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Personal risk factors for pressure injuries among wheelchair users: an umbrella review of new insights in 2024. 轮椅使用者压力性损伤的个人风险因素:2024年新见解的概括性回顾。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-08 DOI: 10.1080/17483107.2024.2448161
Clémence Paquin, Felix Nindorera, Martine Gagnon, Marie-Ève Lamontagne, François Routhier

Purpose:Pressure injuries (PrI) are a prevalent and serious health issue for wheelchair users. This study aims to identify the personal factors associated with PrI occurrence and their significance by synthesizing existing literature.

Materials and methods:We conducted an umbrella review, systematically searching four databases for reviews published from 2007 to May 2024. The search terms were selected by an independent, experienced librarian. To evaluate the risk of bias and methodological quality of the included studies, we applied the ROBIS tool and the GROOVE procedure. Identified risk factors were categorized into relevant groups.

Results:After an assessment of 5,797 potential articles, 21 studies met the inclusion criteria. Among these, 43% were systematic reviews, 24% meta-analyses, 19% literature reviews, 9% scoping reviews, and 5% narrative reviews. The findings revealed 33 individual personal factors, categorized into the general health, clinical condition, initial pathology, environment/lifestyle, person-related, and combined risk factor groups. Key individual risk factors frequently encountered among wheelchair users included advanced age, obesity, spinal cord injury (SCI), higher levels of SCI, diabetes, infections, incontinence, immobility, respiratory and perfusion impairments, sensory perception issues, and low physical activity.

Conclusions:This study is the first to synthesize literature on internal risk factors associated with PrI among wheelchair users. It confirmed well-established factors such as SCI, diabetes, and aging. The findings provide healthcare professionals and decision-makers with critical information for the prevention and management of PrI in this population, offering new insights into adopting a holistic approach to assessing and addressing individual risks factors.

目的:压伤(PrI)是一个普遍和严重的健康问题的轮椅使用者。本研究旨在通过综合现有文献,找出与PrI发生相关的个人因素及其意义。材料和方法:我们进行了一项总括性综述,系统地检索了4个数据库中2007年至2024年5月发表的综述。搜索词是由一位独立的、有经验的图书管理员挑选的。为了评估纳入研究的偏倚风险和方法学质量,我们应用了ROBIS工具和GROOVE程序。确定的危险因素被分类为相关组。结果:在对5797篇潜在文献进行评估后,有21篇研究符合纳入标准。其中,43%为系统综述,24%为荟萃分析,19%为文献综述,9%为范围综述,5%为叙述性综述。研究结果揭示了33个个人因素,分为一般健康、临床状况、初始病理、环境/生活方式、个人相关和综合风险因素组。轮椅使用者经常遇到的主要个人危险因素包括高龄、肥胖、脊髓损伤(SCI)、较高水平的SCI、糖尿病、感染、失禁、行动不便、呼吸和灌注损伤、感觉知觉问题和缺乏体力活动。结论:本研究首次综合了轮椅使用者与PrI相关的内部危险因素的文献。它证实了诸如脊髓损伤、糖尿病和衰老等公认的因素。研究结果为医疗保健专业人员和决策者提供了预防和管理该人群PrI的关键信息,为采用整体方法评估和解决个体风险因素提供了新的见解。
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引用次数: 0
Enhancing university students' engagement in studying assistive technology by case-based active learning: a pilot study in Hong Kong. 在香港进行的一项以个案为主的主动学习方式,提高大学生学习辅助科技的参与度的试验研究。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-04 DOI: 10.1080/17483107.2024.2448722
Ke-Jing Li, Yu-Jing Zhou, Hui-Dong Wu, Chang-Liang Luo, Wei Liu, Percy Hung, Kubert Wang, Xiaoling Hu, Yan Wang, Yan Li, Chunyi Wen, James Chung-Wai Cheung, Hong Fu, Man-Sang Wong, Christina Zong-Hao Ma

