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Perceived Usability and Acceptability of Videoconferencing for Delivering Community-Based Rehabilitation to Individuals with Acquired Brain Injury: A Qualitative Investigation

Published online by Cambridge University Press:  27 January 2020

Tamara Ownsworth Open the ORCID record for Tamara Ownsworth [Opens in a new window] ,
Deborah Theodoros ,
Louise Cahill ,
Atiyeh Vaezipour ,
Ray Quinn ,
Melissa Kendall ,
Wendy Moyle  and
Karen Lucas
Tamara Ownsworth*
Affiliation:
School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD 4122, Australia
Deborah Theodoros
Affiliation:
RECOVER Injury Research Centre, The University of Queensland, Brisbane, QLD 4072, Australia
Louise Cahill
Affiliation:
RECOVER Injury Research Centre, The University of Queensland, Brisbane, QLD 4072, Australia
Atiyeh Vaezipour
Affiliation:
RECOVER Injury Research Centre, The University of Queensland, Brisbane, QLD 4072, Australia
Ray Quinn
Affiliation:
Acquired Brain Injury Outreach Service, The Hopkins Centre, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
Melissa Kendall
Affiliation:
School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD 4122, Australia Acquired Brain Injury Outreach Service, The Hopkins Centre, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
Wendy Moyle
Affiliation:
School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD 4122, Australia
Karen Lucas
Affiliation:
Telehealth Centre, Metro South Health, Brisbane, QLD 4102, Australia
*
Correspondence and reprint requests to: Tamara Ownsworth, School of Applied Psychology, Griffith University, Mt Gravatt, Australia. E-mail: [email protected]
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Abstract

Objectives:

There is limited research on the use of telerehabilitation platforms in service delivery for people with acquired brain injury (ABI), especially technologies that support delivery of services into the home. This qualitative study aimed to explore the perspectives of rehabilitation coordinators, individuals with ABI, and family caregivers on the usability and acceptability of videoconferencing (VC) in community-based rehabilitation. Participants’ experiences and perceptions of telerehabilitation and their impressions of a particular VC system were investigated.

Methods:

Guided by a theory on technology acceptance, semi-structured interviews were conducted with 30 participants from a community-based ABI service, including 13 multidisciplinary rehabilitation coordinators, 9 individuals with ABI, and 8 family caregivers. During the interview, they were shown a paper prototype of a telehealth portal for VC that was available for use. Interview transcripts were coded by two researchers and analysed thematically.

Results:

The VC was used on average for 2% of client consultations. Four major themes depicted factors influencing the uptake of VC platforms; namely, the context or impetus for use, perceived benefits, potential problems and parameters around use, and balancing the service and user needs. Participants identified beneficial uses of VC in service delivery and strategies for promoting a positive user experience.

Conclusions:

Perceptions of the usability of VC to provide services in the home were largely positive; however, consideration of use on a case-by-case basis and a trial implementation was recommended to enhance successful uptake into service delivery.

Keywords

Acquired brain injuryTelehealthVideoconferencingCommunity integrationRehabilitationQualitative research
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 26 , Special Issue 1: Rehabilitation , January 2020 , pp. 47 - 57
Copyright
Copyright © INS. Published by Cambridge University Press, 2020. 

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