lauantai 19. lokakuuta 2013

Sharma ym. (2013): Assessing dysphagia via telerehabilitation: Patient perceptions and satisfaction

Tämä huhtikuussa 2013 ilmestynyt etätutkimus dysfagiasta on ilmeisesti päässyt livahtamaan ohi silmieni. International Journal of Speech-Language Pathology -julkaisussa ilmestynyt artikkeli Assessing dysphagia via telerehabilitation: Patient perceptions and satisfaction tutkii nimensä mukaisesti potilaiden käsityksiä ja tyytyväisyyttä videovälitteisesti toteutettua nielemisarviointia kohtaan. 

Kirjoittajilla on jo runsaasti aiempaa kokemusta videovälitteisestä puheterapiasta. Aiempia tutkimuksia voit tarkastella tästä linkistä Google Scholar -haun kautta.
Sharma, Ward, Burns, Theodoros & Russell (2013)
International Journal of Speech-Language Pathology
April 2013, Vol. 15, No. 2 , Pages 176-183

To gain insight into factors which may influence future acceptance of dysphagia management via telerehabilitation, patients’ perceptions were examined before and after a telerehabilitation assessment session. Forty adult patients with dysphagia (M =66 years, SD =16.25) completed pre- and post-session questionnaires which consisted of 14 matched questions worded to suit pre- and post-conditions. Questions explored comfort with the use of telerehabilitation, satisfaction with audio and video quality, benefits of telerehabilitation assessments and patients’ preferred assessment modality. Questions were rated on a 5-point scale (1 = strongly disagree, 3 = unsure, 5 = strongly agree). 

Patients’ comfort with assessment via telerehabilitation was high in over 80% of the group both pre- and post-assessment. Pre-assessment, patients were unsure what to expect with the auditory and visual aspects of the videoconference, however there were significant positive changes reported post-experience. In relation to perceived benefits of telerehabilitation services in general, most patients believed in the value of telerehabilitation and post-assessment this increased to 90–100% agreement. Although 92% felt they would be comfortable receiving services via telerehabilitation, 45% of patients indicated ultimate preference for a traditional face-to-face assessment. The data highlight that patients are interested in and willing to receive services via telerehabilitation; however, any concerns should be addressed pre-assessment.


Patient perception
satisfaction
dysphagia
telerehabilitation
swallowing examination

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