Assistive technology (AT) professionals are in pressing need with nowadays growing aged/disabled population, so as well-designed higher education programs in this field. This study designed and implemented a case-based active learning approach within an undergraduate course related to AT in Hong Kong, and assessed its impact on enhancing student engagement over two academic years. A total of twelve multimedia patient case dossiers on six major physical disabilities were created. Two cohorts of students enrolled in course "Rehabilitation Engineering and Assistive Technology" were instructed to utilize the case dossiers to facilitate their learning, understanding, and application of ATs for aged/disabled individuals. The Revised Two-Factor Study Process Questionnaire was employed to evaluate the student feedback on their learning experience, engagement, and learning approaches (i.e., Deep Approach, DA; and Surface Approach, SA) before and after the course. Upon completing the course, students' DA scores significantly increased from 29.4 ± 6.9 to 31.4 ± 8.9 (p = 0.013). Additionally, significantly moderate positive correlations were found between the DA-SA value and students' individual written report grades (p = 0.004) and overall grades (p = 0.048). In contrast, a significantly moderate negative correlation was identified between students' individual report grades and SA scores (p = 0.019). These findings support the feasibility and effectiveness of implementing case-based active learning in higher education within the field of AT, supporting future large-scale implementation and optimization of such case-based active learning and teaching strategy in the AT field.

随着老年/残疾人口的不断增长,辅助技术(AT)专业人才的需求日益迫切,因此设计良好的辅助技术高等教育项目也势在必行。本研究设计并实施了一种基于案例的主动学习方法,并在香港的一门与AT相关的本科课程中,评估了它在两个学年中提高学生参与度的影响。共制作了十二份多媒体个案档案,内容涉及六种主要身体残疾。两组参加“康复工程与辅助技术”课程的学生被要求利用案例档案来促进他们对老年/残疾人士辅助技术的学习、理解和应用。采用修订后的双因素学习过程问卷来评估学生对学习体验、参与和学习方法(即深度方法,DA;和地面进近(SA)。完成课程后,学生的DA分数从29.4±6.9显著提高到31.4±8.9 (p = 0.013)。此外,DA-SA值与学生的个人书面报告成绩(p = 0.004)和总体成绩(p = 0.048)之间存在显著的中度正相关。相比之下,学生的个人报告成绩与SA分数之间存在显著的负相关(p = 0.019)。这些发现支持了在高等教育中实施基于案例的主动学习的可行性和有效性,支持了未来在翻译领域大规模实施和优化这种基于案例的主动学习和教学策略。
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引用次数: 0
Synergistical assistance - combining artefactual and human assistive resources to reach desired outcomes. 协同援助-结合人工和人力辅助资源,以达到预期的结果。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-04 DOI: 10.1080/17483107.2024.2448148
Bitte Rydeman, Linnéa Eklöf, Hanna Egard, Per-Olof Hedvall

Purpose: Assistance from artefacts and humans are traditionally viewed as separate, and it is often up to the individual to try to combine the different kinds of assistance to suit their needs and preferences. The purpose of this study was to gain new insights into the co-existence of and synergies between artefactual and human assistance in the everyday lives of persons with physical and cognitive impairments, through exploring and analysing narratives of individuals who have first-hand knowledge and experience.

Methods: Seven individuals took part in semi-structured interviews, which were then analysed with qualitative content analysis, grounded in cultural-historical activity theory.

Result: The participants were active agents with agendas, dreams, and needs, who shaped and made use of many different combinations of human and artefactual assistance, both formal and informal. They did this in ways that suited each person's preferences and circumstances and were often seen as complementary and synergistical. Flexible assistance could make limited energy resources last throughout the day, while less flexible or not individually tailored assistance was found to be less useful or appreciated. Assistance that was well integrated into a person's routines could become invisible and make the person feel independent despite severe impairments.

Conclusions: This study contributes new knowledge regarding how persons with disabilities utilize and mould artefactual and human assistance according to the activities they engage in as part of everyday life. When synergistical assistance works, different kinds of assistance flow seamlessly into one another and adjustment of plans and improvisations happen in the moment.

