Cochrane · systematic review · CD014823
Factors that influence the provision of home‐based rehabilitation services for people needing rehabilitation: a qualitative evidence synthesis
Velez, M, Lugo-Agudelo, LH, Patiño Lugo, DF., et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
6
No studies
6
Included studies
NR
No studies 6 · 50%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 6 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of qualitative findings
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Finding 4. Patients, caregivers and healthcare providers regarded the transition from the hospital to home as a challenging process given the lack of human and infrastructure resources available in the home setting. This may have an impact on the ... | no estimate extracted | NR | Moderate |
Finding 5. Patients and healthcare providers described several factors that might affect patients’ motivation and engagement with telerehabilitation services, including support from healthcare providers or family members and other caregivers durin... | no estimate extracted | NR | Moderate |
Finding 6. Patients, caregivers, and providers described a number of privacy and confidentiality issues when services were provided at home. These included the increased privacy of being able to exercise at home but also the loss of privacy when e... | no estimate extracted | NR | No studies |
Finding 7. Patients regarded in‐person home‐based rehabilitation and telerehabilitation services as convenient and less disruptive of everyday activities. | no estimate extracted | NR | No studies |
Finding 8. Patients, caregivers, and healthcare providers called for more training in the context of in‐person home‐based rehabilitation. | no estimate extracted | NR | Moderate |
Finding 9. Healthcare providers highlighted the importance of personalising the service to each patient’s needs and resources at home. | no estimate extracted | NR | No studies |
Finding 10. Patients, caregivers, healthcare providers and other stakeholders described how telerehabilitation changed the nature of the patient‐provider relationship. This included overcoming physical barriers to communication and enabling quick ... | no estimate extracted | NR | No studies |
Finding 11. Healthcare providers and patients described some aspects of telerehabilitation services at home as challenging. Healthcare providers described problems in assessing patients, their environment, and whether they were performing exercise... | no estimate extracted | NR | No studies |
Finding 12. Patients, caregivers, healthcare providers and other stakeholders regarded telerehabilitation as an opportunity to make rehabilitation services more accessible. | no estimate extracted | NR | No studies |
Finding 13. Healthcare providers and policymakers highlighted the need for adequate equipment, infrastructure and maintenance both on the provider side and the patient side but described how these needs were not always met. They described challeng... | no estimate extracted | NR | Moderate |
Finding 14. Patients and caregivers described many usability issues related to the device, the program or the application; they also emphasised the need for easy‐to‐use technologies that could be adapted to the patient’s individual needs. Patients... | no estimate extracted | NR | Moderate |
Finding 15. Healthcare providers differed in their views about whether telerehabilitation was cost‐efficient for them, but many patients encountered it as affordable and cost‐saving when the equipment and infrastructure have been provided. | no estimate extracted | NR | Moderate |