Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study

Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This resear...

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Main Authors: Kristie J. Harper, Siân Fitzgerald, Png Xiyin, Jordan Kuzich, Soon Hui Leow, Angela Jacques, Courtenay Harris
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2022-12-01
Series:International Journal of Telerehabilitation
Subjects:
Online Access:http://telerehab.pitt.edu/ojs/Telerehab/article/view/6505
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author Kristie J. Harper
Siân Fitzgerald
Png Xiyin
Jordan Kuzich
Soon Hui Leow
Angela Jacques
Courtenay Harris
author_facet Kristie J. Harper
Siân Fitzgerald
Png Xiyin
Jordan Kuzich
Soon Hui Leow
Angela Jacques
Courtenay Harris
author_sort Kristie J. Harper
collection DOAJ
description Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy.
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spelling doaj.art-d63cfd8739254e818bb25efd858aba852022-12-22T03:00:54ZengUniversity Library System, University of PittsburghInternational Journal of Telerehabilitation1945-20202022-12-0114210.5195/ijt.2022.6505Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control StudyKristie J. Harper0Siân Fitzgerald1Png Xiyin2Jordan Kuzich3Soon Hui Leow4Angela Jacques 5Courtenay Harris6Occupational Therapy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia; Curtin University, School of Allied Health, Perth, Western Australia, Australia; Enable Institute for Health Research, Perth, Western Australia, AustraliaOccupational Therapy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, AustraliaCurtin University, School of Allied Health, Perth, Western Australia, AustraliaOccupational Therapy Department, Rockingham Hospital, Rockingham, Western Australia, AustraliaCurtin University, School of Allied Health, Perth, Western Australia, AustraliaInstitute for Health Research, The University of Notre Dame, Perth, Western Australia Australia; Department of Research, Sir Charles Gairdner Hospital, Perth, Western Australia, AustraliaCurtin University, School of Allied Health, Perth, Western Australia, Australia Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy. http://telerehab.pitt.edu/ojs/Telerehab/article/view/6505Hand and upper limb rehabilitationOccupational therapyTelehealthTelemedicine
spellingShingle Kristie J. Harper
Siân Fitzgerald
Png Xiyin
Jordan Kuzich
Soon Hui Leow
Angela Jacques
Courtenay Harris
Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study
International Journal of Telerehabilitation
Hand and upper limb rehabilitation
Occupational therapy
Telehealth
Telemedicine
title Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study
title_full Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study
title_fullStr Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study
title_full_unstemmed Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study
title_short Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study
title_sort does the integration of telehealth into occupational therapy practice impact clinical outcomes for hand and upper limb rehabilitation a matched case control study
topic Hand and upper limb rehabilitation
Occupational therapy
Telehealth
Telemedicine
url http://telerehab.pitt.edu/ojs/Telerehab/article/view/6505
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