J Rehabil Med .

ISSN:

国家:

Australia.

影响因子:

SCIE收录情况:

JCR分区:

Speyer R; Denman D; Wilkes-Gillan S; Chen YW; Bogaardt H; Kim JH; Heckathorn DE; Cordier R.; Speyer R; Denman D; Wilkes-Gillan S; Chen YW; Bogaardt H; Kim JH; Heckathorn DE; Cordier R.
2018-02-28 相关链接

摘要

OBJECTIVE:
To describe telehealth interventions delivered by allied health professionals and nurses in rural and remote areas, and to compare the effects of telehealth interventions with standard face-to-face interventions.

DATA SOURCES:
CINAHL, Embase, PsycINFO and PubMed databases were searched. The content of relevant journals and published articles were also searched.

STUDY SELECTION:
Studies examining the effectiveness of allied health and nursing telehealth interventions for rural and remote populations were included in descriptive analyses. Studies comparing telehealth intervention with standard face-to-face interventions grouped by type of intervention approach were used to examine between-groups effect sizes.

DATA EXTRACTION:
Methodological quality of studies was rated using the QualSyst critical appraisal tool and the National Health and Medical Research Council (NHMRC) Evidence Hierarchy levels.

DATA SYNTHESIS:
After quality ratings, 43 studies were included. A majority of studies had strong methodological quality. The disciplines of psychology and nursing were represented most frequently, as were studies using a cognitive intervention approach. Meta-analysis results slightly favoured telehealth interventions compared with face-to-face interventions, but did not show significant differences. Interventions using a combined physical and cognitive approach appeared to be more effective.

CONCLUSION:
Telehealth services may be as effective as face-to-face interventions, which is encouraging given the potential benefits of telehealth in rural and remote areas with regards to healthcare access and time and cost savings.

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