Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis

Speyer, R, Denman, D, Wilkes-Gillan, S, Chen, Y, Bogaardt, H, Kim, J, Heckathorn, D and Cordier, Reinie (2018) Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis. Journal of Rehabilitation Medicine, 50 (3). pp. 225-235. ISSN 1650-1977

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Official URL: https://doi.org/10.2340/16501977-2297

Abstract

Objective: To describe telehealth interventions delivered by allied health professionals and nurses in rural and remote areas, and to compare the effects of telehealth interventions with standard face-Toface interventions. Data sources: CINAHL, Embase, PsycINFO and Pub-Med databases were searched. The content of relevant journals and published articles were also searched. Study selection: Studies examining the effectiveness of allied health and nursing telehealth interventions for rural and remote populations were included in descriptive analyses. Studies comparing telehealth intervention with standard face-To-face interventions grouped by type of intervention approach were used to examine between-groups effect sizes. Data extraction: Methodological quality of studies was rated using the QualSyst critical appraisal tool and the National Health and Medical Research Council (NHMRC) Evidence Hierarchy levels. Data synthesis: After quality ratings, 43 studies were included. A majority of studies had strong methodological quality. The disciplines of psychology and nursing were represented most frequently, as were studies using a cognitive intervention approach. Meta-Analysis results slightly favoured telehealth interventions compared with face-To-face interventions, but did not show significant differences. Interventions using a combined physical and cognitive approach appeared to be more effective. Conclusion: Telehealth services may be as effective as face-To-face interventions, which is encouraging given the potential benefits of telehealth in rural and remote areas with regards to healthcare access and time and cost savings.

Item Type: Article
Uncontrolled Keywords: Delivery of healthcare, Outcome assessment, Remote consultation, Rural health, Rural population, Telemedicine, Treatment outcome, Video conferencing
Subjects: B800 Medical Technology
B900 Others in Subjects allied to Medicine
K400 Planning (Urban, Rural and Regional)
L900 Others in Social studies
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Rachel Branson
Date Deposited: 13 May 2020 11:46
Last Modified: 13 May 2020 12:00
URI: http://nrl.northumbria.ac.uk/id/eprint/43125

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