Adoption of Stroke Rehabilitation Technologies by the User Community (Preprint)
BACKGROUND Using technology in stroke rehabilitation is attractive. Devices from robots to smart phone apps can help deliver evidence-based levels of practice intensity and automated feedback without additional labour costs. Currently, however, few technologies have been adopted into everyday rehabilitation. OBJECTIVE This project aimed to identify stakeholder (users (including therapists, patients and carers) technology developers (including researchers) and policymakers) priorities for stroke rehabilitation technologies and generate user-centred solutions to enhance everyday adoption. METHODS Stakeholders (n=60), including stroke survivors (33%), therapists (33%), carers and technology developers (including researchers) (33%), were invited to attend two facilitated workshops. Workshop one was preceded by a national survey of stroke survivors and therapists (n=177) to generate an initial list of priorities. The subsequent workshop focused on generating practical solutions to enhance adoption. RESULTS Twenty-five priorities were generated from the survey, these were reduced to ten, non-ranked, priorities through discussion, consensus activities and voting at workshop 1. These were: access to technologies, ease of use, awareness of available technologies, technologies focused on function, supports self-management, user training, evidence of effectiveness, value for money, knowledgeable staff and performance feedback. The second workshop provided recommendations for improving the adoption of technologies in stroke rehabilitation: an annual exhibition of commercially available and developing technologies, an online consumer-rating website of available technologies and a user network to inspire and test new technologies. CONCLUSIONS The key outcomes from this series of stakeholder workshops provides a starting point for an integrated approach to promoting greater adoption of technologies in stroke rehabilitation. Bringing technology developers and users together to shape future and evaluate current technologies is critical to achieving evidence-based stroke rehabilitation. CLINICALTRIAL None