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Telerehabilitation Effects on Functional Outcomes and HRQoL in Veterans

This study examines the effects of physical therapy delivered via home video telerehabilitation on functional outcomes, health-related quality of life (HRQoL), and satisfaction in Veterans. The study shows significant improvements in various measures and high satisfaction levels with telerehabilitation. Telerehabilitation proves to be a promising alternative to in-person rehabilitative care for Veterans in rural areas, reducing travel time and expenses.

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Telerehabilitation Effects on Functional Outcomes and HRQoL in Veterans

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  1. Effects of physical therapy delivery via home video telerehabilitation on functional and health-related quality of life outcomes Charles E. Levy, MD; Erin Silverman, PhD; Huanguang Jia, PhD; Meghan Geiss, MS; David Omura, DPT, MHA

  2. Aim • To examine functional outcomes, health-related quality of life (HRQoL), and satisfaction in a group of Veterans who received physical therapy via an in-home video telerehabilitation program, the Rural Veterans TeleRehabilitation Initiative (RVTRI). • Relevance • Veterans with disabilities who live in rural areas face barriers to care, including long travel times and distances and expense. • The Veterans Health Administration presently serves 3.3 million Veterans residing in rural localities.

  3. Method • Retrospective, pre-post study design used. • Measures obtained from 26 Veterans who received physical therapy in the RVTRI program between February 22, 2010, and April 1, 2011, were analyzed. • Outcomes used: Functional Independence Measure (FIM); Quick Disabilities of the Arm, Shoulder, and Hand measure; Montreal Cognitive Assessment (MoCA); and 2-minute walk test (2MWT). • HRQoL assessed using Veterans RAND 12-Item Health Survey (VR-12). • Program satisfaction evaluated using telehealth satisfaction scale.

  4. Results • Average length of participation: 99.2 ± 43.3 d. • Average therapeutic sessions received: 15.2 ± 6.0. • Significant improvements shown in FIM, MoCA, 2MWT, and VR-12. • All Veterans reported satisfaction with their telerehabilitation experiences. • Those enrolled in RVTRI program avoided average of 2,774.7 ± 3,197.4 travel miles, 46.3 ± 53.3 hr of driving tome, and $1,151.50 ± $1,326.90 in travel reimbursement.

  5. Conclusion • RVTRI provided an effective real-time, home-based physical therapy. In-home video telerehabilitation is a promising potential alternative to standard face-to-face rehabilitative care.

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