The complexity of home-based rehabilitation technology implementation for post-stroke motor rehabilitation in the Netherlands
2025

Challenges in Home-Based Rehabilitation Technology for Stroke Patients

Sample size: 22 publication Evidence: moderate

Author Information

Author(s): te Boekhorst Karlijn E., Kuipers Sanne J., Ribbers Gerard M., Cramm Jane M.

Primary Institution: Erasmus University Rotterdam

Hypothesis

What factors influence the uptake of stroke rehabilitation technology among various stakeholders?

Conclusion

The sustainable implementation of home-based rehabilitation technology faces several challenges, primarily due to fragmented responsibilities among stakeholders.

Supporting Evidence

  • Effective collaboration among stakeholders is crucial for addressing implementation challenges.
  • Fragmented responsibilities hinder the adoption of home-based rehabilitation technologies.
  • Stakeholders expressed concerns about the usability of technology for stroke survivors.
  • Healthcare professionals noted the importance of in-person guidance for effective rehabilitation.

Takeaway

This study found that getting technology for stroke recovery to work at home is hard because everyone involved has different responsibilities and needs to work better together.

Methodology

22 semi-structured interviews were conducted with stakeholders using the NASSS framework for analysis.

Potential Biases

Potential bias due to the limited experience of stakeholders with home-based rehabilitation technology.

Limitations

The study's findings may not fully represent the perspectives of informal caregivers and individuals who had strokes due to limited representation.

Participant Demographics

Participants included stroke survivors, healthcare professionals, health insurers, and technology developers, with a mean age of 46 years.

Digital Object Identifier (DOI)

10.1186/s12913-024-12044-2

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