Psychological factors influencing adoption of postural training devices: implications for practice

This paper details an exploratory investigation of psychological factors that may influence the adoption/rejection of postural training devices from the perspectives of two potential user groups (clients and practitioners). The aim was to elicit perceived advantages and disadvantages from potential users and to apply psychological principles to examine, and potentially counter perceived barriers to use. A small sample (50) of general public members, physiotherapists and occupational therapists were surveyed using open-ended questions designed to elicit information about current practices and attitudinal beliefs about postural training. Results suggested that members of the public fall into two categories according to whether they would use the device for prevention or treatment. This group identified issues such as lack of need, time consuming, and motivations to comply. Practitioners highlighted that lack of research, lack of ability to trial a product, and issues of cost and non-compliance by consumers and were seen as prohibitory to use. A number of theoretical principles of behaviour change were then related to the findings including: the stages of change model, behavioural learning, message framing, persuasion, attitude-behaviour relationships, motivations and impression management. Client cost objections to treatments and the need to integrate research findings into practice are also discussed.