Abstract

This rapid communication highlights stroke telerehabilitation, a health care service that provides daily monitoring of the care of patients recovering from stroke, delivering convenient and immediate feedback for patients, family, and caregivers. The delivery, management, and coordination of nursing care services, provided via telecommunications technology, is a convenient method of delivering health care to patients recovering from stroke. It is important to assess the service quality of the telehealth process and to establish the role of telehealth nursing and related technologies in the care of patients recovering from stroke. Studies show that even though both health professionals and participants have reported high levels of satisfaction and acceptance of telerehabilitation interventions, the quality of the evidence on telerehabilitation in poststroke care remains low. Conducting a quality study of telehealth rehabilitation for patients recovering from stroke will help assess if home health agencies with telehealth capabilities caring for patients recovering from stroke and patients with chronic diseases can provide quality care to patients in their home and fill this health care gap. Patients that are severely handicapped and impaired and unable to reside in their home environment are not included in telerehabilitation services provided by the home care agency. It would be informative to study the benefits of telerehabilitation and the care provided to patients recovering from stroke within nursing homes, given the need for social distancing to reduce disease transmission during the current coronavirus disease (COVID-19) global health pandemic. Using telerehabilitation would mean that patients have a lower risk of exposure to infectious agents. Further research into telehealth interventions and stroke management in home care is crucial.

Highlights

  • Telerehabilitation is an emerging method of health care delivery through which medical rehabilitation care can be provided from a distance, using telehealth to provide remote health care [1,2]

  • The importance of matching technology to the needs of this population and the lessons learned from these investigations should be addressed. This viewpoint highlights findings from a pilot study related to telehealth nursing effectiveness for patients with chronic diseases [4] and applies these notions toward future investigations related to stroke telerehabilitation

  • It is largely older adults with chronic diseases, especially stroke and heart disease, that benefit from telehealth interventions [3,8]

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Summary

Background

Telerehabilitation is an emerging method of health care delivery through which medical rehabilitation care can be provided from a distance, using telehealth to provide remote health care [1,2]. The importance of matching technology to the needs of this population and the lessons learned from these investigations should be addressed. This viewpoint highlights findings from a pilot study related to telehealth nursing effectiveness for patients with chronic diseases [4] and applies these notions toward future investigations related to stroke telerehabilitation. Numerous studies have assessed the cost-effectiveness and patient acceptance of telehealth methods of service delivery, yet the perspectives of service providers and caregivers delivering stroke care have not been studied [5,6]. JMIR Rehabil Assist Technol 2020 | vol 7 | iss. 2 | e18919 | p. 1 (page number not for citation purposes)

Discussion
Conclusion and Future Directions
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