目的:来自人工制品和人类的帮助传统上被视为是分开的,并且通常由个人尝试将不同种类的帮助结合起来以适应他们的需要和偏好。本研究的目的是通过探索和分析具有第一手知识和经验的个人叙述,对身体和认知障碍患者日常生活中人工和人工援助的共存和协同作用获得新的见解。方法:7个人参加了半结构化访谈,然后以文化历史活动理论为基础,对其进行定性内容分析。结果:参与者是有议程、梦想和需求的积极行动者,他们塑造并利用了许多不同的人工和人工援助组合,包括正式的和非正式的。他们以适合每个人的偏好和情况的方式做到这一点,通常被视为互补和协同。灵活的援助可以使有限的能源持续一整天,而不太灵活或不是个别定制的援助被认为不太有用或不受欢迎。很好地融入一个人的日常生活的帮助可能会变得无形,使这个人感到独立,尽管有严重的损伤。结论:这项研究提供了关于残疾人如何根据他们作为日常生活的一部分所从事的活动来利用和塑造人工和人类援助的新知识。当协同援助起作用时,不同种类的援助彼此无缝地流动,计划的调整和即兴创作在瞬间发生。
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引用次数: 0
Exploring the challenges in manual wheelchair operation for new users. 为新使用者探索手动轮椅操作的挑战。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-04 DOI: 10.1080/17483107.2024.2448724
Suhantee Sathananthan, Émilie Blackburn, Dahlia Kairy, Dany H Gagnon, William C Miller, Kristin Musselman, François Routhier, Philippe S Archambault

Purpose: This exploratory qualitative study examines the challenges faced by manual wheelchair (MWC) users and their clinicians, with a focus on mobility difficulties in both outdoor and indoor environments, as well as training priorities.

Methods: The study involved semi-structured interviews with 18 clinicians and 25 MWC users from various rehabilitation centres. The interviews, lasting between 30 and 60 minutes, explored specific aspects of MWC use, including mobility challenges, training needs, and psychological factors.

Results: Thematic analysis of the data revealed key patterns, such as indoor and outdoor navigation issues, had difficulty with basic propulsion skills, and the psychological impact of using an MWC. Participants emphasized the need for comprehensive training programs, addressing safety concerns, and ensuring proper MWC adjustments to improve mobility and comfort.

Conclusion: The study highlights the importance of psychological support and public awareness campaigns to reduce stigma and promote inclusivity. The findings are crucial for developing a tailored training program for new MWC users, addressing both physical and psychological challenges to enhance their overall quality of life and independence.

目的:本探索性定性研究探讨了手动轮椅(MWC)使用者及其临床医生面临的挑战,重点关注室外和室内环境下的行动困难,以及培训重点。方法:采用半结构化访谈法,对来自各康复中心的18名临床医生和25名MWC使用者进行访谈。访谈时长在30到60分钟之间,探讨了MWC使用的具体方面,包括移动性挑战、培训需求和心理因素。结果:数据的专题分析揭示了关键模式,如室内和室外导航问题,基本推进技能困难,以及使用MWC的心理影响。与会者强调需要全面的培训计划,解决安全问题,并确保适当的MWC调整以提高机动性和舒适性。结论:该研究强调了心理支持和公众意识运动对于减少耻辱感和促进包容性的重要性。这些发现对于为新的MWC用户制定量身定制的培训计划至关重要,可以解决身体和心理上的挑战,以提高他们的整体生活质量和独立性。
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引用次数: 0
Effectiveness of custom seating and mobility services for individuals with disabilities in Guatemala. 为危地马拉残疾人提供定制座椅和移动服务的有效性。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2365938
Nathan Short, Patricia Henton, Emily Smitson, Anya Barg, Leah Baumgartner, Taporia Brown, Makayla Jurek, Kaitlyn Langbein, Gilma Oajaca

The purpose of this study was to evaluate the effectiveness of custom seating and mobility services provided via an international service learning (ISL) model on the occupational performance of individuals with disabilities in Guatemala. A one-group prospective pretest-posttest design was implemented using the standardized Wheelchair Outcome Measure (WhOM - Spanish) administered on the day of wheelchair fitting, and at 3- and 6-month intervals after receiving seating and mobility services. A two-tailed t-test demonstrated a statistically significant (p < 0.001) improvement in satisfaction for in-home and out-of-home occupations for all participants (n = 71) at 3-months with a huge effect size (d > 2) and this improvement was maintained at the 6-month interval. The results were consistent for various areas of occupational performance (e.g. activities of daily living). The provision of customized seating and mobility services by occupational therapists through an ISL model demonstrated effectiveness at improving satisfaction with occupational performance for individuals with disabilities in Guatemala. Cultural humility, customization of equipment based on personal and environmental factors, inclusion of education and training, and collaboration with in-country partners were identified as contributors to positive outcomes.

