Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals
| Autor: | Arend J. de Kloet, Manon M. Wentink, L. W. Boyce, Leti van Bodegom-Vos, Henk J. Arwert, Berber Brouns, Jorit J. L. Meesters, Thea P. M. Vliet Vlieland |
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| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty caregivers Cross-sectional study Health Personnel medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Logistic regression patients rehabilitation 03 medical and health sciences zorgverleners barriers and facilitators patiënten eRehabilitation survey Surveys and Questionnaires medicine Humans survey implementation Stroke Rehabilitation business.industry eRehabilitation lcsh:RM1-950 General Medicine Odds ratio beroerte Middle Aged medicine.disease Response bias stroke Telemedicine Confidence interval revalidatie lcsh:Therapeutics. Pharmacology Cross-Sectional Studies Family medicine Scale (social sciences) Female 0305 other medical science business |
| Zdroj: | Journal of rehabilitation medicine, 51(9), 665-674. Uppsala: Foundation of Rehabilitation Information Journal of Rehabilitation Medicine Journal of Rehabilitation Medicine, 51(9), 665-674 Journal of Rehabilitation Medicine, Vol 51, Iss 9, Pp 665-674 (2019) |
| Popis: | Objective: Despite the increasing availability of eRehabilitation, its use remains limited. The aim of this study was to assess factors associated with willingness to use eRehabilitation. Design: Cross-sectional survey. Subjects: Stroke patients, informal caregivers, health-care professionals. Methods: The survey included personal characteristics, willingness to use eRehabilitation (yes/no) and barri-ers/facilitators influencing this willingness (4-point scale). Barriers/facilitators were merged into factors. The association between these factors and willingness to use eRehabilitation was assessed using logistic regression analyses. Results: Overall, 125 patients, 43 informal caregivers and 105 healthcare professionals participated in the study. Willingness to use eRehabilitation was positively influenced by perceived patient benefits (e.g. reduced travel time, increased motivation, better outcomes), among patients (odds ratio (OR) 2.68; 95% confidence interval (95% CI) 1.34–5.33), informal caregivers (OR 8.98; 95% CI 1.70–47.33) and healthcare professionals (OR 6.25; 95% CI 1.17–10.48). Insufficient knowledge decreased willingness to use eRehabilitation among pa-tients (OR 0.36, 95% CI 0.17–0.74). Limitations of the study include low response rates and possible response bias. Conclusion: Differences were found between patients/informal caregivers and healthcare professionals. Ho-wever, for both groups, perceived benefits of the use of eRehabilitation facilitated willingness to use eRehabili-tation. Further research is needed to determine the benefits of such programs, and inform all users about the potential benefits, and how to use eRehabilitation. Lay Abstract The use of digital eRehabilitation after stroke (e.g. in serious games, e-consultation and education) is increasing. However, the use of eRehabilitation in daily practice is limited. As a first step in increasing the use of eRehabilitation in stroke care, this study examined which factors influence the willingness of stroke patients, informal caregivers and healthcare professionals to use eRehabilitation. Beliefs about the benefits of eRehabilitation were found to have the largest positive impact on willingness to use eRehabilitation. These benefits included reduced travel time, increased adherence to therapy or motivation, and better health outcomes. The willingness to use eRehabilitation is limited by a lack of knowledge about how to use eRehabilitation. |
| Databáze: | OpenAIRE |
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