Louise Michelle Nettleton Pearce , Martin Howell , Tiê Parma Yamato , Jéssica Maria Ribeiro Bacha , José Eduardo Pompeu , Kirsten Howard , Catherine Sherrington , Leanne Hassett
{"title":"数字设备的哪些特性对康复临床医生很重要?跨文化最佳-最差比例研究","authors":"Louise Michelle Nettleton Pearce , Martin Howell , Tiê Parma Yamato , Jéssica Maria Ribeiro Bacha , José Eduardo Pompeu , Kirsten Howard , Catherine Sherrington , Leanne Hassett","doi":"10.1016/j.ijmedinf.2024.105589","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Digital interventions are becoming increasingly popular in rehabilitation. Understanding of device features which impact clinician adoption and satisfaction is limited. Research in the field should be conducted across diverse settings to ensure digital interventions do not exacerbate healthcare inequities.</p></div><div><h3>Objective</h3><p>This study aimed to understand rehabilitation clinicians’ preferences regarding device attributes and included a cross-cultural comparison.</p></div><div><h3>Materials and Methods</h3><p>Choice experiment methodology (best-worst scaling) was used to survey rehabilitation clinicians across Australia and Brazil. Participants completed 10 best-worst questions, choosing the most and least important device attributes from subsets of 31 attributes in a partially balanced block design. Results were analysed using multinomial models by country and latent class. Attribute preference scores (PS) were scaled to 0–100 (least to most important).</p></div><div><h3>Results</h3><p>A total of 122 clinicians from Brazil and 104 clinicians from Australia completed the survey. Most respondents were physiotherapists (83%) working with neurological populations (51%) in the private/self-employed sector (51%) who had experience using rehabilitation devices (87%). Despite preference heterogeneity across country and work sector (public/not-for-profit versus private/self-employed/other), clinicians consistently prioritised <em>patient outcomes</em> (PS 100.0, 95%CI: 86.2–100.0)<em>, patient engagement</em> (PS 93.9, 95%CI: 80.6–94.2)<em>, usability</em> (PS 81.3, 95%CI: 68.8–82.5), <em>research evidence</em> (PS 80.4, 95%CI: 68.1–81.7) and <em>risk</em> (PS 75.7, 95%CI: 63.8–77.3)<em>.</em> In Australia, clinicians favoured device attributes which facilitate increased <em>therapy dosage</em> (PS 79.2, 95%CI: 62.6–81.1) and encourage patient <em>independent practice</em> (PS 66.8, 95%CI: 52.0–69.2). In Brazil, clinicians preferred attributes enabling device use for providing <em>clinical data</em> (PS 67.6, 95%CI: 51.8–70.9) and conducting <em>clinical assessments</em> (PS 65.6, 95%CI: 50.2–68.8).</p></div><div><h3>Conclusion</h3><p>Clinicians prioritise patients’ needs and practical application over technical aspects of digital rehabilitation devices. Contextual factors shape clinician preferences rather than individual clinician characteristics. Future device design and research should consider preferences and influences, involving diverse stakeholders to account for context-driven variations across cultures and healthcare settings.</p></div>","PeriodicalId":54950,"journal":{"name":"International Journal of Medical Informatics","volume":"191 ","pages":"Article 105589"},"PeriodicalIF":3.7000,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1386505624002521/pdfft?md5=c72a7884fc43eced2e4c1d6d7fbafb2f&pid=1-s2.0-S1386505624002521-main.pdf","citationCount":"0","resultStr":"{\"title\":\"What attributes of digital devices are important to clinicians in rehabilitation? A cross-cultural best-worst scaling study\",\"authors\":\"Louise Michelle Nettleton Pearce , Martin Howell , Tiê Parma Yamato , Jéssica Maria Ribeiro Bacha , José Eduardo Pompeu , Kirsten Howard , Catherine Sherrington , Leanne Hassett\",\"doi\":\"10.1016/j.ijmedinf.2024.105589\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Digital interventions are becoming increasingly popular in rehabilitation. Understanding of device features which impact clinician adoption and satisfaction is limited. Research in the field should be conducted across diverse settings to ensure digital interventions do not exacerbate healthcare inequities.</p></div><div><h3>Objective</h3><p>This study aimed to understand rehabilitation clinicians’ preferences regarding device attributes and included a cross-cultural comparison.</p></div><div><h3>Materials and Methods</h3><p>Choice experiment methodology (best-worst scaling) was used to survey rehabilitation clinicians across Australia and Brazil. Participants completed 10 best-worst questions, choosing the most and least important device attributes from subsets of 31 attributes in a partially balanced block design. Results were analysed using multinomial models by country and latent class. Attribute preference scores (PS) were scaled to 0–100 (least to most important).