{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T18:06:57Z","timestamp":1781806017239,"version":"3.54.5"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"5-6","funder":[{"name":"Under Secretary for Health and the Office of Rural Health","award":["VA244-17-C-0288"],"award-info":[{"award-number":["VA244-17-C-0288"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The provision of seating and wheeled mobility devices is a complex process that requires trained professionals and multiple appointments throughout the service delivery process. However, this can be inconvenient and burdensome for individuals with mobility limitations or for individuals who live in rural areas. Rural areas often present unique difficulties regarding the provision of healthcare services including lengthy travel times to medical facilities and lack of specialized providers and medical technology. The purpose of this article is to provide a comprehensive overview of the development and implementation of a service delivery protocol for a home-based telerehabilitation assessment for wheelchair seating and mobility.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>The telerehabilitation team consists of a trained wheelchair seating and mobility therapist and a telehealth clinical technician (TCT). In order to determine veterans that are appropriate for a home-based telerehabilitation assessment, a three-phase pre-assessment screening process was conducted by the therapist and TCT, including consult, chart, and phone review. Veterans that met\u00a0all of the predetermined eligibility criteria were recommended for a telerehabilitation wheelchair assessment. The TCT traveled to the veteran\u2019s residence with necessary evaluation and safety equipment and connected with the therapist remotely using the VA Video Connect platform. Assessment and veteran data were collected during the initial evaluation and then during a 21-day follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Forty-three veterans were successfully seen via telerehabilitation for a seating and wheeled mobility assessment between November, 2017 and July, 2018. The average travel distance between the veteran\u2019s residence and the clinic was 34.1 miles. The total telerehabilitation encounter times ranged from 45 min to 145 min.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The implementation of this service delivery protocol for wheelchair seating and mobility assessments demonstrated the benefits of using telehealth services including reaching rural veterans, reducing distance traveled, maximizing efficiency of provider schedules, and conducting realistic assessments in veterans\u2019 home environments. Success can be attributed to being able to deliver best practice remotely and to the rapport of the TCT with the providers. Cultivating provider buy-in, selecting appropriate outcome measures, and restructuring workflows were additional lessons learned. The VA Video Connect platform is an accessible tool that can be easily learned by both veterans and providers and used beyond initial wheelchair seating evaluations for improved access to follow-up healthcare services.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usab091","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T00:09:58Z","timestamp":1614643798000},"page":"e718-e725","source":"Crossref","is-referenced-by-count":10,"title":["Development of a Home-Based Telerehabilitation Service Delivery Protocol for Wheelchair Seating and Mobility Within the Veterans Health Administration"],"prefix":"10.1093","volume":"187","author":[{"given":"Kaila K","family":"Ott","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Science & Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15206, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M","family":"Schein","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science & Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15206, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Straatmann","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science & Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15206, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R","family":"Schmeler","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science & Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15206, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0738-0192","authenticated-orcid":false,"given":"Brad E","family":"Dicianno","sequence":"additional","affiliation":[{"name":"Human Engineering Research Laboratories, VA Pittsburgh Healthcare System, Pittsburgh, PA 15206, USA"},{"name":"Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Kaufmann Medical Building, Pittsburgh, PA 15213, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,27]]},"reference":[{"issue":"12","key":"2022050518020967900_R1","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1080\/09638280010022531","article-title":"Changing chairs: anticipating problems in prescribing wheelchairs","volume":"23","author":"Batavia","year":"2001","journal-title":"Disabil Rehabil"},{"key":"2022050518020967900_R2","article-title":"RESNA wheelchair service provision guide","volume-title":"Rehabilitation Engineering & Assistive Technology Society of North 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