Stockley R C, Gooch H, Jarvis K, Watkins C
Stroke Research Team, School of Nursing and Midwifery, University of Lancashire, UK. PR1 2HE.
medRxiv. 2025 Jul 15:2025.07.11.25331266. doi: 10.1101/2025.07.11.25331266.
Technologies comprise a broad range of applications with the potential to transform outcomes for the millions of people requiring rehabilitation each year. Despite this potential, many technologies are not successfully implemented into clinical practice. No single consistent approach or model is used to support their implementation into any form of rehabilitation. This study aimed to understand the influences upon rehabilitation technology implementation in the UK's National Health Service and, using this understanding, develop a comprehensive implementation model to support the adoption of rehabilitation technologies.
A multi-methodological approach comprising qualitative enquiry and literature reviews was used to identify, analyse and group key factors that influenced rehabilitation technology implementation.
Seven themes, identified from qualitative enquiry of 48 participants, representing 8 stakeholder groups in the UK, were integrated with published technology and implementation models to generate five key domains that comprise Rehabilitation Technology Implementation Model (RiTe). These domains were: evidence, technology, users, team and organisation.
The RiTe model provides a novel and comprehensive understanding of the key factors that influence rehabilitation technology implementation and can be used to plan, support and evaluate implementation efforts. The demands of rehabilitation require repeated, frequent and prolonged participation in interventions by users with variable needs, which means that barriers and facilitators are likely to exert a magnified effect upon the process and success of implementation. Consequently, the key influencers of rehabilitation technology implementation identified in this study provide a critical opportunity to understand factors which could influence technology uptake in other clinical specialties, attesting to the value of the RiTe model to both rehabilitation and wider healthcare.
技术涵盖广泛的应用领域，有潜力改变每年数百万需要康复治疗的人的治疗效果。尽管有这种潜力，但许多技术并未成功应用于临床实践。目前没有单一一致的方法或模式来支持将其应用于任何形式的康复治疗。本研究旨在了解英国国民医疗服务体系中影响康复技术应用的因素，并基于此理解，开发一个全面的应用模型以支持康复技术的采用。
采用包括定性调查和文献综述的多方法途径，来识别、分析和归类影响康复技术应用的关键因素。
从对代表英国8个利益相关者群体的48名参与者进行的定性调查中确定的7个主题，与已发表的技术和应用模型相结合，生成了构成康复技术应用模型（RiTe）的5个关键领域。这些领域是：证据、技术、用户、团队和组织。
RiTe模型对影响康复技术应用的关键因素提供了新颖而全面的理解，可用于规划、支持和评估应用工作。康复治疗的需求要求有不同需求的用户反复、频繁且长期参与干预措施，这意味着障碍和促进因素可能会对应用过程和成功产生放大效应。因此，本研究中确定的康复技术应用的关键影响因素提供了一个关键机会，来了解可能影响其他临床专科技术采用的因素，证明了RiTe模型对康复治疗和更广泛医疗保健的价值。
