scholarly journals Technically Representing Clinical Knowledge for Rehabilitation Care

2021 ◽  
Author(s):  
Kai Gand ◽  
Lars Böcking ◽  
Karl Kreiner ◽  
Hannes Schlieter ◽  
Martin Burwitz ◽  
...  
Keyword(s):  
User Interfaces ◽  
Participatory Design ◽  
Clinical Pathways ◽  
Clinical Knowledge ◽  
Rehabilitation Care ◽  
Formal Caregivers ◽  
Rehabilitation Programs ◽  
Formal Procedure ◽  
To Come ◽  
Hospital To Home

Providing a suitable rehabilitation after an acute episode or a chronic disease helps people to live independently and enhance their quality of life. However, the continuity of care is often interrupted in the transition from hospital to home. Virtual coaches (VCs) could help these patients to engage in personalized home rehabilitation programs. These coaching systems need also to be fed with procedural precepts in order to work as intended. This, in turn, relates both to properly represent the clinical knowledge (as the VC somehow replaces the formal caregivers that cannot be fully present) as well guide the patient correctly (in order to follow the medically desired procedures given the need for personalisation according to individual needs). Therefore, we outline our technical approach to deal with this. In particular, clinical pathways in terms of semi-formal procedure models in combination with machine learning components processing and powerful user interfaces providing these pathway information and feeding the VC are presented. The system is currently under testing in a participatory design phase called Living Lab. Thus, initial user feedback for further improvements is about to come.

Activities and Evaluations for Technology-Based Upper Extremity Rehabilitation

2016 ◽  
pp. 307-338 ◽  
Author(s):  
Michelle Annett ◽  
Fraser Anderson ◽  
Walter F. Bischof
Keyword(s):  
Participatory Design ◽  
Occupational Therapists ◽  
Occupational Rehabilitation ◽  
Structured Interviews ◽  
Design Considerations ◽  
Rehabilitation Programs ◽  
Utilization Of Technology ◽  
Activity Types ◽  
Interactive Interfaces ◽  
Upper Extremity Rehabilitation

Recent advances in projection and sensing have resulted in an increased adoption of virtual reality, video games, and interactive interfaces to improve patient compliance with rehabilitation programs. In this chapter, we describe the application of multi-touch tabletop surfaces to physical and occupational rehabilitation programs that are focused on the upper extremities. First, we detail the participatory design processes undertaken with local physical and occupational therapists to design and integrate a ‘patient-friendly' multi-touch tabletop system in their workplace. We then explore the design considerations that informed the development of a suite of sixteen multi-touch interactive activities. The design considerations highlighted the need for customization and flexibility in the software, as well as the importance of supporting a variety of activity types. We then detail the laboratory-based methods that were used to evaluate the efficacy of the activity interventions as well as our deployment of the system in a local rehabilitation hospital. Our evaluation, which employed both qualitative and quantitative components (i.e., the Intrinsic Motivation Inventory, semi-structured interviews, kinetics and kinematics recorded from motion trackers and an electromyogram recorder), determined that it is the design of activities, rather than the utilization of technology itself, that impacts the success of technology-assisted rehabilitation. The chapter concludes with a discussion of the implications of our system and its deployment.

An Interactive Tool for the Participatory Design of Product Interface

2012 ◽  
Author(s):  
Loris Barbieri ◽  
Agostino Angilica ◽  
Fabio Bruno ◽  
Maurizio Muzzupappa
Keyword(s):  
Design Process ◽  
User Interfaces ◽  
Participatory Design ◽  
Mixed Reality ◽  
End Users ◽  
User Centered Design ◽  
Accurate Analysis ◽  
Usability Tests ◽  
Interactive Tool ◽  
Novel Approach

