Evidence-based is the foundation |
• Share evidence-based information with your patient through diverse media, in an understandable language; |
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• Encourage active participation in discussions of health-related topics; |
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• Support a non-judgmental environment that encourages expressing personal beliefs; |
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• Use teaching-back strategies for motivating participation. |
Choose the best way of communicating |
• Choose simple words to avoid misunderstanding, avoid technical language or use of medical jargon; |
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• Give simple commands to avoid information-overload; |
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• Use specific body regions and spatial references to guide exercises or meditation (eg, align your spine imagining your head wants to reach the ceiling); |
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• Video material and videoconferences are good ways of demonstrating exercises: you can perform them to mirror your patient. |
Listen to your patient's preferences |
• Look forward to understand: |
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your patient's preferred means for receiving care (eg, telephone, videoconference, text-messaging) or suggest trying different modes to understand the patient's preference; |
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your patient's expectations and acceptability for telerehabilitation; |
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your patient's needs in terms of information content and physical activity/exercise program. |
Tackle demotivation |
• Use shared experiences to build and strengthen therapeutic alliance. |
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• Include weekly challenges; |
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• Send reminders such as tailored pre-recorded messages; |
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• Provide useful information/strategies that patients can easily put in practice; |
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• Align your rehabilitation program to balance necessary activities with the patient's preferred activities (eg, include functional activities that he/she shows interest in). |
Ensure patient has access |
• Understand your patient's reality: sociodemographic condition, previous experience with technology; |
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• Assess your patient's health and digital health literacy levels; |
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• Adapt your interventions to encompass the type of medias he/she has access to. |