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Concerns regarding the accessibility of self-service interactive devices for people with disabilities. 对残疾人无障碍使用自助互动设备的关切。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-15 DOI: 10.1080/17483107.2024.2353280
Gaya Bin Noon, Larissa Ugaya Mazza, Gillian Morgan, Stephanie Singh, Dragica Jeremic Nikolic, Plinio Pelegrini Morita

Purpose: Self-service interactive devices allow users to access information or services without directly interacting with service personnel. As the prevalence of disability increases, it is important to consider the barriers individuals face in using these devices and explore opportunities to increase accessibility through assistive and adaptive technologies. This study aimed to establish recommendations to enhance the accessibility of self-service interactive devices, with the objective of understanding users' experiences with these devices.

Materials and methods: Nineteen semi-structured interviews were held with stakeholders focusing on accessible design for people with disabilities, categorized as (a) persons with lived experiences with disability, (b) disability advocates, or (c) assistive technology industry experts. The study used content analysis to identify recurring concepts and opportunities to improve accessibility. Participants discussed the potential benefits of updating or incorporating additional accessibility technologies into self-service devices and proposed solutions to existing deficiencies.

Results: Common concerns expressed among participants included the privacy and security of self-service devices, protection of personal information, and the consistency and usability of devices. Participants also suggested how this inconsistency could be mitigated and how to improve existing accessibility functionalities. Accessible functionalities in self-service devices have the potential to help address the unmet needs of Canadians with disabilities.

Conclusions: With the breadth of available accessible and adaptive technologies, the study concludes that it is imperative to understand (1) what technologies are useful to people with disabilities, (2) whether the inclusion of these technologies is feasible in self-service devices, and (3) how user experience can be improved.

目的:自助互动设备允许用户在不直接与服务人员互动的情况下获取信息或服务。随着残疾发生率的增加,考虑个人在使用这些设备时面临的障碍并探索通过辅助和适应性技术提高无障碍性的机会非常重要。本研究旨在为提高自助服务互动设备的无障碍性提出建议,目的是了解用户使用这些设备的体验:我们对关注残疾人无障碍设计的利益相关者进行了 19 次半结构式访谈,这些利益相关者可分为:(a)有残疾生活经历的人;(b)残疾倡导者;或(c)辅助技术行业专家。研究采用内容分析法来确定反复出现的概念和改善无障碍设计的机会。参与者讨论了更新自助服务设备或在自助服务设备中加入更多无障碍技术的潜在益处,并针对现有缺陷提出了解决方案:与会者表达的共同关切包括自助设备的隐私和安全、个人信息保护以及设备的一致性和可用性。与会者还就如何减少这种不一致性以及如何改进现有的无障碍功能提出了建议。自助设备中的无障碍功能有可能有助于满足加拿大残疾人尚未得到满足的需求:随着无障碍技术和适应性技术的广泛应用,本研究得出结论认为,当务之急是了解:(1)哪些技术对残疾人有用;(2)在自助设备中加入这些技术是否可行;以及(3)如何改善用户体验。
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引用次数: 0
Assistive technology and daily living challenges among students with disabilities at University of Gondar, Ethiopia: a qualitative study. 埃塞俄比亚贡达尔大学残疾学生的辅助技术和日常生活挑战:一项定性研究。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2362248
Alemu Kassaw Kibret, Tesfahun Melese Yilma, Theresa Claire Davies, Zelalem Alemayehu Genetu, Samuel Tesfaye Mekonone, Bruhtesfa Mouhabew Alene, Birhanu Mulat Addis, Kalkidan Nigussie, Rediet Getachew Ayele, Bilen Mekonnen Araya

Background: Disability influences activities of daily living, leading to unsafe conditions, poor quality of life, and dependence on others and assistive technologies. Despite limited access and unmet needs, assistive technology enables users to participate in education and be independent members of their community. Students with disabilities in higher education face many challenges in their day-to-day activities and evidence is limited in the study area. Therefore, this study aimed to explore assistive technology experience and daily living challenges among students with disabilities in higher education.

Method: A descriptive qualitative study design was employed at the University of Gondar, Gondar, Ethiopia, between December 20, 2022, and January 20, 2023. A purposive sampling method was employed to recruit 14 students with disabilities. An in-depth interview was employed using semi-structured questionnaires. Open Code version 4 software for coding and reflexive thematic analysis approach was employed for the analysis.

