Exploring therapists' experiences of an educational website to support telehealth delivery of constraint-induced movement therapy

Journal article

Makroglou, Kate, Fearn, Nicola, Portelli, Bianca, Hawke, Helen, Boydell, Jessamy, Kilkenny, Anna, Meharg, Annie and Christie, Lauren J.. (2025). Exploring therapists' experiences of an educational website to support telehealth delivery of constraint-induced movement therapy. Healthcare. 13(2), p. Article 159. https://doi.org/10.3390/healthcare13020159
AuthorsMakroglou, Kate, Fearn, Nicola, Portelli, Bianca, Hawke, Helen, Boydell, Jessamy, Kilkenny, Anna, Meharg, Annie and Christie, Lauren J.
Abstract

Purpose: Constraint-induced movement therapy (CIMT) is an evidence-based intervention for arm recovery after acquired brain injury. Clinician knowledge, time and confidence in delivering CIMT are established barriers to the routine use of CIMT in practice. CIMT delivery via telehealth is one option to help overcome these barriers. This study aimed to understand clinician experiences of using an educational website and if the education and online resources contributed to their self-reported use of constraint-induced movement therapy via telehealth (TeleCIMT) in practice. Materials and Methods: Data were collected from a purposive sample of therapists registered to use the TeleCIMT website and website analytics. An online survey explored participants’ experience with CIMT delivery (both face to face and via telehealth), their perceptions of the website, and barriers and enablers to TeleCIMT implementation using the Capability, Opportunity, Motivation—Behaviour model. Website analytics were used to evaluate website traffic and resource use. Data were analysed using descriptive statistics (quantitative data) and content analysis (qualitative data). Results: Forty therapists responded to the survey; 72.5% (n = 29) of the respondents were occupational therapists, and 37.5% (n = 15) had delivered TeleCIMT. Most of the participants agreed that the website was easy to navigate (n = 26, 90%) and felt that they had the knowledge (n = 28, 96.6%) and skills (n = 24, 82.7%) to deliver TeleCIMT. The enablers to TeleCIMT included motivation to implement learnings from the website, confidence in delivering the programme, and the convenience of remote delivery. The perceived barriers to TeleCIMT use included limited access to technology and the availability of a client supporter to enable engagement in TeleCIMT. The resources used most frequently by the respondents were the participant preparation pack and participant programme pack. Shorter video learning modules (<11 min in duration) had greater engagement than longer video learning modules. Conclusions: Whilst online education and resources may enhance clinician knowledge of constraint-induced movement therapy and telehealth delivery, other barriers such as lack of technology access, may need to be addressed through additional learning and implementation strategies to support the routine use of TeleCIMT in practice.

Keywordsdistance education; occupational therapy; physical therapy; telerehabilitation
Year2025
JournalHealthcare
Journal citation13 (2), p. Article 159
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN2227-9032
Digital Object Identifier (DOI)https://doi.org/10.3390/healthcare13020159
PubMed ID39857186
Scopus EID2-s2.0-85215696929
PubMed Central IDPMC11765438
Open accessPublished as ‘gold’ (paid) open access
Page range1-8
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online15 Jan 2025
Publication process dates
Accepted25 Dec 2024
Deposited04 Jun 2025
Additional information

© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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