ArticleBMC health services research2024
Understanding the use of digital technologies to provide disability services remotely during the COVID-19 pandemic; a multiple case study design.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Smartphone App-Based Survey Deployment Patterns and Longitudinal Response Rate: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Accessibility Recommendations of Interfaces Designed for Individuals with Mental and Physical Disabilities: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Factors Associated with the Intention to Adopt Digital Health Technologies for Physical Activity Among People with Disabilities: An Integrated Technology Acceptance Model-Theory of Planned Behavior Framework.Healthcare (Basel, Switzerland) · 2026Article
- Preference for Face-to-Face Contraceptive Service Delivery Post-COVID-19 Pandemic: A Cross-Sectional Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Using a Technology Acceptance Model to Explore the Intention to Use Digital Health Technologies Among People With Disabilities: Cross-Sectional Survey Study.Journal of medical Internet research · 2025Article
- Perceived ease of use of telehealth services and associated factors in Saudi Arabia: A cross-sectional study.PloS one · 2025Article
- CP-EXCEL: A feasibility randomised controlled trial of an online exercise programme for adults with cerebral palsy.HRB open research · 2025Article
- Article
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Authors and funding
17 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundUsing digital technologies to provide services and supports remotely may improve efficiency and accessibility of healthcare, and support people with disabilities to live independently. This study aimed to explore the experience of using digital technologies to access and provide disability services and supports during the Covid-19 pandemic, from the perspective of people with disabilities, families and service providers.
methodsUsing a multiple case study design, we purposively sampled three cases based on service user characteristics and geographical reach of the service. We conducted semi-structured interviews with 40 service users and service providers. Topic guides and analysis were informed by the Consolidated Framework for Implementation Research (CFIR). Analysis followed a largely deductive approach, using the CFIR constructs as a coding framework. A summary memo was developed for each case. Influence and strength of each construct was rated to identify constructs that influenced implementation of digital technologies. Ratings were compared across services to identify facilitators and barriers to implementation.
resultsService users and providers were positive about using digital technologies to access and provide disability services and supports remotely. Advantages over in-person delivery included reduced travel time, increased opportunity for peer support and peer learning, more choice and opportunity to participate in activities, and an enhanced sense of self while accessing services from the secure environment of their home. The urgency to identify new modes of service delivery to meet the needs of service users during Covid-19 was a strong facilitator but did not necessarily result in successful implementation. Other factors that were strong facilitators were the use of adaptations to enable service users to access the online service, service users' willingness to try the online service, service users' persistence when they encountered challenges, and the significant time and effort that service providers made to support service users to participate in the online service. Barriers to implementation included the complexity of accessing online platforms, poor design quality of online platforms, and organisations prioritising in-person delivery over online services.
conclusionsThese findings may allow service providers to leverage facilitators that support implementation of online disability services and supports.
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