Analysis and Improvement of the Web Accessibility of a Tele-rehabilitation Platform for Hip Arthroplasty Patients

Calle-Jimenez, Tania; Sánchez-Gordón, Sandra; Rybarczyk, Yves; Jadán, Janio; Villarreal, Santiago; Esparza, Wilmer; Acosta-Vargas, Patricia; Guevara, Cesar; Nunes, Isabel L.

doi:10.1007/978-3-319-94334-3_24

Cited by 9 publications

(6 citation statements)

References 8 publications

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“…The publications were published from the year 2013 to 2022. All studies were conducted in Global North countries, except for 1 in Ecuador [30][31][32] and 1 in Indonesia [33]. The eHealth services in the included studies targeted different types of patients or diagnoses: hip arthroplasty surgery [30][31][32], chronic kidney disease [34], depression [35,36], intellectual disability [37,38], dexterity impairments [38,39], older adults with functional limitations [33,40], acquired brain injury [41], multiple sclerosis [42], children with long-term illness [43], and heart failure and chronic obstructive pulmonary disease [44].…”

Section: Resultsmentioning

confidence: 99%

“…All studies were conducted in Global North countries, except for 1 in Ecuador [30][31][32] and 1 in Indonesia [33]. The eHealth services in the included studies targeted different types of patients or diagnoses: hip arthroplasty surgery [30][31][32], chronic kidney disease [34], depression [35,36], intellectual disability [37,38], dexterity impairments [38,39], older adults with functional limitations [33,40], acquired brain injury [41], multiple sclerosis [42], children with long-term illness [43], and heart failure and chronic obstructive pulmonary disease [44]. The eHealth interventions in the studies consisted of rehabilitation after surgery [30][31][32], self-monitoring at home [34,40], mental health programs [35,36], supporting alternative communication [37], symptom reporting [43], facilitating appointments [33,38,41,44], self-management regimens [38,39,41,44], and a precision medicine tool [42].…”

Section: Resultsmentioning

confidence: 99%

“…In 1 study, accessibility was defined as when a system is able to adapt itself to the preferences and characteristics of the user [34]. Two of the studies addressed accessibility as the usability of a product, service, environment, or facility by people with the widest range of capabilities as defined by the International Organization for Standardization (ISO) [32], and as universal design and user friendliness by referring to WCAG 2.0 [36]. One of the publications explained accessibility as when a goal can be easily achieved or accessed according to the person's needs and the ease of using the service in a safe, comfortable, and independent way [33].…”

Section: Resultsmentioning

confidence: 99%

“…Studies of three eHealth services, presented in 5 publications, used the WCAG to evaluate accessibility when developing eHealth services [30][31][32][33]36]. One publication used Web Accessibility Initiative (WAI) [30] and another used Web Accessibility Initiative: Ageing Education and Harmonization (WAI-AGE) [32] to guide the development and evaluation.…”

Section: Resultsmentioning

confidence: 99%

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Development and Evaluation of eHealth Services Regarding Accessibility: Scoping Literature Review

Jonsson,

Johansson,

Hussain

et al. 2023

J Med Internet Res

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Background Accessibility is acknowledged as a key to inclusion in the Convention of Rights for People with Disabilities. An inaccessible design can result in exclusion from eHealth and cause disability among people who have impairments. Objective This scoping literature review aimed to investigate how eHealth services have been developed and evaluated regarding accessibility for people with impairments. Methods In line with Arksey and O’Malley’s framework for scoping studies and using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a search in 4 databases (PubMed, Scopus, IEEE, and Web of Science) in October 2020 and an update of the search in June 2022. The search strategy was structured according to the PICO model as follows: Population/Problem, digital accessibility for users with impairment; Intervention, health care delivered by any digital solution; Comparison, not applicable; Outcome, use of and adherence to (1) Web Content Accessibility Guidelines (WCAG), (2) other accessibility guidelines, and (3) other means, for designing or evaluating accessibility in eHealth services. A Boolean search was conducted by combining terms related to accessibility and eHealth. All authors participated in screening abstracts according to the eligibility criteria. Each publication, containing a potentially relevant abstract, was read (full text) and assessed for eligibility by 2 authors independently and pairwise. Publications deemed eligible were read by all authors and discussed for consensus. Results A total of 8643 publications were identified. After abstract screening, 131 publications remained for full-text reading. Of those, 116 publications were excluded as they did not meet the eligibility criteria. Fifteen publications involving studies of 12 eHealth services were included in the study. Of the 15 publications, 2 provided a definition of accessibility, 5 provided an explanation of accessibility, and 8 did not provide any explanation. Five publications used the WCAG to evaluate accessibility when developing eHealth services. One publication used International Organization for Standardization (ISO) 29138, ISO 2941, and ISO/International Electrotechnical Commission (IEC) 30071-1 standards together with the Spanish Association for Standardization (UNE) 139803 standard. Eleven publications used other means to address accessibility, including text-level grading; literature review about accessibility; user tests, focus groups, interviews, and design workshops with target groups of patients, relatives, and health care professionals; and comparative analysis of existing technical solutions to provide information about useful requirements. Conclusions Although a clear definition of accessibility can enhance operationalization and thus measurability when evaluating accessibility in eHealth services, accessibility was insufficiently defined in most of the included studies. Further, accessibility guidelines and standards were used to a very limited extent in the development and evaluation of eHealth services. Guidelines for developing complex interventions that include guidance for accessibility are motivated to ensure that accessibility will be considered systematically in eHealth services.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Development and Evaluation of eHealth Services Regarding Accessibility: Scoping Literature Review

