Research Centre on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de l'Estrie CHUS), Sherbrooke, Quebec, Canada.
Department of Family Medicine and Emergency Medicine, Faculty of Medecine and Health Sciences, Université de Sherbrooke, Longueuil, Quebec, Canada.
Musculoskeletal Care. 2022 Sep;20(3):616-624. doi: 10.1002/msc.1622. Epub 2022 Feb 10.
Access to public rehabilitation services for patients with non-urgent conditions - which suffer mainly from musculoskeletal disorders - is problematic around the world. Remote rehabilitation services are recognized as effective means to increase accessibility. Patient acceptability is an important element in the successful implementation of such clinical innovations and has not yet been studied thoroughly in this context. Thus, the aim of this study was to evaluate and compare the acceptability of two remote consultation modalities - phone and teleconsultation - for patients waiting for public outpatient non-urgent rehabilitation services.
We conducted a qualitative descriptive study nested within a randomized clinical trial in which participants received either phone or teleconsultation follow-ups with a physiotherapist after a first systematic face-to-face evaluation. Semi-structured interviews were conducted with participants of both groups selected with purposive sampling. Sekhon's acceptability metaframework was used and interviews were transcribed and coded with thematic analysis.
The research protocol was approved by the Research Ethics Board of the Centre intégré universitaire de santé et de services sociaux - Centre hospitalier universitaire de Sherbrooke (CIUSSS de l'Estrie - CHUS) (#2019-2919).
Twenty participants were recruited. Results show both follow-up modalities have a good level of acceptability for participants; however, teleconsultation stands out because its visual dimension offers higher quality human contact and satisfactorily meets greater needs for support.
Systematic in-person assessment and advice combined with telephone or teleconsultation follow-up can contribute to diversifying the services offered in physiotherapy outpatient clinics. Offering a range of service modalities with different resource requirements may shorten wait times. Such an approach seems to be well accepted by patients, especially with teleconsultation.
gov ID: NCT03991858.
世界各地，非紧急状况患者（主要为肌肉骨骼疾病患者）获得公共康复服务存在困难，而远程康复服务被认为是增加可及性的有效手段。患者接受度是成功实施此类临床创新的重要因素，在这方面尚未得到充分研究。因此，本研究旨在评估和比较两种远程咨询模式（电话和远程咨询）对等待公共非紧急康复门诊服务的患者的可接受性。
我们开展了一项嵌套在随机临床试验中的定性描述研究，参与者在首次系统的面对面评估后接受了物理治疗师的电话或远程咨询随访。通过目的抽样选择两组参与者进行半结构化访谈。使用 Sekhon 可接受性元框架对访谈进行转录和编码，并进行主题分析。
该研究方案获得了谢布克综合大学健康与社会服务中心 - 谢布鲁克大学医院中心（魁北克省东部综合大学健康中心 - CHUS）研究伦理委员会的批准（#2019-2919）。
共招募了 20 名参与者。结果表明，两种随访方式对参与者都具有较好的可接受性；然而，远程咨询具有优势，因为其视觉维度提供了更高质量的人际接触，并且令人满意地满足了更大的支持需求。
系统的面对面评估和建议结合电话或远程咨询随访，可以为物理治疗门诊服务提供多样化。提供不同资源需求的一系列服务模式可能会缩短等待时间。这种方法似乎得到了患者的广泛认可，尤其是远程咨询。
gov ID：NCT03991858。
