Acceptability of telehealth-delivered rehabilitation: Experiences and perspectives of people with traumatic brain injury and their carers
| Autor: | Michelle C. Attard, Leanne Togher, Emma Power, Rachael Rietdijk |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Rehabilitation Traumatic brain injury business.industry Best practice medicine.medical_treatment Health Informatics Telehealth medicine.disease Telemedicine 03 medical and health sciences Skills training 0302 clinical medicine Caregivers Telerehabilitation Brain Injuries Traumatic Physical therapy medicine Humans 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Telemedicine and Telecare. 28:122-134 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1177/1357633x20923824 |
| Popis: | Introduction Communication skills training for people with traumatic brain injury (TBI) and their carers is recommended best practice. Delivery via telehealth could improve access to this training. This paper focuses on the acceptability of telehealth delivery of communication skills training. Methods A mixed-methods investigation of acceptability of telehealth to people with TBI and their carers was incorporated into a clinical trial. Thirty-six people with TBI (23 metropolitan and 13 regional) and their carers were recruited. Metropolitan participants were randomly allocated to telehealth or in-person intervention at a 1:3 ratio. Regional participants were allocated to telehealth. Telehealth and in-person participants were compared on retention, time to complete the programme, home practice completion and therapeutic alliance ratings. Participants completed semi-structured interviews regarding their views on telehealth, which were analysed using thematic analysis. Results There were no significant differences between telehealth and in-person participants in retention rate, time to complete the programme, degree of home practice completion or therapeutic alliance ratings. Three themes were identified: ‘telehealth delivery opens a window for access to rehabilitation in the context of my daily life’, ‘in-person delivery offers rehabilitation based on natural human interaction’ and ‘weighing telehealth against in-person delivery’. Discussion Participants found telehealth delivery acceptable, as indicated by the similarity between groups in the quantitative process measures, and as reported in interviews. Some reported a preference for in-person delivery if there had been a choice of delivery mode. Participants described characteristics of the two delivery modes which were relevant to their attitudes towards telehealth. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|