Telehealth Service for Patients with Chronic Spinal Pain
Individuals experiencing chronic low back pain typically have more factors impacting their pain experience than someone with a first time incident. The time and in-person visits it takes to reach successful clinical outcomes is associated with cost. This particular article shares the use of telerehabilitation for this specific patient population.
This particular article focuses on the clinicians and how the clinicians felt about using telehealth for individuals who have persistent low back pain. As would be expected, the clinicians adapted and accepted technology included within the plan of care.
The idea of using telerehabilitation within the industry is not something unusual. It may not be a standard of practice, but it has been happening in practice. Last year during the Outcomes Conference we heard David Grigsby discuss how he includes telerehabilitation in his clinical practice.
This year the Clinical Outcomes Summit will include forward thinking topics as it did in 2018.
The abstract is included below for you to review.
Clinicians' Perspectives of a Novel Home-Based Multidisciplinary Telehealth Service for Patients with Chronic Spinal Pain.
Chronic spinal pain conditions can often be successfully managed by a non-surgical, multidisciplinary approach, however many individuals are unable to access such specialised services within their local community. A possible solution may be the delivery of care via telerehabilitation. This study aimed to evaluate clinicians' perspectives on providing clinical care via telerehabilitation during the early implementation of a novel spinal telerehabilitation service. Eight clinicians' were recruited, completing surveys at four separate time points. Confidence in providing treatment via telerehabilitation significantly improved with time (χ2(3)=16.22, p=0.001). Clinicians became significantly more accepting of telerehabilitation being a time- (χ2(3)=11.237, p=0.011), and cost-effective (χ2(3)=9.466, p=0.024) platform in which they could deliver care. Overall satisfaction was high, with technology becoming easier to use (p=0.026) and ability to establish rapport significantly improved with experience (p=0.043). Understanding clinicians' perspectives throughout the early implementation phase of a new telerehabilitation service is a critical component in determining long-term sustainability.
Int J Telerehabil.2018 Dec 11;10(2):81-88. doi: 10.5195/ijt.2018.6249. eCollection 2018 Fall.