Evidence map›Paper›PMID 40802966›Full record

ReviewJMIR aging2025

Ethics and Equity Challenges in Telerehabilitation for Older Adults: Rapid Review.

Mirella Veras, Louis-Pierre Auger, Jennifer Sigouin, Nahid Gheidari, Michelle LA Nelson, William C Miller, Anne Hudon, Dahlia Kairy

Abstract readReview
In one paragraph

Review in JMIR aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Mirella VerasDepartment of Physical Therapy, University of Manitoba, R115-771 McDermot Avenue, Winnipeg, MB, R3E 0T6, Canada, 1 2047893417.ORCID http://orcid.org/0000-0002-4124-1543
Louis-Pierre AugerThe Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.ORCID http://orcid.org/0000-0003-1897-6338
Jennifer SigouinThe Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.ORCID http://orcid.org/0009-0000-4970-0727
Nahid GheidariClinical Research Unit, Montreal Neurological Institute/Hospital, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-9623-7712
Michelle LA NelsonLunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-2002-0298
William C MillerOccupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0003-3060-0210
Anne HudonPhysiotherapy Program, School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-7259-0343
Dahlia KairyThe Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-6872-6607

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The integration of technology in rehabilitation is transforming health care delivery for older adults, especially through telerehabilitation, which addresses barriers to in-person care. Objective: This rapid review explores the ethical and equity concerns associated with telerehabilitation for older adults, focusing on challenges such as internet access, technology adoption, and digital literacy. Methods: Conducted according to Cochrane Rapid Review guidelines, this review used the Metaverse Equitable Rehabilitation Therapy framework, focusing on equity and ethics. Studies included telerehabilitation services for adults aged 55 years and older, published between 2010 and 2023. Screening was conducted independently by 2 researchers using Rayyan (Qatar Computing Research Institute, Hamad Bin Khalifa University), with full-text review by additional team members. Searches were performed in Medline and CINAHL. Results: From 323 papers retrieved, 49 studies met the inclusion criteria. The included studies were published between 2013 and 2023. Disparities in socioeconomic status, geographic location, and racial and ethnic backgrounds were found to impact telerehabilitation use. Additionally, ethical concerns around privacy, security, and autonomy were often inadequately addressed. Conclusions: This review emphasizes the need for culturally appropriate, accessible, and inclusive telerehabilitation services that integrate ethical and equity considerations into their design and delivery.

Indexed as

Health EquityTelerehabilitationAgedAged, 80 and overHumansMiddle AgedTelemedicineagingdigital healthequityethicsgeriatricolder adultsrehabilitationreviewtelehealthtelerehabilitationvirtual care

Identifiers

PMID40802966
PMCPMC12349735

What OpenQuestion holds

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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.