A study has shown that therapist and system barriers limit the uptake of telehealth delivery of complex wheelchair assessment, and recommends telehealth-specific training in culturally-responsive rehabilitation. The study included remote specialist assessors (physiotherapists and occupational therapists), on-site assistants, and wheelchair users, and involved interviews/ focus groups, assessment of mobility goals, satisfaction, and fidelity of tele delivered assessment of wheelchair and seating (tAWS). In 78% of cases, tAWS was declined by on-site assistants where specialist assessors had perceived it could work. Among wheelchair users who did receive tAWS (n = 5), goals were achieved in the majority of cases, and service satisfaction was high.
