ABSTRACT

Despite evidence of the efficacy of telerehabilitation post-stroke, uptake has lagged behind the development of available technology, slowed by low confidence in user experience. We aimed to explore the issue of acceptability by characterizing the experience of telerehabilitation for service providers and consumers of a memory rehabilitation program. Semi-structured interviews were conducted with nine clinicians (M_age = 33.29; SD = 7.37; range 25–44) and 25 stroke survivors with memory difficulties (M_age = 54.12; SD = 10.99; range 36–82) following a 6-week compensatory memory skills program delivered via in-home videoconferencing. Thematic analysis identified a range of perspectives under three overarching themes: (1) Content and Delivery; (2) Relationship and Connection; and (3) The Role and Benefits of Telerehabilitation. Reports from both respondent groups were overwhelmingly positive about the telerehabilitation experience and identified the benefits of increasing service availability. Videoconferencing technology was usable and occasional reliability issues were not a barrier. Users identified a range of benefits and challenges regarding communication, rapport building, and integration of rehabilitation in the home environment. Furthermore, most stroke survivors reported benefit from the intervention, via the acquisition of memory strategies and improved self-confidence through better understanding of their deficits. Overall, telerehabilitation of memory was acceptable to users.

摘要

尽管有证据表明中风后远程康复的有效性，但由于对用户体验的信心不足，采用率落后于可用技术的发展。我们旨在通过描述记忆康复计划的服务提供者和消费者的远程康复体验来探索可接受性问题。对 9 名临床医生（M_年龄 = 33.29；SD  = 7.37；范围 25-44）和 25 名有记忆困难的中风幸存者（M_年龄 = 54.12；SD）进行了半结构化访谈 = 10.99; 范围 36–82），通过家庭视频会议提供 6 周的补偿性记忆技能计划。专题分析确定了三个总体主题下的一系列观点：(1)内容和交付；(2)关系和联系；(3)远程康复的作用和好处. 来自两个受访者群体的报告都对远程康复体验给予了压倒性的肯定，并确定了提高服务可用性的好处。视频会议技术是可用的，偶尔出现的可靠性问题也不是障碍。用户确定了与家庭环境中的沟通、建立融洽关系和康复整合相关的一系列好处和挑战。此外，大多数中风幸存者报告从干预中受益，通过获得记忆策略和通过更好地了解他们的缺陷来提高自信心。总体而言，用户可以接受远程记忆康复。