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BMC Health Services Research
Published in: BMC Health Services Research 1/2016

Open Access 01-12-2016 | Research article

A scoping review of Australian allied health research in ehealth

Authors: Teresa Iacono, Kellie Stagg, Natalie Pearce, Alana Hulme Chambers

Published in: BMC Health Services Research | Issue 1/2016

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Abstract

Background

Uptake of e-health, the use of information communication technologies (ICT) for health service delivery, in allied health appears to be lagging behind other health care areas, despite offering the potential to address problems with service access by rural and remote Australians. The aim of the study was to conduct a scoping review of studies into the application of or attitudes towards ehealth amongst allied health professionals conducted in Australia.

Methods

Studies meeting inclusion criteria published from January 2004 to June 2015 were reviewed. Professions included were audiology, dietetics, exercise physiology, occupational therapy, physiotherapy, podiatry, social work, and speech pathology. Terms for these professions and forms of ehealth were combined in databases of CINAHL (EBSCO), Cochrane Library, PsycINFO (1806 – Ovid), MEDLINE (Ovid) and AMED (Ovid).

Results

Forty-four studies meeting inclusion criteria were summarised. They were either trials of aspects of ehealth service delivery, or clinician and/or client use of and attitudes towards ehealth. Trials of ehealth were largely from two research groups located at the Universities of Sydney and Queensland; most involved speech pathology and physiotherapy. Assessments through ehealth and intervention outcomes through ehealth were comparable with face-to-face delivery. Clinicians used ICT mostly for managing their work and for professional development, but were reticent about its use in service delivery, which contrasted with the more positive attitudes and experiences of clients.

