Access to telehealth by stroke patients: which are the main barriers and how they are explained by the UTAUT theoretical model? A systematic review

• Autor(a) principal: Silva, Luana Karoline Castro
• Data de Publicação: 2023
• Outros Autores: Sousa, Cristian Douglas Dantas de, Jucá, Renata Viana Brígido de Moura, Viana, Ramon Távora, Lima, Lidiane Andréa Oliveira
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Fisioterapia e Pesquisa
• Texto Completo: https://www.revistas.usp.br/fpusp/article/view/218854
• topic: | Barriers to Access of Health Services; Telerehabilitation; Telehealth; Stroke; Physical Therapy Modalities; Barreras de Acceso a los Servicios de Salud; Telerrehabilitación; Accidente Cerebrovascular; Modalidades de Fisioterapia; Barreiras ao Acesso aos Cuidados de Saúde; Telerreabilitação; Telessaúde; Acidente Vascular Cerebral; Modalidades de Fisioterapia

Stroke is a chronic health condition thatrequires monitoring. In this sense, telehealth emergesas a tool to enable better access. However, since it isrelated to use of technology, this modality might facenew barriers. Our goal was to identify, with a systematicliterature review, the perceived barriers to telehealthaccess by stroke patients and conceptualize them withinthe Unified Theory of Acceptance and Use of Technology(UTAUT) model. The systematic review was carried out in the following electronic databases: PubMed, MEDLINE, SciELO,LILACS, and PEDro; and the combination of descriptors were:“Barriers to Access to Health Care,” “Telerehabilitation,” “Telehealth,”“Stroke,” and “Physical Therapy Modalities.” The included studiesfocused on telehealth barriers perceived by stroke patients. Initially,298 articles were found, 295 via databases search, and threevia active search; of these, only six articles were included in thisreview. Overall, the articles revealed the perception of more than220 stroke patients, with barriers categorized into eight types,most of them related to the dimensions of Effort Expectancy andFacilitating Conditions of the UTAUT model. The barriers of theEffort Expectation dimension that are related to the knowledge inthe use of technologies are likely to be overcome since training canbe carried out before the telehealth service. However, the barriersrelated to the Facilitating Conditions dimension regarding financialaspects, the internet, and home context are difficult to overcome,possibly interfering with user’s acceptance of telehealth.