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

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.