Glegg Stephanie M N, Holsti Liisa, Stanton Sue, Hanna Steven, Velikonja Diana, Ansley Barbara, Sartor Denise, Brum Christine
a Sunny Hill Health Centre for Children , Vancouver , BC , Canada.
b Department of Occupational Science and Occupational Therapy , University of British Columbia , Vancouver , BC , Canada.
Disabil Rehabil Assist Technol. 2017 Apr;12(3):217-226. doi: 10.3109/17483107.2015.1111944. Epub 2016 Jan 10.
To evaluate the impact of knowledge translation (KT) on factors influencing virtual reality (VR) adoption and to identify support needs of therapists.
Intervention will be associated with improvements in therapists' perceived ease of use and self-efficacy, and an associated increase in intentions to use VR.
Single group mixed-methods pre-test-post-test evaluation of convenience sample of physical, occupational and rehabilitation therapists (n=37) from two brain injury rehabilitation centres. ADOPT-VR administered pre/post KT intervention, consisting of interactive education, clinical manual, technical and clinical support.
Increases in perceived ease of use (p=0.000) and self-efficacy (p=0.001), but not behavioural intention to use VR (p=0.158) were found following KT, along with decreases in the frequency of perceived barriers. Post-test changes in the frequency and nature of perceived facilitators and barriers were evident, with increased emphasis on peer influence, organisational-level supports and client factors. Additional support needs were related to clinical reasoning, treatment programme development, technology selection and troubleshooting.
KT strategies hold potential for targeting therapists' perceptions of low self-efficacy and ease of use of this technology. Changes in perceived barriers, facilitators and support needs at post-test demonstrated support for repeated evaluation and multi-phased training initiatives to address therapists' needs over time. Implications for Rehabilitation Therapists' learning and support needs in integrating virtual reality extend beyond technical proficiency to include clinical decision-making and application competencies spanning the entire rehabilitation process. Phased, multi-faceted strategies may be valuable in addressing therapists' changing needs as they progress from novice to experienced virtual reality users. The ADOPT-VR is a sensitive measure to re-evaluate the personal, social, environmental, technology-specific and system-level factors influencing virtual reality adoption over time.
评估知识转化（KT）对影响虚拟现实（VR）应用的因素的影响，并确定治疗师的支持需求。
干预将与治疗师感知到的易用性和自我效能的改善相关，并与使用VR的意愿增加相关。
对来自两个脑损伤康复中心的物理治疗师、职业治疗师和康复治疗师（n = 37）的便利样本进行单组混合方法的前后测试评估。在KT干预前后实施ADOPT-VR，包括互动教育、临床手册、技术和临床支持。
KT后发现感知易用性（p = 0.000）和自我效能（p = 0.001）有所提高，但使用VR的行为意愿未增加（p = 0.158），同时感知障碍的频率有所降低。测试后，感知促进因素和障碍的频率和性质发生了明显变化，对同伴影响、组织层面的支持和客户因素的重视增加。额外的支持需求与临床推理、治疗方案制定、技术选择和故障排除有关。
KT策略有潜力针对治疗师对该技术自我效能低和易用性的认知。测试后感知障碍、促进因素和支持需求的变化表明，支持进行重复评估和多阶段培训计划，以满足治疗师随时间变化的需求。康复治疗师在整合虚拟现实方面的学习和支持需求的影响超出了技术熟练程度，包括整个康复过程中的临床决策和应用能力。随着治疗师从新手成长为经验丰富的虚拟现实用户，分阶段、多方面的策略可能对满足他们不断变化的需求很有价值。ADOPT-VR是一种敏感的措施，可用于重新评估随时间影响虚拟现实应用的个人、社会、环境、技术特定和系统层面的因素。
