Experiences of the use of the English version of an iPad application Aid for decision-making in occupation choice ,(ADOC-E), for shared decision making around goal setting in rehabilitation: a qualitative descriptive study

The aim of this study is to investigate preliminary experience of health professionals and patients regarding the use of the iPad application ADOC-E to facilitate shared decision making around goal setting in rehabilitation. We want to develop an understanding of: how ADOC-E can be usefully incorporated into clinical practice; what health professionals and patients like and do not like about the application; how ADOC-E aligns with other clinical processes and practices; how ADOC-E influences clinical decision-making in everyday rehabilitation setting; and what patient outcomes or process outcomes ADOC-E might most affect. We will recruit allied health professionals and patients from public and private rehabilitation services in New Zealand. We will recruit a total of 6 - 12 health professionals and provide them with an iPad, with the ADOC-E app already installed and with a short training in the use of the application ADOC-E. The training will last approximately 60 to 120 minutes. The health professionals will be asked to use ADOC-E with patients in their service as part of their usual goal setting meeting. During the goal setting meeting, health professionals will ask their patients what they expect from the rehabilitation and which goals they would like to achieve or to work towards. Health professionals will not have any limit in terms on how to conduct the goal setting meeting and for how long. The only difference with their usual goal setting meeting is that health professional will have to set patient's goals using the app ADOC-E. ADOC-E should facilitate the goal setting meeting and help the health professional to set goals that are shared together with the patient. To be interviewed, health professionals will have had to use ADOC-E at least one time and signed the consent form. Once they have used the app ADOC-E, they will interviewed about their perception and experience using the app. The 6-12 patients (in total), who have volunteered and given consent to participate to the study, will be interviewed to explore their experiences and perceptions of the use of ADOC-E app for goal setting in rehabilitation. We will conduct two interviews with health professionals, the first will be soon after using ADOC-E for the first time and the second will be after 4 weeks of using ADOC-E for the first time. We will interview patients only once and it will be before discharge or within 4 weeks from using ADOC-E for the first time.