Investigation of Physiotherapists’ Awareness and Opinions on Telerehabilitation in Turkey

Year 2023, , 141 - 149, 31.12.2023

Akın Süzer

https://doi.org/10.56150/tjhsl.1391290

Abstract

Background: Physiotherapists (PTs)’ awareness are important factors for both the successful implementation and development of telerehabilitation (TR).
Objective: To investigate the awareness and opinions of PTs in Turkey about TR.
Methods: In this cross-sectional study, a web-based survey created by researching the literature was administered to PTs in Turkey. The survey consisted of 3 sections: demographic information, awareness, and opinions, and contained 24 questions in total.
Results: 237 PTs with an average age of 33.37 ± 9.36 years participated in the study. 76.26% (n=151) of PTs reported that they were aware of TR. The main ways to awareness were scientific meetings (64.90%) and lessons (64.24%). The leading reasons for unaware of TR were that it wasn’t included in the curriculum (85.11%) and wasn’t used at all in the institutions where they worked and/or did their internships (80.85%). It was observed that the majority of PTs (65.7%) never used TR in their clinical practice. The factors limiting the use of TR were mainly reported as lack of knowledge about information and communication technologies (ICT) (87.88%) and patient compliance (82.32%).
Conclusion: It was determined that most of the PTs in Turkey were aware of TR but didn’t use TR in their clinical practices. Lack of knowledge about ICT and patient compliance were found to be the main factors limiting the use of TR. We think that the findings of this study may be important for the future of TR in Turkey.

Keywords

physiotherapist, telerehabilitation, telerehabilitation awareness, telerehabilitation opinions.

Ethical Statement

Ethical approval for this study was obtained from Pamukkale University Non-Invasive Clinical Research Ethics Committee (number: E-60116787-020-400018).

Supporting Institution

The author has received no financial support for the research, authorship, or publication of this article.

Thanks

The author would like to thank the PT colleagues who voluntarily participated in this study for sharing their opinions on TR and the expert committee consisting of academic PTs from Pamukkale University and Burdur Mehmet Akif Ersoy University for their contributions in the process of designing the survey used to collect data.

