Telehealth and ergonomics: a pilot study.
OBJECTIVE
As an emerging model of health care delivery, telehealth has the potential to provide individuals living in remote regions with access to health care services that are otherwise not available. This paper provides a review of the feasibility, comparative effectiveness, cost effectiveness, client and clinician satisfaction, and the barriers to providing telehealth services. A proof-of-concept study that examined the feasibility of telehealth-based ergonomic assessment and intervention is included in this paper to demonstrate the application of telehealth in occupational therapy and ergonomics.


METHODS
Ten computer users received a telehealth ergonomic assessment and intervention for their computer workstations via the Telerehabilitation Computer Ergonomics System (tele-CES) - a platform for computer users to access web-based assessments and to communicate with researchers via tele-conferencing. The tele-CES was used to assess participants' computer workstations and pain and comfort levels at baseline and at 4-month follow-up. Ergonomic recommendations were also provided via the tele-CES.


RESULTS
Although there was no significant improvement in pain and comfort for participants, a high rate of compliance with ergonomic recommendations - 88% of all recommendations - was observed.


CONCLUSIONS
Further research examining the comparative effectiveness of telehealth ergonomic assessment and intervention relative to in-person ergonomic assessment and intervention is warranted.
Department of Occupational Therapy, Boston University, Boston, MA 02215, USA.
Karen
K
Jacobs
Bethany
B
Blanchard
Nancy
N
Baker
D018771:Arthralgia / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D001900:Boston; D003199:Computer Systems / Q000592:standards; D003258:Consumer Behavior; D003362:Cost-Benefit Analysis; D006804:Ergonomics / Q000379:methods*; D005240:Feasibility Studies; D006297:Health Services Accessibility; D006801:Humans; D009788:Occupational Therapy / Q000191:economics / Q000379:methods* / Q000639:trends; D010865:Pilot Projects; D017216:Telemedicine / Q000191:economics / Q000379:methods* / Q000639:trends; D014584:User-Computer Interface