Motivators and barriers to using information and communication technology in everyday life following stroke: a qualitative and video observation study

Lemke, Mailin; Ramírez, Edgar R. Rodríguez; Robinson, Brian; Signal, Nada

doi:10.1080/09638288.2018.1543460

Cited by 18 publications

(15 citation statements)

References 33 publications

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“…Additional drivers specific to home use include affordability, motivating/engaging devices, and ability to connect with others and get information. While these constructs have been identified before [54], [24], [33], our results provide detailed personal accounts. For example, more than half of stroke survivors in our interviews have financial difficulty, and only a small portion can afford rehabilitation devices.…”

Section: Drivers For Rehabilitation Device Adoption For Homementioning

confidence: 66%

“…For connecting and getting information, some healthcare companies use online platforms to host patient interactions with their peers and engage patients with their companies' rehabilitation devices. However, the success of these platforms is unclear for stroke survivors who are typically older adults [54].…”

Section: Drivers For Rehabilitation Device Adoption For Homementioning

confidence: 99%

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Determining Factors that Influence Adoption of New Post-Stroke Sensorimotor Rehabilitation Devices in the USA

Morrow

Johnson

Simpson

et al. 2021

IEEE Trans. Neural Syst. Rehabil. Eng.

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Rehabilitation device efficacy alone does not lead to clinical practice adoption. Previous literature identifies drivers for device adoption by therapists but does not identify the best settings to introduce devices, the roles of different stakeholders including rehabilitation directors, or specific criteria to be met during device development. The objective of this work was to provide insights into these areas to increase clinical adoption of post-stroke restorative rehabilitation devices. We interviewed 107 persons including physical/occupational therapists, rehabilitation directors, and stroke survivors and performed content analysis. Unique to this work, care settings in which therapy goals are best aligned for restorative devices were found to be outpatient rehabilitation, followed by inpatient rehabilitation. Therapists are the major influencers for adoption because they typically introduce new rehabilitation devices to patients for both clinic and home use. We also learned therapists' utilization rate of a rehabilitation device influences a rehabilitation director's decision to acquire the device for facility use. Main drivers for each stakeholder are identified, along with specific criteria to add details to findings from previous literature. In addition, drivers for home adoption of rehabilitation devices by patients are identified. Rehabilitation device development should consider the best settings to first introduce the device, roles of each stakeholder, and drivers that influence each stakeholder, to accelerate successful adoption of the developed device.

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Section: Drivers For Rehabilitation Device Adoption For Homementioning

confidence: 66%

Section: Drivers For Rehabilitation Device Adoption For Homementioning

confidence: 99%

Determining Factors that Influence Adoption of New Post-Stroke Sensorimotor Rehabilitation Devices in the USA

Morrow

Johnson

Simpson

et al. 2021

IEEE Trans. Neural Syst. Rehabil. Eng.

View full text Add to dashboard Cite

show abstract

“…Participants with cognitive impairment who experienced enhanced independence and self-efficacy through the use of such apps described that this reinforced the desire to use their smartphone and tablet. Reluctance or refusal to use smartphone and tablet technology was a major predictor of smartphone and tablet nonuse ( Bos et al, 2017 ; Lemke et al, 2020 ). Reluctance to engage with smart devices was also preceded by the perception of smartphones and tablets as products for younger generations more interested in technology and video games ( Lemke et al, 2020 ) and more skilled at using the devices ( Vaportzis, Clausen et al, 2017 ; Vaportzis, Martin et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Smartphone and Tablet Use by Older Adults With and Without Cognitive Impairment

