Research Article
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Published Online: 1 August 2016

Conditions of Use, Reliability, and Quality of Audio/Video-Mediated Communications During In-Home Rehabilitation Teletreatment for Postknee Arthroplasty

Publication: Telemedicine and e-Health
Volume 22, Issue Number 8

Abstract

Background: Audio/video-mediated communication between patients and clinicians using videoconferencing over telecommunication networks is a key component of providing teletreatments in rehabilitation. Objective: The objectives of this study were to (1) document the conditions of use, performance, and reliability of videoconferencing-based communication in the context of in-home teletreatment (TELE) following total knee arthroplasty (TKA) and (2) assess from the perspective of the providers, the quality attributes of the technology used and its impact on clinical objectives. Materials and Methods: Descriptive embedded study in a randomized controlled trial using a sample of 97 post-TKA patients, who received a total of 1,431 TELE sessions. Technical support use, service delivery reliability, performance, and use of network connection were assessed using self-report data from a costing grid and automated logs captured from videoconferencing systems. Physical therapists assessed the quality and impact of video-mediated communications after each TELE session on seven attributes. Results: Installation of a new Internet connection was required in 75% of the participants and average technician's time to install test and uninstall technology (including travel time) was 308.4 min. The reliability of service delivery was 96.5% of planned sessions with 21% of TELE session requiring a reconnection during the session. Remote technical support was solicited in 43% of the sessions (interventions were less than 3-min duration). Perceived technological impacts on video-mediated communications were minimal with quality of the overall technical environment evaluated as good or acceptable in 96% of the sessions and clinical objectives reached almost completely or completely in 99% of the sessions. Conclusions: In-home rehabilitation teletreatments can be delivered reliably but requires access to technical support for the initial setup and maintenance. Optimization of the processes of reliably connecting patients to the Internet, getting the telerehabilitation platform in the patient's home, installing, configuring, and testing will be needed to generalize this approach of service delivery.

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Information & Authors

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Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 22Issue Number 8August 2016
Pages: 637 - 649
PubMed: 26958932

History

Published in print: August 2016
Published online: 1 August 2016
Published ahead of print: 9 March 2016
Accepted: 7 December 2015
Received: 21 August 2015

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Patrick Boissy
Université de Sherbrooke and Research Centre on Aging, Sherbrooke, QC, Canada.
Michel Tousignant
Université de Sherbrooke and Research Centre on Aging, Sherbrooke, QC, Canada.
Helene Moffet
Université Laval, Quebec, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, QC, Canada.
Sylvie Nadeau
Université de Montréal and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Simon Brière
Université de Sherbrooke and Research Centre on Aging, Sherbrooke, QC, Canada.
Chantal Mérette
Université Laval, Quebec, QC, Canada.
IUSMQ Mental Institute Research Centre, Quebec, QC, Canada.
Hélène Corriveau
Université de Sherbrooke and Research Centre on Aging, Sherbrooke, QC, Canada.
François Marquis
Université Laval, Quebec, QC, Canada.
CHU de Québec-Université Laval, Quebec, QC, Canada.
François Cabana
Université de Sherbrooke and Research Centre on Aging, Sherbrooke, QC, Canada.
CHUS, Sherbrooke, QC, Canada.
Pierre Ranger
Université de Montréal and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Jean-Talon Hospital, Montreal, QC, Canada.
Étienne L. Belzile
Université Laval, Quebec, QC, Canada.
CHU de Québec-Université Laval, Quebec, QC, Canada.
Ronald Dimentberg
McGill University, Montreal, QC, Canada.
St. Mary's Hospital, Montreal, QC, Canada.

Notes

Address correspondence to:Patrick Boissy, PhDResearch Centre on AgingUniversité de Sherbrooke1036 Belvédère SudSherbrooke J1H 4C4Canada
E-mail: [email protected]

Disclosure Statement

No competing financial interests.

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