Potential advantages, barriers, and facilitators of implementing a cognitive orthosis for cooking for individuals with traumatic brain injury: the healthcare providers’ perspective

Considering the key role of health care providers in integrating assistive technologies into clinical settings (e.g., in/outpatient rehabilitation) and home, this study explored the care providers’ perspectives on <i>benefits, barriers and facilitators</i> to the implementation of the Cognitive Orthosis for coOking (COOK) for adults with traumatic brain injury (TBI) within clinical contexts and homes. Using a qualitative descriptive approach, semi-structured individual interviews and focus groups were carried out with experienced care providers of adults with TBI (<i>n</i> = 30) in Ontario-Canada. Qualitative analysis based on the Miles <i>et al</i> approach was used. According to the participants, COOK could potentially be used with individuals with cognitive impairments (TBI and non-TBI) to increase safety and independence in meal preparation and support healthcare providers. However, limited access to funding, clients’ lack of motivation/knowledge, and the severity of their cognitive and motor impairments were perceived as potential barriers. Facilitators to the use of COOK include training sessions, availability of private/provincial financing, and comprehensive assessments by a clinical team prior to use. Health care providers’ perspectives will help develop implementation strategies to facilitate the adoption of COOK within homes and clinical contexts for individuals with TBI and improve the next version of this technology.IMPLICATIONS FOR REHABILITATIONCOOK shows a high potential for increasing independence and safety during meal preparation with its sensor-based monitoring of the environment and cognitive-based assistance, for adults with TBI.Comprehensive clinical assessments to identify individuals’ therapeutic goals, clinical characteristics, and living environments are necessary to facilitate the deployment of COOK. COOK shows a high potential for increasing independence and safety during meal preparation with its sensor-based monitoring of the environment and cognitive-based assistance, for adults with TBI. Comprehensive clinical assessments to identify individuals’ therapeutic goals, clinical characteristics, and living environments are necessary to facilitate the deployment of COOK.

鉴于医疗服务提供者在将辅助技术整合至临床场景（如门诊/住院康复）与家庭环境中发挥的关键作用，本研究探究了医疗服务提供者对于创伤性脑损伤（Traumatic Brain Injury, TBI）成人患者在临床与家庭场景中应用烹饪用认知矫具（Cognitive Orthosis for coOking, COOK）的实施优势、阻碍因素与促进因素的看法。
本研究采用质性描述性研究方法，对加拿大安大略省的30名经验丰富的TBI成人患者医疗服务提供者开展半结构化个人访谈与焦点小组讨论，并基于Miles等人的研究方法开展质性分析。
参与者反馈，COOK可潜在应用于存在认知障碍的人群（包括TBI患者与非TBI认知障碍患者），以提升备餐过程中的安全性与独立性，并为医疗服务提供者提供支持。然而，资金获取受限、服务对象缺乏相关认知与使用动机，以及其认知与运动障碍的严重程度，被认为是潜在的实施阻碍。
促进COOK应用的因素包括：专项培训课程、私人/省级融资渠道的可及性，以及使用前由临床团队开展的全面评估。医疗服务提供者的相关看法将有助于制定实施策略，以推动COOK在TBI患者的家庭与临床场景中的应用，并助力该技术的后续版本迭代优化。

IMPLICATIONS FOR REHABILITATION
COOK凭借其基于传感器的环境监测与认知辅助功能，在提升TBI成人备餐过程中的独立性与安全性方面展现出极高潜力。为推动COOK的部署应用，需开展全面的临床评估，以明确服务对象的治疗目标、临床特征与居住环境。
COOK凭借其基于传感器的环境监测与认知辅助功能，在提升TBI成人备餐过程中的独立性与安全性方面展现出极高潜力。为推动COOK的部署应用，需开展全面的临床评估，以明确服务对象的治疗目标、临床特征与居住环境。