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Updated: Jun 18, 2025

Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Implementing a real-time patient experience feedback in inpatient rehabilitation: Process evaluation informed by the
Jan Struhar1, Taylor Walters2, Kristen Gracz1
1Shirley Ryan AbilityLab, Chicago, Illinois, USA.
Near real-time patient experience feedback (NRTPEF) is useful and acceptable in inpatient rehabilitation. Refinements are needed before wider implementation, but the system embedded into practice during the pilot.
Area of Science:
- Healthcare Management
- Patient Experience
- Rehabilitation Services
Background:
- Near real-time patient experience feedback (NRTPEF) offers immediate service recovery but is underutilized in inpatient rehabilitation.
- Implementing NRTPEF systems is crucial for enhancing patient-centered care and operational efficiency.
Purpose of the Study:
- To assess the utility, feasibility, and acceptability of a novel NRTPEF system among patients and providers in an inpatient rehabilitation setting.
- To understand the integration process of NRTPEF into routine clinical practices.
Main Methods:
- A mixed-methods process evaluation was conducted over 8 months.
- Data collection involved interviews and focus groups with leaders and a randomized sample of patients.
- Normalisation Process Theory (NPT) guided a framework analysis of the implementation.
Main Results:
- Patients and leaders reported high utility (median 9/10) and acceptability (patients median 9.5/10).
- Providers found the system feasible and acceptable (median 7.3/10), suggesting improvements in data relay.
- The NRTPEF successfully embedded into provider practices (median 10/10), with NPT analysis revealing how feedback influenced reconfigured practices.
Conclusions:
- The innovative NRTPEF system demonstrated significant utility, feasibility, and acceptability in inpatient rehabilitation.
- Opportunities for refinement exist, particularly in data-relay formats, to optimize the system for broader implementation.
- The study highlights the potential of NRTPEF to enhance patient-centered care and service recovery in rehabilitation settings.
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