Research Article
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Published Online: 1 February 2017

Patient Satisfaction with In-Home Telerehabilitation After Total Knee Arthroplasty: Results from a Randomized Controlled Trial

Publication: Telemedicine and e-Health
Volume 23, Issue Number 2

Abstract

Background and Introduction: Telerehabilitation after total knee arthroplasty (TKA) is supported by strong evidence on the effectiveness of such intervention and from a cost-benefit point of view. Satisfaction of patients toward in-home telerehabilitation after TKA has not yet been examined thoroughly in large-scale clinical trials. This study aims to compare satisfaction level of patients following in-home telerehabilitation (TELE) after TKA to one of the patients following a usual face-to-face home visit (STD) rehabilitation. Secondarily, to determine if any clinical or personal variables were associated to the level of satisfaction. Materials and Methods: This study was embedded in a multicenter randomized controlled trial with 205 patients randomized into two groups. Rehabilitation intervention was the same for both groups; only approach for service delivery differed (telerehabilitation or home visits). Participants were assessed at baseline (before TKA), at hospital discharge, and at 2 and 4 months postdischarge (E4) using functional outcomes. Patient satisfaction was measured using the validated Health Care Satisfaction Questionnaire (HCSQ) at E4. Results: Characteristics of all participants were similar at baseline. Satisfaction level of both groups did not differ and was very high (over 85%). It was neither correlated to personal characteristics nor to improvements of functional level from preoperative to E4. Satisfaction was rather found associated to walking and stair-climbing performances. Conclusions: These results, in conjunction with evidences of clinical effectiveness and cost benefits demonstrated in the same sample of patients, strongly support the use of telerehabilitation to improve access to rehabilitation services and efficiency of service delivery after TKA.

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Information & Authors

Information

Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 23Issue Number 2February 2017
Pages: 80 - 87
PubMed: 27529575

History

Published in print: February 2017
Published online: 1 February 2017
Published ahead of print: 16 August 2016
Accepted: 18 May 2016
Revision received: 16 May 2016
Received: 8 March 2016

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    Authors

    Affiliations

    Hélène Moffet
    Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec, Canada.
    Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec Rehabilitation Institute, Québec, Canada.
    Michel Tousignant
    School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Sherbrooke, Canada.
    Sylvie Nadeau
    School of Rehabilitation, Faculty of Medicine, Université de Montréal and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, Canada.
    Chantal Mérette
    Department of Psychiatry and Neurosciences, Faculty of Medicine, Université Laval and Centre de recherche de l'Institut universitaire en santé mentale, Québec, Canada.
    Patrick Boissy
    Department of Surgery, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Sherbrooke, Canada.
    Hélène Corriveau
    School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Sherbrooke, Canada.
    François Marquis
    University Hospital of Québec City (CHU-Q), Québec, Canada.
    François Cabana
    Department of Surgery, Faculty of Medicine and Health Sciences, Université de Sherbrooke and University Hospital of Sherbrooke (CHUS), Sherbrooke, Canada.
    Étienne L. Belzile
    University Hospital of Québec City (CHU-Q), Québec, Canada.
    Pierre Ranger
    Hôpital Jean-Talon, Montréal, Canada.
    Ronald Dimentberg
    St. Mary's Hospital Center, Montreal, Canada.

    Notes

    Address correspondence to:Hélène Moffet, PhD, PTCIRRIS/Center for Interdisciplinary Research in Rehabilitation and Social IntegrationQuebec Rehabilitation Institute (IRDPQ)525 boul HamelQuebec, QC G1M 2S8Canada
    E-mail: [email protected]

    Disclosure Statement

    No competing financial interests exist.

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