B. Brouns et al.
Appendix 1. cont.
Level Factor
Organizational
context Organization of care
Individual patient
Individual
Professional
Economic and
political context
Statements
Setting up goals of the rehabilitation therapy with the healthcare professionals
Evaluating goals of the rehabilitation therapy with the healthcare professionals
Possibility for the healthcare professionals to check if exercises are performed
The healthcare professional contacts the patients if he/she exercises too little
The healthcare professional watches video to assess if exercises are performed correctly at home
Discussing training results with the healthcare professional during a consultation
The use of eRehabilitation is supported by the healthcare professionals
Support from family members (informal caregivers) in case of problems
eRehabilitation is used by the entire multidisciplinary team
I feel supported from within the organization to use eRehabilitation
The implementation of eRehabilitation coincides with implementation of other ICT projects
Ambassadors (forerunners) in the form of direct colleagues who can answer questions about
eRehabilitation
ICT-problems are solved directly
Resources
There is no need to download special programs to use eRehabilitation
Problems with the internet connection are expected
Problems with the software of eRehabilitation
Problems with the devices on which eRehabilitation is used
Not enough free space at home to practice (2 × 2 m)
Time
I have sufficient time to (learn to how to) use eRehabilitation
Motivation to change eRehabilitation offers variation in exercises
Exercises in which it is possible to win or get points (serious games)
eRehabilitation contributes to the therapy adherence
I/my partner/my patient wants to use eRehabilitation
Reduced travel time since eRehabilitation offers the possible to exercise at home
eRehabilitation offers a way to independently continue therapy after discharge
Training with eRehabilitation has a positive influence on recovery
I can ask my healthcare professionals questions about my training results online
eRehabilitation offers an easy way to contact a professional again after discharge
Motivation not to
Less contact between patients because they practice at home more often
change
Less direct contact (face-to-face) between patients and healthcare professionals
I give patients false hope that the continuation of exercising is useful while it is not
Less therapy from healthcare professionals in the rehabilitation centre
There is too little evidence that eRehabilitation can promote recovery after a stroke
Know-ledge
I lack knowledge about the use of eRehabilitation
Skill
I have insufficient skills to use eRehabilitation
Patient characteristics The patient is/I am too tired
The patient has/I have memory problems
The patient has/I have cognitive problems
The patient is/I am over-stimulated
The patient has/I have aphasia
The patient experiences/I experience stress
The patient is/I am paralysed
The patient has/I have problems with vision
The patient has/I have trouble asking for help in case of problems
Motivation to change Possibility to see what activities a patient has done during a day (including time)
Insight in how much a patient has trained
Insight in what a patient has trained
The training results can be viewed by a patient independently
The results of the patient can be compared with the results of other stroke patients
Insight in the patient achieving set goals
Motivation not to
My therapy is replaced by eRehabilitation
change
I have less direct contact (face-to-face) with my patient
Time for using eRehabilitation is at the expense of therapy time with the patient
Financial
arrangements
The use of eRehabilitation is not reimbursed by health insurance
P: patient; IC: informal caregiver; HCP: healthcare professional; ns: not shown.
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P IC HCP
17
18
50
52
75
10
27
46
ns
ns
ns 26
23
51
48
72
8
9
17
ns
ns
ns 34
36
73
83
64
41
ns
ns
50
32
74
ns
13
19
92
93
94
95
23
9
64
ns
ns
40
5
1
33
4
89
83
ns
81
82
90
84
61
80
79
70
86
78
88
87
91
ns
ns
ns
ns
ns
ns
ns
ns
ns ns
12
36
97
96
92
98
24
10
75
ns
ns
57
2
3
40
4
88
81
ns
84
90
94
91
77
85
86
82
80
78
93
89
95
ns
ns
ns
ns
ns
ns
ns
ns
ns 54
7
33
81
76
79
ns
21
25
60
8
11
51
15
2
70
65
43
ns
61
ns
82
ns
ns
ns
ns
85
ns
87
ns
88
80
ns
45
53
57
49
84
37
63
71
46
76 83 59