Evaluation of the implementation of Armeo®Spring in a specialized neurorehabilitation center

Christensen, Kristine B; Rindom, Helena K; Jensen, Dorthe R; Fabricius, J; Spaich, Erika G.

doi:10.1109/icorr55369.2022.9896403

Cited by 2 publications

(8 citation statements)

References 24 publications

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“…Eleven different implementation theories/models/frameworks were used across the 14 studies: Unified Theory of Acceptance and Use of Technology (UTAUT) 19 , 20 ; Grol’s implementation model 21 - 23 ; Integrated Promoting Action on Research Implementation in Health Services framework (i-PARIHS) 24 ; Bowen’s feasibility framework 25 ; Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework 26 ; Consolidated Framework for Implementation Research (CFIR) 27 ; Theoretical Domains Framework (TDF)/Capability, Opportunity, Motivation-Behaviour (COM-B) behaviour change model 28 ; Knowledge Transfer Approach (KTA) 29 ; Fit between Individuals, Task, Technology and Environment (FITTE) 30 ; Plan-Do-Study-Act (PDSA) 31 ; Medical Research Council (MRC) Process Evaluation. 32 …”

Section: Resultsmentioning

confidence: 99%

“…These theories/models/frameworks were utilised in study design, 25 , 26 , 29 , 31 , 32 data collection, 20 , 21 , 24 - 26 , 28 , 30 , 32 data analysis. 19 , 22 - 24 , 26 - 28 , 30 , 32 …”

Section: Resultsmentioning

confidence: 99%

“…These comprised telerehabilitation (3 studies), 19 , 26 , 29 Apps (2 studies), 25 , 30 and virtual reality (2 studies). 20 , 33 Robotics, 31 a web-based programme 32 and a telephone supported rehabilitation 24 were each the focus of 1 study. Four papers 21 - 23 ,27 took a broad approach, acknowledging a range of DHT.…”

Section: Resultsmentioning

confidence: 99%

“…Motivation to change 24 and a willingness to try a different approach 27 were recognised as facilitators, whilst fatigue, ataxia, pain, wheelchair-use, cognitive status, cognitive deficits and limited movement were identified as potential barriers to patient engagement. 20 , 27 , 31 Staff, patients, and informal carers recognised that DHT-based rehabilitation programmes are not appropriate for all patients. 22 , 29 …”

Section: Resultsmentioning

confidence: 99%

“… 29 These interactions were evident where teams had established lines of communication 24 and a positive work culture. 31 The introduction of DHT was also found to facilitate cooperation between occupational therapists and physiotherapists. 32 Two papers recognised the role of healthcare management in supporting the clinical team to introduce the DHT.…”

Section: Resultsmentioning

confidence: 99%

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Understanding the Barriers and Facilitators of Digital Health Technology (DHT) Implementation in Neurological Rehabilitation: An Integrative Systematic Review

Jarvis,

Thetford,

Turck

et al. 2024

Health�Serv�Insights

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Background: Digital Health technologies (DHT) have potential to deliver intensive, novel and engaging rehabilitation for people with neurological conditions, yet health services lack a strong track record in embedding DHT into practice. The aim of this review was to synthesise factors that have been shown to influence implementation of DHT into neurological rehabilitation. Method: An integrative review was undertaken. An extensive search of MEDLINE, CINAHL, AMED, EMBASE was undertaken. The title and abstract of all retrieved sources were screened against pre-defined criteria. Retained sources underwent full text review. The quality of all included sources was assessed. A meta-ethnographic synthesis explored commonalities and contradictions of the included studies. Results: Fourteen studies (1 quantitative, 8 qualitative and 5 mixed methods) were included. Eleven implementation theories/models/frameworks were used across the 14 studies. Five themes were identified: (i) individual factors; (ii) user experience of the technology; (iii) the content of the intervention; (iv) access to the technology and (v) supporting use. Conclusions: Key factors which appear to influence the implementation of DHT into clinical settings are highlighted. Implementation theories, models and frameworks are under-utilised in DHT rehabilitation research. This needs to be addressed if DHT are to realise their potential in neurological rehabilitation. Registration: The protocol was registered and is available from PROSPERO (CRD42021268984).

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Section: Resultsmentioning

confidence: 99%

“…These theories/models/frameworks were utilised in study design, 25 , 26 , 29 , 31 , 32 data collection, 20 , 21 , 24 - 26 , 28 , 30 , 32 data analysis. 19 , 22 - 24 , 26 - 28 , 30 , 32 …”

Section: Resultsmentioning

confidence: 99%