Why the uptake of eRehabilitation programs in stroke care is so difficult—a focus group study in the Netherlands

Autor: L. W. Boyce, Manon M. Wentink, Berber Brouns, Henk J. Arwert, Jorit J. L. Meesters, A.J. (Arend) de Kloet, T. P. M. Vliet Vlieland, L. van Bodegom-Vos
Rok vydání: 2018
Předmět:
Male
030506 rehabilitation
Time Factors
Cost-Benefit Analysis
medicine.medical_treatment
Health informatics
Health administration
0302 clinical medicine
030212 general & internal medicine
Qualitative Research
Netherlands
lcsh:R5-920
Rehabilitation
Health Policy
Politics
eRehabilitation
Stroke Rehabilitation
focusgroepen
Health services research
beroerte
General Medicine
Middle Aged
Focus groups
implementatie
revalidatie
Stroke
Caregivers
Female
lcsh:Medicine (General)
0305 other medical science
Adult
Patients
Attitude of Health Personnel
Health Personnel
Health Informatics
Context (language use)
03 medical and health sciences
Nursing
medicine
eHealth
Humans
Health policy
Aged
Telerehabilitation
e-gezondheid
Barriers and facilitators
business.industry
Research
Public Health
Environmental and Occupational Health
Patient Acceptance of Health Care
Focus group
Implementation
e-health
business
Program Evaluation
Zdroj: Implementation Science
Implementation Science, 13(Artikel 133), 1-11. London: BioMed Central
Implementation Science, Vol 13, Iss 1, Pp 1-11 (2018)
Implementation Science : IS
Implementation Science, 13
ISSN: 1748-5908
DOI: 10.1186/s13012-018-0827-5
Popis: The uptake of eRehabilitation programs in stroke care is insufficient, despite the growing availability. The aim of this study was to explore which factors influence the uptake of eRehabilitation in stroke rehabilitation, among stroke patients, informal caregivers, and healthcare professionals. A qualitative focus group study with eight focus groups (6–8 participants per group) was conducted: six with stroke patients/informal caregivers and two with healthcare professionals involved in stroke rehabilitation (rehabilitation physicians, physical therapists, occupational therapists, psychologists, managers). Focus group interviews were audiotaped, transcribed in full, and analyzed by direct content analysis using the implementation model of Grol. Results Thirty-two patients, 15 informal caregivers, and 13 healthcare professionals were included. A total of 14 influencing factors were found, grouped to 5 of the 6 levels of the implementation model of Grol (Innovation, Organizational context, Individual patient, Individual professional, and Economic and political context). Most quotes of patients, informal caregivers, and healthcare professionals were classified to factors at the level of the Innovation (e.g., content, attractiveness, and feasibility of eRehabilitation programs). In addition, for patients, relatively many quotes were classified to factors at the level of the individual patient (e.g., patients characteristics as fatigue and the inability to understand ICT-devices), and for healthcare professionals at the level of the organizational context (e.g., having sufficient time and the fit with existing processes of care). Although there was a considerable overlap in reported factors between patients/informal caregivers and healthcare professionals when it concerns eRehabilitation as innovation, its seems that patients/informal caregivers give more emphasis to factors related to the individual patient, whereas healthcare professionals emphasize the importance of factors related to the organizational context. This difference should be considered when developing an implementation strategy for patients and healthcare professionals separately. https://doi.org/10.1186/s13012-018-0827-5
Databáze: OpenAIRE
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