{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:26:50Z","timestamp":1784899610891,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Pressure injuries (PIs) represent a frequent, often preventable, secondary complication of spinal cord injury (SCI) with serious consequences to health, societal participation, and quality of life. Specialized knowledge and service delivery related to treatment and prevention are typically located within major health centers.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">For persons with SCI living at home, it can be challenging to access specialized PI care. A telehealth approach could help mitigate this challenge. This multisite pilot investigation assessed the feasibility of integrating information technologies within the management of PIs.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Each study site formed a specialized interdisciplinary care team that identified components of their standard clinical care pathway and examined how they could be integrated with study technologies. A monitoring system was utilized to enable patients and caregivers to exchange clinical information with the care team.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Clinician and patient focus groups were completed to identify facilitators and barriers for long-term implementation. Findings demonstrate that this method of service delivery is feasible but requires further development.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">This model of care requires refinement to address technological, regulatory, and clinician acceptance barriers; however, increased access to these services has the potential for improving PI healing or prevention rates in comparison with those not able to access specialized services.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">This project demonstrates that PI treatment services can be delivered effectively through the internet. Future trials can investigate efficacy and cost-effectiveness of this model of care to inform sustained implementation.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2018.0196","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T12:33:38Z","timestamp":1549024418000},"page":"1237-1243","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Facilitators and Barriers for Implementing an Internet Clinic for the Treatment of Pressure Injuries"],"prefix":"10.1177","volume":"25","author":[{"given":"Saagar","family":"Walia","sequence":"first","affiliation":[{"name":"Parkwood Institute Research, Lawson Health Research Institute, London, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalton","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Parkwood Institute Research, Lawson Health Research Institute, London, Ontario, Canada."},{"name":"University of Western Ontario, London, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Keast","sequence":"additional","affiliation":[{"name":"Parkwood Institute Research, Lawson Health Research Institute, London, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chester","family":"Ho","sequence":"additional","affiliation":[{"name":"Alberta Health Services, Alberta, Canada."},{"name":"Department of Medicine, University of Alberta, Edmonton, Alberta, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Ethans","sequence":"additional","affiliation":[{"name":"Spinal Cord Rehabilitation Program, Winnipeg Health Sciences Centre, Winnipeg, Manitoba, Canada."},{"name":"Department of Internal Medicine's Section of Physical Medicine and Rehabilitation, University of Manitoba, Winnipeg, Manitoba, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Worley","sequence":"additional","affiliation":[{"name":"Stan Cassidy Centre for Rehabilitation, Fredericton, New Brunswick, Canada."},{"name":"Division of Physical Medicine &amp; Rehabilitation, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Stan Cassidy Centre for Rehabilitation, Fredericton, New Brunswick, Canada."},{"name":"Division of Physical Medicine &amp; Rehabilitation, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada."},{"name":"Faculty of Kinesiology, University of New Brunswick, New Brunswick, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Hill","sequence":"additional","affiliation":[{"name":"Alberta Health Services, Alberta, Canada."},{"name":"Division of Physical Medicine and Rehabilitation, University of Calgary, Calgary, Alberta, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,5]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"22","article-title":"Prevalence of pressure ulcers in Canadian healthcare settings","volume":"50","author":"Woodbury MG","year":"2004","unstructured":"Woodbury MG, , Houghton PE. Prevalence of pressure ulcers in Canadian healthcare settings. Ostomy Wound Manage, 2004; 50:22\u201338.","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31817c16d6"},{"key":"e_1_3_3_4_2","first-page":"38","article-title":"Recurrence of initial pressure ulcer in persons with spinal cord injuries","volume":"10","author":"Niazi ZB","year":"1997","unstructured":"Niazi ZB, , Salzberg CA, , Byrne DW, , Viehbeck M. Recurrence of initial pressure ulcer in persons with spinal cord injuries. Adv Wound Care, 1997; 10:38\u201342.","journal-title":"Adv Wound Care"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.08.003"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2014.23.6.331"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2012.01002.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2000.10132009"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1996.46"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(23)00010-2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100528"},{"issue":"1","key":"e_1_3_3_12_2","first-page":"S40","article-title":"Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health care professionals","volume":"24","author":"Consortium for Spinal Cord Medicine Clinical Practice Guidelines","year":"2001","unstructured":"Consortium for Spinal Cord Medicine Clinical Practice Guidelines. Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health care professionals. J Spinal Cord Med, 2001; 24 Suppl 1:S40\u2013S101.","journal-title":"J Spinal Cord Med"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2014.02.0064"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2010.004013"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2009.081002"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200303000-00010"},{"key":"e_1_3_3_17_2","first-page":"269","article-title":"Initial experiences with telerehabilitation and contingency management programs for the prevention and management of pressure ulceration in patients with spinal cord injuries","volume":"27","author":"Mathewson C","year":"2000","unstructured":"Mathewson C, , Adkins VK, , Jones ML. Initial experiences with telerehabilitation and contingency management programs for the prevention and management of pressure ulceration in patients with spinal cord injuries. J Wound Ostomy Continence Nurs, 2000; 27:269\u2013271.","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"e_1_3_3_18_2","first-page":"264","article-title":"Use of telerehabilitation to manage pressure ulcers in persons with spinal cord injuries","volume":"12","author":"Vesmarovich S","year":"1999","unstructured":"Vesmarovich S, , Walker T, , Hauber RP, , Temkin A, , Burns R. Use of telerehabilitation to manage pressure ulcers in persons with spinal cord injuries. Adv Wound Care, 1999; 12:264\u2013269.","journal-title":"Adv Wound Care"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1017\/S026646239915414X"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.15.0770"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2297"},{"key":"e_1_3_3_22_2","first-page":"729492","article-title":"A modeled analysis of telehealth methods for treating pressure ulcers after spinal cord injury","volume":"2012","author":"Smith MW","year":"2012","unstructured":"Smith MW, , Hill ML, , Hopkins KL, , Kiratli BJ, , Cronkite RC. A modeled analysis of telehealth methods for treating pressure ulcers after spinal cord injury. Int J Telemed Appl, 2012; 2012:729492.","journal-title":"Int J Telemed Appl"},{"key":"e_1_3_3_23_2","unstructured":"Canada Health Infoway [Internet]. c2018 [cited 2018 Nov 1]. System and Use Survey-e-views. Available at: www.infoway-inforoute.ca\/en\/component\/edocman\/resources\/reports\/benefits-evaluation\/2907-system-and-use-e-views (last accessed November1 2018)."},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/002188637100700404"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1179\/2045772311Y.0000000003"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-017-0033-3"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2017.00058"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2018.0196","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2018.0196","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2018.0196","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:27:16Z","timestamp":1777588036000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2018.0196"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":26,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1089\/tmj.2018.0196"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2018.0196","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}