Jonsson,

Johansson,

Hussain

et al. 2023

J Med Internet Res

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show abstract

“…Other studies argue that eHealth programmes that support individualised education of the person in preoperative preparation, inpatient care, and home rehabilitation have the advantage of potentially increasing the person’s involvement, improving their recovery, and reducing potential postoperative complications [ 28 , 29 ], contributing to positive clinical outcomes, when compared to conventional face-to-face rehabilitation approaches. These are low-cost interventions suited to their specific needs and with low levels of disruption in their daily life, which could justify the implementation of telerehabilitation in clinical settings, not only in the current COVID-19 context but also in post-surgery follow-ups [ 30 ]; in addition, these interventions have very significant effects on reducing hospitalisation time, without altering the rates of complications and readmissions [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Nicolau

Mendes

Ciríaco

et al. 2022

JPM

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(1) Background: The prevalence of coxarthrosis associated with ageing is one of the main reasons for the increase in hip arthroplasty. Educational intervention in the pre- and postoperative period of hip arthroplasty can improve functionality and, consequently, quality of life. Therefore, we intend to map the educational interventions that improve the functional capacity of people undergoing hip arthroplasty on their rehabilitation process. (2) Methods: Scoping review. The search was carried out in the databases: CINAHL complete, MEDLINE Complete, Nursing and Allied Health Collection: Comprehensive, Cochrane Methodology Register, Library, Information Science and Technology Abstracts, MedcLatina, and Google Academic. We included studies that evaluated the implementation of educational rehabilitation interventions that enable the empowerment and teaching of people undergoing hip arthroplasty. (3) Results: Thirteen studies were analysed that met the eligibility criteria and allowed the research question to be answered. Education in the perioperative period promotes training to perform rehabilitation exercises, improves the hospitalisation experience, increases participation in the rehabilitation process, allows early mobilisation, and increases the functional potential, thus enabling faster reintegration into society. (4) Conclusion: Early mobilisation plays a very important role in a person′s functional recovery, as well as in the prevention of thromboembolic complications. Exercise produces benefits in relation to physical function, namely, in improving strength, balance, facilitating functional activities, and preventing complications.

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Accessible software development: a conceptual model proposal

Silva

Gonçalves

Branco

et al. 2019

Univ Access Inf Soc

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Equal access to all software and digital content should be a reality in the Digital Era. This argument is something defended both by existing regulations, norms and standards, and also business organizations and governments. Despite this acknowledgement, the reality is still far from the desired equality. For certain groups of disabled or impaired citizens, such as the visually impaired, the existence of e-accessibility compliance represents an opportunity to integrate, in a more simple and straightforward manner, their societies. Despite the existing poor results on e-accessibility compliance, the mentioned citizens insist on using digital devices in their daily lives. Even though, in the last decade, multiple standards and regulations have been published towards indicating how to develop accessible digital user interfaces, there are still two major issues surrounding its implementation: the complexity and disparity of the documents containing the abovementioned norms, and also the lack of e-accessibility know-how by software experts. With this in mind, a proposal for an accessible software development model that encompasses e-accessibility incorporation as one of the development process activities has been presented. This model might represent a very interesting support tool for software development organizations and a novel resource for learning and training institutions to be able to improve their computer science and informatics students' skills on e-accessibility.

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Analysis and Improvement of the Web Accessibility of a Tele-rehabilitation Platform for Hip Arthroplasty Patients

Cited by 9 publications

References 8 publications

Development and Evaluation of eHealth Services Regarding Accessibility: Scoping Literature Review

Development and Evaluation of eHealth Services Regarding Accessibility: Scoping Literature Review

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Accessible software development: a conceptual model proposal

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