Behavioral Intention to Use a Virtual Instrumental Activities of Daily Living System Among People With Stroke

Abstract

OBJECTIVE. The purpose of this study was to investigate the behavioral intention to use (BIU) regarding a virtual system for practicing instrumental activities of daily living (IADLs) among people with stroke.METHOD. Fourteen people who had sustained a stroke used a virtual world-based system over four sessions to participate in virtual occupations of preparing meals and putting away groceries. To investigate intention to use the technology, participants responded to a questionnaire based on the Technology Acceptance Model and were interviewed about the experience.RESULTS. Analysis of questionnaire responses revealed favorable attitudes toward the technology and statistically significant correlations between these attitudes and positive BIU. Analysis of qualitative data revealed four themes to support system use: Use of the affected arm increased, the virtual practice was enjoyable, the technology was user-friendly, and the system reflected real-life activities.

Using the Technology Acceptance Model to Identify Factors That Predict Likelihood to Adopt Tele-Neurorehabilitation

“…The majority of studies found that tele-neurorehabilitation interventions were not inferior to conventional center-based models of care ( 41 , 42 , 46 , 47 , 50 , 54 – 56 , 60 ). Patients and carers/family reported subjective improvements in communication, gait, activities of daily living, and motivation.…”

“…A number of studies found that participants enjoyed gaming technology associated with some of the tele-neurorehabilitation interventions and found them easy to use, engaging and motivating ( 41 , 43 , 47 , 48 , 52 , 54 ). Experiences with both hardware and software had a marked effect on the user perception of tele-neurorehabilitation.…”

“…Unreliable internet bandwidth, and technical issues which were not easily resolved further contributed to anxiety and perceptions of ease of use ( 46 ). Studies where the ICT was familiar (e.g., telephones) and consisted of easy to understand tasks (e.g., sit-to-stand practice) appeared to reduce anxiety secondary to the perception that they were easier to use ( 47 , 56 ).…”

The WeReha Project for an Innovative Home-Based Exercise Training in Chronic Stroke Patients: A Clinical Study

“…The function of stroke patients after the stroke period treatment improves with technological devices, particularly for upper limb and hand recovery. 17 – 19 …”

“…Home rehabilitation technology solutions have tremendous potential in supporting the short-term and long-term performance of plans of care for motor cognitive rehabilitation in a highly engaging environment, thus empowering the patient, increasing their motivation, positive compliance with the therapy, and improved quality of life. [17][18][19] Such benefits are particularly important for post-stroke patients, especially those in the chronic phase who are typically affected by mobility problems (sometimes associated with different levels of depressions), complicating their travel to clinics in order to attend rehabilitation programs. 14 TR can be a suitable alternative to conventional rehabilitation care for post-stroke patients, especially in remote or underserved areas, because many patients have reduced access to care due to limited regional and logistic resources.…”