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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

Author

Listed:
  • Jade Kettlewell

    (Centre for Health Innovation, Leadership & Learning, Business School, University of Nottingham, Nottingham NG8 1BB, UK
    School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • Rebecca Lindley

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • Kate Radford

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • Priya Patel

    (Institute of Mental Health, University of Nottingham, Nottingham NG7 2TU, UK)

  • Kay Bridger

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
    Department of Psychology, Nottingham Trent University, Nottingham NG1 4FQ, UK)

  • Blerina Kellezi

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
    Department of Psychology, Nottingham Trent University, Nottingham NG1 4FQ, UK)

  • Stephen Timmons

    (Centre for Health Innovation, Leadership & Learning, Business School, University of Nottingham, Nottingham NG8 1BB, UK)

  • Isabel Andrews

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • Stephen Fallon

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • Natasha Lannin

    (Department of Neuroscience, Monash University, Melbourne, VIC 3004, Australia)

  • Jain Holmes

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • Denise Kendrick

    (School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK)

  • on behalf of the ROWTATE Team

    (The ROWTATE Team is listed in acknowledgments.)

Abstract

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.

Suggested Citation

  • Jade Kettlewell & Rebecca Lindley & Kate Radford & Priya Patel & Kay Bridger & Blerina Kellezi & Stephen Timmons & Isabel Andrews & Stephen Fallon & Natasha Lannin & Jain Holmes & Denise Kendrick & on, 2021. "Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study," IJERPH, MDPI, vol. 18(18), pages 1-27, September.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9744-:d:636616
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    Cited by:

    1. Tuija Partanen & Riitta Seppänen-Järvelä & Sinikka Hiekkala & Jari Lindh, 2023. "Telerehabilitation in the Finnish Outpatient Rehabilitation Setting from the Perspective of the Socio-Technical Systems Theory," IJERPH, MDPI, vol. 20(15), pages 1-14, August.

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