Abstract WP185: How to Design Woke Stroke Tech: The STORIES Project

Introduction: There is little foundational evidence describing needs, wants, and concerns of stroke survivors and their carers regarding stroke rehabilitation technology. The aim of the STORIES Project (Stroke Tech- Overviews in Rehabilitation, Insights, and Experiences of Survivors & carers) was to identify, characterize, and prioritize these needs and concerns, as well as differences in characterizations across subgroups, to inform socially inclusive design. Methods: Mixed-method, semi-structured interviews were conducted with 29 stroke survivors and 16 carers, including 12 matched patient-carer dyads. Participants used a 1-5 scale to rate confidence and interest in using technologies for stroke rehabilitation and to rate the importance of 41 aspects of rehabilitation technology use. Differences between subgroups were compared via student t-tests. Qualitative data was coded to add depth of understanding to quantitative results. Results: Across all participants, aspects rated most important were clear instructions, ability to return a product from home, ease of use, ability to see progress over time, and that technology use did not replace time with a therapist. Human interaction in rehabilitation was deeply important for motivation, effectiveness, and mental health. Compared to carers, patients found the following less important: training carers in rehabilitation technology use ( p =.006), ability to share progress ( p =.001), and ability to do exercises with therapists rather than carers ( p =.001). Non-whites more strongly valued including music in the rehabilitation technology experience ( p =.001). Medicaid beneficiaries cared more about time & financial risk-minimization strategies ( p <.000), but not direct cost ( p =.72). People without a Bachelor’s degree had less technology familiarity and interest ( p =.003). Finally, patients and carers of patients less than 12 months post-stroke were less interested in stroke rehabilitation technologies ( p <.000). Conclusion: To increase adoption of stroke rehabilitation technologies, development should focus on improving multiple parts of the product experience, including clear instructions, ease of use, progress tracking, music inclusion, free trials, and free returns from home.

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Patient perceptions of the benefits and barriers of virtual postnatal care: a qualitative study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03999-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Megan Saad ◽

Sophy Chan ◽

Lisa Nguyen ◽

Siddhartha Srivastava ◽

Ramana Appireddy

Keyword(s):

Health Care Providers ◽

Technology Use ◽

Obstetric Care ◽

Ease Of Use ◽

Patient Perceptions ◽

Care Providers ◽

Structured Interviews ◽

New Mothers ◽

Virtual Care ◽

Improve Compliance

Abstract Objective The objective of this study is to understand the perceptions of new mothers using virtual care via video conferencing to gain insight into the benefits and barriers of virtual care for obstetric patients. Methods Semi-structured interviews were conducted with 15 patients attending the Kingston Health Sciences Centre. The interviews were 20–25 min in length and recorded through an audio recorder. Thematic analysis was conducted in order to derive the major themes explored in this study. Results New mothers must often adopt new routines to balance their needs and their child’s needs. These routines could impact compliance and motivation to attend follow-up care. In our study, participants expressed high satisfaction with virtual care, emphasizing benefits related to comfort, convenience, communication, socioeconomic factors, and the ease of technology use. Participants also perceived that they could receive emotional support and build trust with their health care providers despite the remote nature of their care. Due to its ease of use and increased accessibility, we argue that virtual care shows promise to facilitate long-term compliance to care in obstetric patients. Conclusions Virtual care is a useful modality that could improve compliance to obstetric care. Further research and clinical endeavours should examine how social factors and determinants intersect to determine how they underpin patient perceptions of virtual and in-person care.

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Adoption of Stroke Rehabilitation Technologies by the User Community (Preprint)

10.2196/preprints.9219 ◽

2017 ◽

Author(s):

Andrew Kerr ◽

Mark Smith ◽

Lynn Reid ◽

Lynne Baillie

Keyword(s):

