User needs in the performance of prescribed home exercise therapy

Chandra, Hitee; Oakley, Ian; Silva, Hugo

doi:10.1145/2212776.2223804

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…Our usability evaluation was based on a 3-week ambulatory assessment with real patients using the app at their real home and not in a controlled laboratory setting, which can raise many issues that are not illuminated in a lab or hypothetical setting [ 30 ]. Therefore, we believe that our evaluation and system are close to the actual requirements of home-based physiotherapy [ 28 , 29 ]. However, only 5 patients took part in the pilot study and a certain positive bias might have been introduced by the study design.…”

Section: Discussionmentioning

confidence: 89%

“…Overall, the app tackled important obstacles for physiotherapy at home via comprehensible and easily accessible exercise instructions, compliance, exercise correctness, and progress monitoring [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…Apart from general health and fitness, which have become topics for major companies such as Google (Google Fit) and Apple (Apple Health), several specific medical and rehabilitation issues have been addressed in the HCI and the medical community. Among these issues were stroke rehabilitation [ 31 ], Parkinson disease [ 32 ], cerebral palsy [ 33 ], autism [ 34 ], and most importantly, for the focus of this study, musculoskeletal disorders (MSDs) [ 28 , 29 ], including the disorders of the knee [ 35 ] and the shoulder [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Mobile Phone–Supported Physiotherapy for Frozen Shoulder: Feasibility Assessment Based on a Usability Study

Stütz¹,

Emsenhuber²,

Huber³

et al. 2017

JMIR Rehabil Assist Technol

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BackgroundPatients with frozen shoulder show limited shoulder mobility often accompanied by pain. Common treatment methods include physiotherapy, pain medication, administration of corticosteroids, and surgical capsulotomy. Frozen shoulder often lasts from months to years and mostly affects persons in the age group of 40 to 70 years. It severely reduces the quality of life and the ability to work.ObjectiveThe objective of this study was to evaluate the feasibility of a mobile health (mHealth) intervention that supports patients affected by “stage two” frozen shoulder. Patients were supported with app-based exercise instructions and tools to monitor their training compliance and progress. These training compliance and progress data supplement the patients’ oral reports to the physiotherapists and physicians and can assist them in therapy adjustment.MethodsIn order to assess the feasibility of the mHealth intervention, a pilot study of a newly developed app for frozen shoulder patients was conducted with 5 patients for 3 weeks. The main function of the app was the instruction for exercising at home. Standardized questionnaires on usability such as System Usability Scale (SUS) and USE (Usefulness, Satisfaction, and Ease of use), and Technology Acceptance Model-2 (TAM-2) were completed by the study participants at the end of the study. Additionally, a nonstandardized questionnaire was completed by all patients. The correctness of the exercises as conducted by the patients was assessed by a physiotherapist at the end of the study. The mobility of the shoulder and pain in shoulder movement was assessed by a physiotherapist at the start and the end of the study.ResultsThe pilot study was successfully conducted, and the app was evaluated by the patients after 3 weeks. The results of the standardized questionnaires showed high acceptance (TAM-2) and high usability (SUS) of the developed app. The overall usability of the system as assessed by the SUS questionnaire was very good (an average score of 88 out of 100). The average score of the TAM-2 questionnaire on the intention to further use the app was 4.2 out of 5, which indicated that most patients would use the app if further available. The results of the USE questionnaires highlighted that the patients learned how to use the app easily (an average score of 4.2 out of 5) and were satisfied with the app (an average score of 4.7 out of 5). The frequency of app usage and training was very high based on patient reports and verified by analysis of the usage data. The patients conducted the exercises almost flawlessly.ConclusionsOur results indicate the feasibility of the mHealth intervention, as the app was easy to use and frequently used by the patients. The app supported the patients’ physiotherapy by providing clear exercising instructions.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mobile Phone–Supported Physiotherapy for Frozen Shoulder: Feasibility Assessment Based on a Usability Study

Stütz¹,

Emsenhuber²,

Huber³

et al. 2017

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

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“…Além disso, os relatos dos pacientes demonstraram que o aplicativo despertou o interesse do autocuidado, de saber como proceder durante o período de utilização, aumentando o monitoramento da saúde. Quanto as exigências mentais, na questão 8, os usuários alegaram que o aplicativo exigiu empenho para aprender a utilizar, aumentando a concentração de cada participante (CHANDRA; OAKLEY; SILVA, 2012;SARKAR et al, 2016). Para utilizar o aplicativo foram oferecidos aos usuários treinamentos, orientações, momentos para esclarecimento de dúvidas, e demonstrações de utilização (questão 12).…”

