Implications for practice
heterogenous, PD
People with PD represent a heterogenous group with a broad range of individual preferences, experience, and fluctuating needs. Differentiation is important: rather than thinking in terms of blanket application of TVT, clinicians need to understand which patients are likely to be receptive to the technology and ensure alternative options (or combination interventions) are available for people who want them. For example, individuals who work regularly with technology may be inclined to opt for alternative (non-technological) approaches to avoid prolonged screen-use during non-working/leisure time. Others may find technology-based interventions preferable if they struggle with dexterity or pen and paper-based tasks. People with PD are receptive to novel technology but require one-to-one support to ensure they have the confidence to use the tools independently. Face to face interactions and endorsement from a trusted health professional facilitate use of technology and are likely to increase uptake and sustained use within the context of rehabilitation. Future work needs to determine how much influence this face-to-face contact with a health professional has on the integration of technology into rehabilitative practices. A greater ‘buy-in’ from people with PD can be addressed through more rigorous research and dissemination of the efficacy of technology-based interventions through education and supported use.