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

2017 ◽  
Author(s):  
Andrew Kerr ◽  
Mark Smith ◽  
Lynn Reid ◽  
Lynne Baillie

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

2021 ◽  
pp. 016264342199410
Author(s):  
Jordan Yassine ◽  
Leigh Ann Tipton-Fisler

Check-in/Check-Out (CICO) has a long line of research evidence demonstrating its effectiveness in increasing prosocial behavior. The current paper demonstrated an electronic application of CICO utilizing Google Sheets® with teacher feedback. Google Sheets® offers an inexpensive, collaborative, and remote method for tracking behaviors. In the first study, 2,322 teacher ratings (from 38 teachers) were compared between traditional paper CICO forms or electronic Google Sheets®. Results found that teacher ratings were significantly more complete with the use of the electronic forms. In the second study, an electronic CICO form was used for progress monitoring and performance feedback with a middle school student. Through the form we were able to successfully track our participant’s behavior change in response to CICO with the combination of feedback and a differential reinforcement intervention. Social validity showed that overall teacher ratings were high with respect to ease of use, usefulness, cost-effectiveness, and convenience of the electronic Google Sheets®.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
McKenzie Eakin ◽  
Amanda Gian ◽  
Francesca Kim ◽  
Julie Muccini ◽  
Maarten Lansberg ◽  
...  

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.


2016 ◽  
Vol 51 ◽  
pp. 2431-2452 ◽  
Author(s):  
William Riley ◽  
James W. Begun ◽  
Les Meredith ◽  
Kristi K. Miller ◽  
Kathy Connolly ◽  
...  

2018 ◽  
Vol 6 (3) ◽  
pp. 462
Author(s):  
James Marcum

Evidence-based practice and person-centered healthcare are often seen as opposing approaches to clinical practice. And yet both offer advantages to providing quality healthcare. In this paper, both approaches to clinical practice are analyzed and mapped philosophically by comparing and contrasting their key foundational principles. The goal is to progress the dialogue between them in order to determine whether a common ground exists in which they might be integrated and how best to operationalize, both clinically and pedagogically, an integrated approach. To that end, key principles undergirding them are enumerated and then integrated by shifting the focus from evidence to the person - whether patient or clinician - for the delivery of quality healthcare. In this way, person-centered healthcare provides the optimal starting point for framing evidence-based practice. Next, operationalizing the integrated approach to clinical practice and medical education is addressed. Finally, the root of modern healthcare must be a person’s, whether patient’s or clinician’s, dignity. For the goal of healthcare is to relieve suffering associated with illness, whether that involves curing a disease or not and not adding to the suffering associated with illness.


Author(s):  
Dana D. Marchese ◽  
Kimberly D. Becker ◽  
Jennifer P. Keperling ◽  
Celene E. Domitrovich ◽  
Wendy M. Reinke ◽  
...  

A Step-By-Step Guide for Coaching Classroom Teachers in Evidence-Based Interventions highlights the consultation strategies used by the coaches on the PATHS to PAX Project with the Johns Hopkins Center for Prevention and Early Intervention working with classroom teachers in Baltimore City public schools. The PATHS to PAX Project is the integration of two of the most widely disseminated, evidence-based, universal school-based preventive interventions: the PATHS curriculum and the PAX Good Behavior Game, or PAX GBG. This book reviews the Universal Coaching Model and the Indicated Coaching Model for supporting teacher implementation, including establishing positive coach–teacher relationships as well as coaching strategies that reflect core principles of behavior change, such as modeling, reinforcement, and performance feedback. Also presented are lessons learned and real-life case examples from coaches working with classroom teachers, and strategies for addressing coaching challenges and barriers. The selection, training, and supervision of coaches are discussed, and more than 30 handouts are included in the Appendix for coaches to adapt and use in their work with classroom teachers.


2019 ◽  
Vol 38 (1) ◽  
pp. 3-18 ◽  
Author(s):  
Yuli Liang ◽  
Seung-Hee Lee ◽  
Jane E. Workman

Given the growing interest in combinations of fashion and digital innovations, it is critical for both researchers and retailers to understand how consumers respond to new technologies, especially artificial intelligence (AI). The purpose of the study was to examine consumers’ attitudes and purchase intention toward an AI device. By adapting the technology acceptance model, a conceptual model was constructed and tested related to consumers’ attitudes and purchase intention toward an AI device—Echo Look. A total of 313 subjects (61% female) between 18 and 65 years old in the top 10 metropolitan areas in the United States participated in the study. The results indicated that perceived usefulness, perceived ease of use, and performance risk were significant in consumers’ attitude toward AI. Positive attitudes toward technology positively influenced the purchase intention. Based on these results, theoretical and practical implications are discussed.


Author(s):  
Dana D. Marchese ◽  
Kimberly D. Becker ◽  
Jennifer P. Keperling ◽  
Celene E. Domitrovich ◽  
Wendy M. Reinke ◽  
...  

The Conclusion chapter briefly reviews strategies outlined in the book to effectively support teacher proficiency with PATHS to PAX GBG. It stresses that prevention and evidence-based interventions are needed to bring about important change that improves the outcomes of students. It highlights several of the strategies that coaches can use, such as modeling, reinforcement, and performance feedback. It reviews the Universal Coaching Model and the Indicated Coaching Model, and offers encouragement to coaches in support of teacher implementation of school-based interventions.


2020 ◽  
Vol 36 (1) ◽  
pp. 196-206 ◽  
Author(s):  
Almut Rudolph ◽  
Michela Schröder-Abé ◽  
Astrid Schütz

Abstract. In five studies, we evaluated the psychometric properties of a revised German version of the State Self-Esteem Scale (SSES; Heatherton & Polivy, 1991 ). In Study 1, the results of a confirmatory factor analysis on the original scale revealed poor model fit and poor construct validity in a student sample that resembled those in the literature; thus, a revised 15-item version was developed (i.e., the SSES-R) and thoroughly validated. Study 2 showed a valid three-factor structure (Performance, Social, and Appearance) and good internal consistency of the SSES-R. Correlations between subscales of trait and state SE empirically supported the scale’s construct validity. Temporal stability and intrapersonal sensitivity of the scale to naturally occurring events were investigated in Study 3. Intrapersonal sensitivity of the scale to experimentally induced changes in state SE was uncovered in Study 4 via social feedback (acceptance vs. rejection) and performance feedback (positive vs. negative). In Study 5, the scale’s interpersonal sensitivity was confirmed by comparing depressed and healthy individuals. Finally, the usefulness of the SSES-R was demonstrated by assessing SE instability as calculated from repeated measures of state SE.


2010 ◽  
Vol 15 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Remus Ilies ◽  
Timothy A. Judge ◽  
David T. Wagner

This paper focuses on explaining how individuals set goals on multiple performance episodes, in the context of performance feedback comparing their performance on each episode with their respective goal. The proposed model was tested through a longitudinal study of 493 university students’ actual goals and performance on business school exams. Results of a structural equation model supported the proposed conceptual model in which self-efficacy and emotional reactions to feedback mediate the relationship between feedback and subsequent goals. In addition, as expected, participants’ standing on a dispositional measure of behavioral inhibition influenced the strength of their emotional reactions to negative feedback.


Sign in / Sign up

Export Citation Format

Share Document