Telemedicine using an iPad in the spinal cord injury population: a utility and patient satisfaction study

Spinal Cord Ser Cases. 2018 Aug 8:4:71. doi: 10.1038/s41394-018-0105-4. eCollection 2018.

Abstract

Study design: Prospective observational.

Objectives: To explore participants' experience, satisfaction, and utility of telemedicine.

Setting: Spinal cord injury (SCI) rehabilitation clinic at a county hospital.

Methods: Participants in this study received telemedicine appointments for routine scheduled care and/or urgent consults with a spinal cord injury specialist via iPad on FaceTime. Demographic changes, health care utilization, and medical complications were assessed. A Program Satisfaction Survey (PSS) was completed after a 6-month enrollment.

Results: Telemedicine visits included general follow-ups (51.25%), "multiple issues" (24.38%), skin (6.88%), bowel and bladder (5.63%), spasms (3.13%), and pain (3.13%). The PSS was collected (n = 45) and revealed positive results in perceived health, satisfaction with equipment/ease of use, and satisfaction with the program. Analysis of anecdotal comments revealed themes such as efficiency, convenience, and reduced barriers provided by telemedicine visits.

Conclusions: This study shows the feasibility and acceptance of a telemedicine intervention via iPad for individuals with SCI through positive PSS ratings and the wide variety of clinical topics addressed.

Sponsorship: Craig H. Neilsen Foundation.