Abstract
Presently, utilization of telehealth is in its infancy within the profession of occupational therapy. However, the occupational therapy profession is poised to benefit from integrating this service delivery model across multiple practice settings and practice areas. Potential benefits of using a telehealth service delivery model within occupational therapy include increased accessibility of services to clients who live in remote or underserved areas, improved access to providers and specialists otherwise unavailable to clients, prevention of unnecessary delays in receiving care, and decreased isolation for practitioners through distance learning, consultation, and research. This chapter examines telehealth terminology and technologies, potential applications of telehealth across six practice areas of occupational therapy, reimbursement considerations, and standards and guidelines to support implementation of a telehealth service delivery model within occupational therapy. Adoption of telehealth as a service delivery model within occupational therapy will depend on continued efforts to fund and research the implementation of telehealth technologies across all occupational therapy practice areas, which, in turn, will promote policy change that results in expanded reimbursement and sustainability.
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This case study was originally published in Cason, J. (2011). Telerehabilitation: An adjunct service delivery model for early intervention services. International Journal of Telerehabilitation, 3(1), 19-30. doi: 10.5195/IJT.2011.6071
References
Administration on Aging. Aging statistics. 2010. Available at: http://www.aoa.gov/aoaroot/aging_statistics/index.aspx. Accessed 11 Feb 2011.
American Heart Association. Stroke statistics. 2011. Available at: http://www.americanheart.org/presenter.jhtml?identifier=4725. Accessed 5 Feb 2011.
American Occupational Therapy Association. Living with Parkinson’s disease. 2007. Available at: http://www.aota.org/featured/area6/links/link02am.asp. Accessed 5 Feb 2011.
American Occupational Therapy Association. Obesity and occupational therapy position paper. Am J Occup Ther. 2007;61:701–3. doi:10.5014/ajot.61.6.701.
American Occupational Therapy Association. Occupational therapy code of ethics and ethics standards. Am J Occup Ther. 2010;64:S17–26. doi:10.5014/ajot.2010.64S17.
American Occupational Therapy Association. Standards of practice for occupational therapy. Am J Occup Ther. 2010;64:S106–11. doi:10.5014/ajot.2010.64S106.
American Occupational Therapy Association. Telerehabilitation position paper. Am J Occup Ther. 2010;64:S92–102. doi:10.5014/ajot.2010.64S92.
American Telemedicine Association. A blueprint for telerehabilitation guidelines. 2010. Available at: http://www.americantelemed.org/files/public/standards/ATA%20Telerehab%20Guidelines%20v1%20(2).pdf. Accessed Feb 2011.
American Telemedicine Association. Telemedicine defined. 2011. Available at: http://www.americantelemed.org/i4a/pages/index.cfm?pageid=3333. Accessed 5 Feb 2011.
Baharav E, Reiser C. Using telepractice in parent training in early autism. Telemed J E Health. 2010;16:727–31.
Bashshur R, Shannon G. National telemedicine initiatives: essential to healthcare reform. Telemed J E Health. 2009;15:600–10. doi:10.1089/tmj.2009.9960.
Bates D, Bitton A. The future of health information technology in the patient-centered medical home. Health Aff. 2010;29(4):614–21. doi:10.1377/hithall.2010.0007.
Bendixen R, Horn K, Levy C. Using telerehabilitation to support elders with chronic illness in their homes. Top Geriatr Rehabil. 2007;23(1):47–51.
Bergquist TF, Thompson K, Gehl C, et al. Satisfaction ratings after receiving internet-based cognitive rehabilitation in persons with memory impairments after severe acquired brain injury. Telemed J E Health. 2010;16:417–23.
Biswas-Diener R. Personal coaching as a positive intervention. J Clin Psychol. 2009;65:544–54.
Burns RB, Crislip D, Daviou P, et al. Using telerehabilitation to support assistive technology. Assist Technol. 1998;10:126–33.
California Healthcare Foundation. Participatory health: online and mobile tools help chronically ill manage their care. 2009. Available at: http://www.chcf.org/publications/2009/09/participatory-health-online-and-mobile-tools-help-chronically-ill-manage-their-care. Accessed 16 Dec 2010.
Cason J. A pilot telerehabilitation program: delivering early intervention services to rural families. Int J Telerehabil. 2009;1:29–37.
Cason J. Telerehabilitation: an adjunct service delivery model for early intervention services. Int J Telerehabil. 2011;3(1):19–30. doi:10.5195/ijt.2011.6071telerehab.pitt.edu/ojs/index.php/Telerahab/article/view/6071/6315.
