Table 3.
Duration, intervention, outcome measures, and intervention results for the 11 selected studies.
Reference | Duration of intervention | Interventions | Outcome measures | Results |
Clark et al, 2002 [40] | 17 months | PTa, OTb, SLTc, vocational rehabilitation, and psychological services | Mobility, self-care ability, emotion, language ability, and cost and travel savings | Patient was functionally independent in household walking and self-care; functional use of affected lower extremity for support and balance; patient could express basic needs independently, communicate complex ideas; caregiver’s mood was more positive; and cost and travel savings |
Forducey et al, 2003 [41] | 24 weeks | PT, OT, SLT, neuro-psychological services, and telementoring | Physical and cognitive function of patients and nursing home staff’s perception and satisfaction | Improvements in neuropsychological status and physical functioning and the telementoring program was very beneficial |
Barlow et al, 2009 [42] | 2 years | Wheelchair seating assessment and intervention | Patient and therapists’ satisfaction, intervention goal attainment, travel expense, therapists’ time spent in providing service, and wait time and completion time | Clients had similar satisfaction ratings to those seen F2Fd; clients had their goals met as often as clients seen F2F; travel cost savings; rural therapists spent more time in preparation and follow-up; and clients had shorter wait times for assessment than rural F2F clients |
Kelso et al, 2009 [43] | 1 month for 2 families, 3 months for the other 2 families | EIe (SLT, OT, and PT) | Parental satisfaction, usability of the system, interventionists’ feedback, and cost and travel savings | Videoconferencing-based tele-EI system is both usable and satisfactory to most participants; parents and therapists experienced technical problems; and cost savings for delivering EI via telehealth |
Schein et al, 2010 [44] | 88 min on average | Assessment and prescription of wheelchair and seating | Users’ satisfaction, comfort and time and cost savings | A high level of patient satisfaction and saved money and time |
Olsen et al, 2012 [45] | 1 year | EI, home visits, and coaching model | Cost savings, participants’ rating, and provider and family satisfaction | Cost savings and increased availability of services from specialists; parents’ comfort with technical skills was high; provider’s ratings of comfort with the telehealth experience were high; parents were satisfied with each visit modality; most providers (79%) were satisfied with the telehealth experience; and telehealth removed time and travel barriers and increased availability of qualified personnel |
Crotty et al, 2014 [46] | Up to 8 weeks | Coaching model, feedback and homework for the patient, SLT, OT, PT, and medical reviews | Participants’ satisfaction, goal attainment, number of home visits, service time, travel time; cognitive impairment, mood, quality of life, and functional level and perceived ease of technology use | Participants achieved 75% of the goals; high levels of satisfaction; a 50% reduction in home visits by staff; speech therapists doubled occasions of services and direct patient contact time but halved their travel time; patients achieved >50% of their goals; most patients achieved their anticipated or better outcome; telehealth was acceptable and perceived positively by older people; and in approximately 2/3 cases, clinicians were equally satisfied with telehealth compared with F2F sessions |
Levy et al, 2015 [47] | On average 99 days | PT | Functional level, quality of life, and satisfaction | Significant improvement in most outcome measures; 96% of patients were satisfied with the telehealth experience; and avoided travel miles, driving time, and travel reimbursement |
Langkamp et al, 2015 [48] | 1 year | Connection to primary doctor | Parents’ satisfaction, school staff's satisfaction and comfort with the program, and participating practice members’ experience with the program | Most parents had a high level of satisfaction with the program; parents were satisfied with the care their child received; school staff noticed benefits of telehealth; and participating providers agreed to continue the participation |
Sangelaji et al, 2017 [49] | 24 weeks | 12 weeks Web-based physiotherapy followed by 12 weeks behavioral change intervention | Participants’ feedback, physical activity, body function and composition; quality of life, fatigue, and mental status | Intervention was not effective for the participants; accepted telehealth practice; overall dissatisfaction with using the activity monitors; and both positive and negative aspects of website use |
Portaro et al, 2018 [50] | 6 months | Telemonitoring, psychological consultation, neurological, and pneumological assessment | Number of hospital admissions, patients’ satisfaction, the clinical impact, and quality of life | Reduced hospital admissions; patients had a mild improvement in emotional and mood status; body mass index remained stable; patients developed better skills to solve problems; no change on caregiver burden; and reasonable level of satisfaction |
aPT: physical therapy.
bOT: occupational therapy.
cSLT: speech and language therapy.
dF2F: face-to-face.
eEI: early intervention.