Acceptance of Telerehabilitation Among Physiotherapists in Turkey and Factors Affecting Acceptance: A Cross-Sectional Analysis

Year 2024, Volume: 9 Issue: 2, 221 - 243, 29.07.2024

Meral Timurtas Gonca Mumcu

https://doi.org/10.31201/ijhmt.1492798

Abstract

Aim: This study aimed to assess the factors influencing the acceptance of telerehabilitation among physiotherapists in Istanbul.
Methods: A cross-sectional study was conducted among 170 PTs (F/M: 94/76, mean age:29.4 years) working in Istanbul. Data were collected through a questionnaire regarding scales of ‘‘Unified Theory of Acceptance and Use of Technology’’ (UTAUT) and ‘‘Perception of Innovation’’ (PoI). UTAUT has 5 components which are ‘‘Performance Expectancy’’ (PE), ‘‘Effort Expectancy’’ (EE), ‘‘Social Influence’’ (SI), ‘‘Facilitating Conditions’’ (FC), ‘‘Behavioral Intention’’ (BI). The model was modified by adding ‘‘Telerehabilitation Usage Behavior’’ (TUB) and ‘‘PoI’’ to these structures. After preliminary analyses, structural equation modelling was employed to assess relationships between key constructs and variables within the proposed model.
Results: The modified UTAUT model demonstrated a good fit for understanding the acceptance of telerehabilitation among physiotherapists, as indicated by favorable goodness-of-fit indices (SRMR = 0.03, GFI = 0.99, AGFI = 0.92, CFI = 0.97, and RMSEA = 0.00). This model accounted for 68% of the variance in ‘‘BI’’ to use telerehabilitation and 28% of the variance in ‘‘TUB’’. The results revealed that ‘‘BI” directly influenced ‘‘TUB’’ (β = 0.53) and ‘‘SI’’ directly affected ‘‘BI’’ (β = 4.96). Additionally, the relationship between ‘‘SI’’ and ‘‘BI’’ was found to vary with age (β =-5.81, p <0.05) when examining moderator variables.
Conclusion: This study emphasized the need to bridge the intention-behavior gap and consider context-specific factors to develop strategies for integrating telerehabilitation into clinical practice.

Keywords

Telerehabilitation, technology acceptance, physiotherapist, UTAUT, innovation perception

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