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      Exploring the patient experience of telehealth hand therapy services during the COVID-19 pandemic

      research-article
      , BOccTher, MSc (Hand & Upper Limb Rehabilitation), PhD (Occ Ther) 1 , 2 , * , , BOccTher(Hons), BErgo, health and safety, PG cert (Hand therapy) 1 , , BOccTher(Hons), PhD (Occ Ther) 1
      Journal of Hand Therapy
      Published by Elsevier Inc.
      COVID-19, Coronavirus, Telehealth, Telemedicine, rehabilitation, hand injuries

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          Abstract

          Study Design

          : Electronic Survey

          Introduction

          : Internationally the COVID-19 pandemic has resulted in an unprecedented shift from face-to-face therapy to telehealth services.

          Purpose of the Study

          : This paper explores the patient experience and satisfaction with telehealth hand therapy in a metropolitan setting during a period (March 1 st to May 31 st, 2021) of ‘moderate’ COVID-19 risk when there was minimal community transmission of COVID-19.

          Methods

          : Patients attending telehealth services were invited to participate in an English language online survey at the conclusion of their therapy session via a pop-up invitation.

          Results

          : During the recruitment period there were 123 survey responses (29% response rate; 98% completion rate). Half of the respondents (n=78, 53%) reported saving between 10-29 minutes of travel time (each way) by attending a telehealth appointment, while 36% (n=44) saved more than 30 minutes (each way). Almost all respondents (n=117, 95%) noted telehealth should be used in the future. The main benefit for telehealth was more easily fitting appointments around other commitments, followed by reducing stress and costs surrounding hospital attendance. Most participants (n=97, 79%) reported no challenges using telehealth. The most cited challenges included the therapist not being able to provide hands on treatment (n=14, 11%) and for seven respondents getting the technology to work (6%).

          Discussion

          : The elevated level of participant satisfaction of attending telehealth sessions informs us that this mode of therapy delivery could benefit patients in a post-pandemic environment.

          Conclusions

          : Metropolitan funding models prior to the pandemic did not allow for this mode of therapy and hence consideration for an ongoing hybrid funding model of both face-to-face and telehealth should be considered by policy makers, insurance and government funding bodies.

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          Most cited references23

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          Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)

          Analogous to checklists of recommendations such as the CONSORT statement (for randomized trials), or the QUORUM statement (for systematic reviews), which are designed to ensure the quality of reports in the medical literature, a checklist of recommendations for authors is being presented by the Journal of Medical Internet Research (JMIR) in an effort to ensure complete descriptions of Web-based surveys. Papers on Web-based surveys reported according to the CHERRIES statement will give readers a better understanding of the sample (self-)selection and its possible differences from a “representative” sample. It is hoped that author adherence to the checklist will increase the usefulness of such reports.
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            Is Open Access

            Telehealth and patient satisfaction: a systematic review and narrative analysis

            Background The use of telehealth steadily increases as it has become a viable modality to patient care. Early adopters attempt to use telehealth to deliver high-quality care. Patient satisfaction is a key indicator of how well the telemedicine modality met patient expectations. Objective The objective of this systematic review and narrative analysis is to explore the association of telehealth and patient satisfaction in regards to effectiveness and efficiency. Methods Boolean expressions between keywords created a complex search string. Variations of this string were used in Cumulative Index of Nursing and Allied Health Literature and MEDLINE. Results 2193 articles were filtered and assessed for suitability (n=44). Factors relating to effectiveness and efficiency were identified using consensus. The factors listed most often were improved outcomes (20%), preferred modality (10%), ease of use (9%), low cost 8%), improved communication (8%) and decreased travel time (7%), which in total accounted for 61% of occurrences. Conclusion This review identified a variety of factors of association between telehealth and patient satisfaction. Knowledge of these factors could help implementers to match interventions as solutions to specific problems.
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              Is Open Access

              Cancer Survivors’ Experience With Telehealth: A Systematic Review and Thematic Synthesis

              Background Net survival rates of cancer are increasing worldwide, placing a strain on health service provision. There is a drive to transfer the care of cancer survivors—individuals living with and beyond cancer—to the community and encourage them to play an active role in their own care. Telehealth, the use of technology in remote exchange of data and communication between patients and health care professionals (HCPs), is an important contributor to this evolving model of care. Telehealth interventions are “complex,” and understanding patient experiences of them is important in evaluating their impact. However, a wider view of patient experience is lacking as qualitative studies detailing cancer survivor engagement with telehealth are yet to be synthesized. Objective To systematically identify, appraise, and synthesize qualitative research evidence on the experiences of adult cancer survivors participating in telehealth interventions, to characterize the patient experience of telehealth interventions for this group. Methods Medline (PubMed), PsychINFO, Cumulative Index for Nursing and Allied Health Professionals (CINAHL), Embase, and Cochrane Central Register of Controlled Trials were searched on August 14, 2015, and March 8, 2016, for English-language papers published between 2006 and 2016. Inclusion criteria were as follows: adult cancer survivors aged 18 years and over, cancer diagnosis, experience of participating in a telehealth intervention (defined as remote communication or remote monitoring with an HCP delivered by telephone, Internet, or hand-held or mobile technology), and reporting qualitative data including verbatim quotes. An adapted Critical Appraisal Skill Programme (CASP) checklist for qualitative research was used to assess paper quality. The results section of each included article was coded line by line, and all papers underwent inductive analysis, involving comparison, reexamination, and grouping of codes to develop descriptive themes. Analytical themes were developed through an iterative process of reflection on, and interpretation of, the descriptive themes within and across studies. Results Across the 22 included papers, 3 analytical themes emerged, each with 3 descriptive subthemes: (1) influence of telehealth on the disrupted lives of cancer survivors (convenience, independence, and burden); (2) personalized care across physical distance (time, space, and the human factor); and (3) remote reassurance—a safety net of health care professional connection (active connection, passive connection, and slipping through the net). Telehealth interventions represent a convenient approach, which can potentially minimize treatment burden and disruption to cancer survivors’ lives. Telehealth interventions can facilitate an experience of personalized care and reassurance for those living with and beyond cancer; however, it is important to consider individual factors when tailoring interventions to ensure engagement promotes benefit rather than burden. Conclusions Telehealth interventions can provide cancer survivors with independence and reassurance. Future telehealth interventions need to be developed iteratively in collaboration with a broad range of cancer survivors to maximize engagement and benefit.
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                Author and article information

                Journal
                J Hand Ther
                J Hand Ther
                Journal of Hand Therapy
                Published by Elsevier Inc.
                0894-1130
                1545-004X
                7 July 2022
                7 July 2022
                Affiliations
                [1 ]Occupational Therapy Department, Austin Health, Heidelberg, Victoria, Australia
                [2 ]Malvern Hand Therapy, Malvern, Victoria, Australia
                Author notes
                [* ]Corresponding author: Melissa Hirth, Occupational Therapy Department, Austin Health, 145 Studley Road, Heidelberg, Victoria, Australia 3084
                Article
                S0894-1130(22)00079-5
                10.1016/j.jht.2022.07.004
                9259471
                f81b8955-5861-46e9-a579-16bca8475a41
                © 2022 Published by Elsevier Inc.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 20 October 2021
                : 14 June 2022
                : 1 July 2022
                Categories
                Article

                covid-19,coronavirus,telehealth,telemedicine,rehabilitation,hand injuries

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