University of Melbourne, Melbourne, Victoria, Australia.
Monash University, Melbourne, Victoria, Australia.
Arthritis Care Res (Hoboken). 2018 Mar;70(3):398-408. doi: 10.1002/acr.23260. Epub 2017 Dec 29.
To investigate physical therapists' perceptions of, and willingness to use, telephone- and internet-mediated service models for exercise therapy for people with knee and/or hip osteoarthritis.
This study used an internet-based survey of Australian physical therapists, comprising 3 sections: 1 on demographic information and 2 with 16 positively framed perception statements about delivering exercise via telephone and video over the internet, for people with hip and/or knee osteoarthritis. Levels of agreement with each statement were evaluated. Logistic regression models were used to determine therapist characteristics influencing interest in delivering telerehabilitation.
A total of 217 therapists spanning metropolitan, regional, rural, and remote Australia completed the survey. For telephone-delivered care, there was consensus agreement that it would not violate patient privacy (81% agreed/strongly agreed) and would save patient's time (76%), but there was less than majority agreement for 10 statements. There was consensus agreement that video-delivered care would save a patient's time (82%), be convenient for patients (80%), and not violate patient privacy (75%). Most agreed with all other perception statements about video-delivered care, except for liking no physical contact (14%). Low confidence using internet video technologies, and inexperience with telerehabilitation, were significantly associated with reduced interest in delivering telephone and/or video-based services.
Physical therapists agree that telerehabilitation offers time-saving and privacy advantages for people with osteoarthritis and perceive video-delivered care more favorably than telephone-delivered services. However, most do not like the lack of physical contact with either service model. These findings may inform the implementation of telerehabilitation osteoarthritis services and the training needs of clinicians involved in delivering care.
调查物理治疗师对电话和互联网介导的服务模式用于膝关节和/或髋关节骨关节炎患者运动治疗的看法，以及他们使用这些模式的意愿。
本研究使用基于互联网的澳大利亚物理治疗师调查，包括 3 个部分：1 部分为人口统计学信息，2 部分为 16 个关于通过电话和互联网视频为髋关节和/或膝关节骨关节炎患者提供运动治疗的正面感知陈述。对每个陈述的同意程度进行评估。使用逻辑回归模型确定影响远程康复服务意愿的治疗师特征。
共有 217 名来自澳大利亚大都市、地区、农村和偏远地区的治疗师完成了这项调查。对于电话提供的护理，有 81%的人同意/强烈同意不会侵犯患者隐私，76%的人认为这将节省患者时间，但对于 10 个陈述的同意程度不到多数。对于视频提供的护理，有 82%的人认为这将节省患者时间，80%的人认为这对患者方便，75%的人认为这不会侵犯患者隐私。大多数人对视频提供的护理的其他感知陈述都表示同意，除了不喜欢没有身体接触（14%）。对互联网视频技术缺乏信心和远程康复经验不足与提供电话和/或视频服务的意愿降低显著相关。
物理治疗师认为远程康复为骨关节炎患者提供了节省时间和保护隐私的优势，他们对视频提供的护理的看法比电话提供的服务更有利。然而，大多数人不喜欢这两种服务模式都缺乏身体接触。这些发现可能为远程康复骨关节炎服务的实施和参与护理的临床医生的培训需求提供信息。