Result: A total of 14 students with disabilities were included in an in-depth interview. Four main themes emerged, which included activities of daily living, attitudes toward people with disabilities, barriers to accessibility, and access to assistive technology.

Conclusion: Barriers to activities of daily living among students with disabilities were poor accessibility of infrastructural facilities, lack of teaching/learning materials in an accessible format, and negative attitudes. The present study's finding is needed to support students in higher education for their academic achievement and to design appropriate rehabilitation strategies and policies on the accessibility of physical infrastructures, inclusive education, and the provision of assistive technology.

背景:残疾影响日常生活活动,导致不安全状况、生活质量低下以及对他人和辅助技术的依赖。尽管使用机会有限且需求未得到满足,但辅助技术使用户能够参与教育并成为社区的独立成员。接受高等教育的残疾学生在日常活动中面临许多挑战,而研究领域的证据却很有限。因此,本研究旨在探讨高校残疾学生的辅助技术体验和日常生活挑战:采用描述性定性研究设计,于 2022 年 12 月 20 日至 2023 年 1 月 20 日在埃塞俄比亚贡德尔市贡德尔大学进行。采用目的取样法招募了 14 名残疾学生。采用半结构化问卷进行深度访谈。采用 Open Code version 4 软件进行编码,并采用反思性主题分析方法进行分析:结果:共有 14 名残疾学生参加了深度访谈。结果:共有 14 名残疾学生参加了深入访谈,访谈中出现了四个主要专题,包括日常生活活动、对残疾人的态度、无障碍障碍和辅助技术:结论:残疾学生在日常生活中遇到的障碍包括基础设施的无障碍性差、缺乏无障碍格式的教学/学习材料以及消极的态度。需要根据本研究的结果来支持接受高等教育的学生取得学业成绩,并在无障碍物质基础设施、全纳教育和提供辅助技术方面制定适当的康复战略和政策。
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引用次数: 0
Should I stay or should I go? An exploratory study comparing wheelchair-adapted rowing at home vs. in community gyms. 我应该留下还是离开?一项探索性研究,比较在家与在社区健身房进行适应轮椅的划船运动。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2362895
Mine Celebi, Anika Cheng, Bonita Sawatzky, Johanne Mattie, Jaimie Borisoff, James J Laskin, W Ben Mortenson

Purpose: Wheelchair users experience many barriers to physical activity as affordable and accessible exercise equipment options are limited. Thus, the home-based adapted rower (aROW) and gym-based aROW were developed. The objectives were to determine: 1) wheelchair users' preferences, perspectives, facilitators, and barriers to using the home-based versus the gym-based aROW, 2) perceived usability of the home and gym aROWs, and 3) recommendations to adapt the aROW further for home and community use.

Materials and methods: In this two-phase exploratory mixed-methods study, participants completed one month of using a home aROW, followed by one month of using a community gym aROW. After each phase, participants completed a semi-structured interview and the System Usability Scale (SUS) questionnaire. Interview data were analyzed using conventional content analysis and effect size comparing SUS data was calculated.

Results and conclusions: Four categories were identified: what worked well, barriers to using the aROWs, what could be improved and important considerations. There was a large effect size in perceived usability between the aROWs with participants preferring the home aROW. Overall, rowing was enjoyable, and participants achieved positive physical outcomes. As preferences are individual, the home aROW provides wheelchair users with a potential choice between home or gym exercise.

目的:轮椅使用者在进行体育锻炼时会遇到很多障碍,因为可负担得起且方便使用的锻炼设备非常有限。因此,我们开发了家用适应划船器(aROW)和健身房用适应划船器。目标是确定1) 轮椅使用者使用家用划船器和健身房划船器的偏好、观点、促进因素和障碍;2) 家用划船器和健身房划船器的可用性;3) 进一步调整家用划船器和社区划船器的建议:在这项分两个阶段进行的探索性混合方法研究中,参与者先使用一个月的家用 aROW,然后再使用一个月的社区健身房 aROW。每个阶段结束后,参与者都要完成一次半结构化访谈和系统可用性量表(SUS)问卷调查。访谈数据采用传统的内容分析法进行分析,并计算了与 SUS 数据比较的效应大小:结果和结论:确定了四个类别:运行良好的方面、使用 aROWs 的障碍、可改进的方面和重要的考虑因素。不同的 aROWs 在可用性方面有很大的影响,参与者更喜欢家用 aROW。总的来说,划船是一件令人愉快的事情,参与者取得了积极的身体效果。由于个人喜好不同,家用划船器为轮椅使用者提供了在家或健身房锻炼的可能选择。
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引用次数: 0
Power wheelchair usage and repair are associated: a retrospective analysis. 电动轮椅的使用与维修相关:一项回顾性分析。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-16 DOI: 10.1080/17483107.2024.2353861
Anand Mhatre, Cassandra Loew, Ekim Yurtsever, Colin Mair