The importance of participatory design (PD) is progressively increasing thanks to its capacity to explore a wide variety of concepts, thus increasing the opportunity to create a successful product. In fact the design process should not be a solo activity, as designers often need inputs and other points of view, especially from end-users. According to the ultimate idea of PD, end-users are actively involved in the various activities of the product development to ensure that their needs and desires are satisfied. This paper presents a novel approach to the participatory design of product interfaces in a user-centered design (UCD) process. The approach is based on an interactive tool that allows end-users to design custom user interfaces of household appliances taking advantage of their own needs and experiences. The tool incorporates the analytical and more abstract knowledge of the designers codified in the form of aesthetical, technological and manufacturing constraints (i.e., limitations in the number and geometry of interface components, a limited number of colors, a discretization of the area where interface widgets are placed). This solution allows the end-users to directly design their favorite interface without the interference of any other subject. Through an accurate analysis of the choices done by the users, the designers are able to access to the deepest level of the users’ expression in order to catch their latent needs and tacit knowledge. The tool has been designed in order to make possible to immediately perform usability tests on the designed interface by using a Mixed Reality prototype. The paper describes the development of the tool and proposes a methodology that has been specifically addressed to include this tool in a design process based on UCD principles. Both the tool and the methodology are presented through the description of a case-study related to the redesign of a washing machine dashboard. Experimental results show that the proposed tool can be an effective support to design product interfaces during PD sessions.

scholarly journals Does access to acute intensive trauma rehabilitation (AITR) programs affect the disposition of brain injury patients?

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256314
Author(s):  
Sharfuddin Chowdhury ◽  
Luke P. H. Leenen
Keyword(s):  
Brain Injury ◽  
Length Of Hospital Stay ◽  
Severe Disabilities ◽  
Early Integration ◽  
Rehabilitation Care ◽  
Rehabilitation Programs ◽  
Before And After ◽  
Chi Squared ◽  
Medical City ◽  
Discharge From Hospital

Early incorporation of rehabilitation services for severe traumatic brain injury (TBI) patients is expected to improve outcomes and quality of life. This study aimed to compare the outcomes regarding the discharge destination and length of hospital stay of selected TBI patients before and after launching an acute intensive trauma rehabilitation (AITR) program at King Saud Medical City. It was a retrospective observational before-and-after study of TBI patients who were selected and received AITR between December 2018 and December 2019. Participants’ demographics, mechanisms of injury, baseline characteristics, and outcomes were compared with TBI patients who were selected for rehabilitation care in the pre-AITR period between August 2017 and November 2018. A total of 108 and 111 patients were managed before and after the introduction of the AITR program, respectively. In the pre-AITR period, 63 (58.3%) patients were discharged home, compared to 87 (78.4%) patients after AITR (p = 0.001, chi-squared 10.2). The pre-AITR group’s time to discharge from hospital was 52.4 (SD 30.4) days, which improved to 38.7 (SD 23.2) days in the AITR (p < 0.001; 95% CI 6.6–20.9) group. The early integration of AITR significantly reduced the percentage of patients referred to another rehabilitation or long-term facility. We also emphasize the importance of physical medicine and rehabilitation (PM&R) specialists as the coordinators of structured, comprehensive, and holistic rehabilitation programs delivered by the multi-professional team working in an interdisciplinary way. The leadership and coordination of the PM&R physicians are likely to be effective, especially for those with severe disabilities after brain injury.

scholarly journals Lifting and shifting the Air Force retail supply system

2017 ◽  
Vol 1 (2) ◽  
pp. 172-184
Author(s):  
Tommie L. Ellis ◽  
Robert A. Nicholson ◽  
Antoinette Y. Briggs ◽  
Scott A. Hunter ◽  
James E. Harbison ◽  
...  
Keyword(s):  
Air Force ◽  
User Interfaces ◽  
Supply System ◽  
Similar Data ◽  
Logistics System ◽  
Content Type ◽  
Standard Base ◽  
To Come ◽  
Software Modernization ◽  
Integrated Logistics