Wilson

Byrne

Rodgers

et al. 2022

Innovation in Aging

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Background and Objectives A systematic review was conducted to explore the use of smartphones and tablet computers as cognitive and memory aids by older adults with and without cognitive impairment, specifically the effects of smartphone and tablet use on participants’ cognition and memory, and the barriers to facilitators to smartphone and tablet use for cognitive and memory support. Research Design and Methods A systematic search of six key databases found 11,895 citations published between 2010 and 2021. Studies were included if they involved community-dwelling older adults with or without cognitive impairment arising from acquired brain injury, mild cognitive impairment, or dementia, and if they evaluated everyday smartphone or tablet device use for cognition, memory, or activities of daily living. Results A total of 28 papers were included in the narrative synthesis. There was some evidence that the use of smartphones and tablets could aid cognitive function in older adults without cognitive impairment, particularly executive function and processing speed. There was modest evidence that smartphone and tablet use could support memory in both older adults without cognitive impairment and those with acquired bran injury and dementia. Discussion and Implications Smartphones and tablets were seen by users as acceptable, enjoyable, and non-stigmatising alternatives to conventional assistive technology devices; however, current use of smartphone and tablet devices is hindered by the digital literacy of older adults, a lack of accommodation for older adult users’ motor and sensory impairments, and a lack of input from clinicians and researchers. Much of the evidence presented in this review derives from case studies and small-scale trials of smartphone and tablet training interventions. Further research is needed into older adults’ use of smartphones and tablets for cognitive support before and after the onset of cognitive impairment in order to develop effective evidence-based smart technology cognition and memory aids.

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“…Regarding stroke patients' participation at home, evidence of the requirements that specific technologies need to meet is limited. Yet, a recent study showed that stroke-related impairments and device-specific requirements are important barriers to the use of information and communication technology [12]. Additionally, a qualitative and participative study by Nasr et al [13] of stroke survivors' experiences with robotic technology provides insight into the values, thoughts, and feelings of potential users of a tobe-designed robotic technology for home-based rehabilitation of the hand and wrist.…”

Section: Introductionmentioning

confidence: 99%

Technologies to improve the participation of stroke patients in their home environment

Willems

Vermeulen²,

Haastregt

et al. 2021

Disability and Rehabilitation

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Purpose: To identify possible technological solutions that can contribute to stroke patients' participation at home. Methods: In this qualitative case study, data on factors that negatively influenced participation at home were collected via semi-structured interviews with stroke patients (n ¼ 6). Additionally, data on possible technologies to improve this participation were collected via a group interview with experts (n ¼ 4). The domains "cognition, mobility, self-care, and getting along" (International Classification of Functioning, Disability and Health) guided the data collection and interpretation; open, axial and selective coding was part of the analysis. Results: Patients reported 21 factors negatively influencing participation at home, including psychological, cognitive, and physical factors. Experts suggested technological solutions regarding these factors to increase participation of stroke patients; digital assistants, apps, and virtual reality were frequently mentioned. To facilitate the use of these technologies, experts indicated the importance of involving patients in their design. They also suggested that rehabilitation specialists and family members could support the uptake and use of technologies. Conclusions: Various technologies were identified by experts as having the potential to improve the participation of stroke patients in their homes. Future research may study the influence of these technologies on the actual participation of stroke patients at home. ä IMPLICATIONS FOR REHABILITATIONThe identified technological solutions can support rehabilitation specialists in guiding stroke patients towards technologies that can support a patient's participation at home. Rehabilitation specialists can be champions in introducing, recommending and promoting technologies to stroke patients and their families, as well as in training them to use technologies. Virtual reality as a technology can be part of rehabilitation, not only to train stroke patients in daily life activities but also to increase empathy and understanding in caregivers and carers on stroke impairments. Rehabilitation specialists can recommend technologies integrated in daily life and presented as general consumer goods; stroke patients are more likely to adopt these kind of technologies.

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Motivators and barriers to using information and communication technology in everyday life following stroke: a qualitative and video observation study

Cited by 18 publications

References 33 publications

Determining Factors that Influence Adoption of New Post-Stroke Sensorimotor Rehabilitation Devices in the USA

Determining Factors that Influence Adoption of New Post-Stroke Sensorimotor Rehabilitation Devices in the USA

A Systematic Review of Smartphone and Tablet Use by Older Adults With and Without Cognitive Impairment

Technologies to improve the participation of stroke patients in their home environment

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