Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology
Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology
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DOI：
10.3109/17483107.2013.840863
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发表时间：
2014-01-01
影响因子：
2.2
通讯作者：
Mountain, Gail
中科院分区：
文献类型：
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作者：
Mawson, Susan;Nasr, Nasrin;Mountain, Gail
目的：开发和评估中风后个性化自我管理康复系统 (PSMrS) 的信息和通信技术 (ICT) 解决方案。 PSMrS 将当前的中风康复模型以及支持自我管理和自我效能的理论转化为基于 ICT 的家庭中风后康复系统。方法：跨学科研究团队采用了健康和社会科学研究方法以及以用户为中心的设计方法的混合体。这包括一系列家访、焦点小组、深度访谈、文化探索和技术传记。结果：PSMrS 的内容以及系统和用户之间的交互界面的迭代开发纳入了当前的中风后康复模型，并解决了促进自我管理行为和自我效能的因素，例如掌握、口头说服和生理反馈。结论：该方法确保了交互技术是由中风幸存者及其护理人员在康复和适应过程中的需求驱动的。在运动再学习、神经可塑性、自我管理和行为改变理论的基础上，本研究开发的 PSMrS 产生了一个用于自我管理康复的个性化系统，它有可能改变运动行为并促进中风幸存者实现生活目标。
Purpose: To develop and evaluate an information and communication technology (ICT) solution for a post-stroke Personalised Self-Managed Rehabilitation System (PSMrS). The PSMrS translates current models of stroke rehabilitation and theories underpinning self-management and self-efficacy into an ICT-based system for home-based post-stroke rehabilitation. Methods: The interdisciplinary research team applied a hybrid of health and social sciences research methods and user-centred design methods. This included a series of home visits, focus groups, in-depth interviews, cultural probes and technology biographies. Results: The iterative development of both the content of the PSMrS and the interactive interfaces between the system and the user incorporates current models of post-stroke rehabilitation and addresses the factors that promote self-managed behaviour and self-efficacy such as mastery, verbal persuasion and physiological feedback. Conclusion: The methodological approach has ensured that the interactive technology has been driven by the needs of the stroke survivors and their carers in the context of their journey to both recovery and adaptation. Underpinned by theories of motor relearning, neuroplasticity, self-management and behaviour change, the PSMrS developed in this study has resulted in a personalised system for self-managed rehabilitation, which has the potential to change motor behaviour and promote the achievement of life goals for stroke survivors.