School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD 4122, Australia.
RECOVER Injury Research Centre, The University of Queensland, Brisbane, QLD 4072, Australia.
J Int Neuropsychol Soc. 2020 Jan;26(1):47-57. doi: 10.1017/S135561771900078X.
There is limited research on the use of telerehabilitation platforms in service delivery for people with acquired brain injury (ABI), especially technologies that support delivery of services into the home. This qualitative study aimed to explore the perspectives of rehabilitation coordinators, individuals with ABI, and family caregivers on the usability and acceptability of videoconferencing (VC) in community-based rehabilitation. Participants' experiences and perceptions of telerehabilitation and their impressions of a particular VC system were investigated.
Guided by a theory on technology acceptance, semi-structured interviews were conducted with 30 participants from a community-based ABI service, including 13 multidisciplinary rehabilitation coordinators, 9 individuals with ABI, and 8 family caregivers. During the interview, they were shown a paper prototype of a telehealth portal for VC that was available for use. Interview transcripts were coded by two researchers and analysed thematically.
The VC was used on average for 2% of client consultations. Four major themes depicted factors influencing the uptake of VC platforms; namely, the context or impetus for use, perceived benefits, potential problems and parameters around use, and balancing the service and user needs. Participants identified beneficial uses of VC in service delivery and strategies for promoting a positive user experience.
Perceptions of the usability of VC to provide services in the home were largely positive; however, consideration of use on a case-by-case basis and a trial implementation was recommended to enhance successful uptake into service delivery.
在为后天性脑损伤（ABI）患者提供服务方面，远程康复平台的使用研究有限，尤其是在支持服务进入家庭的技术方面。本定性研究旨在探讨康复协调员、ABI 患者和家庭照顾者对基于社区的康复中视频会议（VC）的可用性和可接受性的看法。研究调查了参与者对远程康复的体验和看法，以及他们对特定 VC 系统的印象。
本研究以技术接受理论为指导，对来自社区性 ABI 服务的 30 名参与者（包括 13 名多学科康复协调员、9 名 ABI 患者和 8 名家庭照顾者）进行了半结构化访谈。访谈中，他们观看了一个用于 VC 的远程健康门户的纸质原型，该门户可供使用。两位研究人员对访谈记录进行了编码，并进行了主题分析。
VC 的平均使用率为客户咨询的 2%。四个主要主题描述了影响 VC 平台采用的因素；即使用的背景或动力、感知到的好处、潜在的问题和使用的参数，以及平衡服务和用户的需求。参与者确定了 VC 在服务提供中的有益用途和促进积极用户体验的策略。
对 VC 在家中提供服务的可用性的看法基本上是积极的；然而，建议根据具体情况考虑使用，并进行试用实施，以增强成功纳入服务提供。