Performance Feedback ◽

Stroke Rehabilitation ◽

New Technologies ◽

Smart Phone ◽

Integrated Approach ◽

Ease Of Use ◽

Evidence Based ◽

Stroke Survivors ◽

Starting Point ◽

And Performance

BACKGROUND Using technology in stroke rehabilitation is attractive. Devices from robots to smart phone apps can help deliver evidence-based levels of practice intensity and automated feedback without additional labour costs. Currently, however, few technologies have been adopted into everyday rehabilitation. OBJECTIVE This project aimed to identify stakeholder (users (including therapists, patients and carers) technology developers (including researchers) and policymakers) priorities for stroke rehabilitation technologies and generate user-centred solutions to enhance everyday adoption. METHODS Stakeholders (n=60), including stroke survivors (33%), therapists (33%), carers and technology developers (including researchers) (33%), were invited to attend two facilitated workshops. Workshop one was preceded by a national survey of stroke survivors and therapists (n=177) to generate an initial list of priorities. The subsequent workshop focused on generating practical solutions to enhance adoption. RESULTS Twenty-five priorities were generated from the survey, these were reduced to ten, non-ranked, priorities through discussion, consensus activities and voting at workshop 1. These were: access to technologies, ease of use, awareness of available technologies, technologies focused on function, supports self-management, user training, evidence of effectiveness, value for money, knowledgeable staff and performance feedback. The second workshop provided recommendations for improving the adoption of technologies in stroke rehabilitation: an annual exhibition of commercially available and developing technologies, an online consumer-rating website of available technologies and a user network to inspire and test new technologies. CONCLUSIONS The key outcomes from this series of stakeholder workshops provides a starting point for an integrated approach to promoting greater adoption of technologies in stroke rehabilitation. Bringing technology developers and users together to shape future and evaluate current technologies is critical to achieving evidence-based stroke rehabilitation. CLINICALTRIAL None

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Post-stroke fatigue: an exploratory study with patients and health professionals to develop a patient-reported outcome measure

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-021-00307-z ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Ingrid Johansen Skogestad ◽

Marit Kirkevold ◽

Petra Larsson ◽

Christine Råheim Borge ◽

Bent Indredavik ◽

...

Keyword(s):

Future Development ◽

Health Professionals ◽

Outcome Measure ◽

Patient Reported Outcome ◽

Stroke Survivors ◽

Structured Interviews ◽

Post Stroke ◽

Patient Reported Outcome Measure ◽

Patient Reported ◽

Initial Hospital

Abstract Background Post-stroke fatigue (PSF) is commonly reported and described as disabling by patients recovering from stroke. However, a major challenge is how to accurately diagnose and assess PSF. Therefore, the aim of this study was to explore PSF as it is experienced by stroke survivors and described by health professionals to guide future development of a PSF-specific PROM. Methods Individual semi-structured interviews were conducted with stroke survivors experiencing PSF (n = 9) and three focus groups were conducted with health professionals (n = 16). Data were analyzed through inductive content analysis. Results The analysis revealed four themes illustrating the experience and descriptions of PSF: 1) PSF characteristics, 2) interfering and aggravating factors, 3) management, and 4) PSF awareness, which refers to stroke survivors first becoming aware of PSF after their initial hospital admission. Conclusion This study highlights the complexity and multidimensionality of PSF. The results from this study will guide future development of a PSF-PROM and support its content validity.

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Direct and Indirect Associations of Personality With Audiovisual Technology Acceptance Through General Self-Efficacy

Psychological Reports ◽

10.1177/0033294121997784 ◽

2021 ◽

pp. 003329412199778

Author(s):

Maria Manolika ◽

Rigas Kotsakis ◽

Maria Matsiola ◽

George Kalliris

Keyword(s):

Technology Acceptance ◽

Student Perceptions ◽

Technology Use ◽

Self Efficacy ◽

Online Survey ◽

Ease Of Use ◽

Perceived Usefulness ◽

Perceived Ease Of Use ◽

Beliefs About Technology ◽

General Self Efficacy

Increasing consensus among information systems researchers suggests that personality accounts for the effective use of several technologies, yet less is known about the process through which personality affects user perceptions of technology acceptance. This study, therefore, examined whether personality is associated with student perceptions of audiovisual technology acceptance, and whether general self-efficacy mediates this association. In total, 244 students completed an online survey including measures of personality, general self-efficacy, and perceptions of audiovisual technology acceptance. Canonical correlation uncovered significant associations between personality and student beliefs about technology use. Results further revealed that general self-efficacy fully mediated the effects of openness to experience and neuroticism on Perceived Ease of Use, whereas the association between agreeableness and Perceived Usefulness was partially mediated by self-efficacy beliefs. The fact that personality influences students’ perceptions of technology acceptance both directly and indirectly should not remain unnoticed, especially when designing intervention programs to enhance their academic performance.

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Older Adults’ Adaptations to the Call for Social Distancing and Use of Technology: Insights From Socioemotional Selectivity Theory and Lived Experiences

Journal of Applied Gerontology ◽

10.1177/0733464821996864 ◽

2021 ◽

pp. 073346482199686

Author(s):

Shoshana H. Bardach ◽

Elizabeth K. Rhodus ◽

Kelly Parsons ◽

Allison K. Gibson

Keyword(s):

