Exploring attitudes of people with chronic health conditions towards the use of group-based telerehabilitation: A qualitative study.
Caoimhe Barry Walsh, Roisin Cahalan, Rana S Hinman and 1 others
PMID 37632125WHAT IT FOUND
People with chronic conditions valued telerehabilitation for convenience, safety and connection, but reported technology problems, limited hands-on care and reduced social contact. 14 participants preferred hybrid programmes with live classes, recordings and professional guidance.
Key findings
01Participants described telerehabilitation as convenient because it avoided travel and allowed attending from home when unwell.
02Technology discomfort or access problems, lack of hands-on assessment, and reduced social interaction were reported as barriers.
0314 participants preferred a hybrid model combining telerehabilitation and in-person rehabilitation, and 15 participants agreed they would be willing to engage in generic telerehabilitation programmes.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study included only 18 participants, and the number contacted is unknown, so it cannot show how common these views are among people with chronic conditions. Participants were recruited through patient advocacy groups and clinical contacts, so they may have been more proactive in their healthcare and more positive about telerehabilitation. All focus groups were held by videoconference, which may have excluded people with limited technology access or comfort, even though telephone participation was offered. The sample came from Ireland, so attitudes may not represent other countries or health systems. The study did not analyse themes separately for cardiorespiratory, neurological and musculoskeletal groups, and did not reach saturation within each subgroup. It reports attitudes and preferences, not clinical outcomes, so it does not show whether telerehabilitation works.
Declared interests
The authors declared no potential conflicts of interest. Funding: CBW is funded by an Irish Research Council Government of Ireland Postgraduate Scholarship and a Plassey Campus Life Services Scholarship. RSH is supported by a National Health & Medical Research Council Senior Research Fellowship.
The easy way to misread this
Do not read this as evidence that telerehabilitation improves chronic condition outcomes. It reports attitudes from 18 participants, not patient outcomes, and the sample was recruited through patient advocacy groups and clinical contacts, so participants may have been more proactive and comfortable with technology.