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  4. Models of Telehealth Service Delivery in Adults With Spinal Cord Injuries: Scoping Review

Models of Telehealth Service Delivery in Adults With Spinal Cord Injuries: Scoping Review

JMIR Rehabilitation and Assistive Technology, 2023 · DOI: 10.2196/41186 · Published: June 29, 2023

Spinal Cord InjuryRehabilitationTelehealth & Digital Health

Simple Explanation

This review looks at how telehealth (health services delivered using technology) is used for adults living in the community with spinal cord injuries (SCI). The review identifies different types of telehealth services used to help manage common issues after SCI, like pain, pressure ulcers, and mental health challenges. The findings can help policymakers and healthcare providers create better web-based health services for people with SCI.

Study Duration
Not specified
Participants
Average of 59 participants (range 1-15,028)
Evidence Level
Scoping Review

Key Findings

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    Telehealth services are used for managing secondary complications of SCI, including physical activity, chronic pain, pressure ulcers and psychosocial dysfunction.
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    There's inconsistency in reporting patient details, like the type and level of spinal cord injury, which makes it harder to compare study results.
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    The review suggests a rise in telehealth use, especially during the COVID-19 pandemic, and highlights the potential of combined (in-person and remote) healthcare models.

Research Summary

This scoping review mapped the literature about the telehealth services provided to community-dwelling adults with SCI. The results of this paper also highlighted the importance of telerehabilitation services in the time of COVID-19 to increase access to health care services for community-dwelling adults with SCI. Most telehealth interventions have been developed to support people with SCI during their transitions from acute rehabilitation to the community by providing psychosocial adjustments and assisting with other unexpected challenges

Practical Implications

Informing Policy Makers

The findings can be used to guide policy decisions regarding the implementation and funding of web-based clinics for individuals with SCI.

Improving Healthcare Delivery

Hybridized healthcare models (combining web-based and in-person care) should be considered to optimize the care continuum and self-management of SCI-related care.

Expanding Access to Specialty Care

Telehealth can increase contact with providers who have expert knowledge in preventing and treating secondary complications following SCI.

Study Limitations

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