Purpose: This study evaluates the effect of power wheelchair telemonitoring and battery charging training on user charging behavior and repair measures and assesses the relationship between wheelchair usage and repair measures to support technician-led servicing.Methods: This is a retrospective analysis of two matched cohorts with a total of n=237 users from the NHS service dataset. In the training cohort, a wheelchair usage telemonitoring device monitored the battery usage of n=119 power wheelchair users for 12 months. Users whose battery charging behavior was not optimal were instructed on appropriate charging practices. Wheelchair usage parameters of wheelchair drive and power time every month were used to predict repairs and associated costs.Results: Fifty-four out of 119 users in the training cohort did not charge batteries regularly and were instructed on appropriate charging. Twenty-six of them changed their behavior and charged their batteries every night. This cohort experienced reduced battery repairs by 18%, wheelchair repairs by 11%, and repair costs by £3,092 compared to a matched standard care cohort (n=118). User age and drive time were associated with repair measures. Drive time predicted time-to-failure for wheelchair parts and classified failure risk with the area under the receiver operating characteristic curve as 0.71 (95% CI 0.61 to 0.82; p<.001). Conclusions: By leveraging the significant relationships between wheelchair usage and repairs, wheelchair users at risk of part failures can be identified, and technician-led servicing tools for proactive interventions can be developed. Wheelchair battery health telemonitoring and instructing users on appropriate battery charging reduced repairs and associated costs.

目的:本研究评估了电动轮椅远程监控和电池充电培训对用户充电行为和维修措施的影响,并评估了轮椅使用和维修措施之间的关系,以支持技术人员主导的维修:这是对两个匹配队列的回顾性分析,共有来自英国国家医疗服务系统服务数据集的 237 名用户。在培训队列中,轮椅使用情况远程监控设备对119名电动轮椅使用者的电池使用情况进行了为期12个月的监控。对电池充电行为不理想的用户进行了适当的充电指导。每月轮椅驱动和动力时间等轮椅使用参数用于预测维修和相关费用:在接受培训的 119 名用户中,有 54 人没有定期给电池充电,他们接受了适当充电的指导。其中 26 人改变了行为,每晚都给电池充电。与匹配的标准护理队列(人数=118)相比,该队列的电池维修率降低了18%,轮椅维修率降低了11%,维修成本降低了3,092英镑。用户年龄和驾驶时间与维修措施有关。驾驶时间可预测轮椅部件的故障时间,并对故障风险进行分类,接收器工作特征曲线下的面积为0.71(95% CI 0.61至0.82;p结论:通过利用轮椅使用和维修之间的重要关系,可以识别出有部件故障风险的轮椅用户,并开发出由技术人员主导的维修工具,以进行主动干预。轮椅电池健康远程监控和指导用户对电池进行适当充电可减少维修次数和相关费用。
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引用次数: 0
Exploring rehabilitation providers' perspectives of assistive technology access after the implementation of a paediatric AT provision program in rural South India. 在印度南部农村地区实施儿科辅助技术提供计划后,探索康复服务提供者对辅助技术使用情况的看法。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-06-04 DOI: 10.1080/17483107.2024.2360125
Alakshiya Arumuganathan, Iqra Shah, Franzina Coutinho, Dinesh Krishna, Navamani Venkatachalapathy, Marie Brien, Andrea Duncan

A paediatric Assistive Technology (AT) Provision Program was implemented by a non-governmental rehabilitation facility in rural South India to support rehabilitation providers in providing needed AT access for children with disabilities. Capacity-building measures for providers and other supports based on the AT needs, barriers, and facilitators to AT access were implemented that aligned with the AT global report for low-middle income countries (LMIC). This study explores how the initiatives from the AT Provision Program have influenced the perspectives of rehabilitation providers on AT access.

Using a qualitative design eight paediatric rehabilitation providers were purposively sampled for virtual semi-structured interviews. Findings were analysed using thematic analysis.

