Physical Therapists' Perspectives on the Use of Telehealth With First Nations Peoples in Canada: A Qualitative Study.
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| Názov: | Physical Therapists' Perspectives on the Use of Telehealth With First Nations Peoples in Canada: A Qualitative Study. |
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| Autori: | Moecke DP; Centre for Heart Lung Innovation, University of British Columbia, Vancouver, British Columbia, Canada.; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada., Holyk T; Carrier Sekani Family Services Administration Office, Carrier Sekani Family Services, Prince George, British Columbia, Canada., Maddocks S; Centre for Heart Lung Innovation, University of British Columbia, Vancouver, British Columbia, Canada., Campbell KL; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada., Ho K; Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Camp PG; Centre for Heart Lung Innovation, University of British Columbia, Vancouver, British Columbia, Canada.; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada. |
| Zdroj: | Physical therapy [Phys Ther] 2025 Mar 03; Vol. 105 (3). |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0022623 Publication Model: Print Cited Medium: Internet ISSN: 1538-6724 (Electronic) Linking ISSN: 00319023 NLM ISO Abbreviation: Phys Ther Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2017- : New York : Oxford University Press Original Publication: Alexandria, VA : American Physical Therapy Association |
| Výrazy zo slovníka MeSH: | Telemedicine* , Physical Therapists*/psychology , Attitude of Health Personnel* , Health Services, Indigenous*, Humans ; Qualitative Research ; Female ; Male ; British Columbia ; Adult ; Canada ; Interviews as Topic ; Physical Therapy Modalities ; Middle Aged ; Health Services Accessibility ; Indigenous Canadians |
| Abstrakt: | Objective: This study aims to explore physical therapists' perspectives on providing physical therapy to First Nations peoples in Canada via telehealth, specifically to understand (1) their perspectives on the feasibility of telehealth as a medium for health care delivery and (2) their experiences building trusting therapeutic relationships via telehealth care. Methods: This study included 13 physical therapists who provided clinical care via telehealth for First Nations individuals in northern British Columbia in the past 3 years, and 7 master of physical therapy students undergoing or who completed their Indigenous Health clinical placement in the past 3 years and utilized telehealth. In-depth semi-structured interviews were conducted. Interview questions explored: telehealth usage and acceptance, experiences with telehealth, and overall recommendations for telehealth. Audio recordings were transcribed, and reflexive thematic analysis was conducted. Results: Three overarching themes were identified: "Telehealth can make a huge difference, but it is widely underutilized;" "Telehealth is a little bit less personal and in-depth;" and "There is a time and place for telehealth." Conclusion: Telehealth shows promise in the delivery of physical therapy to First Nations communities in Canada, enhancing accessibility, offering flexible scheduling options, and optimizing therapist time efficiency. However, successful implementation in these communities is contingent upon addressing several challenges, including building trusting therapeutic relationships. Technological glitches, the absence of physical interaction, and a history of trauma may hinder the development of the therapeutic relationship in telehealth encounters. To mitigate these challenges, cultural safety training, initial in-person appointments, community familiarity, and in-person support from a caregiver or other health care provider may play pivotal roles. Impact: This study not only sheds light on the underutilization of telehealth but also underscores its potential to significantly improve the accessibility and efficiency of physical therapy to First Nations peoples in Canada. The findings emphasize the nuanced dynamics of therapeutic relationships in telehealth, offering critical insights for the integration of culturally sensitive practices. Addressing the challenges pinpointed can enhance the quality of telehealth care for First Nations individuals, promote more equitable health care delivery, and foster positive health outcomes. (© The Author(s) 2024. Published by Oxford University Press on behalf of the American Physical Therapy Association.) |