本研究旨在评估通过国际服务学习(ISL)模式提供的定制座椅和移动服务对危地马拉残疾人职业表现的影响。研究采用单组前瞻性前测-后测设计,使用标准化的轮椅结果测量(WhOM - 西班牙语),在轮椅安装当天以及接受座椅和移动服务后的 3 个月和 6 个月进行测量。双尾 t 检验结果显示,3 个月时的改善具有显著的统计学意义(p n = 71),且影响大小巨大(d > 2),6 个月时的改善仍保持不变。各方面的职业表现(如日常生活活动)结果一致。职业治疗师通过 ISL 模式提供定制的座椅和移动服务,在提高危地马拉残疾人对职业表现的满意度方面取得了成效。文化谦逊、根据个人和环境因素定制设备、纳入教育和培训以及与国内合作伙伴的合作被认为是取得积极成果的因素。
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引用次数: 0
Autoethnography study: how I learned to do 3D printing as a rehabilitation practitioner. 自述研究:作为一名康复从业者,我是如何学会进行 3D 打印的?
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-15 DOI: 10.1080/17483107.2024.2351551
Mona Alkhudair, W Ben Mortenson

Additive manufacturing (3D printing) is increasingly utilized in healthcare. Some rehabilitation professionals employ 3D printing for orthoses, prostheses, and assistive technologies (AT). However, anecdotal evidence suggests that many practitioners have reservations about adopting 3D printing into their practices, and empirical research in this area is limited. The aim of the study was to document my experience while learning 3D printing. In this autoethnographic study, journal entries and photos of the artifacts were collected during the process of learning 3D printing. These data were analyzed using reflexive thematic analysis. Three themes were identified: Being motivated to learn 3D printing, Experiencing challenges and implementing possible solutions, and Achieving developmental milestones in learning 3D printing. These milestones offered practical insights and solutions for new learners by providing a roadmap for navigating the journey of learning 3D printing. This personal experience offered opportunities and posed challenges in the context of learning to use 3D printing in the rehabilitation field. It is hoped that this study will inspire others to explore 3D printing and potentially contribute to the development of 3D printing training programs for students and rehabilitation professionals.

快速成型制造(3D 打印)越来越多地应用于医疗保健领域。一些康复专业人员采用 3D 打印技术制作矫形器、假肢和辅助技术(AT)。然而,轶事证据表明,许多从业人员对在其实践中采用 3D 打印技术持保留态度,而且该领域的实证研究也很有限。本研究旨在记录我学习 3D 打印的经历。在这项自述式研究中,收集了我在学习 3D 打印过程中的日志记录和人工制品照片。我们使用反思性主题分析法对这些数据进行了分析。确定了三个主题:学习三维打印的动机、经历挑战和实施可能的解决方案,以及实现学习三维打印的发展里程碑。这些里程碑为新学习者提供了切实可行的见解和解决方案,为学习三维打印提供了导航路线图。在学习如何在康复领域使用 3D 打印的过程中,这些个人经历提供了机遇,也带来了挑战。希望这项研究能激励其他人探索3D打印,并为学生和康复专业人员3D打印培训项目的发展做出潜在贡献。
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引用次数: 0
Usability of mechanical assistive technologies for performing activities involving the upper extremities in individuals with impairments: a systematic review. 机械辅助技术在残障人士进行涉及上肢的活动时的可用性:系统综述。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-06-12 DOI: 10.1080/17483107.2024.2356833
Orthelo Léonel Gbètoho Atigossou, Marie-Hélène Demers, Marie-Philippe Paquet, Isabelle Bradet-Levesque, Alexandre Campeau-Lecours, François Routhier, Véronique H Flamand

Purpose: To conduct a systematic review on the impacts of using mechanical assistive devices on function, performance in activities and participation of persons with upper extremity impairments, and to synthesize the strengths and limitations of these devices.

Method: Three independent reviewers conducted systematic searches of articles published between 2003 and 2023 in Compendex, Inspec, Embase, PubMed/Medline, IEEE Xplore, and Web of Science, as well as manual searches on the RESNA website for conference papers over the same period. The methodological quality of articles was appraised using the QualSyst tool.

Results: From the 34 retained studies, 28 mechanical devices were identified and classified into two categories: (1) mobile arm supports (MASs) designed to perform multiple activities, and (2) devices used to assist with a specific activity of daily living (ADL). Overall, MASs helped users to perform manual activities in elevation and/or against gravity. Specific ADL devices allowed users to perform unique activities requiring fine motor skills such as opening a medicine container. Some of these devices have advantages like portability, adaptability, low cost, and ease of use. Limitations most often reported included interference or mobility restraints.