Six overarching themes were identified: (1) Stigma associated with AT use, (2) Organisational response to changing needs, (3) Financial factors related to family socioeconomic status and the organisation providing AT services, (4) Inequity of AT service access in rural areas, (5) Provider AT awareness and confidence and, (6) Quality assurance. Rehabilitation providers' experiences informed future AT capacity-building strategies within a low-resource context. Our findings provide valuable insights for the development of comprehensive AT Provision Program initiatives to provide AT access for children with disabilities in LMIC settings.

印度南部农村地区的一家非政府康复机构实施了一项儿科辅助技术(AT)提供计划,以支持康复服务提供者为残疾儿童提供所需的辅助技术。根据辅助器具使用的需求、障碍和促进因素,康复机构采取了能力建设措施和其他支持措施,这些措施与针对中低收入国家(LMIC)的全球辅助器具报告相一致。本研究采用定性设计,有目的地抽取了八名儿科康复服务提供者进行虚拟半结构式访谈。采用主题分析法对调查结果进行了分析,确定了六大主题:确定了六大主题:(1) 与使用辅助器具相关的耻辱感;(2) 组织对不断变化的需求的回应;(3) 与家庭社会经济地位和提供辅助器具服务的组织相关的财务因素;(4) 农村地区获得辅助器具服务的不平等;(5) 提供者对辅助器具的认识和信心;(6) 质量保证。在资源匮乏的情况下,康复服务提供者的经验为未来的辅助器具能力建设战略提供了参考。我们的研究结果为制定全面的辅助器具供应计划提供了宝贵的见解,从而为低收入和中等收入国家环境中的残疾儿童提供辅助器具服务。
{"title":"Exploring rehabilitation providers' perspectives of assistive technology access after the implementation of a paediatric AT provision program in rural South India.","authors":"Alakshiya Arumuganathan, Iqra Shah, Franzina Coutinho, Dinesh Krishna, Navamani Venkatachalapathy, Marie Brien, Andrea Duncan","doi":"10.1080/17483107.2024.2360125","DOIUrl":"10.1080/17483107.2024.2360125","url":null,"abstract":"<p><p>A paediatric Assistive Technology (AT) Provision Program was implemented by a non-governmental rehabilitation facility in rural South India to support rehabilitation providers in providing needed AT access for children with disabilities. Capacity-building measures for providers and other supports based on the AT needs, barriers, and facilitators to AT access were implemented that aligned with the AT global report for low-middle income countries (LMIC). This study explores how the initiatives from the AT Provision Program have influenced the perspectives of rehabilitation providers on AT access.</p><p><p>Using a qualitative design eight paediatric rehabilitation providers were purposively sampled for virtual semi-structured interviews. Findings were analysed using thematic analysis.</p><p><p>Six overarching themes were identified: (1) Stigma associated with AT use, (2) Organisational response to changing needs, (3) Financial factors related to family socioeconomic status and the organisation providing AT services, (4) Inequity of AT service access in rural areas, (5) Provider AT awareness and confidence and, (6) Quality assurance. Rehabilitation providers' experiences informed future AT capacity-building strategies within a low-resource context. Our findings provide valuable insights for the development of comprehensive AT Provision Program initiatives to provide AT access for children with disabilities in LMIC settings.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"189-200"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autonomy, independence, and participation of nursing home habitants addressed by assistive technology: a scoping review. 通过辅助技术解决养老院居住者的自主性、独立性和参与性问题:范围界定综述。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-06-04 DOI: 10.1080/17483107.2024.2359472
Marielle André, Jérémy Enez, Kevin Charras, Maud Besançon, Sylvain Delouvée

Context: Assistive technologies have been identified by researchers and public policies of the Western world to be promising tools to face the challenge of maintaining quality of life of older people, and especially for nursing home habitants. Independence, autonomy, and participation are major determinants of quality of life of nursing homes habitants. Maintaining quality of life is nowadays a priority for public health policies and institutions of the where the population is growing older every year.

Method: This PRISMA-ScR review aims to determine which assistive technologies are used to promote autonomy, independence, and social participation of nursing home habitants. An electronic search was conducted for English, French articles to identify research studies using CINAHL, PubMed, Cochrane Library, PsycINFO, and Googlescholar.

Results: 12 papers published between 2009 and 2023 described 6 assistive technologies: technologies integrated into the environment, monitoring technologies, surveillance technologies, information and communication technology, social assistance robots, virtual reality. Six types of AT are currently used worldwide to maintain autonomy, independence and participation of people living in nursing homes. Their use is mainly perceived as positive by habitants, care and non-care staff, next of kin, and experts despite some concerns regarding ethical, financial, consideration.

