Objective
Technology
is being increasingly used for physical assessment and interventions in
health care settings. However, clinical adoption is relatively slow,
and the factors affecting use remain underexplored. This study aimed to
investigate factors influencing technology use by clinicians working in
neurorehabilitation.
Methods
In
this qualitative study, 9 physical therapists and 9 occupational
therapists (n = 18) were recruited from urban and regional locations in
Australia and in Singapore. Three 60-minute focus groups were conducted
via video conferencing. Each group comprised 3 physical therapists and 3
occupational therapists working across different neurorehabilitation
settings. Participants were asked to discuss which technologies they
used in their workplace for physical assessment and treatment, and
barriers, motivators and future desires for technology use. Transcripts
were analysed independently using an inductive approach to generate
codes and themes.
Results
Our
results comprised 3 themes and 7 categories. These were encompassed by a
single overarching theme, namely ‘Technology use is influenced by the
benefits and challenges of the technology itself, users and
organisational context’. Themes showed that technology should promote
effective interventions, was preferred if easy to use, and should be
dependable. Furthermore, clinical reasoning is important, and users have
varying levels of receptivity and confidence in technology use. Also,
organisational resources are required, along with supportive cultures
and processes to facilitate technology use.
Conclusions
The
themes identified multiple and interlinking factors influencing
clinicians’ use of technology in neurorehabilitation settings.
Clinicians often consider context-specific benefits and challenges when
deciding whether to use technology. While our study found that
clinicians generally perceived technology as having a beneficial role in
improving health outcomes, there were several challenges raised.
Therefore, the characteristics of the technology itself, individual
users, and organisational context should be considered.
Impact
These findings will guide successful technology implementation and future developments.
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