To analyze needs and requirements of Pediatric Physical Therapists (PPTs), parents, children and adolescents with and without developmental disabilities in the future use of an activity monitor prototype (AM-p) in everyday clinical practice.
We conducted an qualitative descriptive study with thematic analysis, using both deductive- and inductive approaches. The topic guide was based on ‘Determinants of innovation within health care organizations’ as well as previous research on feasibility of activity monitoring in children. Interviews were recorded and transcribed verbatim. Two researchers analyzed the data independently. Codes derived out of the analysis and central themes were collated based on Fleurens’ Determinants of Innovation.
We interviewed 12 children and adolescents, 12 parents, and 25 PPTs. We identified nine relevant themes, categorized into four clusters of Determinants of Innovation. Themes that could not be categorized are summarized in “other”. For ‘determinants related to the innovation’ we identified the themes 1) development of information materials; 2) application: output visualization and ease of use; and 3) design. For ‘determinants related to end-user’ we identified the themes 4) relevance and acceptance; 5) shared decision-making and 6) compatibility in daily living. For ‘determinants related to the organization’ we identified the themes 7) finances and 8) time. For ‘determinants related to the socio-political context we identified 9) legislation and regulations. For ‘other’ we identified ideas and wishes for further development of the AM-p.
End-users have similar basic needs, with individual fine-tuning to be addressed during further development of the AM-p. A child-friendly design, information material, and an easy-to-use application to read and interpret results, need to be developed. Efficient training for PPTs is important for the use of the AM-p and analysis of results. Communication between PPTs and children as well as parents enhances shared decision-making. We recommend involving diverse end-users in the further development of the AM-p to enable maximum customization of the AM-p.
To integrate the use of an AM into daily PPT practice, collaboration with the end-users in further developing and refining the AM-p is essential. Furthermore, we have to develop practical tools and training that merge with the needs of PPTs, parents and children. This is a prerequisite to facilitate implementation in the future.
Pediatric Physical Therapy
qualitative study