Conclusion

The potential of ehealth to address allied health needs of Australians living in rural and remote Australia appears unrealised. Clinicians may need to embrace ehealth as a means to radicalise practice, rather than replicate existing practices through a different mode of delivery.
Appendix
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Literature
1.
2.
3.
Johansson T, Wild C. Telerehabilitation in stroke care - A systematic review. J Telemed Telecare. 2011;17:1–6.PubMedCrossRef
4.
Banbury A, Roots A, Nancarrow S. Rapid review of applications of e‐health and remote monitoring for rural residents. Aust J Rural Health. 2014;22:211–22.PubMedCrossRef
5.
6.
Campbell N, McAllister L, Eley D. The influence of motivation in recruitment and retention of rural and remote allied health professionals: A literature review. Rural Remote Health. 2012;12:1900.PubMed
7.
Chisholm M, Russell D, Humphreys J. Measuring rural allied health workforce turnover and retention: What are the patterns, determinants and costs? Aust J Rural Health. 2011;19:81–8.PubMedCrossRef
8.
Williams E, D’Amore W, McMeeken J. Physiotherapy in rural and regional Australia. Aust J Rural Health. 2007;15:380–6.PubMedCrossRef
9.
Dew A, Bulkeley K, Veitch C, Bundy A, Gallego G, Lincoln M, et al. Addressing the barriers to accessing therapy services in rural and remote areas. Disabil Rehabil. 2013;35:1564–70.PubMedCrossRef
10.
Veitch C, Dew A, Bulkeley K, Lincoln M, Bundy A, Gallego G, et al. Issues affecting therapist workforce and serivce delivery in the disability sector in rural and remote New South Wales, Australia: perspectives of policy-makers, managers and senior therapists. Rural Remote Health. 2012;12:1903.PubMed
11.
12.
13.
14.
15.
Regional Technologies Independent Review Committee. In: Government A, editor. Regional telecommunications review: Unlocking the potential in regional Australia. Canberra: Commonwealth of Australia; 2015.
16.
17.
18.
19.
Wilson L, Onslow M, Lincoln M. Telehealth adaptation of the Lidcombe Program of Early Stuttering Intervention: five case studies. Am J Speech Lang Pathol. 2004;13(1):81–93.PubMedCrossRef
20.
Lewis C, Packman A, Onslow M, Simpson J, Jones M. A phase II trial of telehealth delivery of the Lidcombe Program of Early Stuttering Intervention. Am J Speech Lang Pathol. 2008;17(2):139–49.PubMedCrossRef
21.
O’Brian S, Smith K, Onslow M. Webcam delivery of the Lidcombe Program for early stuttering: A Phase I clinical trial. J Speech Lang Hear Res. 2014;57(3):825–30.PubMedCrossRef
22.
Carey B, O’Brian S, Onslow M, Packman A, Menzies R. Webcam delivery of the Camperdown Program for adolescents who stutter: A Phase I trial. Lang Speech Hear Serv Sch. 2012;43(3):370–80.PubMedCrossRef
23.
24.
O’Brian S, Packman A, Onslow M. Telehealth delivery of the camperdown program for adults who stutter: a phase I trial. J Speech Lang Hear Res. 2008;51(1):184–95.PubMedCrossRef
25.
Carey B, O’Brian S, Onslow M, Block S, Jones M, Packman A. Randomized controlled non-inferiority trial of a telehealth treatment for chronic stuttering: the Camperdown Program. Int J Lang Commun Disord. 2010;45(1):108–20. doi:10.​3109/​1368282090276394​4.PubMedCrossRef
26.
27.
28.
Waite MC, Theodoros DG, Russell TG, Cahill LM. Assessing children’s speech intelligibility and oral structures, and functions via an internet-based telehealth system. J Telemed Telecare. 2012;18(4):198–203. doi:10.​1258/​jtt.​2012.​111116.PubMedCrossRef
29.
Constantinescu G, Theodoros D, Russell T, Ward E, Wilson S, Wootton R. Assessing disordered speech and voice in Parkinson’s disease: a telerehabilitation application. Int J Lang Commun Disord. 2010;45(6):630–44. doi:10.​3109/​1368282090347056​9.PubMedCrossRef
30.
Constantinescu G, Theodoros D, Russell T, Ward E, Wilson S, Wootton R. Treating disordered speech and voice in Parkinson’s disease online: a randomized controlled non-inferiority trial. Int J Lang Commun Disord. 2011;46(1):1–16. doi:10.​3109/​13682822.​2010.​484848.PubMed
31.
Hill A, Theodoros D, Russell T, Cahill L, Ward E, Clark K. An internet-based telerehabilitation system for the assessment of motor speech disorders: a pilot study. Am J Speech Lang Pathol. 2006;15(1):45–56.PubMedCrossRef
32.
33.
Sharma S, Ward E, Burns C, Theodoros D, Russell T. Assessing swallowing disorders online: a pilot telerehabilitation study. Telemed J E Health. 2011;17(9):688–95.PubMedCrossRef
34.
Theodoros D, Constantinescu G, Russell T, Ward E, Wilson S, Wootton R. Treating the speech disorder in Parkinson’s disease online. J Telemed Telecare. 2006;12(3):88–91.CrossRef
35.