Purpose Rising operational costs and software sustainment concerns have driven the Air Force to move to newer technology to ensure that the Air Force Standard Base Supply System (SBSS) can continue to provide affordable and sustainable mission support in the years to come. This paper aims to summarize the successful software modernization effort the Air Force undertook to achieve that objective. Design/methodology/approach The paper describes the preliminary system updates that were required to isolate the SBSS software from all internal and external system and user interfaces in preparation for the subsequent successful code roll effort. Once the legacy SBSS component was fully isolated, the SBSS software modernization objective was achieved via a “code roll” conversion of the SBSS software from legacy COBOL to Java code, and movement of the integrated logistics system-supply application from a proprietary information technology (IT) platform to an open IT operating environment. Findings The SBSS system modernization yielded immediate and significant IT operational cost reductions and provided an important foundation for achieving Air Force logistics system consolidation and cloud computing objectives going forward. Originality/value The SBSS modernization experience should be useful in assisting similar data system software modernization efforts.

scholarly journals 83 The Feasibility of an Interdisciplinary Led Community Based Functional Training Group for Frail Older Adults in a Post-Acute Orthogeriatric Unit

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Edel McDaid ◽  
Aoife Johnston ◽  
Elaine Ross ◽  
Lisa Cogan
Keyword(s):  
Older Adults ◽  
Financial Management ◽  
Training Group ◽  
Post Intervention ◽  
Community Based ◽  
Clinical Frailty Scale ◽  
Rehabilitation Care ◽  
Frail Older Adults ◽  
Community Ambulation ◽  
Hospital To Home

Abstract Background Reduced ability to perform instrumental activities of daily living (IADLs) can lead to a difficult transition from hospital to home, increased dependence and diminished quality of life (1). A novel IADL group for frail older adults ‘Ready Steady Home’ was completed to facilitate transition from hospital to home. Methods A single centre prospective study was undertaken in a Post-Acute Orthogeriatric Rehabilitation Care unit. A sample of convenience was recruited over a 3 month period. All subjects invited to participate had been referred for Physiotherapy and Occupational Therapy, medically stable, able to give consent, mobile with/without an aid and had a goal of community ambulation and IADLS. The one hour intervention consisted of a car transfer, outdoor mobility on a busy footpath, road crossing, negotiating a busy shop, completing shopping task and financial management. A self-reported modified Client Satisfaction Questionnaire (CSQ-8) was completed by all subjects post intervention. Data was analysed using descriptive statistics. Results Twelve participants (female (12); mean age 83.7 years, mean LOS 32.75 days) completed the intervention and were included in the data. All were frail with a Clinical Frailty Scale score ≥ 5, mild (n=4), moderate (n=7) and severe frailty (n=1). Primary diagnosis was femoral fracture (n=7), hip surgery revision (n=2), deconditioning (n=2) and pelvic fracture (n=1). All used a unilateral (n=5) and/or bilateral mobility aid (n=7). The mean CSQ-8 score was 27/32 indicating high satisfaction with the intervention. No adverse events occurred. Common themes reported were improved confidence with community ambulation, preparation for home and re-integration into the community. Conclusion This study indicates that an interdisciplinary intervention addressing community based IADLS was feasible, safe and effective in a frail Orthogeriatric inpatient cohort. Further research is required to evaluate the effectiveness of this therapy intervention in improving hospital to home transition and potential reduction in LOS.

Design Thinking for Technology Supporting Individuals With Neurodevelopmental Disorders in Developing Countries

2020 ◽  
pp. 186-199
Author(s):  
Adheesh Budree ◽  
Harsha Kathard
Keyword(s):  
Neurodevelopmental Disorders ◽  
Participatory Design ◽  
Developmental Disorders ◽  
Design Thinking ◽  
Developing Economies ◽  
Inclusive Design ◽  
Social Accessibility ◽  
Independent Life ◽  
To Come ◽  
The Individual

This research is concerned with analysing the value of using participatory design, and in particular the design thinking methodology, as a basis for the participative development of interfacing technology for use by individuals with neuro-developmental disorders, with a particular focus on developing economies with restrictions in budget and know-how. It becomes crucial as our knowledge expands to ensure that tools developed to assist individuals with neurological disorders to live a full and independent life are designed in conjunction with the users concerned. Inclusive design, however, is not limited to the technology itself, but rather taking into account the individual as well as the wider community in the design. Design needs to also be based in social accessibility to counter stigmas and ableism views. This study found that design thinking has proven to be an effective framework for involving individuals with neuro-developmental disorders to come up with solutions that address their needs and should be used in future implementations in order to assess the results.