References

• Movahedazarhouligh S, Vameghi R, Hatamizadeh N, et al. Feasibility of Telerehabilitation Implementation as a Novel Experience in Rehabilitation Academic Centers and Affiliated Clinics in Tehran: Assessment of Rehabilitation Professionals’ Attitudes. Int J Telemed Appl 2015;2015:468560; doi: 10.1155/2015/468560.
• Aloyuni S, Alharbi R, Kashoo F, et al. Knowledge, attitude, and barriers to telerehabilitation-based physical therapy practice in Saudi Arabia. Healthc 2020;8(4); doi: 10.3390/healthcare8040460.
• C E M, T A B, C T S, et al. Awareness, Attitude and Expectations of Physiotherapy Students on Telerehabilitation. Med Sci Educ 2021;31(2):627–636; doi: 10.1007/s40670-021-01234-w.
• Brennan D, Tindall L, Theodoros D, et al. A blueprint for telerehabilitation guidelines. Int J telerehabilitation 2010;2(2):31–34; doi: 10.5195/ijt.2010.6063.
• Russell TG. Physical rehabilitation using telemedicine. J Telemed Telecare 2007;13(5):217–220; doi: 10.1258/135763307781458886.
• van Egmond MA, van der Schaaf M, Vredeveld T, et al. Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis. Physiotherapy 2018;104(3):277–298; doi: 10.1016/j.physio.2018.04.004.
• Suso-Martí L, La Touche R, Herranz-Gómez A, et al. Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta-Meta-Analysis. Phys Ther 2021;101(5); doi: 10.1093/ptj/pzab075.
• Saaei F, Klappa SG. Rethinking Telerehabilitation: Attitudes of Physical Therapists and Patients. J patient Exp 2021;8:23743735211034336; doi: 10.1177/23743735211034335.
• Prvu Bettger J, Resnik LJ. Telerehabilitation in the Age of COVID-19: An Opportunity for Learning Health System Research. Phys Ther 2020;100(11):1913–1916; doi: 10.1093/ptj/pzaa151.
• Seron P, Oliveros M-J, Gutierrez-Arias R, et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther 2021;101(6); doi: 10.1093/ptj/pzab053.
• Turolla A, Rossettini G, Viceconti A, et al. Musculoskeletal Physical Therapy During the COVID-19 Pandemic: Is Telerehabilitation the Answer? Phys Ther 2020;100(8):1260–1264; doi: 10.1093/ptj/pzaa093.
• Therapy WC for P. No Title. 2020. Available from: https://world.physio/news/report-sets-out-future-digital-physical-therapy-practice.
• Cho H-M, Kim H, Jang J, et al. Attitude Toward Telerehabilitation Among Physical and Occupational Therapists in Korea: A Brief Descriptive Report. Brain & NeuroRehabilitation 2023;16(1):e8; doi: 10.12786/bn.2023.16.e8.
• Ullah S, Maghazil AM, Qureshi AZ, et al. Knowledge and Attitudes of Rehabilitation Professional Toward Telerehabilitation in Saudi Arabia: A Cross-Sectional Survey. Telemed J e-health Off J Am Telemed Assoc 2021;27(5):587–591; doi: 10.1089/tmj.2020.0016.
• Shah B, Thakrar G. Awareness and Expectations of Telerehabilitation among Physiotherapists of Ahmedabad. Int J Sci Healthc Res 2022;7:35–40; doi: 10.52403/ijshr.20220406.
• Prensky M. Digital Natives, Digital Immigrants Part 1. Horiz 2001;9:1–6; doi: 10.1108/10748120110424816.
• Combes B. Generation Y: Are they reaslly digital natives or more like digital refugees? ECU Publ 2009.
• Sidelil H, Demissie A, Demissie GD, et al. Attitude towards tele rehabilitation-based therapy services and its associated factors among health professional working in specialized teaching hospitals in Amhara region, Northwest Ethiopia. Informatics Med Unlocked 2023;36:101145; doi: https://doi.org/10.1016/j.imu.2022.101145.
• Leochico CFD. Chapter 27 - Educating Health Care Professionals About Telerehabilitation: Developing a Curriculum Map for High- and Low-Resource Settings. In: Telerehabilitation. (Alexander M. ed) Elsevier: New Delhi; 2022; pp. 391–403; doi: https://doi.org/10.1016/B978-0-323-82486-6.00027-7.
• Scheideman-Miller C, Clark PG, Moorad A, et al. Efficacy and Sustainability of a Telerehabilitation Program. In: Hawaii International Conference on System Sciences 2003; p. 11 pp.; doi: 10.1109/HICSS.2003.1174380.
• Başer Seçer M, Çeliker Tosun Ö. Examination of Telerehabilitation Knowledge, Awareness, and Opinions of Physical Therapy and Rehabilitation Students. Med Sci Educ 2022;32(6):1355–1365; doi: 10.1007/s40670-022-01649-z.
• Naeemabadi Mr, Dinesen B, Andersen OK, et al. Developing a telerehabilitation programme for postoperative recovery from knee surgery: specifications and requirements. BMJ Heal care informatics 2019;26(1); doi: 10.1136/bmjhci-2019-000022.
• Hansen H, Bieler T, Beyer N, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax 2020;75(5):413–421; doi: 10.1136/thoraxjnl-2019-214246.
• Turkish Statistical Institute. Household Information Technology Usage Research. 2023. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2023-49407#:~:text=Hanehalk%C4%B1%20bili%C5%9Fim%20teknolojileri%20kullan%C4%B1m%20ara%C5%9Ft%C4%B1rmas%C4%B1,artarak%20%95%2C5%20oldu.&text=%C4%B0nternet%20kullan%C4%B1m%20oran%C4%B1%2C%2016%2D74,y%C4%B1l%C4%B1nda%20%87%2C1%20oldu. [Last accessed: 10/02/2023].
• Fernandes LG, Oliveira RFF, Barros PM, et al. Physical therapists and public perceptions of telerehabilitation: An online open survey on acceptability, preferences, and needs. Brazilian J Phys Ther 2022;26(6):100464; doi: 10.1016/j.bjpt.2022.100464.
• Almojaibel AA, Munk N, Goodfellow LT, et al. Determinants of Telerehabilitation Acceptance among Patients Attending Pulmonary Rehabilitation Programs in the United States. Saudi J Med Med Sci 2021;9(3):230–234; doi: 10.4103/sjmms.sjmms_10_21.
• Munce S, Andreoli A, Bayley M, et al. Clinicians’ Experiences of Implementing a Telerehabilitation Toolkit During the COVID-19 Pandemic: Qualitative Descriptive Study. JMIR Rehabil Assist Technol 2023;10:e44591; doi: 10.2196/44591.
• Rabanifar N, Hoseini MA, Abdi K. Exploring Barriers to Implementing Telerehabilitation from experiences of managers, policymakers, and providers of rehabilitation services in Iran: A Qualitative Study. Med J Islam Repub Iran 2022;36:157; doi: 10.47176/mjiri.36.157.
• Quigley A, Johnson H, McArthur C. Transforming the Provision of Physiotherapy in the Time of COVID-19: A Call to Action for Telerehabilitation. Physiother Can 2021;73(1):1–2; doi: 10.3138/ptc-2020-0031-gee.
• Alpalhão V, Alpalhão M. Impact of COVID-19 on Physical Therapist Practice in Portugal. Phys Ther 2020;100(7):1052–1053; doi: 10.1093/ptj/pzaa071.
• Fairman AD, Dicianno BE, Datt N, et al. Outcomes of Clinicians, Caregivers, Family Members and Adults with Spina Bifida Regarding Receptivity to use of the iMHere mHealth Solution to Promote Wellness. Int J telerehabilitation 2013;5(1):3–16; doi: 10.5195/ijt.2013.6116.