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Item Determinants of Telerehabilitation Acceptance among Patients Attending Pulmonary Rehabilitation Programs in the United States(Wolters Kluwer, 2021) Almojaibel, Abdullah A.; Munk, Niki; Goodfellow, Lynda T.; Fisher, Thomas F.; Miller, Kristine K.; Comer, Amber R.; Bakas, Tamilyn; Justiss, Michael D.; Health Sciences, School of Health and Human SciencesBackground: Pulmonary rehabilitation (PR) is an interdisciplinary intervention designed to improve the physical status and the psychological condition of people with chronic respiratory diseases. To improve patients' participation in PR programs, telerehabilitation has been introduced. Objective: This study aimed to identify factors that could influence the intention to use telerehabilitation among patients attending traditional PR programs. Methods: This cross-sectional study recruited subjects attending the PR centers in the hospitals of the Indiana State University, United States of America, between January and May 2017. Data were collected using self-administered Tele-Pulmonary Rehabilitation Acceptance Scale (TPRAS). TPRAS had two subscales: perceived usefulness and perceived ease of use. Behavioral intention (BI) was the dependent variable, and all responses were dichotomized into positive and negative intention to use. Multiple logistic regressions were performed to assess the influence of variables on the intention to use telerehabilitation. Results: A total of 134 respondents were included in this study, of which 61.2% indicated positive intention to use telerehabilitation. Perceived usefulness was a significant predictor of the positive intentions to use of telerehabilitation. Duration of respiratory disease was negatively associated with the use of telerehabilitation. Conclusion: Perceived usefulness was a significant predictor of using telerehabilitation. The findings of this study may be useful for health-care organizations in improving the adoption of telerehabilitation or in its implementation. Future telerehabilitation acceptance studies could explore the effects of additional factors including computer literacy and culture on the intention to use telerehabilitation.Item Development and Validation of the Tele-Pulmonary Rehabilitation Acceptance Scale(Daedalus, 2019) Almojaibel, Abdullah A.; Munk, Niki; Goodfellow, Lynda T.; Fisher, Thomas F.; Miller, Kristine K.; Comer, Amber R.; Bakas, Tamilyn; Justiss, Michael D.; Health Sciences, School of Health and Rehabilitation SciencesBACKGROUND: Using telehealth in pulmonary rehabilitation (telerehabilitation) is a new field of health-care practice. To successfully implement a telerehabilitation program, measures of acceptance of this new type of program need to be assessed among potential users. The purpose of this study was to develop a scale to measure acceptance of using telerehabilitation by health-care practitioners and patients. METHODS: Three objectives were met (a) constructing a modified scale of the technology acceptance model, (b) judging the items for content validity, and (c) judging the scale for face validity. Nine experts agreed to participate and evaluate item relevance to theoretical definitions of domains. To establish face validity, 7 health-care practitioners and 5 patients were interviewed to provide feedback about the scale's clarity and ease of reading. RESULTS: The final items were divided into 2 scales that reflected the health-care practitioner and patient responses. Each scale included 3 subscales: perceived usefulness, perceived ease of use, and behavioral intention. CONCLUSIONS: The 2 scales, each with 3 subscales, exhibited evidence of content validity and face validity. The 17-item telerehabilitation acceptance scale for health-care practitioners and the 13-item telerehabilitation acceptance scale among patients warrant further psychometric testing as valuable measures for pulmonary rehabilitation programs.Item History of Professional Occupational Therapy Education at Indiana University, 1924-2022(2022) Fisher, Thomas F.; Fess, Elaine Ewing; Laurencelle, Patricia; Nathan, Carol D.; Hamant, CelestineDuring its over one hundred year history as a profession, Occupational Therapy (OT) has provided leadership in teaching, research and civic engagement pertaining to the health of the citizens of Indiana, the region and the nation. Indiana University began its OT program in 1957, forty years after the profession was founded. It was the first established program in the state.Item Role of Occupational Therapy in Case Management and Care Coordination for Clients With Complex Conditions(AOTA, 2016-02) Robinson, Monica; Fisher, Thomas F.; Broussard, Kim; Department of Occupational Therapy, School of Health and Rehabilitation SciencesSpecific aspects of the profession of occupational therapy support a distinct value for its practitioners participating fully in the development of case management and care coordination systems. The expectation in the 21st century is that the U.S. health care system must be transformed from one that promotes volume of service to one that promotes value of care. Case management and care coordination will be critical components of that transformation. Occupational therapy’s principles, education, practice, approach, and perspective offer much to benefit this increased attention to case management and care coordination. Occupational therapy practitioners should promote themselves and their profession as these system changes develop.