+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Occupational therapists' views on using a virtual reality interior design application within the pre-discharge home visit process



Occupational therapists' views on using a virtual reality interior design application within the pre-discharge home visit process



Journal of Medical Internet Research 16(12): E283



A key role of Occupational Therapists (OTs) is to carry out pre-discharge home visits (PHV) and propose appropriate adaptations to the home environment in order to enable patients to function independently after hospital discharge. However, research shows that more than 50% of specialist equipment installed as part of home adaptations is not used by patients. A key reason for this is that decisions about home adaptations are often made without adequate collaboration and consultation with the patient. Consequently, there is an urgent need to seek out new and innovative uses of technology to facilitate patient/practitioner collaboration, engagement, and shared decision making in the PHV process. Virtual reality interior design applications (VRIDAs) primarily allow users to simulate the home environment and visualize changes prior to implementing them. Customized VRIDAs, which also model specialist occupational therapy equipment, could become a valuable tool to facilitate improved patient/practitioner collaboration, if developed effectively and integrated into the PHV process. The intent of the study was to explore the perceptions of OTs with regard to using VRIDAs as an assistive tool within the PHV process. Task-oriented interactive usability sessions, utilizing the think-aloud protocol and subsequent semi-structured interviews were carried out with seven OTs who possessed significant experience across a range of clinical settings. Template analysis was carried out on the think-aloud and interview data. Analysis was both inductive and driven by theory, centering around the parameters that impact upon the acceptance, adoption, and use of this technology in practice as indicated by the Technology Acceptance Model (TAM). OTs' perceptions were identified relating to three core themes: (1) perceived usefulness (PU), (2) perceived ease of use (PEoU), and (3) actual use (AU). Regarding PU, OTs believed VRIDAs had promising potential to increase understanding, enrich communication and patient involvement, and improve patient/practitioner shared understanding. However, it was unlikely that VRIDAs would be suitable for use with cognitively impaired patients. For PEoU, all OTs were able to use the software and complete the tasks successfully; however, participants noted numerous specialist equipment items that could be added to the furniture library. AU perceptions were positive regarding use of the application across a range of clinical settings including children/young adults, long-term conditions, neurology, older adults, and social services. However, some "fine tuning" may be necessary if the application is to be optimally used in practice. Participants perceived the use of VRIDAs in practice would enhance levels of patient/practitioner collaboration and provide a much needed mechanism via which patients are empowered to become more equal partners in decisions made about their care. Further research is needed to explore patient perceptions of VRIDAs, to make necessary customizations accordingly, and to explore deployment of the application in a collaborative patient/practitioner-based context.

(PDF emailed within 1 workday: $29.90)

Accession: 058448220

Download citation: RISBibTeXText

PMID: 25526615


Related references

Who should have a predischarge home assessment visit after a stroke? A qualitative study of occupational therapists' views. British Journal of Occupational Therapy 77(8): 384-391, 2014

The Development of a Design and Construction Process Protocol to Support the Home Modification Process Delivered by Occupational Therapists. Journal of Aging Research 2018: 4904379, 2018

Virtual Reality and Active Videogame-Based Practice, Learning Needs, and Preferences: A Cross-Canada Survey of Physical Therapists and Occupational Therapists. Games for Health Journal 6(4): 217-228, 2018

Occupational and physical therapists perspective of the perceived benefits of a therapeutic home visit program. Physical & Occupational Therapy in Geriatrics 10(3): 15-33, 1992

Using the Technology Acceptance Model to explore community dwelling older adults' perceptions of a 3D interior design application to facilitate pre-discharge home adaptations. Bmc Medical Informatics and Decision Making 15: 73, 2016

Occupational therapists' perceptions about the clinical utility of the 3D interior design software. Disability and Rehabilitation. Assistive Technology 8(4): 348-355, 2014

Survey of current pre-discharge home visiting practices of occupational therapists. Australian Occupational Therapy Journal 58(3): 172-177, 2011

Pre-discharge home visits by occupational therapists completed for patients following hip fracture. Australian Occupational Therapy Journal 64(1): 41-48, 2016

Pre-discharge home visits: A qualitative exploration of the experience of occupational therapists and multidisciplinary stakeholders. Australian Occupational Therapy Journal 2019, 2019

Why Do Hospital-Based Occupational Therapists Carry Out Post-Discharge Home Visits with Elderly People?. British Journal of Occupational Therapy 56(9): 325-329, 1993

Evaluation of occupational therapy pre-discharge home visit information leaflets for older adults. British Journal of Occupational Therapy 74(8): 383-386, 2011

The Use of Virtual Reality Techniques during the Design Process: from the Functional Definition of the Product to the Design of its Structure. Cirp Annals - Manufacturing Technology 56(1): 135-138, 2007

Comparison of Older Adults' and Occupational Therapists' Awareness of Functional Abilities at Discharge from Rehabilitation with Actual Performance in the Home. Physical & Occupational Therapy in Geriatrics 27(3): 229-244, 2009

Importance of Virtual Reality to Virtual Reality Exposure Therapy, Study Design of a Randomized Trial. Studies in Health Technology and Informatics 219: 182-186, 2018

Virtual reality environment design of managing both presence and virtual reality sickness. Journal of Physiological Anthropology and Applied Human Science 23(6): 313-317, 2004