Unlocking the Potential of Telerehabilitation for Enhanced Osteoporosis Care: Patient Perspectives and Challenges

Authors

  • Farwah Batool GC University Faisalabad
  • Huma Mehrin Kreative Kinder Haus
  • Sundus Fatima Murshid Hospital and Healthcare Centre
  • Esha Khan Shifa Tameer-e-Millat University
  • Zoya Mehmood Shifa Tameer-e-Millat University
  • Subhan Ali Gondal

Keywords:

Healthcare, Osteoporosis, Patient-Care, Telehealth

Abstract

Background

Millions of people around the world, including in Karachi, Pakistan, suffer from osteoporosis, which is a common condition. Numerous obstacles prevent patients with osteoporosis from receiving medical care, particularly during the COVID-19 pandemic. The improvement of access to care and removing barriers may be accomplished through telehealth. However, more research is required to understand how Karachi’s progress feels about the acceptability of telehealth for treating osteoporosis.

Methods

This mixed-methods study aimed to understand more about the current barriers osteoporosis patients in Karachi face in accessing healthcare services and the acceptability of using telehealth to provide that care. The study enrolled 60 individuals with a confirmed diagnosis of osteoporosis and surveyed and interviewed the participants to assess their current management experiences, attitudes towards telehealth, technology access and literacy, and attendance barriers.

Results

According to the findings, patients with osteoporosis face numerous obstacles to receiving care, such as apprehension about coming into contact with COVID-19, transportation problems, financial limitations, a lack of support, and scheduling conflicts. Despite these obstacles, most patients said they were happy with how their osteoporosis was managed. However, the majority of patients had a positive attitude towards telerehabilitation. Patients expressed a desire for improved communication with their therapists and had varying degrees of comfort using technology for rehabilitation.

Conclusion

It was ascertained that telerehab could significantly enhance osteoporosis treatment. By removing barriers to care, enhancing communication, and increasing access to technology, the delivery of healthcare services to osteoporosis patients in Karachi could be improved.

 

DOI: https://doi.org/10.59564/amrj/01.02/011

Author Biographies

Farwah Batool, GC University Faisalabad

Physiotherapist

Huma Mehrin, Kreative Kinder Haus

Physiotherapist

Sundus Fatima, Murshid Hospital and Healthcare Centre

Incharge Physiotherapy Department

Esha Khan, Shifa Tameer-e-Millat University

Lecturer

Zoya Mehmood, Shifa Tameer-e-Millat University

Lecturer

Subhan Ali Gondal

Physiotherapist

References

Sözen T, Özışık L, Başaran NÇ. An overview and management of osteoporosis. European journal of rheumatology. 2017;4(1):46.

Jiang N, Newton B, Jiang X. An overview of osteoporosis management. OBM Geriatrics. 2021 Oct;5(4):1-29.

Khokhar S, Hasan JA, Qazi S. Osteoporosis and its risk factors among menopausal women. Pakistan Journal of Medical Research. 2014;53(2):42.

Khan AH, Jafri L, Ahmed S, Noordin S. Osteoporosis and its perspective in Pakistan: A review of evidence and issues for addressing fragility fractures. Annals of Medicine and Surgery. 2018;29:19-25.

Cano A, Chedraui P, Goulis DG, Lopes P, Mishra G, Mueck A, Senturk LM, Simoncini T, Stevenson JC, Stute P, Tuomikoski P. Calcium in the prevention of postmenopausal osteoporosis: EMAS Clinical Guide. Maturitas. 2018;107:7-12.

Gittoes NJ, Criseno S, Appelman-Dijkstra NM, Bollerslev J, Canalis E, Rejnmark L, Hassan-Smith Z. Endocrinology in the time of COVID-19: management of calcium metabolic disorders and osteoporosis. European Journal of Endocrinology. 2020;183(2):G57-65. Senbekov M, Saliev T, Bukeyeva Z, Almabayeva A, Zhanaliyeva M, Aitenova N, Toishibekov Y, Fakhradiyev I. The recent progress and applications of digital technologies in healthcare: a review. International Journal Of Telemedicine And Applications. 2020;2020.

Lewiecki EM, Bouchonville MF. The current role of telehealth in the management of patients with osteoporosis. Expert Review of Endocrinology & Metabolism. 2022;17(3):245-54.

Wongworawat MD, Capistrant G, Stephenson JM. The opportunity awaits to lead orthopaedic telehealth innovation: AOA Critical Issues. JBJS. 2017;99(17):e93.

Groom LL, McCarthy MM, Stimpfel AW, Brody AA. Telemedicine and telehealth in nursing homes: an integrative review. Journal of the American Medical Directors Association. 2021;22(9):1784-801.

Senbekov M, Saliev T, Bukeyeva Z, Almabayeva A, Zhanaliyeva M, Aitenova N, Toishibekov Y, Fakhradiyev I. The recent progress and applications of digital technologies in healthcare: a review. International Journal of Telemedicine and Applications. 2020;2020.

Greene SM, Tuzzio L, Cherkin D. A framework for making patient-centered care front and center. The Permanente Journal. 2012;16(3):49.

Alvarez-Risco A, Del-Aguila-Arcentales S, Yáñez JA. Telemedicine in Peru as a result of the COVID-19 pandemic: perspective from a country with limited internet access. The American Journal of Tropical Medicine and Hygiene. 2021;105(1):6.

Lewiecki EM, Bouchonville MF. The current role of telehealth in the management of patients with osteoporosis. Expert Review of Endocrinology & Metabolism. 2022;17(3):245-54.

Rizvi SZ. Teletherapy-an innovative way of treatment in the field of occupaional therapy in pakistan. Pakistan Journal of Rehabilitation. 2023;12(1).

Stitkitti N, Amphansap T, Therdyothin A. Mortality and outcome in fragility hip fracture care during COVID-19 pandemic in Police General Hospital, Thailand. Osteoporosis and Sarcopenia. 2023;9(1):22-6.

Saag JL, Danila MI. Remote Management of Osteoporosis. Current Treatment Options in Rheumatology. 2022;8(4):143-51.

Mohammadi S, Miller WC, Wu J, Pawliuk C, Robillard JM. Effectiveness of eHealth tools for hip and knee arthroplasty: a systematic review. Frontiers in Rehabilitation Sciences. 2021 Aug 26;2:696019.

Hung KN G, Fong KN. Effects of telerehabilitation in occupational therapy practice: A systematic review. Hong Kong Journal of Occupational Therapy. 2019 Jun;32(1):3-21.

Cottrell MA, Russell TG. Telehealth for musculoskeletal physiotherapy. Musculoskeletal Science and Practice. 2020;48:102193.

Kizony R, Weiss PL, Harel S, Feldman Y, Obuhov A, Zeilig G, Shani M. Tele-rehabilitation service delivery journey from prototype to robust in-home use. Disability and rehabilitation. 2017 Jul;39(15):1532-40.

Beit Yosef A, Maeir T, Khalailh F, Gilboa Y. Perceived feasibility of an occupation-based telerehabilitation intervention for older adults with chronic health conditions in Israel. Hong Kong Journal of Occupational Therapy. 2022;35(1):62-70.

Downloads

Published

06/25/2023