Discussion: Nevertheless, their impact on habitant's autonomy, independence and participation still needs to be measured using suitable tools to understand their real impact on the quality of life of the elderly.

背景:西方国家的研究人员和公共政策认为,辅助技术是应对保持老年人生活质量这一挑战的大有可为的工具,对于养老院的住户来说尤其如此。独立性、自主性和参与性是决定养老院居住者生活质量的主要因素。如今,在人口逐年老龄化的国家,保持生活质量已成为公共卫生政策和机构的首要任务:本 PRISMA-ScR 综述旨在确定哪些辅助技术可用于提高疗养院居民的自主性、独立性和社会参与度。我们使用 CINAHL、PubMed、Cochrane Library、PsycINFO 和 Googlescholar 对英文和法文文章进行了电子检索,以确定研究成果:结果:2009 年至 2023 年间发表的 12 篇论文介绍了 6 种辅助技术:融入环境的技术、监控技术、监视技术、信息和通信技术、社会辅助机器人、虚拟现实技术。目前,世界上有六种辅助技术被用于保持养老院居民的自主性、独立性和参与性。尽管在伦理、经济、考虑因素等方面存在一些问题,但住户、护理人员、非护理人员、近亲属和专家对这些技术的使用主要持积极态度:尽管如此,仍需要使用合适的工具来衡量其对居住者的自主性、独立性和参与性的影响,以了解其对老年人生活质量的真正影响。
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引用次数: 0
Considering preferences, speed and the animation of multiple symbols in developing P300 brain-computer interface for children. 在开发儿童 P300 脑机接口时考虑偏好、速度和多符号动画。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-29 DOI: 10.1080/17483107.2024.2359479
Kevin M Pitt, Austin Spoor, Joshua Zosky

Purpose: Prior research has begun establishing the efficacy of animation in brain-computer interfaces access to augmentative and alternative communication (BCI-AAC). However, the use of animation in P300-BCI-AAC for children is in the early stages and largely limited to single item highlighting of extended durations. In pursuit of practical application, the present study aims to evaluate children's event-related potential (ERP) characteristics and user experience during a task involving an animated P300-BCI-AAC system.

Materials and methods: The system utilizes multi-item zoom animations to access a 28-pictorial symbols. Participants completed a fast (100 ms) and slow (200 ms) zoom animation highlighting conditions wherein four pictorial symbols were highlighted concurrently.

Results: The proposed display appears feasible, eliciting all targeted ERPs. However, ERP amplitudes may be reduced in comparison to single-item animation highlighting, possibly due to distraction. Ratings of mental effort were significantly higher for the 100 ms condition, though differences in the frontal P200/P300 ERP did not achieve significance. Most participants identified a preference for the 100 ms condition, though age may impact preference.

Conclusions: Overall, findings support the preliminary feasibility of a proposed 28-item interface that utilises group zoom animation highlighting of pictorial symbols. Further research is needed evaluating ERP characteristics and outcomes from online (real-time) use of animation-based P300-BCI-AAC for children with severe speech and physical impairments across multiple training sessions.

目的:先前的研究已经开始确定动画在脑机接口辅助和替代性交流(BCI-AAC)中的功效。然而,动画在儿童 P300-BCI-AAC 中的应用还处于早期阶段,而且主要局限于持续时间较长的单项突出显示。为了追求实际应用,本研究旨在评估儿童事件相关电位(ERP)特征和用户在涉及动画 P300-BCI-AAC 系统的任务中的体验:该系统利用多项目缩放动画来访问 28 个图形符号。参与者分别完成了快速(100 毫秒)和慢速(200 毫秒)缩放动画突出显示条件,其中四个图形符号同时突出显示:结果:提议的显示似乎是可行的,能激发所有目标 ERP。然而,与单项动画突出显示相比,ERP 振幅可能会降低,这可能是由于注意力分散造成的。100 毫秒条件下的脑力劳动评分明显更高,但额叶 P200/P300 ERP 的差异没有达到显著性。虽然年龄可能会影响偏好,但大多数参与者都表示偏好 100 毫秒条件:总之,研究结果表明,利用图形符号分组缩放动画突出显示的 28 个项目界面具有初步可行性。还需要进一步研究,评估在线(实时)使用基于动画的 P300-BCI-AAC 的 ERP 特征和结果,以帮助有严重言语和肢体障碍的儿童进行多次训练。
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引用次数: 0
A pilot exploration of staff and service-user perceptions of a novel digital health technology (Virtual Engagement Rehabilitation Assistant) in complex inpatient rehabilitation. 在复杂的住院康复治疗中,对工作人员和服务用户对新型数字医疗技术(虚拟参与康复助理)的看法进行试点探索。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-14 DOI: 10.1080/17483107.2024.2351499
Kathryn Jarvis, Julie Cook, Ganesh Bavikatte, Nicola Branscombe, Steve Donovan, Jo Haworth, Charlotte Lawrence, Chris Morland, Rachel C Stockley

