Jarvis Kathryn, Cook Julie, Bavikatte Ganesh, Branscombe Nicola, Donovan Steve, Haworth Jo, Lawrence Charlotte, Morland Chris, Stockley Rachel C
Stroke Research Team, University of Central Lancashire (UCLan), Preston, UK.
Applied Health Research Hub, University of Central Lancashire (UCLan), Preston, UK.
Disabil Rehabil Assist Technol. 2025 Jan;20(1):64-74. doi: 10.1080/17483107.2024.2351499. Epub 2024 May 14.
Digital health technologies have the potential to advance rehabilitation. The Virtual Engagement Rehabilitation Assistant (VERA) is a digital technology, co-designed to increase service-user engagement and promote self-management. This qualitative study explored staff and service-user perceptions of implementing VERA on a UK complex inpatient rehabilitation ward.
Purposively sampled service-users were allocated to VERA for up to six weeks. The Non-adoption, Abandonment, Scale-up, Spread and Sustainability (NASSS) framework underpinned service-user post-intervention interviews and staff focus groups, and structured analysis of the data. Seven service-users were interviewed. Nine staff contributed to focus groups.
A framework analysis identified themes (and subthemes) structured by the NASSS framework domains: 1. Nature of Clinical Condition, 2. Technology (Ease of Use, Holding Information/Resources in a single Digital Location, Appointments), 3. Value Proposition (Structuring Time, Feedback, Unexpected Benefits) 4. Adopters (Confidence in using Technology, Usefulness), 5. Wider Organisation. Ease of use and storage of key information in a single location were beneficial. Reliability, and provision of accurate and timely feedback to staff and service-users, were identified as essential.
A blended approach is required to meet staff and service-user needs. The potential for VERA in a community setting was identified and requires further investigation. Learning from VERA will support development of other digital technologies and their implementation.
数字健康技术有推动康复的潜力。虚拟参与康复助手（VERA）是一种数字技术，其设计旨在提高服务使用者的参与度并促进自我管理。这项定性研究探讨了英国一家复杂的住院康复病房的工作人员和服务使用者对实施VERA的看法。
有目的地抽取服务使用者，让他们使用VERA长达六周。非采用、放弃、扩大规模、传播和可持续性（NASSS）框架为服务使用者干预后的访谈、工作人员焦点小组以及数据的结构化分析提供了支撑。对7名服务使用者进行了访谈。9名工作人员参与了焦点小组。
框架分析确定了由NASSS框架领域构建的主题（和子主题）：1. 临床状况的性质，2. 技术（易用性、在单一数字位置保存信息/资源、预约），3. 价值主张（安排时间、反馈、意外益处），4. 采用者（使用技术的信心、有用性），5. 更广泛的组织。在单一位置易于使用和存储关键信息是有益的。可靠性以及向工作人员和服务使用者提供准确及时的反馈被认为是必不可少的。
需要采用混合方法来满足工作人员和服务使用者的需求。确定了VERA在社区环境中的潜力，需要进一步调查。从VERA中吸取的经验教训将支持其他数字技术的开发及其实施。
