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Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study

Background: Returning to work after traumatic injury can be problematic. We developed a vocational telerehabilitation (VR) intervention for trauma survivors, delivered by trained occupational therapists (OTs) and clinical psychologists (CPs), and explored factors affecting delivery and acceptability...

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Detalles Bibliográficos
Autores principales: Kettlewell, Jade, Lindley, Rebecca, Radford, Kate, Patel, Priya, Bridger, Kay, Kellezi, Blerina, Timmons, Stephen, Andrews, Isabel, Fallon, Stephen, Lannin, Natasha, Holmes, Jain, Kendrick, Denise, Team, on behalf of the ROWTATE
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8471954/
https://www.ncbi.nlm.nih.gov/pubmed/34574670
http://dx.doi.org/10.3390/ijerph18189744
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author Kettlewell, Jade
Lindley, Rebecca
Radford, Kate
Patel, Priya
Bridger, Kay
Kellezi, Blerina
Timmons, Stephen
Andrews, Isabel
Fallon, Stephen
Lannin, Natasha
Holmes, Jain
Kendrick, Denise
Team, on behalf of the ROWTATE
author_facet Kettlewell, Jade
Lindley, Rebecca
Radford, Kate
Patel, Priya
Bridger, Kay
Kellezi, Blerina
Timmons, Stephen
Andrews, Isabel
Fallon, Stephen
Lannin, Natasha
Holmes, Jain
Kendrick, Denise
Team, on behalf of the ROWTATE
author_sort Kettlewell, Jade
collection PubMed
description Background: Returning to work after traumatic injury can be problematic. We developed a vocational telerehabilitation (VR) intervention for trauma survivors, delivered by trained occupational therapists (OTs) and clinical psychologists (CPs), and explored factors affecting delivery and acceptability in a feasibility study. Methods: Surveys pre- (5 OTs, 2 CPs) and post-training (3 OTs, 1 CP); interviews pre- (5 OTs, 2 CPs) and post-intervention (4 trauma survivors, 4 OTs, 2 CPs). Mean survey scores for 14 theoretical domains identified telerehabilitation barriers (score ≤ 3.5) and facilitators (score ≥ 5). Interviews were transcribed and thematically analysed. Results: Surveys: pre-training, the only barrier was therapists’ intentions to use telerehabilitation (mean = 3.40 ± 0.23), post-training, 13/14 domains were facilitators. Interviews: barriers/facilitators included environmental context/resources (e.g., technology, patient engagement, privacy/disruptions, travel and access); beliefs about capabilities (e.g., building rapport, complex assessments, knowledge/confidence, third-party feedback and communication style); optimism (e.g., impossible assessments, novel working methods, perceived importance and patient/therapist reluctance) and social/professional role/identity (e.g., therapeutic methods). Training and experience of intervention delivery addressed some barriers and increased facilitators. The intervention was acceptable to trauma survivors and therapists. Conclusion: Despite training and experience in intervention delivery, some barriers remained. Providing some face-to-face delivery where necessary may address certain barriers, but strategies are required to address other barriers.
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spelling pubmed-84719542021-09-28 Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study Kettlewell, Jade Lindley, Rebecca Radford, Kate Patel, Priya Bridger, Kay Kellezi, Blerina Timmons, Stephen Andrews, Isabel Fallon, Stephen Lannin, Natasha Holmes, Jain Kendrick, Denise Team, on behalf of the ROWTATE Int J Environ Res Public Health Article Background: Returning to work after traumatic injury can be problematic. We developed a vocational telerehabilitation (VR) intervention for trauma survivors, delivered by trained occupational therapists (OTs) and clinical psychologists (CPs), and explored factors affecting delivery and acceptability in a feasibility study. Methods: Surveys pre- (5 OTs, 2 CPs) and post-training (3 OTs, 1 CP); interviews pre- (5 OTs, 2 CPs) and post-intervention (4 trauma survivors, 4 OTs, 2 CPs). Mean survey scores for 14 theoretical domains identified telerehabilitation barriers (score ≤ 3.5) and facilitators (score ≥ 5). Interviews were transcribed and thematically analysed. Results: Surveys: pre-training, the only barrier was therapists’ intentions to use telerehabilitation (mean = 3.40 ± 0.23), post-training, 13/14 domains were facilitators. Interviews: barriers/facilitators included environmental context/resources (e.g., technology, patient engagement, privacy/disruptions, travel and access); beliefs about capabilities (e.g., building rapport, complex assessments, knowledge/confidence, third-party feedback and communication style); optimism (e.g., impossible assessments, novel working methods, perceived importance and patient/therapist reluctance) and social/professional role/identity (e.g., therapeutic methods). Training and experience of intervention delivery addressed some barriers and increased facilitators. The intervention was acceptable to trauma survivors and therapists. Conclusion: Despite training and experience in intervention delivery, some barriers remained. Providing some face-to-face delivery where necessary may address certain barriers, but strategies are required to address other barriers. MDPI 2021-09-16 /pmc/articles/PMC8471954/ /pubmed/34574670 http://dx.doi.org/10.3390/ijerph18189744 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kettlewell, Jade
Lindley, Rebecca
Radford, Kate
Patel, Priya
Bridger, Kay
Kellezi, Blerina
Timmons, Stephen
Andrews, Isabel
Fallon, Stephen
Lannin, Natasha
Holmes, Jain
Kendrick, Denise
Team, on behalf of the ROWTATE
Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study
title Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study
title_full Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study
title_fullStr Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study
title_full_unstemmed Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study
title_short Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study
title_sort factors affecting the delivery and acceptability of the rowtate telehealth vocational rehabilitation intervention for traumatic injury survivors: a mixed-methods study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8471954/
https://www.ncbi.nlm.nih.gov/pubmed/34574670
http://dx.doi.org/10.3390/ijerph18189744
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