Differences in factors influencing the use of eRehabilitation after stroke; a cross-sectional comparison between Brazilian and Dutch healthcare professionals.

Autor: Brouns B; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, The Netherlands. b.brouns@basaltrevalidatie.nl.; Faculty of Health, Nutrition and Sports, The Hague University for Applied Sciences, The Hague, The Netherlands. b.brouns@basaltrevalidatie.nl.; Basalt Rehabilitation, The Hague, /Leiden, The Netherlands. b.brouns@basaltrevalidatie.nl., van Bodegom-Vos L; Department of Biomedical Data Sciences, section Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands., de Kloet AJ; Faculty of Health, Nutrition and Sports, The Hague University for Applied Sciences, The Hague, The Netherlands.; Basalt Rehabilitation, The Hague, /Leiden, The Netherlands., Vliet Vlieland TPM; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, The Netherlands.; Basalt Rehabilitation, The Hague, /Leiden, The Netherlands., Gil ILC; The SARAH Network of Rehabilitation Hospitals, Brasilia, Brazil., Souza LMN; The SARAH Network of Rehabilitation Hospitals, Brasilia, Brazil., Braga LW; The SARAH Network of Rehabilitation Hospitals, Brasilia, Brazil., Meesters JJL; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, The Netherlands.; Faculty of Health, Nutrition and Sports, The Hague University for Applied Sciences, The Hague, The Netherlands.; Basalt Rehabilitation, The Hague, /Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2020 Jun 01; Vol. 20 (1), pp. 488. Date of Electronic Publication: 2020 Jun 01.
DOI: 10.1186/s12913-020-05339-7
Abstrakt: Background: To improve the use of eRehabilitation after stroke, the identification of barriers and facilitators influencing this use in different healthcare contexts around the world is needed. Therefore, this study aims to investigate differences and similarities in factors influencing the use of eRehabilitation after stroke among Brazilian Healthcare Professionals (BHP) and Dutch Healthcare Professionals (DHP).
Method: A cross-sectional survey study including 88 statements about factors related to the use of eRehabilitation (4-point Likert scale; 1-4; unimportant-important/disagree-agree). The survey was conducted among BHP and DHP (physical therapists, rehabilitating physicians and psychologists). Descriptive statistics were used to analyse differences and similarities in factors influencing the use of eRehabilitation.
Results: ninety-nine (response rate 30%) BHP and 105 (response rate 37%) DHP participated. Differences were found in the top-10 most influencing statements between BHP and DHP BHP rated the following factors as most important: sufficient support from the organisation (e.g. the rehabilitation centre) concerning resources and time, and potential benefits of the use of eRehabilitation for the patient. DHP rated the feasibility of the use of eRehabilitation for the patient (e.g. a helpdesk and good instructions) as most important for effective uptake. Top-10 least important statements were mostly similar; both BHP and DHP rated problems caused by stroke (e.g. aphasia or cognitive problems) or problems with resources (e.g. hardware and software) as least important for the uptake of eRehabilitation.
Conclusion: The results indicate that the use of eRehabilitation after stroke by BHP and DHP is influenced by different factors. A tailored implementation strategy for both countries needs to be developed.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje