Leochico Carl Froilan D, Perez Marc Francis J, Mojica Jose Alvin P, Ignacio Sharon D
Department of Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Department of Physical Medicine and Rehabilitation, St. Luke's Medical Center, Global City, Philippines.
Front Rehabil Sci. 2022 Jun 3;3:921013. doi: 10.3389/fresc.2022.921013. eCollection 2022.
Clinical, educational, and research interest in telerehabilitation has not been widely explored until the COVID-19 pandemic. Amid the enduring pandemic, telerehabilitation remains part of the daily service, academic, and research responsibilities of residents in various training institutions worldwide.
To determine the Rehabilitation Medicine residents' current levels of telerehabilitation readiness, knowledge, and acceptance, their pattern of beliefs about telerehabilitation, and the factors affecting their readiness.
All bona fide residents from all training institutions in the Philippines were invited to participate in an online survey evaluating the following constructs: technological readiness (using the Technological Readiness Index or TRI 2.0); telerehabilitation knowledge (using an original multiple-choice examination); and telerehabilitation acceptance (using the Unified Theory of Acceptance and Use of Technology questionnaire). A pre-test and pilot test were conducted. The TRI responses were classified according to technology adoption segments to determine the respondents' pattern of beliefs about telerehabilitation.
Sixty-two residents participated (86.1% response rate). They had good telerehabilitation readiness (3.3 ± 0.4 out of 5), fair telerehabilitation knowledge (2.1 ± 1.1 out of 5), and excellent telerehabilitation acceptance (4.5 ± 0.6 out of 5). The majority were classified either as telerehabilitation skeptics (38.7%), pioneers (19.4%), or explorers (19.4%). The factors that significantly influenced telerehabilitation readiness were optimism, innovativeness, discomfort, and insecurity ( < 0.05).
Despite having favorable levels of telerehabilitation readiness and acceptance, the Rehabilitation Medicine residents showed fair telerehabilitation knowledge. Our results suggest the need for formal education and training on virtual rehabilitation care during residency.
直到新冠疫情爆发,远程康复在临床、教育和研究方面的应用才得到广泛探索。在这场持续的疫情中,远程康复仍是全球各培训机构住院医师日常服务、学术和研究工作的一部分。
确定康复医学住院医师当前的远程康复准备程度、知识水平和接受程度,他们对远程康复的信念模式,以及影响其准备程度的因素。
邀请菲律宾所有培训机构的所有正式住院医师参加一项在线调查,评估以下内容:技术准备程度(使用技术准备指数或TRI 2.0);远程康复知识(使用原创的多项选择题考试);以及远程康复接受程度(使用技术接受与使用统一理论问卷)。进行了预测试和试点测试。根据技术采用细分对TRI回答进行分类,以确定受访者对远程康复的信念模式。
62名住院医师参与调查(回复率86.1%)。他们的远程康复准备程度良好(满分5分,得3.3±0.4分),远程康复知识水平一般(满分5分,得2.1±1.1分),远程康复接受程度优秀(满分5分,得4.5±0.6分)。大多数人被归类为远程康复怀疑者(38.7%)、先驱者(19.4%)或探索者(19.4%)。对远程康复准备程度有显著影响的因素是乐观、创新、不适和不安全感(<0.05)。
尽管康复医学住院医师的远程康复准备程度和接受程度较高,但他们的远程康复知识水平一般。我们的结果表明,住院医师培训期间需要进行虚拟康复护理的正规教育和培训。