Chumbler N, Quigley P, Sanford J, et al. Implementing telerehabilitation research for stroke rehabilitation with community dwelling veterans: lessons learned. Int J Telerehabil. 2010;2:15–2. doi:10.5195/ijt.2010.6047.
Clark P, Dawson S, Scheiderman-Miller C, et al. TeleRehab: stroke teletherapy and management using two-way interactive video. Neuroreport. 2002;26:87–93.
Crossen-Sills J, Toomey I, Doherty ME. Technology and home care: implementing systems to enhance aging in place. Nurs Clin North Am. 2008;44:230–46.
Darkins A, Ryan P, Kobb R, et al. Care coordination/hometelehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemed J E Health. 2008;14:1118–26.
DeVany M, Alverson D, D’Iorio J, et al. Employing telehealth to enhance overall quality of life and health for families. Telemed J E Health. 2008;14:1003–7. doi:10.1089/tmj.2008.0107.
Diamond B, Shreve G, Bonilla J, et al. Telerehabilitation, cognition and user-accessibility. NeuroRehabilitation. 2003;18:171–7.
Dobke M, Bhavsar D, Gosman A, et al. Pilot trial of telemedicine as a decision aid for patients with chronic wounds. Telemed J E Health. 2008;14:245–9. doi:10.1089/tmj.2007.0038.
Dreyer N, Dreyer K, Shaw D, et al. Efficacy of telemedicine in occupational therapy: a pilot study. J Allied Health. 2001;30(1):39–42.
Eriksson L, Lindstrom B, Ekenberg L. Patient’s Experiences of telerehabilitation at home after shoulder joint replacement. J Telemed Telecare. 2011;17:25–30.
Federal Communications Commission. Voice-over-Internet protocol. 2010. Available at: http://www.fcc.gov/voip/. Accessed 5 Feb 2011.
Fischer H. U.S. military casualty statistics: operation new dawn, operation Iraqi freedom, and operation enduring freedom. 2010. Available at: http://www.fas.org/sgp/crs/natsec/RS22452.pdf. Accessed 5 Feb 2011.
Fonda SJ, Bursell SE, Lewis DG, et al. The relationship of a diabetes telehealth eye care program to standard eye care and change in diabetes health outcomes. Telemed J E Health. 2007;13:635–44.
Foundation for Spinal Cord Injury Prevention, Care & Cure. Spinal cord injury statistics. 2009. Available at: http://www.fscip.org/facts.htm. Accessed 5 Feb 2011.
Gallagher TE. Augmentation of special-needs services and information to students and teachers “ASSIST”—a telehealth innovation providing school-based medical interventions. Hawaii Med J. 2004;63:300–9.
Germain V, Marchand A, Bouchard S, et al. Effectiveness of cognitive behavioural therapy administered by videoconference for posttraumatic stress disorder. Cogn Behav Ther. 2009;38(1):42–53.
Girard P. Military and VA telemedicine systems for patients with traumatic brain injury. J Rehabil Res Dev. 2007;44:1017–26.
Golomb MR, McDonald BC, Warden SJ, et al. In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. Arch Phys Med Rehabil. 2010;91(1):1–8.
Harada N, Dhanani S, Elrod M, et al. Feasibility study of home telerehabilitation for physically inactive veterans. J Rehabil Res Dev. 2010;47:465–76.
Haugen HA, Tran ZV, Wyatt HR, et al. Using telehealth to increase participation in weight maintenance programs. Obesity. 2007;15:3067–77.
Heimerl S, Rasch N. Delivering developmental occupational therapy consultation services through telehealth. Dev Disabil Spec Interest Sec Q. 2009;32(3):1–4.
Hermann V, Herzog M, Jordan R, et al. Telerehabilitation and electrical stimulation: an occupation-based, client-centered stroke intervention. Am J Occup Ther. 2010;64:73–81.
Hoenig H, Sanford JA, Butterfield T, et al. Development of a teletechnology protocol for in-home rehabilitation. J Res Dev. 2006;43:287–98.
Hoffman SW, Shesko K, Harrison CR. Enhanced neurohabilitation techniques in the DVBIC assisted living pilot project. NeuroRehabilitation. 2010;26:257–69.
Hoffman T, Russell T. Pre-admission orthopaedic occupational therapy home visits conducted using the internet. J Telemed Telecare. 2008;14:83–7.
Hoffman T, Russell T, Cooke H. Remote measurement via the internet of upper limb range of motion people who have had a stroke. J Telemed Telecare. 2007;13:401–5.