Older Adults ◽

Technology Use ◽

Technology Training ◽

Well Being ◽

Socioemotional Selectivity Theory ◽

Structured Interviews ◽

Socioemotional Selectivity ◽

Social Distancing ◽

Use Of Technology ◽

Comparison Approach

Social distancing guidelines during COVID can be isolating, especially for older adults, with potential for poor health outcomes. Technology offers opportunities for remote connection, yet, older adults’ use of and perspectives on technology during this time remain largely unknown. The purpose of this study was to gain insight into older adults’ technology use and preferences to inform the development of a technology training intervention to support older adult well-being. Semi-structured interviews were conducted with 30 older adults. Interviews were analyzed using an iterative, constant comparison approach. Findings were consistent with Socioemotional Selectivity Theory; respondents were primarily interested in technology to support emotionally meaningful goals. Participants indicated limited interest in technology training, referencing diminished future time perspectives to explain disinterest. Findings suggest that efforts to encourage older adults’ expanded technology adoption should highlight how use supports emotionally meaningful goals and provide low-effort, timely training, tied to specific and clear applications.

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Benefits finding among Chinese family caregivers of stroke survivors: a qualitative descriptive study

BMJ Open ◽

10.1136/bmjopen-2020-038344 ◽

2020 ◽

Vol 10 (10) ◽

pp. e038344

Author(s):

Yong-Xia Mei ◽

Beilei Lin ◽

Weihong Zhang ◽

Dong-Bin Yang ◽

Shan-Shan Wang ◽

...

Keyword(s):

Family Caregivers ◽

Healthy Lifestyle ◽

Chinese Family ◽

Stroke Survivors ◽

Chinese Community ◽

Structured Interviews ◽

Research Reporting ◽

Positive Attitudes ◽

Qualitative Descriptive ◽

Caregiver Burdens

ObjectivesThe caregiving experience includes both caregiver burdens and benefits finding. However, the benefits obtained by family caregivers of stroke survivors in Chinese community dwellings are unknown. The objective of this study was to explore the benefits experienced by family caregivers of stroke survivors in Chinese community dwellings.DesignA qualitative descriptive design was used, fulfilling the consolidated criteria for the Standards for Reporting Qualitative Research reporting guidelines. Semi-structured interviews were conducted with 20 family caregivers of stroke survivors. The interviews were audiotaped, transcribed and analysed. Thematic analysis was performed to analyse the interview transcripts.Setting and participantsHome interviews were conducted with family caregivers of stroke survivors in two communities in Zhengzhou, China.ResultsThe family caregivers of stroke survivors experienced various benefits from caregiving. There were both internal benefits (increases in knowledge and skills, the development of positive attitudes, and the development of a sense of worthiness and achievement) and external benefits (family growth and gains in social support), which interact to create a healthy lifestyle.ConclusionOur findings provide a comprehensive perspective in understanding the benefits perceived by family caregivers of stroke survivors. This study provides insights into interventions focused on identifying benefits finding in six domains that may help reduce negative emotions and promote the mental health of caregivers.

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Design and Usability of a Home Telerehabilitation System to Train Hand Recovery Following Stroke

Journal of Medical Devices ◽

10.1115/1.4000451 ◽

2009 ◽

Vol 3 (4) ◽

Cited By ~ 4

Author(s):

William K. Durfee ◽

Samantha A. Weinstein ◽

Ela Bhatt ◽

Ashima Nagpal ◽

James R. Carey

Keyword(s):

Stroke Rehabilitation ◽

Hand Function ◽

Motor Program ◽

Ease Of Use ◽

Cortical Reorganization ◽

Laptop Computer ◽

File Server ◽

Home Based ◽

Treatment Paradigm ◽

At Home

Current theories of stroke rehabilitation point toward paradigms of intense concentrated use of the afflicted limb as a means for motor program reorganization and partial function restoration. A home-based system for stroke rehabilitation that trains recovery of hand function by a treatment of concentrated movement was developed and tested. A wearable goniometer measured finger and wrist motions in both hands. An interface box transmitted sensor measurements in real-time to a laptop computer. Stroke patients used joint motion to control the screen cursor in a one-dimensional tracking task for several hours a day over the course of 10–14 days to complete a treatment of 1800 tracking trials. A telemonitoring component enabled a therapist to check in with the patient by video phone to monitor progress, to motivate the patient, and to upload tracking data to a central file server. The system was designed for use at home by patients with no computer skills. The system was placed in the homes of 20 subjects with chronic stroke and impaired finger motion, ranging from 2–305 mi away from the clinic, plus one that was a distance of 1057 miles. Fifteen subjects installed the system at home themselves after instruction in the clinic, while nine required a home visit to install. Three required follow-up visits to fix equipment. A post-treatment telephone survey was conducted to assess ease of use and most responded that the system was easy to use. Functional improvements were seen in the subjects enrolled in the formal treatment study, although the treatment period was too short to trigger cortical reorganization. We conclude that the system is feasible for home use and that tracking training has promise as a treatment paradigm.

