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Remote rehabilitation (telerehabilitation) in the sight loss sector: Reflections on challenges and opportunities from service providers in the United Kingdom

Jones, L; Lee, M; Gomes, RSM; (2023) Remote rehabilitation (telerehabilitation) in the sight loss sector: Reflections on challenges and opportunities from service providers in the United Kingdom. British Journal of Visual Impairment 10.1177/02646196231188634. (In press). Green open access

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Abstract

Background: Vision rehabilitation services are increasingly being delivered remotely (i.e., telerehabilitation); yet, limited research has explored practitioners’ attitudes towards this approach or considered the wider implications of re-designing services. This qualitative study investigates perspectives on delivering telerehabilitation among sight loss support organisations. Methods: Twelve participants from 9 sight loss charities in the United Kingdom took part in a semi-structured interview. Participants were professionals from large national rehabilitation service providers (n = 5), regional charities (n = 3), or local community organisations (n = 4). Qualitative data were analysed using thematic analysis. Results: Four themes were identified (1) Delivery of telerehabilitation; (2) Opportunities associated with telerehabilitation; (3) challenges associated with telerehabilitation; and (4) wider challenges in the vision rehabilitation sector. Greater utilisation of telerehabilitation was viewed positively; however, questions arose regarding cost-effectiveness and the appropriateness of this method of service delivery. Factors such as workforce decline, access to training, and understanding of vision rehabilitation were identified as wider problems affecting the future landscape of vision rehabilitation. Conclusion: Digital innovation has facilitated local and national organisations to provide largely successful and accessible telerehabilitation services. Wider challenges call for investment in strategies and policies to ensure people with visual impairment can continue to benefit from vision rehabilitation services.

Type: Article
Title: Remote rehabilitation (telerehabilitation) in the sight loss sector: Reflections on challenges and opportunities from service providers in the United Kingdom
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/02646196231188634
Publisher version: https://doi.org/10.1177/02646196231188634
Language: English
Additional information: © The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Keywords: Rehabilitation, telerehabilitation, vision impairment
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10175301
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