Telerehabilitation in the Finnish Outpatient Rehabilitation Setting from the Perspective of the Socio-Technical Systems Theory

Int J Environ Res Public Health. 2023 Aug 3;20(15):6519. doi: 10.3390/ijerph20156519.

Abstract

Background: In the development of effective telerehabilitation (TR) interventions, understanding the various characteristics affecting its practice is essential. Remote connection creates a new technically shaped environment for therapy and, therefore, previous therapy methods do not work the same way as before.

Objective: The objective of this survey was to describe the practice of TR through the socio-technical theory approach.

Methods: The 629 respondents to the online questionnaire included music therapists, occupational therapists, speech and language therapists, physiotherapists, and neuropsychologists. The materials consisted of five open-ended questions. The analysis combined data-based and theory-based analysis.

Results: In the data-based content analysis, we identified three main categories and eight generic categories, whereas in the theory-based, we categorised the main results according to the Fit Between Individuals, Tasks, Technology, and Environment (FITTE) framework dimensions. TR is everyday-life based, it requires shared participation, and the approach has to include coaching and collaboration with the client and their close associates. The everyday-life environment is one of the main dimensions that affect all the other dimensions.

Conclusions: TR can be seen as technology-mediated home-based rehabilitation, as it can integrate rehabilitation into the client's everyday life. In TR, therapy becomes multilateral and it creates a new kind of shared partnership into outpatient therapy.

Keywords: COVID-19 pandemic; music therapy; neuropsychology; occupational therapy; physiotherapy; rehabilitation professionals; socio-technical system theory; speech and language therapy; telepractice; telerehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Finland
  • Humans
  • Occupational Therapists
  • Outpatients
  • Systems Theory
  • Telerehabilitation*

Grants and funding

The research was funded by the Social Insurance Institution of Finland (KTUT0004).