User acceptance of telerehabilitation in Germany: a structural equation modeling approach based on the UTAUT2 model - Report - MDSpire

User acceptance of telerehabilitation in Germany: a structural equation modeling approach based on the UTAUT2 model

  • By

  • Susanne Stampa

  • Oliver Razum

  • Christoph Dockweiler

  • July 1, 2026

  • 0 min

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Clinical Report: Acceptance of Telerehabilitation Services in Germany

Overview

This study analyzes the acceptance of telerehabilitation services in Germany, focusing on factors influencing behavioral intention and use behavior.

Background

The digitization of rehabilitation services has accelerated, particularly due to the COVID-19 pandemic. This study examines real-world usage and acceptance factors.

Data Highlights

MeasureMean (M)Standard Deviation (SD)
Technology Affinity3.451.17
Acceptance of Telerehabilitation2.371.36

Key Findings

  • Acceptance of telerehabilitation was reported (M = 2.37, SD = 1.36).
  • Participants had a medium affinity for technology (M = 3.45, SD = 1.17).
  • Performance expectancy, habit, and hedonic motivation significantly influenced behavioral intention (p < 0.001).
  • Habit was the only construct that significantly influenced actual use behavior (p = 0.031).
  • The UTAUT2 model showed good explanatory power for behavioral intention (R2 = 0.746) but limited for use behavior (R2 = 0.049).

Clinical Implications

The findings suggest that enhancing performance expectancy and hedonic motivation may improve patient acceptance of telerehabilitation. Additionally, addressing habit formation could be crucial for translating behavioral intentions into actual usage.

Conclusion

The study reveals a significant intention-behavior gap in the context of telerehabilitation acceptance.

Related Resources & Content

  1. Journal of Medical Internet Research (JMIR), 2026 -- Integration of Digital Therapeutics Into Occupational Rehabilitation in Germany: Multilevel Simulation Study
  2. Journal of Medical Internet Research (JMIR), 2026 -- Telerehabilitation in Community Stroke Services: Mixed Methods Evaluation of Current Practice and Lessons for Sustained Use
  3. Journal of Medical Internet Research (JMIR), 2026 -- Explaining the Use Behavior of Digital Technologies in Pediatric Rehabilitation: Structural Equation Modeling Analysis of a Cross-Sectional European Survey
  4. Frontiers in Psychiatry, 2026 -- Telerehabilitation in children and adolescents with intellectual disability: a systematic review
  5. Tragende Gründe, 2025 -- Policy and reimbursement context in Germany
  6. European Heart Journal, 2025 -- Standards for cardiac telerehabilitation
  7. ScienceDirect, 2026 -- Effectiveness of Telerehabilitation After Total Knee Arthroplasty: An Umbrella Review
  8. Tragende Gründe
  9. Standards for cardiac telerehabilitation | European Heart Journal | Oxford Academic
  10. Effectiveness of Telerehabilitation After Total Knee Arthroplasty: An Umbrella Review - ScienceDirect

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