Rehabilitation device efficacy alone does not lead to clinical practice adoption. Previous literature identifies drivers for device adoption by therapists but does not identify the best settings to introduce devices, the roles of different stakeholders including rehabilitation directors, or specific criteria to be met during device development. The objective of this work was to provide insights into these areas to increase clinical adoption of post-stroke restorative rehabilitation devices. We interviewed 107 persons including physical/occupational therapists, rehabilitation directors, and stroke survivors and performed content analysis. Unique to this work, care settings in which therapy goals are best aligned for restorative devices were found to be outpatient rehabilitation, followed by inpatient rehabilitation. Therapists are the major influencers for adoption because they typically introduce new rehabilitation devices to patients for both clinic and home use. We also learned therapists’ utilization rate of a rehabilitation device influences a rehabilitation director’s decision to acquire the device for facility use. Main drivers for each stakeholder are identified, along with specific criteria to add details to findings from previous literature. In addition, drivers for home adoption of rehabilitation devices by patients are identified. Rehabilitation device development should consider the best settings to first introduce the device, roles of each stakeholder, and drivers that influence each stakeholder, to accelerate successful adoption of the developed device.

中文翻译：

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影响美国采用新型中风后感觉运动康复设备的决定性因素

仅靠康复器械的功效并不能导致临床实践的采用。以前的文献确定了治疗师采用设备的驱动因素，但没有确定引入设备的最佳环境、包括康复主管在内的不同利益相关者的角色，或者设备开发过程中要满足的特定标准。这项工作的目的是提供对这些领域的见解，以增加中风后恢复性康复设备的临床采用。我们采访了 107 人，包括物理/职业治疗师、康复主管和中风幸存者，并进行了内容分析。这项工作的独特之处在于，发现治疗目标最适合恢复性设备的护理环境是门诊康复，然后是住院康复。治疗师是采用的主要影响者，因为他们通常会向患者介绍新的康复设备以供诊所和家庭使用。我们还了解到治疗师对康复设备的利用率会影响康复主管购买设备以供设施使用的决定。确定了每个利益相关者的主要驱动因素，以及具体标准，以向先前文献中的发现添加详细信息。此外，还确定了患者在家中采用康复设备的驱动因素。康复设备开发应考虑首先引入设备的最佳设置、每个利益相关者的角色以及影响每个利益相关者的驱动因素，以加速成功采用开发的设备。