36.
Ward L, White J, Russell T, Theodoros D, Kuhl M, Nelson K, et al. Assessment of communication and swallowing function post laryngectomy: A telerehabilitation trial. J Telemed Telecare. 2007;13 SUPPL 3:88–91. doi:10.​1258/​1357633077832472​93.CrossRef
37.
Ward EC, Sharma S, Burns C, Theodoros D, Russell T. Validity of Conducting Clinical Dysphagia Assessments for Patients with Normal to Mild Cognitive Impairment via Telerehabilitation. Dysphagia. 2012;27(4):460–72. doi:10.​1007/​s00455-011-9390-9.PubMedCrossRef
38.
39.
40.
Hill AJ, Theodoros DG, Russell TG, Ward EC, Wootton R. The effects of aphasia severity on the ability to assess language disorders via telerehabilitation. Aphasiology. 2009;23(5):627–42.CrossRef
41.
Russell T, Buttrum P, Wootton R, Jull GA. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg (Am Vol). 2011;93(2):113–20. doi:10.​2106/​JBJS.​I.​01375.
42.
43.
44.
45.
Steele L, Lade H, McKenzie S, Russell TG. Assessment and diagnosis of musculoskeletal shoulder disorders over the internet. International Journal of Telemedicine and Applications. 2012. doi:10.​1155/​2012/​945745
46.
47.
Russell T, Truter P, Blumke R, Richardson B. The diagnostic accuracy of telerehabilitation for nonarticular lower-limb musculoskeletal disorders. Telemed J E Health. 2010;16(5):585–94.PubMedCrossRef
48.
Hoffmann T, Russell T, Thompson L, Vincent A, Nelson M. Using the Internet to assess activities of daily living and hand function in people with Parkinson’s disease. NeuroRehabilitation. 2008;23(3):253–61.PubMed
49.
Cox N, Alison J, Butto B, Wilson J, Holland A. Assessing exercise capacity using telehealth: A feasibility study in adults with cystic fibrosis. Respir Care. 2013;58(2):286–90. doi:10.​4187/​respcare.​01922.PubMed
50.
Holland A, Hill C, Rochford P, Fiore J, Berlowitz D, McDonald C. Telerehabilitation for people with chronic obstructive pulmonary disease: Feasibility of a simple, real time model of supervised exercise training. J Telemed Telecare. 2013;19(4):222–6.PubMed
51.
Manuel P. A prospective, interventional study of the effectiveness of digital wound imaging, remote consultation and podiatry offloading devices on the healing rates of chronic lower extremity wounds in remote regions of Western Australia. Wound Pract Res. 2012;20(2):103–9.
52.
Pearce W, Ching TY, Dillon H. A pilot investigation into the provision of hearing services using tele-audiology to remote areas. Aust N Z J Audiol. 2009;31(2):96–100.CrossRef
53.
54.
Dunkley C, Pattie L, Wilson L, McAllister L. A comparison of rural speech-language pathologists’ and residents’ access to and attitudes towards the use of technology for speech-language pathology service delivery. Int J Speech Lang Pathol. 2010;12(4):333–43. doi:10.​3109/​1754950090345660​7.PubMedCrossRef
55.
Chedid R, Dew A, Veitch C. Barriers to the use of Information and Communication Technology by occupational therapists working in a rural area of New South Wales, Australia. Aust Occup Ther J. 2013;60(3):197–205. doi:10.​1111/​1440-1630.​12016.PubMedCrossRef
56.
Hoffmann T, Cantoni N. Occupational therapy services for adult neurological clients in Queensland and therapists’ use of telehealth to provide services. Aust Occup Ther J. 2008;55(4):239–48.PubMedCrossRef
57.
Taylor R, Lee H. Occupational therapists’ perception of usage of information and communication technology (ICT) in Western Australia and the association of availability of ICT on recruitment and retention of therapists working in rural areas. Aust Occup Ther J. 2005;52(1):51–6. doi:10.​1111/​j.​1440-1630.​2005.​00461.​x.CrossRef
58.
59.
Barrett M, Larson A, Carville K, Ellis I. Challenges faced in implementation of a telehealth enabled chronic wound care system. Rural Remote Health. 2009;9(3):9p.
60.
61.
62.
O’Sullivan T. Evaluation of an electronic record prototype incorporating the Nutrition Care Process and International Dietetics and Nutrition Terminology. Nutr Diet. 2013;70(3):188–95. doi:10.​1111/​1747-0080.​12012.
63.
Usher W. Developing policies for e-health: use of online health information by Australian health professionals and their patients. HIM J. 2011;40(2):15–22.PubMed
64.
Westbrook J, Braithwaite J. Will information and communication technology disrupt the health system and deliver on its promise? Med J Aust. 2010;193:399–400.PubMed
Metadata
Title
A scoping review of Australian allied health research in ehealth
Authors
Teresa Iacono
Kellie Stagg
Natalie Pearce
Alana Hulme Chambers
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-016-1791-x

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