DOI: 10.1177/20552076261504551 ISSN: 2055-2076

Evolving roles or “selling our souls” – healthcare professionals’ perceptions of using eHealth in the rehabilitation of older adults: A qualitative study

Breiffni Leavy, Caitríona Quinn, Camilla Malinowsky, Hanna Johansson

Background

Understanding how allied health professionals perceive eHealth use is essential to informing future implementation of eHealth which facilitates the rehabilitation of older adults in primary care.

Objectives

This study aimed to explore the perceptions of occupational therapists and physical therapists, working in primary care settings, concerning the use of eHealth methods in the rehabilitation of older adults with chronic disease.

Methods

This qualitative interview study explores healthcare provider perspectives using interview technique. Seven semi-structured focus-group interviews were performed across two clinical sites, among 33 allied health professionals (15 occupational therapists and 18 physical therapist) with varying eHealth experience. Interviews were guided by a semi-structured interview guide. The data was analysed using inductive qualitative content analysis.

Results

The analysis resulted in the development of four main themes, incorporating 11 categories. The main themes are Technology can limit understanding the complex patient; Protecting professional identity in a digital era; Challenging age-related digital stereotypes and Delivering eHealth amid uncertainty . Alongside the perceived opportunities that eHealth can offer older adults with evolving digital competency, healthcare professionals working with older adults also perceive technology as a threat to providing holistic care and a potential constraint on professional integrity and fulfilment.

Conclusion

While healthcare professionals perceive opportunities for eHealth supported rehabilitation, they must navigate a tension between maintaining professional identity and adapting to digital methods that restrict them from applying the entire range of their professional skill set.

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