Empathic Avatars in Stroke Rehabilitation: A Co-designed mHealth Artifact for Stroke Survivors

Aljaroodi, Hussain M.; Adam, Marc T. P.; Chiong, Raymond; Cornforth, David; Minichiello, Mario

doi:10.1007/978-3-319-59144-5_5

Cited by 13 publications

(10 citation statements)

References 42 publications

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“…A 2021 review [ 27 ] documented the application contexts (eg, diabetes and nutrition), stakeholders (eg, caregivers, nurses, and specialists), and methods used in co-design mHealth studies, including a mapping to the Sanders and Stappers framework [ 13 ]. The methods that have been applied include cultural probes [ 28 - 31 ], storytelling [ 32 - 36 ], and journey maps [ 31 , 37 , 38 ]. The context of these applications includes both disease management and health promotion.…”

Section: Introductionmentioning

confidence: 99%

Using Co-design in Mobile Health System Development: A Qualitative Study With Experts in Co-design and Mobile Health System Development

Noorbergen¹,

Adam²,

Teubner³

et al. 2021

JMIR Mhealth Uhealth

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Background The proliferation of mobile devices has enabled new ways of delivering health services through mobile health systems. Researchers and practitioners emphasize that the design of such systems is a complex endeavor with various pitfalls, including limited stakeholder involvement in design processes and the lack of integration into existing system landscapes. Co-design is an approach used to address these pitfalls. By recognizing users as experts of their own experience, co-design directly involves users in the design process and provides them an active role in knowledge development, idea generation, and concept development. Objective Despite the existence of a rich body of literature on co-design methodologies, limited research exists to guide the co-design of mobile health (mHealth) systems. This study aims to contextualize an existing co-design framework for mHealth applications and construct guidelines to address common challenges of co-designing mHealth systems. Methods Tapping into the knowledge and experience of experts in co-design and mHealth systems development, we conducted an exploratory qualitative study consisting of 16 semistructured interviews. Thereby, a constructivist ontological position was adopted while acknowledging the socially constructed nature of reality in mHealth system development. Purposive sampling across web-based platforms (eg, Google Scholar and ResearchGate) and publications by authors with co-design experience in mHealth were used to recruit co-design method experts (n=8) and mHealth system developers (n=8). Data were analyzed using thematic analysis along with our objectives of contextualizing the co-design framework and constructing guidelines for applying co-design to mHealth systems development. Results The contextualized framework captures important considerations of the mHealth context, including dedicated prototyping and implementation phases, and an emphasis on immersion in real-world contexts. In addition, 7 guidelines were constructed that directly pertain to mHealth: understanding stakeholder vulnerabilities and diversity, health behavior change, co-design facilitators, immersion in the mHealth ecosystem, postdesign advocates, health-specific evaluation criteria, and usage data and contextual research to understand impact. Conclusions System designers encounter unique challenges when engaging in mHealth systems development. The contextualized co-design framework and constructed guidelines have the potential to serve as a shared frame of reference to guide the co-design of mHealth systems and facilitate interdisciplinary collaboration at the nexus of information technology and health research.

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Section: Introductionmentioning

confidence: 99%

Using Co-design in Mobile Health System Development: A Qualitative Study With Experts in Co-design and Mobile Health System Development

Noorbergen¹,

Adam²,

Teubner³

et al. 2021

JMIR Mhealth Uhealth

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show abstract

“…15 For example, one trial showed that a co-designed mHealth system supported stroke rehabilitation by improving communication of health advice and patient engagement. 16 A systematic literature review by Noorbergen et al 15 showed that co-designed strategies were of benefit to some rehabilitation patients. The literature emphasises early co-design and there is a paucity of research on the post-design phase.…”

Section: Open Accessmentioning

confidence: 99%

Patient experiences of co-designed rehabilitation interventions: protocol for a rapid review

et al. 2022

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IntroductionPatient-centred care can be facilitated by co-design, which refers to collaboration between healthcare professionals and consumers in producing and implementing healthcare. Systematic reviews on co-design have mainly focused on the effectiveness of co-produced healthcare interventions. Less attention has been directed towards the experiences of patients in co-designed interventions. This rapid review aims to explore patient experiences of co-designed rehabilitation interventions and inform rehabilitation decision-making.Methods and analysisA rapid review will expedite timely information on co-design experiences for stakeholders. Four electronic databases, including Cochrane CENTRAL, MEDLINE, Embase and CINAHL, will be searched for papers published from 1 January 2000 to 1 January 2022. The Cochrane Risk of Bias tool will be used for randomised trials. Critical appraisal checklists from The Joanna Briggs Institute shall evaluate the risk of bias of non-randomised trials and qualitative studies. A narrative synthesis will be provided for the quantitative studies. Thematic synthesis will be conducted on qualitative findings. The overall strength of the evidence will be measured using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework for quantitative investigations and the GRADE-Confidence in Evidence from Reviews of Qualitative Research for qualitative studies. The results will be presented using narrative summaries, identified themes, summary tables, flow charts and quantitative statistical analyses.Ethics and disseminationEthics approval is not required for the review. The protocol and rapid review will be submitted to an online, open access and peer-reviewed journal for publication. The review findings will be rapidly translated to consumers, clinicians, healthcare leaders, organisations, researchers and policy makers via publications, evidence summaries, conferences, workshops, websites, social media and online events.PROSPERO registration numberCRD42021264547.

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“…Moreover, persuasion can be supported by higher anthropomorphism (e.g., using detailed facial expressions). Overall, more visually realistic avatars convey stronger messages, increase the chances to persuade users (Khashe et al, 2017) and, in turn, guide behaviour (Aljaroodi, Adam, Chiong, Cornforth, & Minichiello, 2017;Noorbergen et al, 2019).…”

Section: Practical Implicationsmentioning

confidence: 99%

Avatars and Embodied Agents in Experimental Information Systems Research: A Systematic Review and Conceptual Framework

Aljaroodi¹,

Adam²,

Chiong³

et al. 2019

AJIS

Self Cite

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Computerised graphical representations of human users and computer agents, known as avatars and embodied agents, have been extensively explored and investigated in Information Systems (IS) research and practice. Such digital representations can be employed in either 2D or 3D. In order to facilitate research on user and agent representations and their applications in IS, we conduct a systematic literature review and establish the current state of research on humans’ perceptions and behaviours when interacting with avatars and embodied agents. Our findings are based on an analysis of 90 articles published in top outlets in the IS field. This review identifies 1) different types of avatar and embodied agent-mediated interactions with users, 2) current application domains of such representations, 3) their dimensionality, 4) affected psychological constructs, and 5) practical considerations for the design of such digital representations. Finally, we discuss limitations of current research and, based on these, directions for future work.

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Empathic Avatars in Stroke Rehabilitation: A Co-designed mHealth Artifact for Stroke Survivors

Cited by 13 publications

References 42 publications

Using Co-design in Mobile Health System Development: A Qualitative Study With Experts in Co-design and Mobile Health System Development

Using Co-design in Mobile Health System Development: A Qualitative Study With Experts in Co-design and Mobile Health System Development

Patient experiences of co-designed rehabilitation interventions: protocol for a rapid review

Avatars and Embodied Agents in Experimental Information Systems Research: A Systematic Review and Conceptual Framework

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