</p></div><div><h3>Results</h3><p>A total of 122 clinicians from Brazil and 104 clinicians from Australia completed the survey. Most respondents were physiotherapists (83%) working with neurological populations (51%) in the private/self-employed sector (51%) who had experience using rehabilitation devices (87%). Despite preference heterogeneity across country and work sector (public/not-for-profit versus private/self-employed/other), clinicians consistently prioritised <em>patient outcomes</em> (PS 100.0, 95%CI: 86.2–100.0)<em>, patient engagement</em> (PS 93.9, 95%CI: 80.6–94.2)<em>, usability</em> (PS 81.3, 95%CI: 68.8–82.5), <em>research evidence</em> (PS 80.4, 95%CI: 68.1–81.7) and <em>risk</em> (PS 75.7, 95%CI: 63.8–77.3)<em>.</em> In Australia, clinicians favoured device attributes which facilitate increased <em>therapy dosage</em> (PS 79.2, 95%CI: 62.6–81.1) and encourage patient <em>independent practice</em> (PS 66.8, 95%CI: 52.0–69.2). In Brazil, clinicians preferred attributes enabling device use for providing <em>clinical data</em> (PS 67.6, 95%CI: 51.8–70.9) and conducting <em>clinical assessments</em> (PS 65.6, 95%CI: 50.2–68.8).</p></div><div><h3>Conclusion</h3><p>Clinicians prioritise patients’ needs and practical application over technical aspects of digital rehabilitation devices. Contextual factors shape clinician preferences rather than individual clinician characteristics. Future device design and research should consider preferences and influences, involving diverse stakeholders to account for context-driven variations across cultures and healthcare settings.</p></div>\",\"PeriodicalId\":54950,\"journal\":{\"name\":\"International Journal of Medical Informatics\",\"volume\":\"191 \",\"pages\":\"Article 105589\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2024-08-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1386505624002521/pdfft?md5=c72a7884fc43eced2e4c1d6d7fbafb2f&pid=1-s2.0-S1386505624002521-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Medical Informatics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1386505624002521\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"COMPUTER SCIENCE, INFORMATION SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Informatics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1386505624002521","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
What attributes of digital devices are important to clinicians in rehabilitation? A cross-cultural best-worst scaling study
Background
Digital interventions are becoming increasingly popular in rehabilitation. Understanding of device features which impact clinician adoption and satisfaction is limited. Research in the field should be conducted across diverse settings to ensure digital interventions do not exacerbate healthcare inequities.
Objective
This study aimed to understand rehabilitation clinicians’ preferences regarding device attributes and included a cross-cultural comparison.
Materials and Methods
Choice experiment methodology (best-worst scaling) was used to survey rehabilitation clinicians across Australia and Brazil. Participants completed 10 best-worst questions, choosing the most and least important device attributes from subsets of 31 attributes in a partially balanced block design. Results were analysed using multinomial models by country and latent class. Attribute preference scores (PS) were scaled to 0–100 (least to most important).
Results
A total of 122 clinicians from Brazil and 104 clinicians from Australia completed the survey. Most respondents were physiotherapists (83%) working with neurological populations (51%) in the private/self-employed sector (51%) who had experience using rehabilitation devices (87%). Despite preference heterogeneity across country and work sector (public/not-for-profit versus private/self-employed/other), clinicians consistently prioritised patient outcomes (PS 100.0, 95%CI: 86.2–100.0), patient engagement (PS 93.9, 95%CI: 80.6–94.2), usability (PS 81.3, 95%CI: 68.8–82.5), research evidence (PS 80.4, 95%CI: 68.1–81.7) and risk (PS 75.7, 95%CI: 63.8–77.3). In Australia, clinicians favoured device attributes which facilitate increased therapy dosage (PS 79.2, 95%CI: 62.6–81.1) and encourage patient independent practice (PS 66.8, 95%CI: 52.0–69.2). In Brazil, clinicians preferred attributes enabling device use for providing clinical data (PS 67.6, 95%CI: 51.8–70.9) and conducting clinical assessments (PS 65.6, 95%CI: 50.2–68.8).
Conclusion
Clinicians prioritise patients’ needs and practical application over technical aspects of digital rehabilitation devices. Contextual factors shape clinician preferences rather than individual clinician characteristics. Future device design and research should consider preferences and influences, involving diverse stakeholders to account for context-driven variations across cultures and healthcare settings.
期刊介绍:
International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings.
The scope of journal covers:
Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.;
Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc.
Educational computer based programs pertaining to medical informatics or medicine in general;
Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.