Hoffman T, Russell T, Thompson L, et al. Using the internet to assess activities of daily living and hand function in people with Parkinson’s disease. NeuroRehabilitation. 2008;23:253–61.
Hoge C, Castro C, Messer S, et al. Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med. 2004;351:13–22.
Hori M, Kubota M, Kihara T, et al. The effect of videophone communication (with Skype and webcam) for elderly patients with dementia and their caregivers. Gan To Kagaku Ryoho. 2009;36S:36–8.
Huis in’t Veld R, Huijgen B, Schaake L, et al. Staged approach evaluation of remotely supervised myofeedback treatment (RSMT) in women with neck – shoulder pain due to computer work. Telemed E Health. 2008;14:545–51. doi:10.1089/tmj.2007.0090.
Kairy D, Lehoux P, Vincent C, et al. A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation. Disabil Rehabil. 2009;31:427–47.
Kelso G, Fiechtl B, Olsen S, et al. The feasibility of virtual home visits to provide early intervention: a pilot study. Infants Young Children. 2009;22:332–40.
Kim J, Brienza DM, Lynch RD, et al. Effectiveness evaluation of remote accessibility assessment system for wheelchair users using virtualized reality. Arch Phys Med Rehabil. 2008;89:470–9.
Lai JC, Woo J, Hui E, et al. Telerehabilitation – a new model for community-based stroke rehabilitation. J Telemed Telecare. 2004;10:199–205.
Monegain B. Henry Ford reduces hospital admissions with remote monitoring. 2009. Available at: http://www.healthcareitnews.com/news/henry-ford-reduces-hospital-admissions-remote-monitoring. Accessed 8 Feb2011.
Mozer E, Franklin B, Rose J. Psychotherapeutic intervention by telephone. Clin Interv Aging. 2008;3:391–6.
National Alliance for Caregiving. New study reveals family caregivers want web-based and mobile technologies to help them care for their loved ones. 2011. Available at: http://www.caregiving.org/. Accessed 11 Feb 2011.
National Council of Aging. Re-forming healthcare: Americans speak out about chronic conditions and the pursuit of health. 2009. Available at: http://www.ncoa.org/assets/files/pdf/FINAL_Survey_Fact_Sheet_DC.pdf. Accessed 16 Dec 2010.
Nerenberg J. 500 million people to use mobile health Apps by 2015: mHealth study. 2010. Available at: http://www.fastcompany.com/1701769/mhealth-summit-wraps-reveals-booming-industry. Accessed 20 Jan 2010.
Neubeck L, Redfern J, Fernandez R, et al. Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review. Eur J Cardiovasc Prev Rehabil. 2009;16:281–9.
Palsbo SE, Dawson SJ, Savard L, et al. Televideo assessment using functional reach test and European stroke scale. J Rehabil Res Dev. 2007;44:659664.
Parkinson’s Disease Foundation. Statistics on Parkinson’s. 2011. Available at: http://www.pdf.org/en/parkinson_statistics. Accessed 5 Feb 2011.
Pew Internet and American Life Project. Online health search 2006. 2006. Available at: http://www.pewinternet.org/Reports/2006/Online-Health-Search-2006/03-113-Million-Internet-Users-Seek-Health-Information-Online/03-Fifteen-percent-of-internet-users-have-looked-online-for-information-about-dental-health.aspx. Accessed 5 Jan 2011
Philips VL, Temkin A, Vesmarovish S, et al. A feasibility study of video-based home telecare for clients with spinal cord injuries. J Telemed Telecare. 1998;4:219–23.
Polisena J, Tran K, Cimon K, et al. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Telemed Telecare. 2010;16:120–7.
Reger GM, Holloway KM, Candy C, et al. Effectiveness of virtual reality exposure therapy for active duty soldiers in a military mental health clinic. J Trauma Stress. 2011;24(1):93–6. doi:10.1002/jts.20574.
Russell T, Buttrum P, Wooton R, et al. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized control trial. J Bone Joint Surg Am. 2011;93:113–20. doi:10.2106/JBJS.I.01375.
Sanford J, Hoenig H, Griffiths P, et al. A comparison of televideo and traditional in-home rehabilitation in mobility impaired older adults. Phys Occup Ther Geriatr. 2007;25(3):1–18.
Scheideman-Miller C. Rehabilitation. In: Stamm BH, Lauderdale D, Post M, et al., editors, Telemedicine technical assistance documents, p. 241–66. 2004. Available at: http://telehealth.muhealth.org/general%20information/getting.started.telemedicine.pdf. Accessed 11 Feb 2011.
