TY - JOUR
T1 - Developing a Framework for Designing and Deploying Technology-Assisted Rehabilitation after Stroke
T2 - A Qualitative Study
AU - Jayasree-Krishnan, Veena
AU - Ghosh, Shramana
AU - Palumbo, Anna
AU - Kapila, Vikram
AU - Raghavan, Preeti
N1 - Funding Information:
This work is supported in part by the National Science Foundation (Grants DRK-12 DRL: 1417769, ITEST DRL: 1614085, and RET Site EEC: 1542286) and NY Space Grant Consortium (Grant 76156-10488).
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Objective Many unmet rehabilitation needs of patients with stroke can be addressed effectively using technology. However, technological solutions have not yet been seamlessly incorporated into clinical care. The purpose of this pilot study was to examine how to bridge the gaps between the recovery process, technology, and clinical practice to impact stroke rehabilitation meaningfully. Design Semistructured interviews were performed using a grounded theory approach with purposive sampling of 17 diverse expert providers in acute care, inpatient, and outpatient stroke rehabilitation settings. Common themes were identified from qualitative analyses of the transcribed conversations to develop a guiding framework from the emerging concepts. Results Four core themes emerged that addressed major barriers in stroke rehabilitation and technology-assisted solutions to overcome these barriers: (1) accessibility to quality rehabilitation, (2) adaptability to patient differences, (3) accountability or compliance with rehabilitation, and (4) engagement with rehabilitation. Conclusions The results suggest a four-pronged framework, the A3E framework that stands for Accessibility, Adaptability, Accountability, and Engagement, to comprehensively address existing barriers in providing rehabilitation services. This framework can guide technology developers and clinicians in designing and deploying technology-assisted rehabilitation solutions for poststroke rehabilitation, particularly using telerehabilitation.
AB - Objective Many unmet rehabilitation needs of patients with stroke can be addressed effectively using technology. However, technological solutions have not yet been seamlessly incorporated into clinical care. The purpose of this pilot study was to examine how to bridge the gaps between the recovery process, technology, and clinical practice to impact stroke rehabilitation meaningfully. Design Semistructured interviews were performed using a grounded theory approach with purposive sampling of 17 diverse expert providers in acute care, inpatient, and outpatient stroke rehabilitation settings. Common themes were identified from qualitative analyses of the transcribed conversations to develop a guiding framework from the emerging concepts. Results Four core themes emerged that addressed major barriers in stroke rehabilitation and technology-assisted solutions to overcome these barriers: (1) accessibility to quality rehabilitation, (2) adaptability to patient differences, (3) accountability or compliance with rehabilitation, and (4) engagement with rehabilitation. Conclusions The results suggest a four-pronged framework, the A3E framework that stands for Accessibility, Adaptability, Accountability, and Engagement, to comprehensively address existing barriers in providing rehabilitation services. This framework can guide technology developers and clinicians in designing and deploying technology-assisted rehabilitation solutions for poststroke rehabilitation, particularly using telerehabilitation.
KW - Qualitative Research
KW - Rehabilitation
KW - Stroke
KW - Telemedicine
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U2 - 10.1097/PHM.0000000000001634
DO - 10.1097/PHM.0000000000001634
M3 - Article
C2 - 33141773
AN - SCOPUS:85102114396
SN - 0894-9115
VL - 100
SP - 774
EP - 779
JO - American Journal of Physical Medicine
JF - American Journal of Physical Medicine
IS - 8
ER -