Clinical Uptake of Pediatric Exoskeletons: Pilot Study Using the Consolidated Framework for Implementation Research.
Objective: While the design and clinical evidence base of robot-assisted gait training devices has been advancing, few studies investigate user experiences with accessing and using such devices in pediatric rehabilitation. This pilot study aims to further the understanding of barriers encountered by...
| Publicado en: | American Journal of Physical Medicine & Rehabilitation Vol. 103; no. 4; pp. 302 - 310 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2024
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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=176893725&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176893725 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08949115 44N jtl: American Journal of Physical Medicine & Rehabilitation issn: 08949115 maglogo: N pubinfo: dt: Apr2024 vid: 103 iid: 4 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 176893725 176893725 176893725 10.1097/PHM.0000000000002371 176893725 ppf: 302 ppct: 8 formats: tig: atl: Clinical Uptake of Pediatric Exoskeletons: Pilot Study Using the Consolidated Framework for Implementation Research. aug: au: Herold, Larissa Bosques, Glendaliz Sulzer, James affil: Walker Department of Mechanical Engineering, University of Texas at Austin, Austin, Texas sug: subj: Gait Training Equipment and Supplies Exoskeleton Devices Health Services Accessibility Attitude of Health Personnel Caregiver Attitudes Rehabilitation, Pediatric Implementation Science Human Male Female Pilot Studies Conceptual Framework Qualitative Studies Descriptive Research Pediatrics Outpatient Service Semi-Structured Interview Descriptive Statistics Content Analysis Health Knowledge Professional Knowledge Health Beliefs Child Behavior Access to Information Health Information Personal Satisfaction Medical Practice, Evidence-Based United States Nonprobability Sample Purposive Sample Male Female ab: Objective: While the design and clinical evidence base of robot-assisted gait training devices has been advancing, few studies investigate user experiences with accessing and using such devices in pediatric rehabilitation. This pilot study aims to further the understanding of barriers encountered by clinicians and caregivers when implementing a robot-assisted gait training device. Design: A qualitative descriptive study was conducted at a local outpatient pediatric therapy center with a robot-assisted gait training exoskeleton. Six caregivers and six clinicians participated in semistructured interviews with brief surveys. The surveys were summarized with descriptive statistics. The interviews were analyzed using directed content analysis guided by the Consolidated Framework for Implementation Research. Results: The five mostmentioned Consolidated Framework for Implementation Research constructswere knowledge and beliefs, relative advantage, child attributes, complexity, and access to knowledge and information. Caregivers experienced obstacles to accessing and trialing robot-assisted gait training devices. Clinicians expressed concerns regarding the feasibility of incorporating robot-assisted gait training into their clinic and preferred lower-tech gait training techniques. Conclusions: While some aspects of access and usability may be addressed by device design and technological advancements, overcoming other barriers will require a deeper understanding of the roles of scientific evidence, personal beliefs, and current therapy workflows in the uptake of robotic interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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