User profile: The TR- Telerehab Toolkit

Tell us a little bit about your care setting

Question Title

1. What best describes the setting in which the toolkit would be implemented?

Acute care

Inpatient rehabilitation

Outpatient rehabilitation

Private practice

Home/community care

Long term care

Other (please specify)

Question Title

2. What is your area of practice in this setting?

Neurological

Orthopedic

Cardiorespiratory

Geriatric

Pediatric

Other (please specify)

Question Title

3. What age are your patients or clients (check all that apply)?

< 18 years old

18-65 years old

> 65 years

Question Title

4. a) What province or territory do you work in?

Alberta

British Columbia

Manitoba

New Brunswick

Newfoundland and Labrador

Northwest Territories

Nova Scotia

Nunavut

Ontario

Prince Edward Island

Quebec

Saskatchewan

Yukon

Outside of Canada

b) If outside of Canada, please tell us where:

Question Title

5. Please indicate your current role (check all that apply):

Provide direct patient care

Practice Lead/Educator

Manager/Director

Other (please specify)

Question Title

6. What statement best describes you or your care setting’s knowledge of virtual care?

We are aware of virtual care, but have not used it

We have some knowledge of virtual care (e.g. just started using or use it on an intermittent basis)

We have a good working knowledge of virtual care and use it on regular basis

Question Title

7. Please give us a sense of your intention to implement virtual care in your care setting

We do not intend to implement virtual care right now, but would like to in the future

We are thinking about implementing virtual care, but have not yet begun to prepare

We intend to try using virtual care at our setting, and have begun to make preparations for doing so

We are currently trialing virtual care at our care setting

We have successfully trialed virtual care at our setting and plan to continue

Question Title

8. a) What technology are you using or intending to use as part of virtual care (check all that apply)?

Videoconferencing

Telephone

Text messaging

Other

We do not know yet /Have no plans to implement

b) If you are using videoconferencing, what platform(s) are you intending to use (e.g. OTN, Zoom, etc?

Question Title

9. In what format(s) are you implementing or planning to implement virtual care?

1:1 sessions

Groups

Both 1:1 sessions and groups

We do not know yet/Have no plan to implement

Question Title

10. Thank you! A member of our team will email you the current version of the toolkit within 48 hours. We will also email you when we release new versions of the toolkit in the future, as well as a survey to seek your feedback on the toolkit. Your email will not be shared to third parties or used for purposes other than to distribute or evaluate the toolkit. Please provide your name and email here:

Name:

Email:

Question Title

11. Our goal is to continually improve the implementation toolkit. We would like to speak to some of the toolkit users to get more detailed feedback. Would this be ok with you?

Yes

If you have questions, please contact: Dr. Meiqi Guo: meiqi.guo@uhn.ca Or Angie Andreoli: angie.andreoli@uhn.ca