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Providers' Shift to Telerehabilitation at the U.S. Veterans Health Administration During COVID-19: Practical Applications.
Kreider, Consuelo M; Hale-Gallardo, Jennifer; Kramer, John C; Mburu, Sharon; Slamka, Mackenzi R; Findley, Kimberly E; Myers, Keith J; Romero, Sergio.
  • Kreider CM; Department of Occupational Therapy, University of Florida, Gainesville, FL, United States.
  • Hale-Gallardo J; Veterans Rural Health Resource Center-Salt Lake City (VRHRC-SLC), Office of Rural Health, Veterans Health Administration, Salt Lake City, UT, United States.
  • Kramer JC; Department of Occupational Therapy, University of Florida, Gainesville, FL, United States.
  • Mburu S; Department of Occupational Therapy, University of Florida, Gainesville, FL, United States.
  • Slamka MR; Department of Occupational Therapy, University of Florida, Gainesville, FL, United States.
  • Findley KE; Department of Veterans Affairs, North Florida/South Georgia Veterans Health System, Research Service, Gainesville, FL, United States.
  • Myers KJ; Veterans Rural Health Resource Center-Gainesville (VRHRC-GNV), Office of Rural Health, Veterans Health Administration, Gainesville, FL, United States.
  • Romero S; Veterans Rural Health Resource Center-Gainesville (VRHRC-GNV), Office of Rural Health, Veterans Health Administration, Gainesville, FL, United States.
Front Public Health ; 10: 831762, 2022.
Article in English | MEDLINE | ID: covidwho-1753420
ABSTRACT
Telerehabilitation provides Veteran patients with necessary rehabilitation treatment. It enhances care continuity and reduces travel time for Veterans who face long distances to receive care at a Veterans Health Administration (VHA) medical facility. The onset of the COVID-19 pandemic necessitated a sudden shift to telehealth-including telerehabilitation, where a paucity of data-driven guidelines exist that are specific to the practicalities entailed in telerehabilitation implementation. This paper explicates gains in practical knowledge for implementing telerehabilitation that were accelerated during the rapid shift of VHA healthcare from out-patient rehabilitation services to telerehabilitation during the COVID-19 pandemic. Group and individual interviews with 12 VHA rehabilitation providers were conducted to examine, in-depth, the providers' implementation of telerehabilitation. Thematic analysis yielded nine themes (i) Willingness to Give Telerehabilitation a Chance A Key Ingredient; (ii) Creativity and Adaptability Critical Attributes for Telerehabilitation Providers; (iii) Adapting Assessments; (iv) Adapting Interventions; (v) Role and Workflow Adaptations; (vi) Appraising for Self the Feasibility of the Telerehabilitation Modality; (vii) Availability of Informal, In-Person Support Improves Feasibility of Telerehabilitation; (viii) Shifts in the Expectations by the Patients and by the Provider; and (ix) Benefit and Anticipated Future of Telerehabilitation. This paper contributes an in-depth understanding of clinical reasoning considerations, supportive strategies, and practical approaches for engaging Veterans in telerehabilitation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Telerehabilitation / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Humans Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.831762

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Telerehabilitation / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Humans Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.831762