Ritu Goel, DHSc, MS, OTR/L, is Occupational Therapist, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore;
Laura Santurri, PhD, MPH, CPH, is Director, Doctor of Health Science Program, and Chair, Department of Interprofessional Health & Aging Studies, College of Health Sciences, University of Indianapolis, Indianapolis, IN.
Am J Occup Ther. 2022 Mar 1;76(2). doi: 10.5014/ajot.2022.045831.
Telerehabilitation provides people with spinal cord injury (SCI) an alternative mode of accessing specialized health care. Further research on occupational therapy practitioners' perspectives of telerehabilitation may provide additional evidence for clinical practice implementation.
To explore urban occupational therapists' perspectives on the benefits of and barriers to telerehabilitation use with SCI.
A qualitative study design using a demographic questionnaire and a single, individual semistructured interview. Thematic analyses included member checking, constant comparative analysis, triangulation, and self-description and self-reflexivity.
Residential and community settings.
Six occupational therapists with a range of experience in SCI rehabilitation were recruited using purposeful sampling.
Six participants were interviewed, and four primary themes emerged: (1) communication, (2) personal factors, (3) benefits, and (4) barriers.
Telerehabilitation offers numerous potential benefits for SCI intervention. This study provides an understanding of practitioner concerns and potential barriers to use. The results indicate that a hybrid model incorporating both in-person and distance-based treatment is likely optimal. What This Article Adds: Our results provide information that addresses practitioner concerns and recommendations for the use of telerehabilitation with people with SCI. As practitioner concerns are identified and addressed, telerehabilitation may increase in the U.S. health care system, potentially facilitating an alternative treatment delivery method for underserved populations.
远程康复为脊髓损伤（SCI）患者提供了一种获得专业医疗保健的替代方式。进一步研究职业治疗师对远程康复的看法，可能为临床实践的实施提供更多证据。
探讨城市职业治疗师对远程康复在 SCI 中的应用的益处和障碍的看法。
使用人口统计学问卷和单个单独的半结构化访谈的定性研究设计。主题分析包括成员检查、恒定性比较分析、三角测量以及自我描述和自我反思。
居住和社区环境。
使用目的抽样招募了 6 名在 SCI 康复方面具有不同经验的职业治疗师。
对 6 名参与者进行了访谈，出现了 4 个主要主题：（1）沟通，（2）个人因素，（3）益处，和（4）障碍。
远程康复为 SCI 干预提供了许多潜在的益处。本研究提供了对从业者关注问题和使用障碍的理解。结果表明，结合面对面和基于距离的治疗的混合模式可能是最佳模式。本文的重要性：我们的研究结果提供了有关从业者关注问题和建议的信息，以在 SCI 患者中使用远程康复。随着从业者关注问题的确定和解决，远程康复在美国医疗保健系统中的应用可能会增加，这可能为服务不足的人群提供一种替代的治疗提供方法。
