BARRIERS AND FACILITATORS TO ADOPTING A CLINICIAN DASHBOARD SUPPORTING UPPER LIMB MYOELECTRIC-CONTROLLED PROSTHESES.

Integrating the use of myoelectric-controlled upper limb prostheses into daily life can be complex. A dashboard reporting data and insights on real-world prosthetic use and performance could improve information available for clinicians to inform care, as well as communication among end-users (prosthesis wearers) and their clinical care providers. The purpose of this project is to blend implementation science and user-centered design methodology to inform the development and refinement of a dashboard that improves efficiency and supports clinical decision-making related to prosthesis training and clinical support. We used a mixed methods approach with a stakeholder advisory panel, semi-structured interviews, and surveys from occupational therapists, prosthetists, end-users, and other technology stakeholders. Interviews reveal clinician and end-user concern related to design, adaptability of the platform to meet the needs, capability, and opportunity of the clinicians, as well as to address motivation of end-users. The dashboard may improve communication but also could create work infrastructure challenges that make the dashboard have a relative disadvantage over other forms of communication. Surveys suggest good usability, acceptability, appropriateness, and feasibility. However, occupational therapists, the primary target population, have the lowest perceived usability and feasibility scores at the current point of dashboard design and conceptualization. In summary, mixed methods data from clinicians and prosthesis wearers provides valuable information that can drive improved development of a dashboard.