JMIR Publications

ABSTRACT

Background:

Leveraging digital technologies in healthcare is recognised as essential for effective and efficient services. However, significant challenges in implementing these technologies in stroke rehabilitation practice remain, and research on their influence is limited.

Objective:

This study aimed to explore the current influence of digital technologies on stroke rehabilitation practices and consider how these technologies could shape the future landscape of rehabilitation for multidisciplinary healthcare professionals in post-stroke rehabilitation.

Methods:

A qualitative, exploratory design was used. Data were collected from 12 experienced multidisciplinary healthcare professionals from two Norwegian rehabilitation settings via semi-structured interviews, which were analysed using reflexive thematic analysis. Data analysis was guided by Social Practice Theory.

Results:

The 12 participants included experienced physiotherapists, occupational therapists, speech therapists, nurses, physicians and social workers. Three main themes were revealed: 1) Digital health for coordination and continuity of rehabilitation, with sub-themes on follow-up, collaborations between services, and user-centred approaches; 2) The ambivalence of using digital technologies for psychosocial support conversations; and 3) Digital supplements in assessment and motor rehabilitation, containing sub-themes on progress monitoring and motor skills exercises. While all themes influenced rehabilitation practices, ambivalence and challenges were noted particularly in digitalising psychological support and exercise programs.

Conclusions:

Healthcare professionals used various technologies during their daily specialist care practices, as well as in coordination and patient follow-up after referrals to community services. This study identified several factors such as organisational processes, roles, standards, and rules that can act as barriers or drivers to implementing digital technologies in practices. Systems for sharing medical records and goal-setting apps, enhancing coordination and patient involvement were emphasised as future digital technologies shaping stroke rehabilitation. Viewing technology as a supplement to existing practices rather than a singular solution for all areas of specialised stroke rehabilitation, and leveraging already familiar technologies, offers significant potential for quality improvement. Our findings may inform technology developers, healthcare personnel and user groups in specialised neurological rehabilitation settings. Clinical Trial: None