Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention.

Importance: Complex telehealth interventions can facilitate remote occupational therapy services and improve access for people living with chronic neurological conditions. Understanding the factors that influence the uptake of these technologies is important. Objective: To explore the fit between el...

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Publicado en:American Journal of Occupational Therapy Vol. 78; no. 2; pp. 1 - 13
Autores principales: Donnelly, Miranda Rennie, Marin-Pardo, Octavio, Abdullah, Aisha, Phanord, Coralie, Kumar, Amisha, Chakraborty, Stuti, Liew, Sook-Lei
Formato: pictorial research tables/charts Journal Article
Publicado: American Occupational Therapy Association Mar/Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2024
      vid: 78
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2024.050501
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        atl: Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention.
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          Donnelly, Miranda Rennie
          Marin-Pardo, Octavio
          Abdullah, Aisha
          Phanord, Coralie
          Kumar, Amisha
          Chakraborty, Stuti
          Liew, Sook-Lei
        affil: Miranda Rennie Donnelly, MS, OTR/L, is PhD Candidate, Chan Division of Occupational Science & Occupational Therapy, University of Southern California, Los Angeles
      sug:
        subj:
          Implementation Science
          Telehealth Methods
          Biofeedback
          Stroke Complications
          Electromyography Methods
          Telerehabilitation
          Human
          Male
          Aged
          Chronic Disease
          Nervous System Diseases
          Pilot Studies
          Multimethod Studies
          Middle Age
          Technology
          Clinical Assessment Tools
          Descriptive Statistics
          Quantitative Studies
          Questionnaires
          Summated Rating Scaling
          Qualitative Studies
          Health Services Accessibility
          Health Care Delivery
          Aged: 65+ years
          Middle Aged: 45-64 years
          Male
      ab: Importance: Complex telehealth interventions can facilitate remote occupational therapy services and improve access for people living with chronic neurological conditions. Understanding the factors that influence the uptake of these technologies is important. Objective: To explore the fit between electromyography (EMG) biofeedback and telerehabilitation for stroke survivors, optimize EMG biofeedback interventions, and, more broadly, support other efforts to develop complex telerehabilitation interventions. Design: Pre-implementation mixed-methods analysis of usability and acceptability data collected during a pilot and feasibility study. Setting: Community. Participants: Adult stroke survivors with hemiparesis (N = 11; M age = 54 yr). Intervention: Game-based EMG biofeedback system for arm sensorimotor rehabilitation, delivered via telehealth. Outcomes and Measures: Post-Study System Usability Questionnaire, an extended Unified Theory of Acceptance and Use of Technology model questionnaire, and semistructured interview. We coded the interview data using questionnaire constructs. Results: Participants used an EMG biofeedback intervention at home. Quantitative measures show high levels of perceived usability and acceptability, supported by qualitative findings describing specific facilitators and barriers. Conclusions and Relevance: Pre-implementation studies can improve the design and relevance of complex telehealth interventions. One major conclusion from this study is the influence of therapy providers on acceptability and usability of complex telehealth interventions. Plain-Language Summary: This study contributes to an emerging body of literature that examines the use of complex telehealth interventions with survivors of neurological injury. The findings highlight the value and support the development and use of complex telehealth interventions, which have the potential to improve remote access to occupational therapy for clients living with chronic neurological conditions. Complex telehealth interventions can open doors for survivors of neurological injury who face barriers to accessing occupational therapy and would benefit from technology-enabled therapy at home. The study findings highlight the value and support the development and use of complex telehealth interventions, which have the potential to improve remote access to occupational therapy for clients living with chronic neurological conditions.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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