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Does Language Proficiency Affect Completion of Telerehabilitation Video Visits? A Retrospective Study
Mansha Mirza1, Hajwa Kim2, Courtney Pilat3
1University of Illinois Chicago, Chicago, USA. mmirza2@uic.edu.
Journal of Immigrant and Minority Health
|December 1, 2025
Summary
Telehealth adoption surged post-pandemic. This study found that English proficiency and public insurance influenced telerehabilitation visit completion, highlighting potential disparities in access to virtual care.
Area of Science:
- Health Services Research
- Digital Health
- Health Equity
Background:
- The COVID-19 pandemic accelerated telehealth adoption, driven by regulatory changes.
- Telehealth is recognized as a key healthcare delivery model for the post-pandemic era.
- Ensuring telehealth does not worsen existing health disparities is crucial, particularly for vulnerable populations like those with limited English proficiency.
Purpose of the Study:
- To investigate the association between English proficiency and the completion rate of telerehabilitation visits.
- To identify sociodemographic factors influencing successful telerehabilitation video visit completion.
Main Methods:
- Retrieved Electronic Health Records for patients scheduled for telerehabilitation (physical/occupational therapy) between April 2020 and April 2022.
- Analyzed data from 3,871 video visits involving 1,414 patients.
- Employed multivariable logistic regression to assess the relationship between sociodemographic variables (age, gender, race, ethnicity, insurance, income, language preference) and visit completion rates.
Main Results:
- 6.4% of telerehabilitation visits were conducted in a language other than English.
- Older age and public insurance were linked to lower odds of 100% visit completion.
- Patients preferring English demonstrated higher odds of completing their telerehabilitation visits.
Conclusions:
- Age, insurance type, and language preference are significant factors in telerehabilitation video visit completion.
- Further research is necessary to understand barriers faced by older adults and limited English proficient patients in telerehabilitation.
- Strategies are needed to ensure equitable access and completion of virtual care for all patient populations.
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