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. 2024 Jun 18;12(12):1217. doi: 10.3390/healthcare12121217
Design:
  • Systematic reviews (phase 1), randomized (individual patient or clustered), or quasi-randomized controlled trials (phase 2 and phase 3)

Participants:
  • Adults requiring allied health intervention

Intervention: allied health intervention delivered via telehealth
  • At least one allied health professional (physiotherapy, occupational therapy, speech pathology, psychology, neuropsychology, or podiatry) providing an intervention

  • The intervention could also include allied health professionals other than those specified above

  • The intervention could include a mix of telehealth and face-to-face with or without additional technology, such as virtual reality, smartphone applications, or personal computer/tablet programs

  • Location may include the participant’s home (community), or another hospital (not co-located)

Comparison: face-to-face allied health intervention
  • Delivered by at least one allied health professional: physiotherapist, occupational therapist, speech pathologist, psychologist, neuropsychologist, and/or podiatrist

  • Comparable dose and type of intervention were provided to the intervention and comparator groups (e.g., one hour of weekly face-to-face strength training versus telehealth strength training)

Outcome measures:
  • Outcome measures reported at pre-treatment and treatment completion with or without follow-up for up to 12 months

  • Patient level outcomes were measured against the International Classification of Functioning Codes (World Health Organization, 2009) relevant to neuropsychology, occupational therapy, physiotherapy, podiatry, psychology, and speech pathology

  • The primary outcome was independence assessed post-intervention, encompassing self-care, mobility, and/or participation domains. Any assessment tools were included

  • Secondary outcomes included self-care, mobility (e.g., walking speed, functional ambulation category), balance, upper extremity function, language and communication, cognition, and depression (global measures)

  • Program duration, participant satisfaction with the intervention; self-reported Health-Related Quality of Life; and adverse events (including falls, hospital use)

  • Feasibility of telehealth

Exclusion criteria:
  • Trials where more than 20% of the participants were aged younger than 18 years, or the sample was receiving obstetric or peri-natal treatment, or interventions addressing drug, tobacco, or alcohol use (to limit the scope of rapid review)

  • Trials comparing telehealth methods without a face-to-face intervention comparison group

  • Trials published in any language other than English as the translation was not available

  • Trials comparing two different types of intervention (e.g., education face-to-face versus active therapy via telehealth)

  • Trials evaluating allied health assessment or monitoring only with no intervention

  • Trials where the allied health professional providing the telehealth intervention was co-located

  • Online-only/computer-based programs without the involvement of allied health professionals (e.g., computer-based independent exercise program)

  • Interventions that include medical, nursing, or non-listed allied health/pharmacy professionals where the effects of the intervention component delivered by the allied health professional cannot be isolated from the interventions provided by the other professional group/s

  • Interventions delivered by an allied health or rehabilitation assistant without clear supervision or delegation from an allied health professional