Evidence map›Paper›PMID 41413885›Full record

ArticleBMC health services research2025

Accessibility, safety, and effectiveness of telerehabilitation for public safety personnel with posttraumatic stress injuries: an interpretive description study.

Katelyn Brehon, Maxi Miciak, Brandon Krebs, Riikka Niemelainen, Bruce D Dick, Sebastian Straube, Suzette Brémault-Phillips, Douglas P Gross

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Katelyn BrehonDepartment of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, T6G2G4, Canada.
Maxi MiciakFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, T6G2G4, Canada. maxi@ualberta.ca.
Brandon KrebsDepartment of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, T6G2G4, Canada.
Riikka NiemelainenDepartment of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, T6G2B7, Canada.
Bruce D DickDepartment of Anesthesiology and Pain Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, T6G2B7, Canada.
Sebastian StraubeDivision of Preventive Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, T6G2B7, Canada.
Suzette Brémault-PhillipsDepartment of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, T6G2G4, Canada.
Douglas P GrossDepartment of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, T6G2G4, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublic safety personnel (PSP) are regularly exposed to stress which can result in the development of posttraumatic stress injuries (PTSIs) and leave them unable to work. The COVID-19 pandemic caused a shift in the delivery of PTSI rehabilitation to telerehabilitation (mainly videoconference, but some telephone-based care).

methodsThe present study employed an Interpretive Description design to explore the lived experiences of PSP, clinicians, and decision-makers regarding the safety, accessibility, and effectiveness of PTSI telerehabilitation. We used purposive and convenience sampling techniques, aiming to maximize variation. Interview data were generated using semi-structured interviews and analyzed using an integrated, team-based approach to Braun and Clarke’s reflexive thematic analysis.

resultsOur final sample consisted of 34 participants: 12 PSP, 14 clinicians, and eight decision-makers. Three themes were generated: (1) Responding to the uniqueness of individuals and their contexts; (2) Prioritizing different elements of safety at different times; and (3) Facets of care that lead to perceptions of credibility. While telerehabilitation offers accessibility and flexibility, its application necessitates a nuanced, person-centred approach.

conclusionsClinicians need to tailor the mode of delivery to PSP and be aware of the potential limitations in observing subtle cues and fostering the therapeutic alliance virtually. Decision-makers should consider policies that support a hybrid model of care, balancing PSP preference and the potential need for in-person interventions to address avoidance and facilitate crucial components of care. Ultimately, for PSP, telerehabilitation presents a valuable option for accessing timely, comfortable care, but open communication with clinicians about preferences and any challenges experienced with virtual modalities is paramount.

Indexed as

Health Services AccessibilityStress Disorders, Post-TraumaticTelerehabilitationAdultCOVID-19FemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSARS-CoV-2First respondersOccupational rehabilitationTraumatic psychological injuryVirtual care

Identifiers

PMID41413885
PMCPMC12829143

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.