Exploring the emerging concept of precision rehabilitation: a qualitative study
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Purpose
This descriptive qualitative study explored stakeholders’ perspectives on precision rehabilitation concepts, barriers, facilitators, and future directions as part of a convergent mixed methods scoping review.
Materials and methods
Sixteen clinicians, administrators, and researchers from three North American tertiary care rehabilitation centers were recruited using convenience and snowball sampling to participate in individual semi-structured interviews. Conventional qualitative content analysis followed a deductive thematic approach based on predetermined categories.
Results
Analyses revealed three main themes: 1) Although precision rehabilitation shares foundational concepts with precision medicine, there are certain elements, such as personalization, that are uniquely expressed; 2) Rehabilitation-specific facilitators to precision approaches include the use of unobtrusive technology to collect large amounts of data in real-world contexts, while barriers include rehabilitation’s typically small, heterogeneous sample sizes; and 3) The future of precision rehabilitation will require collaborative data-sharing to focus on determining care trajectories that enhance functional outcomes.
Conclusion
Findings provide the first qualitative synthesis of stakeholder perspectives to complement quantitative evidence and inform the emerging field of precision rehabilitation.
