Evidence map›Paper›PMID 35544471›Full record

SynthesisPloS one2022

Factors influencing the delivery of telerehabilitation for stroke: A systematic review.

Aoife Stephenson, Sarah Howes, Paul J Murphy, Judith E Deutsch, Maria Stokes, Katy Pedlow, Suzanne M McDonough

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 4 countries.

Aoife StephensonSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
Sarah HowesCentre for Health and Rehabilitation Technologies, Ulster University, Newtownabbey, United Kingdom.ORCID 0000-0001-9314-5281
Paul J MurphyRCSI Library, Royal College of Surgeons in Ireland, Dublin, Ireland.
Judith E DeutschRivers Lab, Department of Rehabilitation and Movement Science, School of Health Professions, Rutgers University, New Brunswick, New Jersey, United States of America.
Maria StokesSchool of Health Sciences, University of Southampton, Southampton, United Kingdom.
Katy PedlowCentre for Health and Rehabilitation Technologies, Ulster University, Newtownabbey, United Kingdom.
Suzanne M McDonoughSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0003-3758-3302
University of Ulster · GBArthritis UK · GBRoyal College of Surgeons in Ireland · IERutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite the available evidence regarding effectiveness of stroke telerehabilitation, there has been little focus on factors influencing its delivery or translation from the research setting into practice. There are complex challenges to embedding telerehabilitation into stroke services and generating transferable knowledge about scaling up and routinising this service model. This review aimed to explore factors influencing the delivery of stroke telerehabilitation interventions, including platforms, technical requirements, training, support, access, cost, usability and acceptability.

methodsMEDLINE, EMBASE, CINAHL, Web of Science and Cochrane Library and Central Registry of Clinical Trials were searched to identify full-text articles of randomised controlled trials (RCTs) and protocols for RCTs published since a Cochrane review on stroke telerehabilitation services. A narrative synthesis was conducted, providing a comprehensive description of the factors influencing stroke telerehabilitation intervention delivery.

resultsThirty-one studies and ten protocols of ongoing studies were included. Interventions were categorised as synchronous telerehabilitation (n = 9), asynchronous telerehabilitation (n = 11) and tele-support (n = 11). Telephone and videoconference were the most frequently used modes of delivery. Usability and acceptability with telerehabilitation were high across all platforms, although access issues and technical challenges may be potential barriers to the use of telerehabilitation in service delivery. Costs of intervention delivery and training requirements were poorly reported.

conclusionsThis review synthesises the evidence relating to factors that may influence stroke telerehabilitation intervention delivery at a crucial timepoint given the rapid deployment of telerehabilitation in response to the COVID-19 pandemic. It recommends strategies, such as ensuring adequate training and technical infrastructure, shared learning and consistent reporting of cost and usability and acceptability outcomes, to overcome challenges in embedding and routinising this service model and priorities for research in this area.

Indexed as

COVID-19StrokeTelerehabilitationHumansTelephoneVideoconferencing

Identifiers

PMID35544471
PMCPMC9094559
OpenAlexW4280617950

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.