| References: | Arch Phys Med Rehabil. 2024 Jul;105(7):1255-1261. (PMID: 38554795) Health Serv Res. 2012 Jun;47(3 Pt 1):1201-23. (PMID: 22098418) Telemed J E Health. 2022 Mar;28(3):422-432. (PMID: 34197221) Phys Ther. 2021 Jun 1;101(6):. (PMID: 33561280) Rural Remote Health. 2011;11(2):1656. (PMID: 21553998) Prev Chronic Dis. 2011 Jan;8(1):A07. (PMID: 21159219) Int J Circumpolar Health. 2004 Dec;63(4):401-14. (PMID: 15709315) Healthcare (Basel). 2020 Apr 26;8(2):. (PMID: 32357396) Int J Med Inform. 2021 Apr;148:104408. (PMID: 33609927) J Med Internet Res. 2021 Mar 30;23(3):e25698. (PMID: 33783366) J Physiother. 2021 Jul;67(3):201-209. (PMID: 34147399) Syst Rev. 2020 May 31;9(1):123. (PMID: 32475342) Musculoskelet Sci Pract. 2021 Apr;52:102340. (PMID: 33571900) Physiother Res Int. 2023 Jul;28(3):e1991. (PMID: 36540908) J Telemed Telecare. 2018 Dec;24(10):676-682. (PMID: 30343658) NPJ Digit Med. 2021 Mar 17;4(1):52. (PMID: 33731887) Physiother Theory Pract. 2019 Jan;35(1):40-56. (PMID: 29432058) JMIR Mhealth Uhealth. 2019 Oct 7;7(10):e14877. (PMID: 31593537) J Telemed Telecare. 2024 Oct;30(9):1398-1416. (PMID: 36911983) Phys Ther. 2010 Aug;90(8):1099-110. (PMID: 20576715) Am J Public Health. 2002 Apr;92(4):520-4. (PMID: 11919043) J Adv Nurs. 1994 May;19(5):976-86. (PMID: 8056928) Musculoskelet Sci Pract. 2020 Aug;48:102193. (PMID: 32560876) J Adv Nurs. 2014 Jan;70(1):21-33. (PMID: 23786584) Mhealth. 2020 Jul 05;6:30. (PMID: 32632368) Arch Physiother. 2018 Feb 17;8:3. (PMID: 29468089) Nurse Educ Today. 2004 Feb;24(2):105-12. (PMID: 14769454) J Orthop Sports Phys Ther. 2021 Jan;51(1):8-11. (PMID: 33076758) Rural Remote Health. 2017 Jul-Sep;17(3):4205. (PMID: 28930638) |
| Grant Information: | F18-04341 Canadian Institute of Health Research |
| Contributed Indexing: | Keywords: Indigenous Health; Qualitative Research; Telerehabilitation; Therapeutic Alliance; Therapeutic Relationship |
| Entry Date(s): | Date Created: 20241214 Date Completed: 20250428 Latest Revision: 20250602 |
| Update Code: | 20250602 |
| PubMed Central ID: | PMC11910163 |
| DOI: | 10.1093/ptj/pzae175 |
| PMID: | 39673379 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Objective: This study aims to explore physical therapists' perspectives on providing physical therapy to First Nations peoples in Canada via telehealth, specifically to understand (1) their perspectives on the feasibility of telehealth as a medium for health care delivery and (2) their experiences building trusting therapeutic relationships via telehealth care.<br />Methods: This study included 13 physical therapists who provided clinical care via telehealth for First Nations individuals in northern British Columbia in the past 3 years, and 7 master of physical therapy students undergoing or who completed their Indigenous Health clinical placement in the past 3 years and utilized telehealth. In-depth semi-structured interviews were conducted. Interview questions explored: telehealth usage and acceptance, experiences with telehealth, and overall recommendations for telehealth. Audio recordings were transcribed, and reflexive thematic analysis was conducted.<br />Results: Three overarching themes were identified: "Telehealth can make a huge difference, but it is widely underutilized;" "Telehealth is a little bit less personal and in-depth;" and "There is a time and place for telehealth."<br />Conclusion: Telehealth shows promise in the delivery of physical therapy to First Nations communities in Canada, enhancing accessibility, offering flexible scheduling options, and optimizing therapist time efficiency. However, successful implementation in these communities is contingent upon addressing several challenges, including building trusting therapeutic relationships. Technological glitches, the absence of physical interaction, and a history of trauma may hinder the development of the therapeutic relationship in telehealth encounters. To mitigate these challenges, cultural safety training, initial in-person appointments, community familiarity, and in-person support from a caregiver or other health care provider may play pivotal roles.<br />Impact: This study not only sheds light on the underutilization of telehealth but also underscores its potential to significantly improve the accessibility and efficiency of physical therapy to First Nations peoples in Canada. The findings emphasize the nuanced dynamics of therapeutic relationships in telehealth, offering critical insights for the integration of culturally sensitive practices. Addressing the challenges pinpointed can enhance the quality of telehealth care for First Nations individuals, promote more equitable health care delivery, and foster positive health outcomes.<br /> (© The Author(s) 2024. Published by Oxford University Press on behalf of the American Physical Therapy Association.) |
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| ISSN: | 1538-6724 |
| DOI: | 10.1093/ptj/pzae175 |