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Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis.
Open accessAbstract
OBJECTIVE: To describe telehealth interventions delivered by allied health professionals and nurses in rural and remote areas, and to compare the effects of telehealth interventions with standard face-to-face interventions. DATA SOURCES: CINAHL, Embase, PsycINFO and PubMed databases were searched. The content of relevant journals and published articles were also searched. STUDY SELECTION: Studies examining the effectiveness of allied health and nursing telehealth interventions for rural and remote populations were included in descriptive analyses. Studies comparing telehealth intervention with standard face-to-face interventions grouped by type of intervention approach were used to examine between-groups effect sizes. DATA EXTRACTION: Methodological quality of studies was rated using the QualSyst critical appraisal tool and the National Health and Medical Research Council (NHMRC) Evidence Hierarchy levels. DATA SYNTHESIS: After quality ratings, 43 studies were included. A majority of studies had strong methodological quality. The disciplines of psychology and nursing were represented most frequently, as were studies using a cognitive intervention approach. Meta-analysis results slightly favoured telehealth interventions compared with face-to-face interventions, but did not show significant differences. Interventions using a combined physical and cognitive approach appeared to be more effective. CONCLUSION: Telehealth services may be as effective as face-to-face interventions, which is encouraging given the potential benefits of telehealth in rural and remote areas with regards to healthcare access and time and cost savings.
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“Remote monitoring, video and telephone consultations delivered by allied health professionals to patients in rural areas were at least as effective as face-to-face interventions [59].”
From Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation (2020) · cites this paper as [59]
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“The sole review that didn’t focus on a speciality described the effect of telemedicine interventions delivered by allied health professionals and nurses in rural and remote areas [8].”
From Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation (2020) · cites this paper as [8]
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“Furthermore, telehealth platforms also allow patients to communicate and interact virtually with their health professionals and to obtain advice or information relevant to their health [14,15,16,17,18,19].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [15]
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In the citing paper
“For healthcare professionals, easier access to relevant information enables them to be better equipped during medical consultations and patient follow-up, supports them in decision-making and improves the exchanges and communication with patients [14,15,16,17,18,19].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [15]
Experimental — accuracy not yet measuredIn the citing paper
“A nurse-led telecoaching study for rural patients was successful and cost-effective in T2DM management [73-80].”
In the citing paper
“Studies have shown that telehealth offers patients the possibility of collecting and monitoring, in real-time, a set of data specific to their health or their diseases without the physical presence and direct intervention of health professionals [15,16].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [15]
In the citing paper
“A patient who is well-informed about their disease, their state of health, and their treatments turns out to be better engaged in the management of their health and would benefit from a better quality of life [15,16].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [15]
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Effective virtual patient simulators for medical communication training: A systematic review
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Metadata
- Authors
- Speyer, R., Denman, D., Wilkes-Gillan, S., Chen, Y., Bogaardt, H., Kim, J., Heckathorn, D., & Cordier, R.
- Affiliations
- Curtin University (AU)
- University of Oslo (NO)
- The University of Sydney (AU)
- Leiden University Medical Center (NL)
- Corresponding author
- Speyer, R
- Venue
- Journal of Rehabilitation Medicine
- Published
- 2018
- Volume
- 50
- Issue
- 3
- Pages
- 225-235
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2777885129
- Cited by
- 219
- References
- 79
- Citations by year
- 2026: 16 · 2025: 14 · 2024: 24 · 2023: 39 · 2022: 36 · 2021: 34 · 2020: 40 · 2019: 13 · 2018: 2
- FWCI
- 2.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline at James Cook University (James Cook University) (submittedVersion)
- Northumbria Research Link (Northumbria University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eSpace (Curtin University) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Geriatrics and Gerontology › Technology Use by Older Adults
- Keywords
- telemedicine, allied health professionals, nurses, rural and remote health, face-to-face intervention, intervention effectiveness, cognitive intervention, health care access, rehabilitation
- MeSH terms
- Allied Health Personnel, Health Services Accessibility, Humans, Rural Population, Treatment Outcome, Telemedicine
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