Self-determination Theory as a Lens to Explore the Implementation Challenges of Telehealth

Many benefits can be gained from telehealth, including reduced travel time, flexible work schedules, increased patient satisfaction, and a cost-effective method of providing care. Furthermore, telehealth provides rehabilitation professionals with the opportunity to observe people in their natural environment as they conduct their daily activities and identify any barriers to their functioning. Despite these advantages, and after a substantial amount of research supporting its effectiveness, telehealth remains relatively underutilized. Self-determination theory (SDT) is a theoretical framework for explaining motivation in terms of three basic psychological needs: competence, relatedness, and autonomy. Using the SDT, we suggest analyzing the motivational challenges faced by the therapists when implementing telehealth. We assert that the transition to a remote treatment model can be advantageous for rehabilitation professionals since it provides them with a greater degree of autonomy. Nevertheless, a turning point can only be achieved if relatedness and competence are maintained.