Digital Health Technology Use Among Rehabilitation Professionals in China: Multi-Province Cross-Sectional Survey

Clinical Snapshot

Key Findings

• P Value: Not reported for primary outcomes

• Effect Size: High willingness (78-81%) contrasted with low current digital adoption (4-14% for advanced technologies)

• Primary Outcome: Current digital health technology adoption rates and willingness to use DHTs

• Nnt Or Sensitivity: Implementation gap: 60-75 percentage point difference between willingness and current advanced technology use

• Confidence Interval: Not reported

Clinical Application

High willingness suggests good implementation potential, but infrastructure and training barriers need addressing Limited direct applicability due to different healthcare infrastructure; Australian rehabilitation services already more digitally integrated through telehealth initiatives and electronic health records Rehabilitation professionals in digitally developing healthcare systems

Abstract

BACKGROUND: The rapid expansion of rehabilitation needs in China has intensified pressure on a workforce that remains unevenly distributed. Digital health technologies (DHTs) offer potential to increase service reach and efficiency. However, little is known about how rehabilitation professionals currently gather and document clinical information, nor about their readiness to integrate digital tools into routine practice within China's rapidly digitalizing health system. OBJECTIVE: This study aimed to describe how rehabilitation professionals in China collect subjective and objective clinical information, document patient data in routine practice, and assess their willingness to use DHTs in clinical settings. METHODS: We conducted a multi-province observational cross-sectional survey using a culturally adapted questionnaire based on the World Health Organization Digital Health Interventions framework. The instrument assessed participant characteristics, information collection methods, documentation practices, and willingness to adopt digital functions across rehabilitation activities. Descriptive analyses and subgroup comparisons were performed on 324 complete responses from certified rehabilitation professionals. The multi-province cross-sectional online survey was conducted among licensed rehabilitation professionals in China with internet access. Participants were recruited through professional networks and social media platforms. RESULTS: Respondents were drawn from 20 provincial-level administrative regions across China, including Fujian (n=72), Guangdong (n=77), and Shanxi (n=45), among others, with 82.7% (268/324) employed in public sector rehabilitation services. Traditional methods dominated clinical work. Face-to-face communication was used frequently for subjective assessment by 96.3% (312/324) of respondents, whereas digital channels such as email (22/324, 6.8%) and telephone (47/324, 14.5%) saw limited use. For objective information, visual observation (271/324, 83.7%) and manual measurement tools (195/324, 60.2%) remained the primary approaches, while motion capture technology (45/324, 13.8%) and wearable sensors (13/324, 4%) were rarely used. Documentation practices also relied heavily on analogue formats, with 82.1% (266/324) using handwritten notes and 60.2% (195/324) using paper templates. In contrast, willingness to adopt DHTs was consistently high, with 80.6% (261/324) of respondents indicating readiness to use digital systems for identity verification, 79.0% (256/324) for progress tracking, and 78.1% (253/324) for outcome measurement. Subgroup analyses revealed that educational level significantly influenced the adoption of advanced technologies, with master's or doctoral degree holders reporting higher use of sensor-based assessment, motion capture, and wearable devices. In contrast, professional title and clinical specialty showed limited influence, with no significant differences observed for most digital health functions. CONCLUSIONS: Rehabilitation professionals in China demonstrate strong readiness to use DHTs, yet their routine practice remains largely paper-based and analogue. These findings provide evidence to inform implementation strategies, workforce training, and system-level planning aimed at accelerating digital transformation in rehabilitation services.

References

1. 1.Duan, S., Wang, Z. R., Chen, X., & Ni, G. (2026). Digital Health Technology Use Among Rehabilitation Professionals in China: Multi-Province Cross-Sectional Survey. Journal of Medical Internet Research, 28(4), e90623. https://doi.org/10.2196/90623