Effectiveness and feasibility of home-based telerehabilitation for community-dwelling elderly people in Southeast Asian countries and regions: a systematic review.
Effectiveness and feasibility of home-based telerehabilitation for community-dwelling elderly people in Southeast Asian countries and regions: a systematic review.
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DOI：
10.1007/s40520-021-01820-3
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发表时间：
2021-10
影响因子：
4
通讯作者：
Izawa KP
中科院分区：
文献类型：
--
作者：
Saito T;Izawa KP
本研究旨在评估以家庭为基础的远程康复对东南亚国家和地区社区老年人身体功能的影响，并探讨其可行性。根据PRISMA指南在PubMed/MEDLINE和Pedro上进行了系统的电子文献检索。在该地区进行的涉及老年人和任何身体功能指标的随机对照试验都包括在内。基于家庭的远程康复被定义为一种特定的远程康复干预，它使用任何类型的技术设备，允许医疗保健专业人员/患者互动。从符合条件的文章中提取关于基于家庭的远程康复的效果和可行性(干预完成率)的信息。我们使用修订的Cochrane偏差风险工具进行随机试验，以评估纳入文章的方法学质量。最终，六项研究被纳入为合格文章。在五项研究中，偏见判断的总体风险被评估为“高”。所有研究都是在中国或韩国进行的，在所有研究中观察到参与者的健康状况和干预方案的异质性。我们基于叙事的分析表明，与传统的康复相比，在六项研究中，对身体功能的影响要么相等，要么更好。干预完成率为81% ± 11(范围59~96%)。虽然由于研究中相关资料的异质性有限，我们无法获得确凿的证据，但我们的研究结果表明，基于家庭的远程康复可以作为一种康复服务提供的策略，其可行性可与该地区老年人的传统康复相媲美。网上版载有补充材料，可在10.1007/s40520-021-01820-3查阅。
This systematic review aimed to evaluate the impact of home-based telerehabilitation on physical function among community-dwelling elderly people in Southeast Asian countries and regions, and to investigate its feasibility. A systematic electronic literature search was conducted in PubMed/MEDLINE and PEDro according to PRISMA guidelines. Randomized controlled trials conducted in the area that involved elderly people and any physical function indexes were included. Home-based telerehabilitation was defined as a specific remote rehabilitation intervention that used any kind of technological device allowing healthcare professional/patient interaction. Information regarding the effect and feasibility (intervention completion rate) of home-based telerehabilitation was extracted from eligible articles. We used the Revised Cochrane risk-of-bias tool for randomized trials to assess methodological quality of the included articles. Eventually, six studies were included as eligible articles. The overall risk of bias judgement was assessed as “High” in five studies. All studies were conducted in either China or South Korea, and heterogeneity in terms of participants’ health condition and intervention regimen was observed across the studies. Our narrative-based analysis showed that compared with conventional rehabilitation, either equal or better effects on physical function were reported across the six studies. The intervention completion rates were 81% ± 11 on average (range 59–96%). Although we could not obtain conclusive evidence due to limited relevant information with heterogeneity across the studies, our findings suggest that home-based telerehabilitation can be a strategy for rehabilitation service delivery with acceptable feasibility comparable to conventional rehabilitation for elderly people in the area. The online version contains supplementary material available at 10.1007/s40520-021-01820-3.
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影响因子：
168.9
作者：
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通讯作者：
Vaupel, James W.
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作者：
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