Activity Monitoring in Parkinson Disease: A Qualitative Study of Implementation Determinants.
Background and Purpose: There is interest in incorporating digital health technology in routine practice. We integrate multiple stakeholder perspectives to describe implementation determinants (barriers and facilitators) regarding digital health technology use to facilitate exercise behavior change...
| Publicado en: | Journal of Neurologic Physical Therapy Vol. 47; no. 4; pp. 189 - 200 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172432294&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172432294 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15570576 1FUT jtl: Journal of Neurologic Physical Therapy issn: 15570576 maglogo: N pubinfo: dt: Oct2023 vid: 47 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 172432294 172432294 172432294 10.1097/NPT.0000000000000451 172432294 ppf: 189 ppct: 11 formats: tig: atl: Activity Monitoring in Parkinson Disease: A Qualitative Study of Implementation Determinants. aug: au: King, Bridget Fowler MacDonald, Jillian Stoff, Laura Nettnin, Ella Jayaraman, Arun Goldman, Jennifer G. Rafferty, Miriam affil: Shirley Ryan AbilityLab, Chicago, Illinois. sug: subj: Implementation Science Digital Health Utilization Digital Technology Utilization Health Services Accessibility Therapeutic Exercise Physical Activity Monitoring, Physiologic Behavioral Changes Parkinson Disease Rehabilitation Patient Attitudes Physical Therapist Attitudes Research Personnel Psychosocial Factors Outpatient Service Rehabilitation Centers Human Stakeholder Participation Qualitative Studies Outpatients Physical Therapy Purposive Sample Semi-Structured Interview Physical Therapists Psychosocial Factors Insurance, Health, Reimbursement Conceptual Framework Thematic Analysis Adult Middle Age Aged Male Female Descriptive Statistics Health Behavior Academic Medical Centers Hospitals, Urban Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and Purpose: There is interest in incorporating digital health technology in routine practice. We integrate multiple stakeholder perspectives to describe implementation determinants (barriers and facilitators) regarding digital health technology use to facilitate exercise behavior change for people with Parkinson disease in outpatient physical therapy. Methods: The purposeful sample included people with Parkinson disease (n = 13), outpatient physical therapists (n = 12), and advanced technology stakeholders including researchers and reimbursement specialists (n = 13). Semistructured interviews were used to elicit implementation determinants related to using digital health technology for activity monitoring and exercise behavior change. Deductive codes based on the Consolidated Framework for Implementation Research were used to describe implementation determinants. Results: Key implementation determinants were similar across stakeholder groups. Essential characteristics of digital health technology included design quality and packaging, adaptability, complexity, and cost. Implementation of digital health technology by physical therapists and people with Parkinson disease was influenced by their knowledge, attitudes, and varied confidence levels in using digital health technology. Inner setting organizational determinants included available resources and access to knowledge/information. Process determinants included device interoperability with medical record systems and workflow integration. Outer setting barriers included lack of external policies, regulations, and collaboration with device companies. Discussion and Conclusions: Future implementation interventions should address key determinants, including required processes for how and when physical therapists instruct people with Parkinson disease on digital health technology, organizational readiness, workflow integration, and characteristics of physical therapists and people with Parkinson disease who may have ingrained beliefs regarding their ability and willingness to use digital health technology. Although site-specific barriers should be addressed, digital health technology knowledge translation tools tailored to individuals with varied confidence levels may be generalizable across clinics. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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