Indiana University-Purdue University Indianapolis (IUPUI) / Background: Pulmonary rehabilitation (PR) has the potential to reduce the
symptoms and complications of respiratory diseases through an interdisciplinary
approach. Providing PR services to the increasing number of patients with chronic
respiratory diseases challenges the current health care systems because of the shortages in
health care practitioners and PR programs. Using telerehabilitation may improve patients’
participation and compliance with PR programs. The purpose of this study was to
examine the applicability of the technology acceptance model (TAM) to explain
telerehabilitation acceptance and to determine the demographic variables that can
influence acceptance.
Methods: A cross-sectional survey-based design was utilized in the data
collection. The survey scales were based on the TAM. The first group of participants
consisted of health care practitioners working in PR programs. The second group of
participants included patients attending traditional PR programs. The data collection
process started in January 2017 and lasted until May 2017.
Results: A total of 222 health care practitioners and 134 patients completed the
survey. The results showed that 79% of the health care practitioners and 61.2% of the
patients reported positive intention to use telerehabilitation. Regression analyses showed
that the TAM was good at predicting telerehabilitation acceptance. Perceived usefulness was a significant predictor of the positive intentions to use telerehabilitation for health
care providers (OR: 17.81, p < .01) and for the patients (OR: 6.46, p = .04). The logistic
regression outcomes showed that age, experience in rehabilitation, and type of PR
increased the power of the TAM to predict the intention to use telerehabilitation among
health care practitioners. Age, duration of the disease, and distance from the PR center
increased the power of the TAM to predict the intention to use telerehabilitation among
patients.
Conclusion: This is the first study to develop and validate a psychometric
instrument to measure telerehabilitation acceptance among health care practitioners and
patients in PR programs. The outcomes of this study will help in understanding the
telerehabilitation acceptance. It will help not only to predict future adoption but also to
develop appropriate solutions to address the barriers of using telerehabilitation.
| Identifer | oai:union.ndltd.org:IUPUI/oai:scholarworks.iupui.edu:1805/14970 |
| Date | 09 November 2017 |
| Creators | Almojaibel, Abdullah |
| Contributors | Munk, Niki, Fisher, Thomas, Comer, Amber, Miller, Kristine, Justiss, Michael, Bakas, Tamilyn |
| Source Sets | Indiana University-Purdue University Indianapolis |
| Language | en_US |
| Detected Language | English |
| Type | Dissertation |
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