Manami Ochi, Aya Isumi, Tsuguhiko Kato, Satomi Doi, Takeo Fujiwara
Adachi Child Health Impact of Living Difficulty (A-CHILD) Study: Research Protocol and Profiles of Participants
Journal of epidemiology
50 people low middleincome countries receive rehabilitation require telerehabilitation potential improve access neurorehabilitation services especially low middleincome countries although reports barriers facilitators telerehabilitation settings almost anecdotal furthermore family carers significant influence adoption success telerehabilitation views reported study aimed investigate views service users family carers health care professionals hcps telerehabilitation people neurological conditions ghana two focus groups held komfo anokye hospital kumasi ghana one person service users n11 family carers n9 conducted ghanaian language twi one hybrid hcps n18 conducted english mean sd age service users 598 86 years 5 users stroke 6 parkinson disease hcp group consisted 7 speech language therapists 3 physiotherapists 3 occupational therapists 3 medical staff 1 nurse 1 industry representative focus groups semistructured explored previous experiences telerehabilitation perceived benefits challenges solutions overcome challenges focus groups audio transcribed service user transcript translated english resulting transcripts analyzed using thematic analysis overall participants positive role telerehabilitation recommended hybrid delivery inperson rehabilitation early stages telerehabilitation later stages relation telerehabilitation ghana 3 main themes benefits challenges barriers implementation benefits included convenience lower cost service users higher dose therapy possible increased access people remote areas however challenges included lack stable internet connection cost phones data packages low levels literacy implementation issues included cultural relevance information governance platform used deliver telerehabilitation participants familiar whatsapp telerehabilitation potential useful method delivering rehabilitation people neurological conditions ghana especially hybrid rehabilitation model telerehabilitation augmenting inperson sessions however many people unaware telerehabilitation challenges reliable internet connection cultural relevance costs need addressed clinical trials lowcost telerehabilitation interventions contextualized specific user group required