Telerehabilitation for Rural Veterans: A Qualitative Assessment of Barriers and Facilitators to Implementation

Journal of Multidisciplinary Healthcare
Jennifer L Hale-GallardoSergio Romero

Abstract

Telerehabilitation (TR) is increasingly being used to meet the rehabilitation needs of individuals living in rural areas. Nevertheless, reports on TR implementation for rural patients remain limited. As part of a broader evaluation, this study investigated barriers and facilitators to the implementation of a national TR program to meet the needs of rural Veterans Health Administration (VHA) patients. This study applied a qualitative approach to the RE-AIM framework to investigate barriers and facilitators impacting TR implementation. We conducted in-depth, semi-structured interviews with ten program managers and medical directors within the VHA at three time points during the first 18 months of implementation. Interviews were analyzed using thematic analysis. Three themes were identified describing key cultural, infrastructural and logistical, and environmental barriers impacting the reach, adoption, and implementation of TR. Within the themes, facilitators for TR were also identified to include, allowing providers flexibility in implementing TR, mentorship and development of creative approaches to TR training, overcoming infrastructural and logistical TR barriers through championing, and continuous sharing of lessons learned i...Continue Reading

References

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Citations

Apr 6, 2021·Physical Medicine and Rehabilitation Clinics of North America·Melissa E PhuphanichQuynh Giao Pham
Nov 7, 2020·Journal of Community Health·Jennifer Hale-GallardoHuanguang Jia

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Methods Mentioned

BETA
amputation

Software Mentioned

EWI
RE
Hub
VA Video Connect
excel
TR
AIM

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