Institute of Research and Development, Duy Tan University, Da Nang, Vietnam; Faculty of Information Technology, Duy Tan University, Da Nang, Vietnam; School of Computing, Faculty of Engineering, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.
Faculty of Science and Technology, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia; Information System Study Program, Universitas Airlangga, Indonesia Kampus C, Mulyorejo, Surabaya, Indonesia.
Arch Phys Med Rehabil. 2021 Jul;102(7):1390-1403. doi: 10.1016/j.apmr.2020.12.014. Epub 2021 Jan 20.
To examine the adoption of telerehabilitation services from the stakeholders' perspective and to investigate recent advances and future challenges.
A systematic review of English articles indexed by PubMed, Thomson Institute of Scientific Information's Web of Science, and Elsevier's Scopus between 1998 and 2020.
The first author (N.N.) screened all titles and abstracts based on the eligibility criteria. Experimental and empirical articles such as randomized and nonrandomized controlled trials, pre-experimental studies, case studies, surveys, feasibility studies, qualitative descriptive studies, and cohort studies were all included in this review.
The first, second, and fourth authors (N.N., W.I., B.N.) independently extracted data using data fields predefined by the third author (M.B.). The data extracted through this review included study objective, study design, purpose of telerehabilitation, telerehabilitation equipment, patient/sample, age, disease, data collection methods, theory/framework, and adoption themes.
A telerehabilitation adoption process model was proposed to highlight the significance of the readiness stage and to classify the primary studies. The articles were classified based on 6 adoption themes, namely users' perception, perspective, and experience; users' satisfaction; users' acceptance and adherence; TeleRehab usability; individual readiness; and users' motivation and awareness.
A total of 133 of 914 articles met the eligibility criteria. The majority of papers were randomized controlled trials (27%), followed by surveys (15%). Almost 49% of the papers examined the use of telerehabilitation technology in patients with nervous system problems, 23% examined physical disability disorders, 10% examined cardiovascular diseases, and 8% inspected pulmonary diseases.
Research on the adoption of telerehabilitation is still in its infancy and needs further attention from researchers working in health care, especially in resource-limited countries. Indeed, studies on the adoption of telerehabilitation are essential to minimize implementation failure, as these studies will help to inform health care personnel and clients about successful adoption strategies.
从利益相关者的角度考察远程康复服务的采用情况，并调查最新进展和未来挑战。
对 1998 年至 2020 年间 PubMed、汤姆森科学信息研究所的 Web of Science 和爱思唯尔的 Scopus 中收录的英文文章进行了系统评价。
第一作者（N.N.）根据入选标准筛选了所有标题和摘要。本综述包括实验和经验性文章，如随机和非随机对照试验、前实验研究、案例研究、调查、可行性研究、定性描述性研究和队列研究。
第一、第二和第四作者（N.N.、W.I.、B.N.）独立使用第三作者（M.B.）预先定义的数据字段提取数据。本综述提取的数据包括研究目的、研究设计、远程康复目的、远程康复设备、患者/样本、年龄、疾病、数据收集方法、理论/框架和采用主题。
提出了远程康复采用过程模型，以强调准备阶段的重要性，并对原始研究进行分类。这些文章基于 6 个采用主题进行分类，即用户感知、观点和体验；用户满意度；用户接受度和依从性；远程康复可用性；个体准备度；以及用户动机和意识。
在 914 篇文章中，有 133 篇符合入选标准。大多数论文为随机对照试验（27%），其次是调查（15%）。近 49%的论文研究了远程康复技术在神经系统问题患者中的应用，23%的论文研究了运动机能障碍疾病，10%的论文研究了心血管疾病，8%的论文研究了肺部疾病。
远程康复采用的研究仍处于起步阶段，需要卫生保健工作者，特别是资源有限国家的研究人员进一步关注。实际上，远程康复采用的研究对于最小化实施失败至关重要，因为这些研究将帮助卫生保健人员和患者了解成功的采用策略。
