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Improving the implementation of telerehabilitation in rehabilitation centres

Groot Nibbelink, M.C. (2019) Improving the implementation of telerehabilitation in rehabilitation centres.

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Abstract:Health care is developing due to social, demographic, economic and technological developments. Consequently, this also has an effect on rehabilitation care. Rehabilitation care is becoming more and more important due all the developments and tools to handle these developments are needed. eHealth is mentioned to help facing these changes. An element of eHealth is telerehabilitation. Telerehabilitation can be defined as a medium to use communication and information technologies for the provision of rehabilitation services. Using telerehabilitation has showed several benefits compared to traditional treatments. Benefits are the improvement of the accessibility of care, the improvement of the quality of care and lower health costs. Although the benefits, obstacles occur within the integration of telerehabilitation. There are difficulties in making it routine care for therapists and the implementation is very limited. For example, the lack of time, lack of guidance and skills are mentioned as important barriers in the implementation of telerehabilitation. Nevertheless, there are also facilitators than can stimulate and optimize the implementation of telerehabilitation. Theories can help us to understand barriers that occur during the implementation and can also enhance the ability to improve implementation processes. This study examined how to improve the implementation of telerehabilitation in rehabilitation centres to increase the change of making it routine care. Barriers and facilitators corresponding the implementation of Telerevalidatie.nl were evaluated with employees of two rehabilitation centres. Telerevalidatie.nl is an online intervention with the aim to support the patient with his or her rehabilitation program at home and to facilitate the self-management by patients. To assess the barriers corresponding the implementation of Telerevalidatie.nl, a questionnaire based on the Normalisation Process Theory was conducted (NPT). The NPT is defined as a sociological theory that helps to understand implementation, embedding and integration of innovations in order to face the gap between the technical processes and the actual use in healthcare settings. After this, interviews focusing on solutions for barriers found in the questionnaire were conducted. These solutions were categorized by strategies from the Expert Recommendation for Implementing Change (ERIC) study. The ERIC study provides a list of implementation strategies that can be used to form a tailored strategy with multiple components for implementation and serves as a guide in implementation research and practice in healthcare settings. Overall, the study demonstrated the utility of exploring implementation factors and processes at organisational specific and generic level. This study also showed the importance of focusing the implementation on different levels of an organisation, like therapists, managers and other employees. The implementation strategies that we choose for the implementation
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/77805
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