title: Patient Satisfaction with In-Home Telerehabilitation After Total Knee Arthroplasty: Results from a Randomized Controlled Trial.
abstract: Background and Introduction: Telerehabilitation after total knee arthroplasty (TKA) is supported by strong evidence on the effectiveness of such intervention and from a cost-benefit point of view. Satisfaction of patients toward in-home telerehabilitation after TKA has not yet been examined thoroughly in large-scale clinical trials. This study aims to compare satisfaction level of patients following in-home telerehabilitation (TELE) after TKA to one of the patients following a usual face-to-face home visit (STD) rehabilitation. Secondarily, to determine if any clinical or personal variables were associated to the level of satisfaction.
  
  
  
  This study was embedded in a multicenter randomized controlled trial with 205 patients randomized into two groups. Rehabilitation intervention was the same for both groups; only approach for service delivery differed (telerehabilitation or home visits). Participants were assessed at baseline (before TKA), at hospital discharge, and at 2 and 4 months postdischarge (E4) using functional outcomes. Patient satisfaction was measured using the validated Health Care Satisfaction Questionnaire (HCSQ) at E4.
  
  
  
  Characteristics of all participants were similar at baseline. Satisfaction level of both groups did not differ and was very high (over 85%). It was neither correlated to personal characteristics nor to improvements of functional level from preoperative to E4. Satisfaction was rather found associated to walking and stair-climbing performances.
  
  
  
  These results, in conjunction with evidences of clinical effectiveness and cost benefits demonstrated in the same sample of patients, strongly support the use of telerehabilitation to improve access to rehabilitation services and efficiency of service delivery after TKA.
authors.affiliation: 1 Department of Rehabilitation, Faculty of Medicine, Université Laval , Québec, Canada .|2 Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec Rehabilitation Institute , Québec, Canada .
authors.forename: Hélène
authors.initials: H
authors.lastname: Moffet
authors.affiliation: 3 School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging , Sherbrooke, Canada .
authors.forename: Michel
authors.initials: M
authors.lastname: Tousignant
authors.affiliation: 4 School of Rehabilitation, Faculty of Medicine, Université de Montréal and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal , Montréal, Canada .
authors.forename: Sylvie
authors.initials: S
authors.lastname: Nadeau
authors.affiliation: 5 Department of Psychiatry and Neurosciences, Faculty of Medicine, Université Laval and Centre de recherche de l'Institut universitaire en santé mentale , Québec, Canada .
authors.forename: Chantal
authors.initials: C
authors.lastname: Mérette
authors.affiliation: 6 Department of Surgery, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging , Sherbrooke, Canada .
authors.forename: Patrick
authors.initials: P
authors.lastname: Boissy
authors.affiliation: 3 School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging , Sherbrooke, Canada .
authors.forename: Hélène
authors.initials: H
authors.lastname: Corriveau
authors.affiliation: 7 University Hospital of Québec City (CHU-Q) , Québec, Canada .
authors.forename: François
authors.initials: F
authors.lastname: Marquis
authors.affiliation: 8 Department of Surgery, Faculty of Medicine and Health Sciences, Université de Sherbrooke and University Hospital of Sherbrooke (CHUS) , Sherbrooke, Canada .
authors.forename: François
authors.initials: F
authors.lastname: Cabana
authors.affiliation: 7 University Hospital of Québec City (CHU-Q) , Québec, Canada .
authors.forename: Étienne L
authors.initials: ÉL
authors.lastname: Belzile
authors.affiliation: 9 Hôpital Jean-Talon , Montréal, Canada .
authors.forename: Pierre
authors.initials: P
authors.lastname: Ranger
authors.affiliation: 10 St. Mary's Hospital Center , Montreal, Canada .
authors.forename: Ronald
authors.initials: R
authors.lastname: Dimentberg
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D016037:Single-Blind Method; D000069350:Telerehabilitation / Q000379:methods*; D016896:Treatment Outcome
keywords: e-health; rehabilitation; technology; telehealth