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Personalisation, customisation and bricolage: how people with dementia and their families make assistive technology work for them

Ageing and Society ◽

10.1017/s0144686x18000661 ◽

2018 ◽

Vol 39 (11) ◽

pp. 2502-2519 ◽

Cited By ~ 15

Author(s):

Grant Gibson ◽

Claire Dickinson ◽

Katie Brittain ◽

Louise Robinson

Keyword(s):

Technology Use ◽

Dementia Care ◽

Assistive Technologies ◽

Everyday Practice ◽

Structured Interviews ◽

Manage Care ◽

Age In Place ◽

Care Services ◽

People With Dementia ◽

The Everyday

AbstractAssistive technologies (ATs) are being ‘mainstreamed’ within dementia care, where they are promoted as enabling people with dementia to age in place alongside delivering greater efficiencies in care. AT provision focuses upon standardised solutions, with little known about how ATs are used by people with dementia and their carers within everyday practice. This paper explores how people with dementia and carers use technologies in order to manage care. Findings are reported from qualitative semi-structured interviews with 13 people with dementia and 26 family carers. Readily available household technologies were used in conjunction with and instead of AT to address diverse needs, replicating AT functions when doing so. Successful technology use was characterised by ‘bricolage’ or the non-conventional use of tools or methods to address local needs. Carers drove AT use by engaging creatively with both assistive and everyday technologies, however, carers were not routinely supported in their creative engagements with technology by statutory health or social care services, making bricolage a potentially frustrating and wasteful process. Bricolage provides a useful framework to understand how technologies are used in the everyday practice of dementia care, and how technology use can be supported within care. Rather than implementing standardised AT solutions, AT services and AT design in future should focus on how technologies can support more personalised, adaptive forms of care.

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Stroke Rehabilitation - An Overview of Existing Guidelines and Standards of Care

European Neurological Review ◽

10.17925/enr.2011.06.03.170 ◽

2011 ◽

Vol 6 (3) ◽

pp. 170 ◽

Cited By ~ 1

Author(s):

Richard D Zorowitz ◽

Keyword(s):

Stroke Rehabilitation ◽

Healthcare Providers ◽

Standards Of Care ◽

Interdisciplinary Management ◽

Stroke Survivors ◽

Level Of Evidence ◽

The Us ◽

Guidelines And Standards ◽

Complications Of Stroke ◽

The Uk

Over seven million stroke survivors live in the US today. Despite the publication of the first post-stroke rehabilitation clinical practice guideline in 1995, many healthcare providers are unaware not only of stroke survivors’ potential for functional recovery, but also common secondary complications of stroke. This article summarises the best available evidence-based recommendations for the interdisciplinary management of stroke survivors and caregivers from five sources: two in the US, one in Canada, and two in the UK. Unique characteristics of each guideline are described, followed by a list of common clinical recommendations found in most, if not all, of the guidelines. Despite the advances in stroke rehabilitation over the past 16 years, much research still needs to be done to improve the level of evidence in stroke rehabilitation.

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Indonesian Teachers’ Perceived Technology Literacy for Enabling Technology-Enhanced English Instruction

New Horizons in English Studies ◽

10.17951/nh.2021.6.18-35 ◽

2021 ◽

Vol 6 ◽

pp. 18-35

Author(s):

Eugenie Mainake ◽

Shannon M McCrocklin

Keyword(s):

High Schools ◽

Language Learning ◽

Technology Use ◽

School Facilities ◽

Technology Literacy ◽

Teacher Preparedness ◽

Public High Schools ◽

Structured Interviews ◽

Ongoing Training ◽

Efl Teachers

Today, technology plays a pivotal role in language teaching and many teachers are expected to integrate technology into their instruction. Although studies have shown positive results from the incorporation of technology into language learning, many studies have also raised concerns about lack of teacher preparedness to teach with technology. Grounded in the TPACK Framework developed by Koehler and Mishra (2006), the present study examines teachers’ technology literacy for supporting technology-enhanced English as a Foreign Language (EFL) instruction in Maluku, Eastern Indonesia. The participants (n=43) were EFL teachers at public high schools and vocational high schools in Maluku. The data were collected using an online TPACK questionnaire (Schmidt et al. 2009) and semi-structured interviews with EFL teachers. The findings showed teachers’ awareness of the significance of technology use in their EFL instruction. Teachers acknowledged a handful of tools already deployed to improve English skills inside and beyond classrooms, but noted needs for effective CALL enactment, such as continued training and accessible technologies. Based on the findings, recommendations include the provision of training modules for ongoing training of in-service teachers and improved school facilities.

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