Department of Ophthalmology, Stein Eye Institute, University of California, Los Angeles, Los Angeles, CA, USA.
College of Optometry, Nova Southeastern University, Fort Lauderdale, FL, USA.
Transl Vis Sci Technol. 2022 Aug 1;11(8):4. doi: 10.1167/tvst.11.8.4.
We examined different methods to reduce the burden of accessing technology for videoconferencing during telerehabilitation for magnification devices for the visually impaired.
During telerehabilitation studies over the past 5 years, vision rehabilitation providers assessed and gave training to visually impaired participants with newly dispensed magnification devices at home who connected to Zoom videoconferencing via loaner tablets or smartphones with assistance from (phase 1; n = 10) investigators by phone, (phase 2; n = 11) local Lions Club volunteers in participants' homes, or (phase 3; n = 24) remote access control software in a randomized controlled trial with 13 usual care controls who received in-office training. All participants completed the same post-telerehabilitation phone survey.
A significantly greater proportion of phase 3 subjects indicated they strongly or mostly agreed that the technology did not interfere with the session (96%) compared to phase 1 (60%; 95% confidence interval [CI], 1.2-12.5; P = 0.03) or phase 2 (55%; 95% CI, 1.8-188; P = 0.01). The majority indicated telerehabilitation was as accurate as in person (68%), they were comfortable with telerehabilitation (91%) and interested in a future session (83%), and their magnifier use improved (79%), with no significant differences in these responses between phases (all P > 0.10), including comparisons of participants randomized to telerehabilitation or in-office training in phase 3 who reported similar overall satisfaction levels (P = 0.84).
Participants across all phases reported high levels of acceptance for telerehabilitation, with least interference from technology using remote access control in phase 3.
With accommodations for accessibility to videoconferencing technology, telerehabilitation for magnification devices can be a feasible, acceptable, and valuable option in countries with resources to support the technology.
我们研究了不同的方法，以减轻远程康复中使用视频会议来为视障者提供放大设备时获取技术的负担。
在过去 5 年的远程康复研究中，视力康复提供者在家中对新配的放大设备的视障参与者进行评估和培训，参与者通过借用的平板电脑或智能手机连接到 Zoom 视频会议，在此过程中由（第 1 阶段；n=10）调查人员通过电话、（第 2 阶段；n=11）参与者家中的当地狮子俱乐部志愿者、或（第 3 阶段；n=24）远程访问控制软件提供帮助。所有参与者都完成了相同的远程康复后电话调查。
与第 1 阶段（60%；95%置信区间[CI]，1.2-12.5；P=0.03）或第 2 阶段（55%；95%CI，1.8-188；P=0.01）相比，第 3 阶段有更大比例的参与者强烈或主要表示他们认为技术不会干扰会议（96%）。大多数参与者表示远程康复与面对面康复一样准确（68%），他们对远程康复感到舒适（91%）并对未来的康复课程感兴趣（83%），并且他们的放大镜使用情况有所改善（79%），在这些反应中，各阶段之间没有显著差异（所有 P>0.10），包括在第 3 阶段接受远程康复或办公室培训的参与者之间的比较，他们报告了类似的整体满意度水平（P=0.84）。
所有阶段的参与者都对远程康复表示高度接受，第 3 阶段使用远程访问控制的技术干扰最小。
杨眉
