Therapeutic videoconferencing interventions for the treatment of long-term conditions

We conducted a systematic review of literature relating to videoconferencing in therapeutic interventions for chronic conditions. Two hundred articles were reviewed in detail, 35 of which were relevant to the study. Of these, eight were randomized controlled trials (RCTs) and the remainder were serv...

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Bibliographic Details
Published in:Journal of telemedicine and telecare 2011-04, Vol.17 (3), p.109-117
Main Authors: Steel, Katie, Cox, Diane, Garry, Heather
Format: Article
Language:English
Subjects:
Chronic Disease - rehabilitation
Chronic illnesses
Clinical outcomes
Humans
Patient Satisfaction
Remote Consultation - methods
Remote Consultation - standards
Systematic review
Telemedicine
Treatment Outcome
Video teleconferencing
Videoconferencing - standards
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Summary:We conducted a systematic review of literature relating to videoconferencing in therapeutic interventions for chronic conditions. Two hundred articles were reviewed in detail, 35 of which were relevant to the study. Of these, eight were randomized controlled trials (RCTs) and the remainder were service evaluations, pilot studies and case studies. Two major themes emerged, relating specifically to videoconferencing: clinical outcomes and patient satisfaction. There were 14 studies which measured clinical outcomes of interventions for chronic conditions delivered by videoconferencing. A range of evidence, including four RCTs of high quality, indicates that interventions for a variety of conditions, including psychological and physical, delivered by videoconferencing produce similar outcomes to treatment delivered in-person. Evidence suggests that levels of patient satisfaction with telerehabilitation are high and that the formation of a good therapeutic alliance is possible. Several papers reported that clinical staff showed lower levels of satisfaction in using telerehabilitation than patients. It is feasible to use videoconferencing as a means of delivering therapeutic interventions for people with chronic conditions in rural communities.
ISSN:1357-633X
1758-1109
DOI:10.1258/jtt.2010.100318