Factors Affecting the Delivery and Acceptability of the ROWTATE Telehealth Vocational Rehabilitation Intervention for Traumatic Injury Survivors: A Mixed-Methods Study

Jade Kettlewell, Rebecca Lindley, Kate Radford, Priya Patel, Kay Bridger, Blerina Kellezi, Stephen Timmons, Isabel Andrews, Stephen Fallon, Natasha Lannin, Jain Holmes, Denise Kendrick and on behalf of the ROWTATE Team
Additional contact information
Jade Kettlewell: Centre for Health Innovation, Leadership & Learning, Business School, University of Nottingham, Nottingham NG8 1BB, UK
Rebecca Lindley: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Kate Radford: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Priya Patel: Institute of Mental Health, University of Nottingham, Nottingham NG7 2TU, UK
Kay Bridger: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Blerina Kellezi: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Stephen Timmons: Centre for Health Innovation, Leadership & Learning, Business School, University of Nottingham, Nottingham NG8 1BB, UK
Isabel Andrews: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Stephen Fallon: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Natasha Lannin: Department of Neuroscience, Monash University, Melbourne, VIC 3004, Australia
Jain Holmes: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Denise Kendrick: School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
on behalf of the ROWTATE Team: The ROWTATE Team is listed in acknowledgments.

IJERPH, 2021, vol. 18, issue 18, 1-27

Abstract: Background: Returning to work after traumatic injury can be problematic. We developed a vocational telerehabilitation (VR) intervention for trauma survivors, delivered by trained occupational therapists (OTs) and clinical psychologists (CPs), and explored factors affecting delivery and acceptability in a feasibility study. Methods: Surveys pre- (5 OTs, 2 CPs) and post-training (3 OTs, 1 CP); interviews pre- (5 OTs, 2 CPs) and post-intervention (4 trauma survivors, 4 OTs, 2 CPs). Mean survey scores for 14 theoretical domains identified telerehabilitation barriers (score ? 3.5) and facilitators (score ? 5). Interviews were transcribed and thematically analysed. Results: Surveys: pre-training, the only barrier was therapists’ intentions to use telerehabilitation (mean = 3.40 ± 0.23), post-training, 13/14 domains were facilitators. Interviews: barriers/facilitators included environmental context/resources (e.g., technology, patient engagement, privacy/disruptions, travel and access); beliefs about capabilities (e.g., building rapport, complex assessments, knowledge/confidence, third-party feedback and communication style); optimism (e.g., impossible assessments, novel working methods, perceived importance and patient/therapist reluctance) and social/professional role/identity (e.g., therapeutic methods). Training and experience of intervention delivery addressed some barriers and increased facilitators. The intervention was acceptable to trauma survivors and therapists. Conclusion: Despite training and experience in intervention delivery, some barriers remained. Providing some face-to-face delivery where necessary may address certain barriers, but strategies are required to address other barriers.

Keywords: traumatic injuries; return to work; vocational rehabilitation; patient perspectives; telehealth; acceptability; mixed methods; occupational therapy; clinical psychology (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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