Purpose: Robotic-assisted therapy has been shown to be effective for post-stroke rehabilitation. However, clinicians seem to be reluctant to use it in clinical practice. This qualitative study aims to examine the reasons underlying the lack of rehabilitation robot (RR) use in the clinical practice among therapists. Methods: Eight French-speaking therapists, which participate in a clinical study, underwent a semi-structured interview. Questions where defined from the Unified theory of Acceptance and Use of Technology. Interviews were transcribed, summarized and a transversal analysis was finally performed. Results: Seven themes were highlighted: effort expectancy, performance expectancy, social influence, self-efficacy, relationship, experience and cost. Some therapists found that RR did not provide a functional training and had a perception of ineffectiveness. However, almost all therapists mentioned that RR was complementary to conventional therapy, provided a high number of movement repetitions and was effective for some responders. Most of the therapists found that the installation time was an additional energy cost. All therapists were positively influenced by their head of department to use the RR, but a small number of them were negatively influenced by their team. Finally, all therapists received a training session before using the RR and found it essential. Conclusion: This study showed that it is difficult to change routine in clinic and add information towards robotic acceptance in clinical context. The communication between clinicians and researchers is crucial and could help to further develop and improve certain aspect of the RR.
Lebleu, J., Blanckaert, A., Bonmariage Justine, Cartiaux, O., Detrembleur, C., Lejeune, T., & Dehem, S. (2019). Factors affecting the use of a rehabilitation robot in a clinical research context: a first qualitative study applying UTAUT model. Rehabweek 2019, Toronto. https://hdl.handle.net/2078.5/170264