Telerehabilitation for older people using off-the-shelf applications: acceptability and feasibility
Telerehabilitation for older people using off-the-shelf applications: acceptability and feasibility
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DOI：
10.1177/1357633x14552382
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发表时间：
2014-10-01
影响因子：
4.7
通讯作者：
Carati, Colin
中科院分区：
文献类型：
--
作者：
Crotty, Maria;Killington, Maggie;Carati, Colin
我们调查了在家中提供远程康复作为传统门诊康复的替代方案的可行性。两组患者接受远程康复治疗。第一组是需要康复的社区患者，例如中风、骨折或长期住院后的患者。第二组来自两个农村养老院，那里的居民被确定为最近受伤，摔倒或住院。远程康复采用了一种教练模式，减少了治疗师的家访，更多的反馈和病人的“家庭作业”。患者有一台装有视频会议应用程序的平板电脑，可以与治疗师和相关的治疗应用程序联系。提供了长达8周的多学科护理。大多数（86%）符合条件的患者同意在自己的家中（n=61）或在他们居住的国家疗养院（n=17）接受远程康复。大多数服务都是使用3G和4G无线网络提供的，几乎没有技术问题。平均而言，参与者认为他们已经实现了计划开始时设定的目标的75%。满意度很高。工作人员的家访减少了50%，即每个病人10次。语言治疗师能够将服务和直接与患者接触的时间增加一倍，同时将旅行时间减少一半。以前的技术经验和年龄并不是这种交付方法的障碍，但确实影响了招聘。使用现成的技术进行远程康复对于急性期后治疗是可行的。
We investigated the feasibility of providing telerehabilitation in the home as an alternative to conventional ambulatory rehabilitation. Two groups of patients were accepted for telerehabilitation. The first group were community patients who needed rehabilitation, e.g. following a stroke, a fracture or prolonged hospital admission. The second group was from two rural nursing homes where residents were identified with a recent injury, fall or hospitalisation. Telerehabilitation employed a coaching model, with fewer therapist home visits, more feedback and "homework'' for the patient. Patients had a tablet computer loaded with a videoconferencing app to connect with therapists and relevant therapeutic apps. Multidisciplinary care was provided for up to 8 weeks. The majority (86%) of eligible patients consented to receive telerehabilitation in their own home (n=61) or in the country nursing home where they lived (n=17). Most services were delivered using the 3G and 4G wireless networks with few technical problems. On average participants felt that they had achieved 75% of the goals set at the beginning of the programme. High levels of satisfaction were recorded. There was a 50% reduction in home visits by staff, or 10 visits per patient. Speech therapists were able to double occasions of service and direct patient contact time, whilst halving their travel time. Previous experience with technology and age were not barriers to this method of delivery but did affect recruitment. Telerehabilitation using off-the-shelf technology is feasible for post-acute treatment.