Acceptability of telehealth-delivered rehabilitation: Experiences and perspectives of people with traumatic brain injury and their carers.

Rietdijk, R; Power, E; Attard, M; Togher, L

Acceptability of telehealth-delivered rehabilitation: Experiences and perspectives of people with traumatic brain injury and their carers.

Rietdijk, R Power, E

Attard, M Togher, L

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Publisher:: SAGE PUBLICATIONS LTD
Publication Type:: Journal Article
Citation:: Journal of telemedicine and telecare, 2020, pp. 1357633X20923824
Issue Date:: 2020-05-28

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Field	Value	Language
dc.contributor.author	Rietdijk, R
dc.contributor.author	Power, E https://orcid.org/0000-0002-2638-0406
dc.contributor.author	Attard, M
dc.contributor.author	Togher, L
dc.date.accessioned	2021-01-29T06:21:19Z
dc.date.available	2021-01-29T06:21:19Z
dc.date.issued	2020-05-28
dc.identifier.citation	Journal of telemedicine and telecare, 2020, pp. 1357633X20923824
dc.identifier.issn	1357-633X
dc.identifier.issn	1758-1109
dc.identifier.uri	http://hdl.handle.net/10453/145665
dc.description.abstract	INTRODUCTION:Communication skills training for people with traumatic brain injury (TBI) and their carers is recommended best practice. Delivery via telehealth could improve access to this training. This paper focuses on the acceptability of telehealth delivery of communication skills training. METHODS:A mixed-methods investigation of acceptability of telehealth to people with TBI and their carers was incorporated into a clinical trial. Thirty-six people with TBI (23 metropolitan and 13 regional) and their carers were recruited. Metropolitan participants were randomly allocated to telehealth or in-person intervention at a 1:3 ratio. Regional participants were allocated to telehealth. Telehealth and in-person participants were compared on retention, time to complete the programme, home practice completion and therapeutic alliance ratings. Participants completed semi-structured interviews regarding their views on telehealth, which were analysed using thematic analysis. RESULTS:There were no significant differences between telehealth and in-person participants in retention rate, time to complete the programme, degree of home practice completion or therapeutic alliance ratings. Three themes were identified: 'telehealth delivery opens a window for access to rehabilitation in the context of my daily life', 'in-person delivery offers rehabilitation based on natural human interaction' and 'weighing telehealth against in-person delivery'. DISCUSSION:Participants found telehealth delivery acceptable, as indicated by the similarity between groups in the quantitative process measures, and as reported in interviews. Some reported a preference for in-person delivery if there had been a choice of delivery mode. Participants described characteristics of the two delivery modes which were relevant to their attitudes towards telehealth.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE PUBLICATIONS LTD
dc.relation.ispartof	Journal of telemedicine and telecare
dc.relation.isbasedon	10.1177/1357633x20923824
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	0806 Information Systems, 0903 Biomedical Engineering, 1117 Public Health and Health Services
dc.subject.classification	Medical Informatics
dc.title	Acceptability of telehealth-delivered rehabilitation: Experiences and perspectives of people with traumatic brain injury and their carers.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	0806 Information Systems
utslib.for	0903 Biomedical Engineering
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Speech Pathology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-01-29T06:21:13Z
pubs.publication-status	Published

Abstract:

INTRODUCTION:Communication skills training for people with traumatic brain injury (TBI) and their carers is recommended best practice. Delivery via telehealth could improve access to this training. This paper focuses on the acceptability of telehealth delivery of communication skills training. METHODS:A mixed-methods investigation of acceptability of telehealth to people with TBI and their carers was incorporated into a clinical trial. Thirty-six people with TBI (23 metropolitan and 13 regional) and their carers were recruited. Metropolitan participants were randomly allocated to telehealth or in-person intervention at a 1:3 ratio. Regional participants were allocated to telehealth. Telehealth and in-person participants were compared on retention, time to complete the programme, home practice completion and therapeutic alliance ratings. Participants completed semi-structured interviews regarding their views on telehealth, which were analysed using thematic analysis. RESULTS:There were no significant differences between telehealth and in-person participants in retention rate, time to complete the programme, degree of home practice completion or therapeutic alliance ratings. Three themes were identified: 'telehealth delivery opens a window for access to rehabilitation in the context of my daily life', 'in-person delivery offers rehabilitation based on natural human interaction' and 'weighing telehealth against in-person delivery'. DISCUSSION:Participants found telehealth delivery acceptable, as indicated by the similarity between groups in the quantitative process measures, and as reported in interviews. Some reported a preference for in-person delivery if there had been a choice of delivery mode. Participants described characteristics of the two delivery modes which were relevant to their attitudes towards telehealth.

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http://hdl.handle.net/10453/145665