Cargando…
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...
Autores principales: | , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1784574600243314688 |
---|---|
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. |
format | Online Article Text |
id | pubmed-8471954 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT kettlewelljade factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT lindleyrebecca factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT radfordkate factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT patelpriya factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT bridgerkay factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT kelleziblerina factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT timmonsstephen factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT andrewsisabel factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT fallonstephen factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT lanninnatasha factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT holmesjain factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT kendrickdenise factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy AT teamonbehalfoftherowtate factorsaffectingthedeliveryandacceptabilityoftherowtatetelehealthvocationalrehabilitationinterventionfortraumaticinjurysurvivorsamixedmethodsstudy |