PTOTSLPOtherJMIR rehabilitation and assistive technologies2026

Role of Technology Acceptance in the Telerehabilitation of Patients With Metabolic Syndrome: Longitudinal Study.

Zsanett Tesch, Tamás Ujházi, István Kósa and 1 others

PMID 42133940

WHAT IT FOUND

Patients care more about whether home rehab tools work and are supported than whether they are easy to use.

High trust in the system actually lowered the intention to use it before treatment began. Family encouragement and clear benefits drive adoption.

Key findings

01Facilitating conditions (home setup, compatibility, and support) and performance expectancy (perceived usefulness) were the strongest direct predictors of intention to use the telerehabilitation tools.

02Effort expectancy (ease of use) had no direct effect on intention to use; it only influenced intention indirectly by increasing perceived usefulness.

03Trust in the technology had a negative direct effect on intention to use at the start of the program, suggesting that high trust may reduce the motivation to actively engage with the tools.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study used convenience sampling from a single clinic, which may limit generalizability. The negative effect of trust on intention to use is counter-intuitive and may be specific to this population or the timing of the T1 measurement (after a preparatory week). The study measured intention to use, not actual adherence or clinical outcomes of the rehabilitation. Attrition occurred between T1 and T2 (145 to 139 participants), though this was low.

Declared interests

The authors declared no conflicts of interest. The study was funded by the University of Szeged and the Hungarian Research Council.

The easy way to misread this

Do not assume that making a device 'easier to use' will directly increase patient adoption. The study found that ease of use only mattered because it made the device seem more useful. Also, do not interpret high patient trust as a positive sign of engagement; in this study, high trust actually correlated with a lower intention to actively use the technology before treatment began.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →