期刊
DISABILITY AND REHABILITATION
卷 -, 期 -, 页码 -出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2023.2264186
关键词
Attitude of health personnel; digital health; grounded theory; low back pain; patient-professional relations; self-management; rehabilitation; the fundamentals of care framework
This study explored the impact of a digital self-monitoring solution on the consulting practice of health professionals targeting individuals with low back pain. The findings showed that the solution enabled more focused consulting practices, supported patient self-management, and improved the relationship between individuals with low back pain and health professionals. However, the implementation of digital health solutions also faced barriers such as workflow, resources, culture, and management support.
Purpose: This study explored how health professionals experience in what way a digital self-monitoring solution influences their consulting practice targeting individuals with low back pain.Material and Methods: This was a qualitative study adopting a constructivist grounded theory approach. Nineteen health professionals participated in the pilot test of the digital self-monitoring solution BackTrace. Data were collected cross-sectionally and consisted of: (a) audio recordings from focus groups with health professionals, (b) field notes from participant observation of online meetings with health professionals, (c) field notes from participant observations of consultations between health professionals and individuals with low back pain and (d) audio recordings from workshops with health professionals.Results: Two main themes and one sub-theme were identified, describing how BackTrace enabled more focused consulting practices, supported patient-self management and improved the relationship between individuals with low back pain and health professionals. Barriers were identified describing how the implementation of digital health solutions required a change in workflow, resources and culture - as well as management support.Conclusions: Findings indicated a need for a change at the system level, including a changed view of digitisation in healthcare systems containing a more supporting approach.
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