J. Med. Internet Res. - Occupational therapists' views on using a virtual reality interior design application within the pre-discharge home visit process.

Tópicos

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Resumo

CKGROUND: A key role of Occupational Therapists (OTs) is to carry out pre-discharge home visits (PHV) and propose appropriate adaptations to the home environment in order to enable patients to function independently after hospital discharge. However, research shows that more than 50% of specialist equipment installed as part of home adaptations is not used by patients. A key reason for this is that decisions about home adaptations are often made without adequate collaboration and consultation with the patient. Consequently, there is an urgent need to seek out new and innovative uses of technology to facilitate patient/practitioner collaboration, engagement, and shared decision making in the PHV process. Virtual reality interior design applications (VRIDAs) primarily allow users to simulate the home environment and visualize changes prior to implementing them. Customized VRIDAs, which also model specialist occupational therapy equipment, could become a valuable tool to facilitate improved patient/practitioner collaboration, if developed effectively and integrated into the PHV process.OBJECTIVE: The intent of the study was to explore the perceptions of OTs with regard to using VRIDAs as an assistive tool within the PHV process.METHODS: Task-oriented interactive usability sessions, utilizing the think-aloud protocol and subsequent semi-structured interviews were carried out with seven OTs who possessed significant experience across a range of clinical settings. Template analysis was carried out on the think-aloud and interview data. Analysis was both inductive and driven by theory, centering around the parameters that impact upon the acceptance, adoption, and use of this technology in practice as indicated by the Technology Acceptance Model (TAM).RESULTS: OTs' perceptions were identified relating to three core themes: (1) perceived usefulness (PU), (2) perceived ease of use (PEoU), and (3) actual use (AU). Regarding PU, OTs believed VRIDAs had promising potential to increase understanding, enrich communication and patient involvement, and improve patient/practitioner shared understanding. However, it was unlikely that VRIDAs would be suitable for use with cognitively impaired patients. For PEoU, all OTs were able to use the software and complete the tasks successfully; however, participants noted numerous specialist equipment items that could be added to the furniture library. AU perceptions were positive regarding use of the application across a range of clinical settings including children/young adults, long-term conditions, neurology, older adults, and social services. However, some "fine tuning" may be necessary if the application is to be optimally used in practice.CONCLUSIONS: Participants perceived the use of VRIDAs in practice would enhance levels of patient/practitioner collaboration and provide a much needed mechanism via which patients are empowered to become more equal partners in decisions made about their care. Further research is needed to explore patient perceptions of VRIDAs, to make necessary customizations accordingly, and to explore deployment of the application in a collaborative patient/practitioner-based context.

Resumo Limpo

ckground key role occup therapist ot carri predischarg home visit phv propos appropri adapt home environ order enabl patient function independ hospit discharg howev research show specialist equip instal part home adapt use patient key reason decis home adapt often made without adequ collabor consult patient consequ urgent need seek new innov use technolog facilit patientpractition collabor engag share decis make phv process virtual realiti interior design applic vrida primarili allow user simul home environ visual chang prior implement custom vrida also model specialist occup therapi equip becom valuabl tool facilit improv patientpractition collabor develop effect integr phv processobject intent studi explor percept ot regard use vrida assist tool within phv processmethod taskori interact usabl session util thinkaloud protocol subsequ semistructur interview carri seven ot possess signific experi across rang clinic set templat analysi carri thinkaloud interview data analysi induct driven theori center around paramet impact upon accept adopt use technolog practic indic technolog accept model tamresult ot percept identifi relat three core theme perceiv use pu perceiv eas use peou actual use au regard pu ot believ vrida promis potenti increas understand enrich communic patient involv improv patientpractition share understand howev unlik vrida suitabl use cognit impair patient peou ot abl use softwar complet task success howev particip note numer specialist equip item ad furnitur librari au percept posit regard use applic across rang clinic set includ childrenyoung adult longterm condit neurolog older adult social servic howev fine tune may necessari applic optim use practiceconclus particip perceiv use vrida practic enhanc level patientpractition collabor provid much need mechan via patient empow becom equal partner decis made care research need explor patient percept vrida make necessari custom accord explor deploy applic collabor patientpractitionerbas context

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