Conclusion: This review synthesizes the impacts of mechanical devices on the three domains of the International Classification of Functioning, Disability and Health (ICF) for individuals with upper extremity impairments. Impacts regarding function and performance in activities were more often measured than participation. Future studies should include outcomes related to participation, as taking this aspect into account might favor successful continued use of assistive devices.

目的:就使用机械辅助设备对上肢受损者的功能、活动表现和参与的影响进行系统性综述,并总结这些设备的优势和局限性:三位独立审稿人对 2003 年至 2023 年期间在 Compendex、Inspec、Embase、PubMed/Medline、IEEE Xplore 和 Web of Science 上发表的文章进行了系统检索,并在 RESNA 网站上对同期的会议论文进行了人工检索。采用QualSyst工具对文章的方法学质量进行了评估:从保留的 34 项研究中,确定了 28 种机械装置,并将其分为两类:(1) 设计用于执行多种活动的移动手臂支撑装置 (MAS);(2) 用于辅助特定日常生活活动 (ADL) 的装置。总的来说,移动手臂支撑装置可以帮助使用者在抬高和/或对抗重力的情况下进行手动活动。特定的 ADL 设备可以让使用者进行需要精细运动技能的独特活动,例如打开药盒。其中一些设备具有便携、适应性强、成本低和易于使用等优点。最常报告的局限性包括干扰或行动限制:本综述总结了机械装置对上肢残障人士在《国际功能、残疾和健康分类》(ICF)三个领域中的影响。与参与度相比,对功能和活动表现的影响更常被衡量。未来的研究应包括与参与有关的结果,因为考虑到这一方面可能有利于成功地继续使用辅助设备。
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引用次数: 0
Comparison of rolling resistance, propulsion technique and physiological demands between a rigid, folding and hybrid manual wheelchair frame. 比较刚性、折叠和混合手动轮椅框架的滚动阻力、推进技术和生理需求。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-06-25 DOI: 10.1080/17483107.2024.2365270
Jelmer Braaksma, Riemer J K Vegter, Han Houdijk, Sonja de Groot

Background: When selecting a manual wheelchair frame, the choice between rigid and folding frames carries significant implications. Traditional folding frames are expected to have more rolling resistance and power dissipation caused by frame deformation, while they are more convenient for transportation, such as in a car. A new hybrid frame, designed to be more rigid, aims to minimize power dissipation while still retaining foldability.

Aim: This study aimed to assess rolling resistance, power output, propulsion technique and physiological demands of handrim wheelchair propulsion across three different frames: a rigid frame, a hybrid frame and a conventional folding frame.

Materials and methods: Forty-eight able-bodied participants performed coast-down tests using inertial measurement units to determine rolling resistance. Subsequently, four-minute submaximal exercise block under steady-state conditions at 1.11 m/s were performed on a wheelchair ergometer (n = 24) or treadmill (n = 24) to determine power output, propulsion technique and physiological demands.

Results: Repeated measures ANOVA revealed that the hybrid frame exhibited the lowest rolling resistance (7.0 ± 1.5N, p ≤ 0.001) and required less power output (8.3 ± 1.0W, p ≤ 0.001) at a given speed, compared to both the folding (9.3 ± 2.2N, 10.8 ± 1.4W) and rigid frame (8.0 ± 1.9N, 9.4 ± 1.6W). Subsequently, this resulted in significantly lower applied forces and push frequency for the hybrid frame. The folding frame had the highest energy expenditure (hybrid: 223 ± 44 W, rigid: 234 ± 51 W, folding: 240 ± 46 W, p ≤ 0.001).

Conclusion: The hybrid frame demonstrated to be a biomechanically and physiologically beneficial solution compared to the folding frame, exhibiting lower rolling resistance, reduced power output, and consequently minimizing force application and push frequency, all while retaining its folding mechanism.

