Telerehabilitation for Mild Traumatic Brain Injury Patients: Patients’ Preferences in Aotearoa New Zealand
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Authors
Lam, Quy
Clay, Lynne
Taylor, Denise
Brown, Paul
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CSIRO Publishing
Abstract
Introduction
Telerehabilitation offers the potential to improve access to specialty rehabilitation for people with mild traumatic brain injury (mTBI) and reduce health disparities for those living in geographically rural/remote areas. The success of telerehabilitation depends on the extent to which the service meets the patient’s needs and their ability to access the services remotely.
Aim
This study aims to help Healthcare practitioners and government agencies develop effective and patient-centred telerehabilitation services for mTBI patients.
Methods
Participants were mTBI survivors or close acquaintances of a mTBI patient. The survey involved asking participants to choose between hypothetical rehabilitation scenarios with varying attributes, including the session duration (long or short), location (clinic-based vs telerehabilitation), therapist involvement, inclusion of online resources, associated cost and community COVID-19 threats.
Results
The results suggest that there was a preference for rehabilitation rather than no rehabilitation, with an overall preference for long telerehabilitation sessions. The results differed somewhat between the groups, with people living with a mTBI being more positive towards clinic-based sessions and less impacted by the threat of COVID-19. The results are consistent with the proposition that individuals prefer telerehabilitation appointments. Although preferences differed between groups, the preference for telerehabilitation persisted, driven by time and cost considerations associated with in-person visits.
Discussion
The findings suggest that mTBI patients value rehabilitation services, and that Healthcare practitioners and government agencies should consider offering long telerehabilitation sessions. Further research is warranted to assess the efficacy and feasibility of implementing telerehabilitation programs in clinical settings for mTBI patients.
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Keywords
1110 Nursing, 1117 Public Health and Health Services, 4203 Health services and systems
Source
Journal of Primary Health Care, ISSN: 1172-6156 (Print), CSIRO Publishing. doi: 10.1071/hc24158
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© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of The Royal New Zealand College of General Practitioners. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
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Except where otherwise noted, this item's license is described as © 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of The Royal New Zealand College of General Practitioners. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)