scholarly journals Translating synthetic natural language to database queries with a polyglot deep learning framework

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Adrián Bazaga ◽  
Nupur Gunwant ◽  
Gos Micklem
Keyword(s):  
Machine Learning ◽  
Deep Learning ◽  
Natural Language ◽  
User Interfaces ◽  
Query Languages ◽  
Database Queries ◽  
Learning Framework ◽  
The Creation ◽  
To Come ◽  
Multiple Domains

AbstractThe number of databases as well as their size and complexity is increasing. This creates a barrier to use especially for non-experts, who have to come to grips with the nature of the data, the way it has been represented in the database, and the specific query languages or user interfaces by which data are accessed. These difficulties worsen in research settings, where it is common to work with many different databases. One approach to improving this situation is to allow users to pose their queries in natural language. In this work we describe a machine learning framework, Polyglotter, that in a general way supports the mapping of natural language searches to database queries. Importantly, it does not require the creation of manually annotated data for training and therefore can be applied easily to multiple domains. The framework is polyglot in the sense that it supports multiple different database engines that are accessed with a variety of query languages, including SQL and Cypher. Furthermore Polyglotter supports multi-class queries. Good performance is achieved on both toy and real databases, as well as a human-annotated WikiSQL query set. Thus Polyglotter may help database maintainers make their resources more accessible.

scholarly journals The Danish Future Patient Telerehabilitation Program for Patients with Atrial Fibrillation: Design and Pilot Study in Collaboration with Patients and Their Relatives (Preprint)

2021 ◽  
Author(s):  
Birthe Dinesen ◽  
Josefine Dam Gade ◽  
Cathrine Skov Schacksen ◽  
Helle Spindler ◽  
Andi Eie Albertsen ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pilot Study ◽  
Participatory Design ◽  
Phase 1 ◽  
Healthcare Personnel ◽  
Web Based ◽  
Rehabilitation Programs ◽  
System P ◽  
Sense Of Security ◽  
Phase 0

BACKGROUND Atrial fibrillation is the most common cardiac arrhythmia and is predicted to more than double in prevalence over the next 20 years. Tailored patient education is recommended as an important aspect of atrial fibrillation care. Current guidelines emphasize measures enabling patients to become more active participants in the management of their own disease, yet there are no rehabilitation programs for AF patients in the Danish healthcare system. OBJECTIVE The aims of this pilot study were to identify the challenges facing patients with atrial fibrillation and their relatives and based upon this, to design and pilot test a telerehabilitation program. METHODS A participatory design process was divided into a phase 0 and a phase 1, and took place from December 2018 to March 2020. Phase 0 consisted of interviews, cultural probes, and workshops with the aim of identifying and prioritizing challenges of living with atrial fibrillation in everyday life as they affect atrial fibrillation patients and their relatives, as well as to design scenarios for telerehabilitation programs for patients with atrial fibrillation. Phase 1 was conducted as a pilot study with the aim to evaluate and compare the feasibility of two scenarios of telerehabilitation programs for atrial fibrillation patients. RESULTS The main results of iterations 1 and 2 were the following challenges listed in a prioritized order: Lack of knowledge of everyday stresses, psychological influence, physical limitations, insecurity about being diagnosed and living with atrial fibrillation, and uncertainty about the role of the relative. In iteration 3, two scenarios of telerehabilitation programs, A and B, were designed, and a web-based interactive HeartPortal for patients with atrial fibrillation was created. In iteration 4, a pilot study of the two telerehabilitation programs was tested and evaluated. CONCLUSIONS Patients with atrial fibrillation and their relatives were positive about a telerehabilitation program. Patients with atrial fibrillation and their relatives found the telerehabilitation program useful, especially because it created an increased sense of security, knowledge about mastering their symptoms and a community of practice linking patients with atrial fibrillation and their relatives and healthcare personnel. CLINICALTRIAL ClinicalTrials.gov NCT04493437; https://clinicaltrials.gov/ct2/show/NCT04493437

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