Differences in factors influencing the use of eRehabilitation after stroke; a comparison between Brazilian and Dutch healthcare professionals
Abstract Introduction: To improve the use of eRehabilitation after stroke, the identification of barriers and facilitators influencing this use in different healthcare contexts around the world is needed. Therefore, this study aims to investigate differences and similarities in factors influencing the use of eRehabilitation after stroke among Brazilian Healthcare Professionals (BHP) and Dutch Healthcare Professionals (DHP). Method: A cross-sectional survey study including 88 statements about factors related to the use of eRehabilitation (4-point Likert scale; 1-4; unimportant-important/disagree-agree). The survey was conducted among BHP and DHP (physical therapists, rehabilitating physicians and psychologists). Descriptive statistics were used to analyse differences and similarities in factors influencing the use of eRehabilitation. Results: ninety-nine (response rate 27%) BHP and 105 (response rate 37%) DHP participated. Differences were found in the top-10 most influencing statements between BHP and DHP; top-10 least influencing statements were mostly similar. Discussion: The results indicate that the use of eRehabilitation after stroke by BHP and DHP is influenced by different factors. A tailored implementation strategy for both countries needs to be developed; BHP were most influenced by support from the organization and the potential benefits of the use of eRehabilitation, DHP by the feasibility of the use of eRehabilitation for the patient. Statements with low influence like problems caused by patient characteristics or problems with resources, were comparable for both groups and should have less priority in the implementation strategies.