Te Boekhorst Karlijn E, Kuipers Sanne J, Ribbers Gerard M, Cramm Jane M
Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, Rotterdam, 3062 PA, The Netherlands, 31 10 408 8555.
Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands.
JMIR Rehabil Assist Technol. 2025 Jul 9;12:e71515. doi: 10.2196/71515.
Rehabilitation technologies can support recovery and rehabilitation outside clinical settings. However, their adoption remains challenging. Factors such as ease of use, perceived benefits, and social influence play a role, but little is known about how rehabilitation patients perceive their relative importance.
This study aimed to systematically explore the viewpoints of rehabilitation patients regarding the adoption of home-based rehabilitation technology.
Between May and September 2024, this study examined the viewpoints of rehabilitation patients with acquired brain injury regarding the adoption of home-based rehabilitation technology using Q-methodology. A purposive sample of 21 participants ranked 34 opinion statements based on perceived importance and explained their choices during follow-up interviews. By-person factor analysis identified common patterns in how participants ranked the statements. These patterns, referred to as factors or viewpoints, were further interpreted using qualitative interview data.
Three viewpoints were identified, each highlighting different factors important for adopting home-based rehabilitation technology: (1) technology supporting rapid recovery, (2) technology supporting independence and self-control, and (3) technology as a supporting partner. Participants consistently emphasized the importance of regaining independence, receiving feedback during exercises, simple and easy-to-use designs, and approval from therapists, while positive reports in mainstream media, support from friends, and reducing travel to rehabilitation centers were considered less important.
The findings suggest that rehabilitation patients with acquired brain injury prioritize different factors when adopting home-based rehabilitation technology. While some factors are commonly valued, the diversity in patient viewpoints underscores the need for tailored, user-centered approaches in the design and implementation of these technologies. A one-size-fits-all approach would likely be ineffective in meeting their varying needs.
康复技术可支持临床环境之外的恢复和康复。然而，其应用仍然具有挑战性。诸如易用性、感知到的益处和社会影响等因素发挥着作用，但对于康复患者如何看待这些因素的相对重要性却知之甚少。
本研究旨在系统地探索康复患者对于采用居家康复技术的观点。
在2024年5月至9月期间，本研究采用Q方法研究了脑损伤康复患者对于采用居家康复技术的观点。21名有目的抽样的参与者根据感知到的重要性对34条观点陈述进行排序，并在后续访谈中解释他们的选择。个体因素分析确定了参与者对陈述进行排序的常见模式。这些模式，即因素或观点，使用定性访谈数据进行了进一步解释。
确定了三种观点，每种观点都突出了采用居家康复技术的不同重要因素：（1）支持快速恢复的技术，（2）支持独立性和自我控制的技术，以及（3）作为支持伙伴的技术。参与者一致强调恢复独立性、在锻炼期间获得反馈、简单易用的设计以及获得治疗师认可的重要性，而主流媒体的正面报道、朋友的支持以及减少前往康复中心的次数则被认为不太重要。
研究结果表明，脑损伤康复患者在采用居家康复技术时会优先考虑不同因素。虽然有些因素普遍受到重视，但患者观点的多样性强调了在这些技术的设计和实施中需要采用量身定制的、以用户为中心的方法。一刀切的方法可能无法有效满足他们的不同需求。