背景:在选择手动轮椅车架时,刚性车架和折叠式车架之间的选择具有重要意义。传统的折叠式轮椅架预计会有更大的滚动阻力和因轮椅架变形而造成的动力损耗,但它们更便于运输,如在汽车中运输。目的:本研究旨在评估三种不同车架(刚性车架、混合车架和传统折叠式车架)的滚动阻力、动力输出、推进技术和手轮轮椅推进的生理需求:48 名健全参与者使用惯性测量装置进行了滑行测试,以确定滚动阻力。随后,在轮椅测力计(n = 24)或跑步机(n = 24)上以 1.11 米/秒的速度进行了四分钟稳态条件下的次极限运动,以确定输出功率、推进技术和生理需求:重复测量方差分析显示,与折叠式车架(9.3±2.2N,10.8±1.4W)和刚性车架(8.0±1.9N,9.4±1.6W)相比,混合式车架的滚动阻力最小(7.0±1.5N,p≤0.001),在给定速度下所需输出功率较小(8.3±1.0W,p≤0.001)。因此,混合车架的作用力和推动频率明显较低。折叠式框架的能量消耗最高(混合式:223 ± 44 W,刚性:234 ± 51 W,折叠式:240 ± 46 W,p ≤ 0.001):与折叠式车架相比,混合式车架在生物力学和生理学上都是一种有益的解决方案,在保留其折叠机制的同时,还能降低滚动阻力,减少动力输出,从而最大限度地减少施力和推动频率。
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引用次数: 0
Adapting a group-based, multimodal aphasia treatment for telehealth - co-design of M-MAT Tele. 为远程保健改编基于小组的多模式失语症治疗--共同设计 M-MAT Tele。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-05 DOI: 10.1080/17483107.2024.2366423
John E Pierce, Annie J Hill, Dana Wong, Rachelle Pitt, Miranda L Rose

Multi-Modality Aphasia Treatment (M-MAT) is an effective group intervention for post-stroke aphasia. M-MAT employs interactive card games and the modalities of gesture, drawing, reading, and writing to improve spoken language. However, there are challenges to implementation of group interventions such as M-MAT, particularly for those who cannot travel or live in rural areas. To maximise access to this effective treatment, we aimed to adapt M-MAT to telehealth format (M-MAT Tele). The Human-Centred Design Framework was utilized to guide the adaptation approach. We identified the intended context of use (outpatient/community rehabilitation) and the stakeholders (clinicians, people with aphasia, health service funders). People with aphasia and practising speech pathologists were invited to co-design M-MAT Tele in a series of iterative workshops, to ensure the end product was user-friendly and clinically feasible. The use of co-design allowed us to understand the hardware, software and other constraints and preferences of end users. In particular, clinicians (n = 3) required software compatible with a range of telehealth platforms and people with aphasia (n = 3) valued solutions with minimal technical demands and costs for participants. Co-design within the Human-Centred Design Framework led to a telehealth solution compatible with all major telehealth platforms, with minimal hardware or software requirements. Pilot testing is underway to confirm acceptability of M-MAT Tele to clinicians and people with aphasia, aiming to provide an effective, accessible tool for aphasia therapy in telehealth settings.

多模式失语症治疗(M-MAT)是一种治疗中风后失语症的有效小组干预方法。M-MAT 采用互动卡片游戏和手势、绘画、阅读和写作等方式来改善口语。然而,M-MAT 等小组干预措施的实施面临着挑战,尤其是对于那些无法出行或生活在农村地区的人来说。为了让更多人获得这种有效的治疗方法,我们旨在将 M-MAT 调整为远程保健形式(M-MAT Tele)。我们利用 "以人为本的设计框架 "来指导改编方法。我们确定了预期的使用环境(门诊/社区康复)和利益相关者(临床医生、失语症患者、医疗服务资助者)。我们邀请失语症患者和执业言语病理学家在一系列迭代研讨会上共同设计 M-MAT Tele,以确保最终产品对用户友好且在临床上可行。通过共同设计,我们了解了硬件、软件和其他方面的限制以及最终用户的偏好。特别是,临床医生(3 人)要求软件与一系列远程保健平台兼容,而失语症患者(3 人)则希望解决方案对参与者的技术要求和成本最低。在以人为本的设计框架内进行共同设计后,远程保健解决方案与所有主要的远程保健平台兼容,对硬件或软件的要求最低。目前正在进行试点测试,以确认临床医生和失语症患者对 M-MAT Tele 的接受程度,旨在为远程保健环境中的失语症治疗提供一种有效、易用的工具。
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Correction. 更正。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-06-18 DOI: 10.1080/17483107.2024.2365128
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Disability and Rehabilitation-Assistive Technology
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