Schein RM, Schmeler MR, Brienza D, et al. Development of a service delivery protocol used for remote wheelchair consultation via telerehabilitation. Telemed J E Health. 2008;14:932–8.
Schmeler M, Schein R, McCue M, et al. Telerehabilitation clinical and vocational applications for assistive technology: research, opportunities, and challenges. Int J Telerehabil. 2008;1:12–24.
Simmons S, Alverson D, Poropatich R, et al. Applying telehealth in natural and anthropogenic disasters. Telemed J E Health. 2008;14:968–71.
Slootmaker SM, Chinapaw MJ, Seidell JC, et al. Accelerometers and internet for physical activity promotion in youth? Feasibility and effectiveness of a minimal intervention. Prev Med. 2010;51(1):31–6.
Soopramanien A, Pain H, Stainthrope A, et al. Using telemedicine to provide post-discharge support for patients with spinal cord injuries. J Telemed Telecare. 2005;11 Suppl 1:68–70.
Suter P, Suter WN, Johnston D. Theory-based telehealth and patient empowerment. Popul Health Manag. 2011;14(2):87–92. doi:10.1089/pop.2010.0013.
Tam SF, Man WK, Hui-Chan CW, et al. Evaluating the efficacy of Tele-cognitive rehabilitation for functional performance in three case studies. Occup Ther Int. 2003;10(1):20–38.
Taylor D, Cameron J, Walch L, et al. Exploring the feasibility of videoconference delivery of a self-management program to rural participants with stroke. Telemed J E Health. 2009;15:646–54. doi:10.1089/tmj.2008.0165.
Tsuchisawa K, Ono K, Kanda T. Japanese occupational therapy in community mental health and telehealth. J Telemed Telecare. 2000;6 Suppl 2:79–80.
Tuerk PW, Yoder M, Ruggiero KJ, et al. A pilot study of prolonged exposure therapy for posttraumatic stress disorder delivered via telehealth technology. J Trauma Stress. 2010;23(1):116–23.
Wu G, Keyes LM. Group Tele-exercise for improving balance in elders. Telemed J E Health. 2006;12:561–70.
Vismara L, Young G, Stahmer A, et al. Dissemination of evidence-based practice: can we train therapists from a distance? J Autism Dev Disord. 2009;39:1636–51.
Wise M, Gustafson DH, Sorkness CA, et al. Internet telehealth for pediatric asthma case management: integrating computerized and case manager features for tailoring a web-based asthma education program. Health Promot Pract. 2007;8:282–91.
World Health Organization & World Bank. World report on disability. 2011. Retrieved from: http://whqlibdoc.who.int/publications/2011/9789240685215_eng.pdf Accessed Feb 9, 2012
Additional Resources
American Physical Therapy Association. Position on telehealth. Available at: http://www.apta.org/AM/Template.cfm?Section=Home&CONTENTID=67435&TEMPLATE=/CM/ContentDisplay.cfm.
American Occupational Therapy Association. Position paper on telerehabilitation. Available at: http://media.americantelemed.org/ICOT/AOTA%20telereh05.pdf.
American Speech-Language-Hearing Association. Position statement on telepractice. Available at: http://www.asha.org/docs/html/PS2005-00116.html.
American Telemedicine Association. Available at: http://www.americantelemed.org.
American Telemedicine Association. A blueprint for telerehabilitation guidelines. Available at: http://www.americantelemed.org/files/public/standards/ATA%20Telerehab%20Guidelines%20v1%20(2).pdf; also available at: http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6063/6293.
Association of Telemedicine Service Providers. Available at: http://www.atsp.org/.
Center for Telehealth and E-Health Law (CTel). Available at: http://www.telehealthlawcenter.org/.
Center for Telemedicine Law. Available at: http://ctl.org/.
Federal Telemedicine Gateway. Available at: http://tmgateway.org/.
International Journal of Telerehabilitation. Available at: http://telerehab.pitt.edu/ojs/index.php/telerehab.
Journal of Telemedicine and Telecare. Available at: http://jtt.rsmjournals.com/.
Rehabilitation Engineering Research Center for Telerehabilitation. Available at: http://www.rerctr.pitt.edu/.
Telemedicine and e-Health. Available at: www.liebertpub.com/TMJ.
UC Davis Telemedicine Program. Available at: http://www.telemedicine.ucdmc.ucdavis.edu/.
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Cason, J., Richmond, T. (2013). Telehealth Opportunities in Occupational Therapy. In: Kumar, S., Cohn, E. (eds) Telerehabilitation. Health Informatics. Springer, London. https://doi.org/10.1007/978-1-4471-4198-3_10
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