ArticleJournal of multidisciplinary healthcare2020
Telerehabilitation for Rural Veterans: A Qualitative Assessment of Barriers and Facilitators to Implementation.
Article in Journal of multidisciplinary healthcare, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 52 citations in OpenAlex.
- Multicomponent telerehabilitation program for veterans with multimorbidity: A randomized controlled feasibility study.PM & R : the journal of injury, function, and rehabilitation · 2025Trial
- Goal Setting During Telerehabilitation in Japan: Qualitative Study of Occupational Therapists' and Physical Therapists' Experiences Using Reflexive Thematic Analysis.JMIR rehabilitation and assistive technologies · 2026Article
- Utilization and Cost of Veterans Health Administration Referrals to Community Care-Based Physical Therapy.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Multicomponent telerehabilitation programme for older veterans with multimorbidity: a programme evaluation.BMJ military health · 2025Article
- Feasibility of Group Telerehabilitation for Older Adults: A Quality Improvement Project.International journal of telerehabilitation · 2025Article
- Barriers and Facilitators Associated With Remote Concussion Physical Assessments From the Perspectives of Clinicians and People Living With Workplace Concussions: Focus Group Study.Journal of medical Internet research · 2024Article
- Differences in rehabilitation evaluation access for rural and socially disadvantaged stroke survivors.Topics in stroke rehabilitation · 2024Article
- Caregivers' Role in In-Home Video Telehealth: National Survey of Occupational Therapy Practitioners.JMIR rehabilitation and assistive technologies · 2024Article
- Factors Facilitating and Inhibiting the Implementation of Telerehabilitation-A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Mapping Theories, Models, and Frameworks to Evaluate Digital Health Interventions: Scoping Review.Journal of medical Internet research · 2024Article
- Older Veteran Experiences of using Technology during a Multicomponent Telerehabilitation Program: A Convergent Mixed Methods Study.Cogent gerontology · 2024Article
- Leveraging and learning from the long COVID experience: Translating telerehabilitation into practice.Work (Reading, Mass.) · 2024Article
- Investigation of Study Procedures to Estimate Sensitivity and Reliability of a Virtual Physical Assessment Developed for Workplace Concussions: Method-Comparison Feasibility Study.JMIR neurotechnology · 2024Article
- RE-AIM for rural health innovations: perceptions of (mis) alignment between the RE-AIM framework and evaluation reporting in the Department of Veterans Affairs Enterprise-Wide Initiatives program.Frontiers in health services · 2024Article
- Factors that influence the provision of home-based rehabilitation services for people needing rehabilitation: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2023Review
- Whole Health coaching to rural Veterans through telehealth: Advantages, gaps, and opportunities.Frontiers in public health · 2023Article
- Implementation of digital health in rural populations with chronic musculoskeletal conditions: A scoping review protocol.PloS one · 2023Article
- Meeting the Needs of Rural Veterans: A Qualitative Evaluation of Whole Health Coaches' Expanded Services and Support during COVID-19.International journal of environmental research and public health · 2022Article
- The Current State of Remote Physiotherapy in Finland: Cross-sectional Web-Based Questionnaire Study.JMIR rehabilitation and assistive technologies · 2022Article
- Understanding Variation in Adoption of Video Telehealth and Implications for Health Care Systems.Medical research archives · 2022Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTelerehabilitation (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.
methodsThis 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.
resultsThree 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 in a community of practice. DISCUSSION: This study explicates salient barriers and facilitators encountered during the first 18 months of implementation of a TR program within a national healthcare system in the United States. Implementing TR to meet the rehabilitation needs of Veterans in resource-limited rural environments requires creative approaches and flexibility, as well as perseverance and consistent championing in order to overcome cultural challenges. This, in combination with infrastructural challenges, such as lack of broadband, adds greater complexity to meeting the needs of rural patients. This study provides new and in-depth understanding of the processes by which TR is implemented in a large healthcare system and points to practical real-world lessons in implementing TR for rural patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.