Late Breaking Systematic & Meta-analytic Review Poster 1828700| Volume 103, ISSUE 3, e3, March 2022

International Clinician Perspectives on Telerehabilitation (Pre-Coronavirus): a Qualitative Meta-Synthesis

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      To describe therapists' (PT, OT, SLP, RT) attitudes and beliefs of telerehabilitation at the international level.

      Data Sources

      Medline, NARIC, Web of Science, Scopus, CINAHL, PubMed, and Cochrane Library. Limits were not placed on year, language, or publication type. The systematic search strategy was implemented 2/29/20 and was updated 6/29/20.

      Study Selection

      Study titles and/or abstracts were screened by the first author using the Rayyan web application. Following the screening, full-text articles were read by the first author to determine eligibility. The second author reviewed rejected studies using Rayyan and consensus was reached on selected studies. Studies were selected if they used interviews or focus groups, included at least one or more rehab professions in the sample, and addressed attitudes toward telerehabilitation as a service delivery model. Of the 1,039 unique results, 961 studies failed to meet the inclusion criteria after screening. Seventy-eight studies were selected for full-text review. Nine studies met the inclusion criteria and were included in this meta-synthesis.

      Data Extraction

      Data were extracted and coded by the first author according to the methods described by Thomas and Harden (2008). Extraction and coding were confirmed by peer debreifing sessions with the second and third authors. Study quality was assessed using the Critical Appraisal Skills Programme (CASP) and the level of evidence was assessed using the Let Evidence Guide Every New Decision (LEGEND) guidelines.

      Data Synthesis

      Primary themes centered on the importance of communication, the telerehab envrionment, and the role of technology and connectivity. Clinicians' overall views of TR were generally “positive with reservations,” which corresponded to clinician inexperience with telerehabilitation.


      This study provides evidence that clinician perceptions of telerehabilitation are similar across disciplines, with views generally being positive. Less experienced clinicians were more likely to have reservations about telerehabilitation, indicating a need for more education and training. The overall strength of recommendation is moderate. It is recommended that these themes be utilized to increase clinician acceptance of telerehabilitation.

      Author(s) Disclosures

      There are no relevant author disclosures.


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