Documente Academic
Documente Profesional
Documente Cultură
Research Question
Does telehealth improve quality of life through adherence to interventions
for individuals diagnosed with neurodegenerative diseases?
Levels of Evidence
Level I
Level II
Level III
Exclusion Criteria:
Languages other than English
Studies Reviewed:
Randomized controlled trials: 7
Cohort study: 1
Before and after: 2
Results
Level I
Greater adherence to treatment sessions in telemedicine versus standard, routine care (Dorsey et al., 2013)
Telemedicine found to be feasible and effective due to decreased travel time (Dorsey et al., 2013)
Web-based physiotherapy is effective for improving physical functioning with those diagnosed with multiple sclerosis (MS)
(Paul et al., 2014)
Memory aids implemented through telehealth shown to increase adherence to medication for those diagnosed with MS (Settle et
al., 2015)
Teleconference fatigue management program for individuals diagnosed with MS is effective in reducing fatigue, e (Finlayson,
Preissner, Cho, & Plow, 2011)
As fatigue decreases, physical and social components correlated to QOL increase
Studies show individuals prefer video method teleconference over telephone-based (Fincher, Ward, Dawkins, Magee, & Willson,
2009)
Education and counselling via telehealth regarding medication management increases mood, emotions, physical functioning,
sleep, and overall QOL in those diagnosed with Parkinsons disease (PD) (Fincher, Ward, Dawkins, Magee, & Willson, 2009)
Telehealth found to be effective and easily used by individuals diagnosed with PD (Fincher, Ward, Dawkins, Magee, & Willson,
2009)
Telecare with those diagnosed with MS display improvements in QOL as evidence by self-reported decrease in MS related
symptoms (Zissman, Lejbkowicz, Miller, 2010)
Level II
Short term goals established via teleconference are more likely to be achieved than intermediate or long term goals for those
diagnosed with MS (Asano, Preissner, Duffy, Meixell, & Finlayson, 2015)
Goals established through teleconference structured around IADLs and leisure activities had the highest achievement rates
(Asano, Preissner, Duffy, Meixell, & Finlayson, 2015)
Teleconference delivered intervention can be used to educate individuals with MS on the importance of establishing achievable
and measurable goals (Asano, Preissner, Duffy, Meixell, & Finlayson, 2015)
Level III
Use of in-home, remotely monitored, virtual reality videogame-based telerehabilitation displayed improvements in finger flexion
and extension, overall finger dexterity, and thumb movement (Golomb et al., 2010)
Engagements in virtual reality videogame via telerehabilitation displayed improvements in spatial firing for adolescents with
hemiplegic cerebral palsy (CP) (Golomb et al., 2010)
Studies found that telephone-based cognitive behavioral therapy does not increase QOL for those with depression associated
with PD (Dobkins, 2011)
Limitations
Small sample size limiting generalization of results (Asano, Preissner, Duffy,
Meixell, & Finlayson, 2015; Dobkin et al., 2011; Dorsey et al., 2013; Golomb
et al., 2010; Paul et al., 2014; Settle et al., 2015)
Results not statistically significant, therefore cannot be considered clinically
valid or reliable (Dorsey et al., 2013)
Short intervention period (Paul et al., 2014)
Poor randomization, limiting level of evidence (Asano, Preissner, Duffy,
Meixell, & Finlayson, 2015)
Malfunctioning technology; poorly calibrated (Golomb et al., 2010)
Majority of outcome measures relied on self-report (Finlayson, Pressner, Cho,
& Plow, 2009)
Motor changes unable to be assessed via telehealth (Dobkin et al., 2011)
Results may not be generalizable due to advanced stages of neurodegenerative
diseases (Dobkin et al., 2011)
Contact Information
Talia Bartolotta: ot16.talia.bartolotta@nv.touro.edu
Michelle Wilson: ot16.michelle.wilson@nv.touro.edu