Sigouin Jennifer, Hudon Anne, Veras Mirella, Beaulieu-Bonneau Simon, Cavallo Sabrina, Kairy Dahlia
Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal, Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain (CRIR), Montréal, QC H3S 1M9, Canada.
École de Réadaptation, Faculté de Médecine, Université de Montréal, Montréal, QC H3S 1M9, Canada.
Clin Pract. 2024 Dec 13;14(6):2713-2724. doi: 10.3390/clinpract14060214.
: Over the past two decades, the utilization of virtual care in rehabilitation has witnessed a significant surge; this is owing to the widespread availability of technological tools and the global impact of the COVID-19 pandemic. As a result, discussions surrounding the relevance and benefits of telerehabilitation have gained prominence among practitioners, who continually seek to enhance patient care while maintaining high standards of quality. Associated with these discussions are concerns over being able to provide care in an ethical way, as well as addressing equity issues that might be hindered or improved via telerehabilitation. To address the ethical and equity concerns around telerehabilitation, a series of five parallel rapid reviews of the scientific literature were conducted, focusing on different rehabilitation fields: physiotherapy and occupational therapy (1); speech therapy and audiology (2); psychology and neuropsychology (3); and in two age groups: older adults (4); and pediatrics and young adults (5). The objective of this series of rapid reviews is to evaluate the evidence presented regarding telerehabilitation; identifying and recommending best practices especially in the realm of ethics and equity. Medline; CINAHL; and EMBASE were searched between 2010 and 2023 for English or French-language reviews (2010-2020) and individual studies (2020-2023) pertaining to telerehabilitation and these fields of interest. Data were extracted following a standardized form focusing on: outcomes; findings; quality assessment/biases; limitations; and discussion of ethical and equity concerns. The results are presented according to the most relevant themes, which include: findings; strengths; limitations; and ethical/equity considerations. This research presents a methodology rarely published before, on how to conduct multiple parallel rapid reviews on the theme of telerehabilitation, based on different rehabilitation fields and age groups. This research will shape future guidelines and standards in applying ethical and equity standards in telerehabilitation.
在过去二十年中，虚拟护理在康复领域的应用显著增加；这归因于技术工具的广泛普及以及新冠疫情的全球影响。因此，围绕远程康复的相关性和益处的讨论在从业者中变得愈发突出，他们不断寻求在保持高质量标准的同时提升患者护理水平。与这些讨论相关的是对能否以符合伦理的方式提供护理的担忧，以及解决可能因远程康复而受到阻碍或改善的公平问题。为解决围绕远程康复的伦理和公平问题，开展了一系列五项平行的科学文献快速综述，聚焦于不同的康复领域：物理治疗和职业治疗（1）；言语治疗和听力学（2）；心理学和神经心理学（3）；以及两个年龄组：老年人（4）；儿科和年轻人（5）。这一系列快速综述的目的是评估有关远程康复的现有证据；识别并推荐最佳实践，尤其是在伦理和公平领域。在2010年至2023年期间，对Medline、CINAHL和EMBASE进行了检索，以查找2010 - 2020年的英文或法文综述以及2020 - 2023年与远程康复及这些感兴趣领域相关的个体研究。按照标准化表格提取数据，重点关注：结果；发现；质量评估/偏差；局限性；以及对伦理和公平问题的讨论。结果根据最相关的主题呈现，包括：发现；优势；局限性；以及伦理/公平考量。这项研究提出了一种此前很少发表的方法，即如何基于不同的康复领域和年龄组，就远程康复主题进行多项平行的快速综述。这项研究将塑造未来在远程康复中应用伦理和公平标准的指南和标准。
