Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/79175
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Type: Journal article
Title: Applications of telecounselling in spinal cord injury rehabilitation: a systematic review with effect sizes
Author: Dorstyn, D.
Mathias, J.
Denson, L.
Citation: Clinical Rehabilitation, 2013; 27(12):1072-1083
Publisher: Arnold
Issue Date: 2013
ISSN: 0269-2155
1477-0873
Statement of
Responsibility: 
Diana Dorstyn, Jane Mathias and Linley Denson
Abstract: OBJECTIVE: To investigate the short- and medium-term efficacy of counselling services provided remotely by telephone, video or internet, in managing mental health outcomes following spinal cord injury. Data sources: A search of electronic databases, critical reviews and published meta-analyses was conducted. REVIEW METHODS: Seven independent studies (N = 272 participants) met the inclusion criteria. The majority of these studies utilized telephone-based counselling, with limited research examining psychological interventions delivered by videoconferencing (Nstudy = 1) or online (Nstudy = 1). RESULTS: There is some evidence that telecounselling can significantly improve an individual’s management of common comorbidities following spinal cord injury, including pain and sleep difficulties (d = 0.45). Medium-term treatment effects were difficult to evaluate, with very few studies providing these data, although participants have reported gains in quality of life 12 months after treatment (d = 0.88). The main clinical advantages are time efficiency and consumer satisfaction. CONCLUSION: The results highlight the need for further evidence, particularly randomized controlled trials, to establish the benefits and clinical viability of telecounselling.
Keywords: Spinal cord injuries, telecounselling, telerehabilitation, treatment outcome, systematic review
Rights: © The Author(s) 2013
RMID: 0020132987
DOI: 10.1177/0269215513488001
Appears in Collections:Psychology publications

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