Acceptability of a digital health intervention alongside physiotherapy to support patients following anterior cruciate ligament reconstruction.
Acceptability of a digital health intervention alongside physiotherapy to support patients following anterior cruciate ligament reconstruction.
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DOI：
10.1186/s12891-017-1846-0
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发表时间：
2017-11-21
影响因子：
2.3
通讯作者：
Button K
中科院分区：
文献类型：
--
作者：
Dunphy E;Hamilton FL;Spasić I;Button K
前交叉韧带（ACL）手术重建后的物理治疗康复可能需要长达12个月才能完成。鉴于漫长的康复过程，混合干预可以用来补充面对面的物理治疗与数字运动干预。在这项研究中，我们使用了TRAK，这是一种为支持膝关节康复而开发的基于网络的工具，它提供了个性化的锻炼计划，包括每次锻炼的视频，说明和进度日志，相关的健康信息和联系方式，允许患者通过电子邮件向物理治疗师提供额外的支持。本研究的目的是评价基于TRAK的混合干预在ACL重建术后康复中的可接受性。在伦敦NHS医院，采用半结构化访谈的定性研究设计，对ACL重建后的参与者及其治疗物理治疗师进行方便样本。参与者被要求使用TRAK和面对面的物理治疗16周。访谈由两名研究人员独立进行，录音，逐字转录和编码。采用专题分析法对数据进行分析。在参与本研究的25名受试者中，24人同意，包括8名女性和16名男性，平均年龄30岁。17人使用TRAK 16周，并可接受采访。还采访了四名理疗师。从患者中确定的六个主题是：TRAK康复的经验，参与的个人特征，干预的优势和劣势，TRAK的未来和对数字医疗保健的态度。物理治疗师访谈的主要主题是：潜在的好处，资源和服务组织的可用性，以支持使用TRAK。TRAK被认为是与面对面物理治疗一起提供ACL康复的可接受方法。患者报告说，TRAK，特别是视频，增加了他们的信心和动力与他们的康复。他们确定了今后开发TRAK的方法，以满足技术期望并进一步支持恢复工作。物理治疗师的时间和计算机的可用性影响可接受性。需要组织护理，以支持将TRAK等数字运动干预措施整合到混合康复方法中。
Physiotherapy rehabilitation following surgical reconstruction to the Anterior Cruciate Ligament (ACL) can take up to 12 months to complete. Given the lengthy rehabilitation process, a blended intervention can be used to compliment face-to-face physiotherapy with a digital exercise intervention. In this study, we used TRAK, a web–based tool that has been developed to support knee rehabilitation, which provides individually tailored exercise programs with videos, instructions and progress logs for each exercise, relevant health information and a contact option that allows a patient to email a physiotherapist for additional support. The aim of this study was to evaluate the acceptability of TRAK–based blended intervention in post ACL reconstruction rehabilitation. A qualitative research design using semi-structured interviews was used on a convenience sample of participants following an ACL reconstruction, and their treating physiotherapists, in a London NHS hospital. Participants were asked to use TRAK alongside face-to-face physiotherapy for 16 weeks. Interviews were carried out, audio recorded, transcribed verbatim and coded by two researchers independently. Data were analyzed using thematic analysis. Of the 25 individuals that were approached to be part of the study, 24 consented, comprising 8 females and 16 males, mean age 30 years. 17 individuals used TRAK for 16 weeks and were available for interview. Four physiotherapists were also interviewed. The six main themes identified from patients were: the experience of TRAK rehabilitation, personal characteristics for engagement, strengths and weaknesses of the intervention, TRAK in the future and attitudes to digital healthcare. The main themes from the physiotherapist interviews were: potential benefits, availability of resources and service organization to support use of TRAK. TRAK was found to be an acceptable method of delivering ACL rehabilitation alongside face-to-face physiotherapy. Patients reported that TRAK, specifically the videos, increased their confidence and motivation with their rehabilitation. They identified ways in which TRAK could be developed in the future to meet technological expectations and further support rehabilitation. For Physiotherapists time and availability of computers affected acceptability. Organization of care to support integration of digital exercise interventions such as TRAK into a blended approach to rehabilitation is required.
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影响因子：
4.5
作者：
Button, Kate;van Deursen, Robert W.;Spasic, Irena
通讯作者：
Spasic, Irena
影响因子：
2.4
作者：
Herrington, Lee;Myer, Gregory;Horsley, Ian
通讯作者：
Horsley, Ian
影响因子：
2.3
作者：
Morden，Andrew;Jinks，Clare;Dziedzic，Krysia S.
通讯作者：
Dziedzic，Krysia S.
DOI：
10.1054/cuor.2000.0136
发表时间：
2000-09-01
期刊：
CURRENT ORTHOPAEDICS
影响因子：
--
作者：
Bollen, S
通讯作者：
Bollen, S
影响因子：
18.4
作者：
Kapoor, B;Clement, DJ;Maffulli, N
通讯作者：
Maffulli, N