementation of Telerehabilitation for Pediatric Patients During COVID-19 https://telerehab.pitt.edu/ojs/Telerehab/article/view/6386 <p>Correction to: Bican, R., Christensen, C., Fallieras, K., Sagester, G., O’Rourke, S., Byars, M., &amp; Tanner, K. (2021). Rapid Implementation of Telerehabilitation for Pediatric Patients During COVID-19. <em>International Journal of Telerehabilitation</em>, <em>13</em>(1). https://doi.org/10.5195/ijt.2021.6371</p> <p>The affiliation for each author was incorrectly stated as: Physical Medicine &amp; Rehabilitation, Children’s Minnesota, Minneapolis, Minnesota, USA</p> <p>The correct affiliation for each author is: Clinical Therapies, Nationwide Children’s Hospital, Columbus, Ohio, USA</p> <p>The metadata for the original article has been corrected.</p> Ellen R. Cohn Copyright (c) 2021 Ellen R. Cohn https://creativecommons.org/licenses/by/4.0 2021-06-23 2021-06-23 13 1 10.5195/ijt.2021.6386 Correction to: Milani, G., Demattè, G., Ferioli, M., Dallagà, G., Lavezzi, S., Basaglia, N., & Straudi, S. (2021). Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study . International Journal of Telerehabilitation https://telerehab.pitt.edu/ojs/Telerehab/article/view/6391 <p>In the metadata for Milani, G., Demattè, G., Ferioli, M., Dallagà, G., Lavezzi, S., Basaglia, N., &amp; Straudi, S. (2021). Telerehabiltation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study . <em>International Journal of Telerehabilitation</em>, <em>13</em>(1). <a href="https://doi.org/10.5195/ijt.2021.6334">https://doi.org/10.5195/ijt.2021.6334</a>, acceptability was misspelled in the title (i.e., acceptability) by the journal editor.</p> <p>The metadata for the original article has been corrected.</p> Ellen R. Cohn Copyright (c) 2021 Ellen R. Cohn https://creativecommons.org/licenses/by/4.0 2021-07-08 2021-07-08 13 1 10.5195/ijt.2021.6391