Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/79763
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Type: Journal article
Title: Preferences for rehabilitation service delivery: A comparison of the views of patients, occupational therapists and other rehabilitation clinicians using a discrete choice experiment
Author: Laver, K.
Ratcliffe, J.
George, S.
Lester, L.
Crotty, M.
Citation: Australian Occupational Therapy Journal, 2013; 60(2):93-100
Publisher: Blackwell Science Asia Pty Ltd
Issue Date: 2013
ISSN: 0045-0766
1440-1630
Organisation: Centre for Housing, Urban and Regional Planning (CHURP)
Statement of
Responsibility: 
Kate Laver, Julie Ratcliffe, Stacey George, Laurence Lester and Maria Crotty
Abstract: BACKGROUND/AIM Understanding the differences in preferences of patients and occupational therapists for the way in which rehabilitation services are provided is important. In particular, it is unknown whether new approaches to rehabilitation such as high intensity therapy and virtual reality programs are more or less acceptable than traditional approaches. METHODS A discrete choice experiment was conducted to assess and compare the acceptability of these new approaches, relative to other characteristics of the rehabilitation program. The study included patients participating in a stroke or medical rehabilitation program (n = 100), occupational therapists (n = 23) and other clinicians (n = 91) working in rehabilitation settings at three hospitals in South Australia. Data were analysed using a conditional (fixed-effects) logistic regression model. RESULTS The model coefficient attached to very high intensity therapy programs (defined as six hours per day) was negative and highly statistically significant for both patients and therapists indicating aversion for this option. In addition, other rehabilitation clinicians and patients were strongly averse to the use of virtual reality programs (as evidenced by the negative and highly statistically significant coefficient attached to this attribute for both groups) relative to occupational therapists. CONCLUSION The comparison of the views of patients, occupational therapists and other rehabilitation clinicians revealed some differences. All participants (patients and clinicians) showed an inclination for programs that resulted in the best recovery. However, patients expressed stronger preferences than clinicians for traditional therapy approaches. As a group, occupational therapists were most likely to accept approaches such as virtual reality suggesting changes away from traditional delivery methods will be more readily integrated into practice.
Keywords: attitude of health personnel; patient preference; questionnaires
Rights: © 2012 The Authors
RMID: 0020127816
DOI: 10.1111/1440-1630.12018
Appears in Collections:Centre for Housing, Urban and Regional Planning publications

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