Section: Discussionunclassified

Experiência Do Usuário Com Aplicativo De Saúde: Um Estudo Piloto Na Rede Pública Da Região Norte Do Rio Grande Do Sul

et al. 2022

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Os aplicativos de saúde envolvem um número crescente da população, motivados pelo interesse nos avanços tecnológicos. Dessa forma, este estudo analisou a experiência e a aceitação do usuário na utilização de um aplicativo para o monitoramento da hipertensão. Participaram do estudo 11 usuários portadores de hipertensão, que utilizaram o aplicativo por três meses. Após o uso, os participantes responderam questionários de avaliação da experiência (SUPR-Qm), de avaliação da tecnologia (TAM) e o sociodemográfico. Para a abordagem qualitativa, investigou-se aspectos do aplicativo considerados importantes para os usuários. O estudo possibilitou identificar as experiências, percepções e necessidades dos usuários ao utilizar um aplicativo para o acompanhamento da hipertensão. Entretanto, sugere-se a realização de estudos futuros para analisar a experiência e a aceitação cumulativa ao longo do tempo, buscando-se comparar os resultados antes e depois da interação com o aplicativo.Palavras-chave: Serviço de saúde comunitária; hipertensão; tecnologia; informática em saúde pública; aplicações da informática médica.

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“…As recently argued by Chandra, Oakley and Silva [10], physical rehabilitation at home using biofeedback has multiple potential drawbacks, user engagement being the most important. Positive and/or negative reinforcement cues provided to the user during the exercises play a major role in user engagement.…”

Section: Related Workmentioning

confidence: 99%

A Context-Aware Application to Increase Elderly Users Compliance with Physical Rehabilitation Exercises at Home via Animatronic Biofeedback

et al. 2015

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This version is available at https://strathprints.strath.ac.uk/54353/ Strathprints is designed to allow users to access the research output of the University of Strathclyde. Unless otherwise explicitly stated on the manuscript, Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Please check the manuscript for details of any other licences that may have been applied. You may not engage in further distribution of the material for any profitmaking activities or any commercial gain. You may freely distribute both the url (https://strathprints.strath.ac.uk/) and the content of this paper for research or private study, educational, or not-for-profit purposes without prior permission or charge.Any correspondence concerning this service should be sent to the Strathprints administrator: strathprints@strath.ac.ukThe Strathprints institutional repository (https://strathprints.strath.ac.uk) is a digital archive of University of Strathclyde research outputs. It has been developed to disseminate open access research outputs, expose data about those outputs, and enable the management and persistent access to Strathclyde's intellectual output. Abstract Biofeedback from physical rehabilitation exercises has proved to lead to faster recovery, better outcomes, and increased patient motivation. In addition, it allows the physical rehabilitation processes carried out at the clinic to be complemented with exercises performed at home. However, currently existing approaches rely mostly on audio and visual reinforcement cues, usually presented to the user on a computer screen or a mobile phone interface. Some users, such as elderly people, can experience difficulties to use and understand these interfaces, leading to non-compliance with the rehabilitation exercises. To overcome this barrier, latest biosignal technologies can be used to enhance the efficacy of the biofeedback, decreasing the complexity of the user interface. In this paper we propose and validate a contextaware framework for the use of animatronic biofeedback, as a way of potentially increasing the compliance of elderly users with physical rehabilitation exercises performed at home. in the scope of our work, animatronic biofeedback entails the use of pre-programmed actions on a robot that are triggered in response to certain changes detected in the users' biomechanical or electrophysiological signals. We use electromyographic and accelerometer signals, collected in real time, to monitor the performance of the user while execut- ing the exercises, and a mobile robot to provide animatronic reinforcement cues associated with their correct or incorrect execution. A context-aware application running on a smartphone aggregates the sensor data and controls the animatronic feedback. The acceptability of the animatronic biofeedback has been tested on a set of volunteer elderly users. The results suggest that the participants found the animatronic feedback engaging and of added value.

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User needs in the performance of prescribed home exercise therapy

Cited by 7 publications

References 4 publications

Mobile Phone–Supported Physiotherapy for Frozen Shoulder: Feasibility Assessment Based on a Usability Study

Mobile Phone–Supported Physiotherapy for Frozen Shoulder: Feasibility Assessment Based on a Usability Study

Experiência Do Usuário Com Aplicativo De Saúde: Um Estudo Piloto Na Rede Pública Da Região Norte Do Rio Grande Do Sul

A Context-Aware Application to Increase Elderly Users Compliance with Physical Rehabilitation Exercises at Home via Animatronic Biofeedback

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