A rapid review protocol of physiotherapy and occupational therapy telerehabilitation to inform ethical and equity concerns

Author:

Veras Mirella1ORCID,Sigouin Jennifer1,Auger Claudine1ORCID,Auger Louis-Pierre2ORCID,Ahmed Sara3,Boychuck Zachary2,Cavallo Sabrina4,Lévesque Martine5,Lovo Stacey6ORCID,Miller William C7,Nelson Michelle8,Norouzi-Gheidari Nahid9,O’Neil Jennifer10ORCID,Perreault Kadija11,Urbanowski Reg12,Sheehy Lisa13ORCID,Singh Hardeep14,Vincent Claude11,Wang Rosali14,Zidarov Diana15,Hudon Anne15,Kairy Dahlia15ORCID

Affiliation:

1. Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Canada

2. School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada

3. Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada

4. Faculté de médecine, Université de Montréal, School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Canada

5. École de readaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada

6. École de réadaptation, Université de Montréal, School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Canada

7. Occupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada

8. Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health; University of Toronto, Toronto, Canada

9. Clinical Research Unit, Montreal Neurological Institute/Hospital, Montreal, Canada

10. École des sciences de la réadaptation, Faculté des Sciences de la Santé, University of Ottawa, Ottawa, Canada

11. Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, Canada

12. College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada

13. Bruyère Research Institute, University of Toronto, Toronto, Canada

14. Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada

15. Programme de physiothérapie, École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada

Abstract

Background Telerehabilitation (TR) has emerged as a feasible and promising approach for delivering rehabilitation services remotely, utilizing technology to bridge the gap between healthcare providers and patients. As new modalities of virtual care and health technologies continue to emerge, it is crucial to stay informed about the growing landscape of virtual care to ensure that telehealth service delivery is ethical and equitable, and improves the quality of services and patient outcomes. Objective The primary objective of this article is to present the protocol of a rapid review to examine the equity-related aspects surrounding the implementation of TR. This includes a comprehensive analysis of the ethical dimensions and fairness concerns linked to this practice. Methods A rapid review protocol was developed in accordance with Cochrane Rapid Reviews Methods Guidance. Medline and EMBASE databases were searched between January 2010 and March 2023. Study selection and data extraction will be conducted in two phases (Phase I) by two independent reviewers and subsequently (Phase II) by a single reviewer. Our study will utilize the PROGRESS-Plus and Equitable virtual rehabilitation in the metaverse era framework to identify dimensions where potential inequities may exist within TR interventions. Results This rapid review is anticipated to enhance our knowledge of TR in the fields of physiotherapy and occupational therapy, with a specific focus on its influence on ethical and equitable practices and providing a foundation for informed decision-making and improved patient care. Conclusion This rapid review will contribute to the advancement of our understanding of TR within physiotherapy and occupational therapy. Through synthesizing existing evidence, this study not only addresses current gaps in knowledge but also offers valuable insights for future research and clinical practice in TR services.

Funder

Institut de recherche en santé du Canada - Association médicale canadienne (CMA) - Réseau québécois de recherche en adaptation-réadaptation

Publisher

SAGE Publications

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