Purpose: Digital health technologies have the potential to advance rehabilitation. The Virtual Engagement Rehabilitation Assistant (VERA) is a digital technology, co-designed to increase service-user engagement and promote self-management. This qualitative study explored staff and service-user perceptions of implementing VERA on a UK complex inpatient rehabilitation ward.

Methods: Purposively sampled service-users were allocated to VERA for up to six weeks. The Non-adoption, Abandonment, Scale-up, Spread and Sustainability (NASSS) framework underpinned service-user post-intervention interviews and staff focus groups, and structured analysis of the data. Seven service-users were interviewed. Nine staff contributed to focus groups.

Results: A framework analysis identified themes (and subthemes) structured by the NASSS framework domains: 1. Nature of Clinical Condition, 2. Technology (Ease of Use, Holding Information/Resources in a single Digital Location, Appointments), 3. Value Proposition (Structuring Time, Feedback, Unexpected Benefits) 4. Adopters (Confidence in using Technology, Usefulness), 5. Wider Organisation. Ease of use and storage of key information in a single location were beneficial. Reliability, and provision of accurate and timely feedback to staff and service-users, were identified as essential.

Conclusions: A blended approach is required to meet staff and service-user needs. The potential for VERA in a community setting was identified and requires further investigation. Learning from VERA will support development of other digital technologies and their implementation.

目的:数字医疗技术具有推动康复的潜力。虚拟参与康复助理(VERA)是一项共同设计的数字技术,旨在提高服务用户的参与度并促进自我管理。这项定性研究探讨了英国一家复杂的住院康复病房的工作人员和服务用户对实施 VERA 的看法:方法:有目的的抽样服务用户被分配到 VERA,最长六周。未采用、放弃、推广、扩散和可持续性(NASSS)框架是服务用户干预后访谈和员工焦点小组以及结构化数据分析的基础。七名服务用户接受了访谈,九名员工参加了焦点小组。结果:框架分析确定了由 NASSS 框架领域构成的主题(和次主题):1.临床状况的性质,2.技术(易用性、在单一数字位置保存信息/资源、预约),3.价值主张(安排时间、反馈、意想不到的好处),4.采用者(使用技术的信心、有用性),5.更广泛的组织。易用性和将关键信息存储在一个位置是有益的。可靠性以及向员工和服务用户提供准确及时的反馈被认为是至关重要的:结论:需要一种混合方法来满足工作人员和服务用户的需求。发现了 VERA 在社区环境中的潜力,需要进一步调查。从 VERA 中汲取的经验将有助于其他数字技术的开发和实施。
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引用次数: 0
Wheelchair satisfaction and recommended improvements of manual wheelchairs in the UK. 英国手动轮椅的满意度和改进建议。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-06-07 DOI: 10.1080/17483107.2024.2359473
Katy E Griggs

Purpose of the article: The aim of this study was to determine user satisfaction with manual wheelchairs in the United Kingdom and to determine areas that could be improved to help drive future design and development.

Materials and methods: Manual wheelchair users, aged 18-65 years old living in the United Kingdom, were invited, to complete an online cross-sectional questionnaire. The link to the questionnaire was distributed using a range of methods to charities, organisations and wheelchair user groups via invitation by email and social media. Responses were gathered from 122 respondents and analysed using descriptive statistics, cross-tabulation and content analysis.

Results: Respondents felt comfort (39.3%), weight (35.4%), manoeuvrability (34.3%) and durability (30.7%) were the most important features of a wheelchair. Seventy percent of respondents that were "not at all satisfied" with their current wheelchair were fitted by the National Health Service (NHS, X2 = 42.39, p < 0.001). Ninety percent of respondents who were "not at all satisfied" with their current wheelchair experienced issues with comfort (X2 = 17.82, p = 0.001). Sixty percent who were "not satisfied at all" with their wheelchair had not chosen their wheelchair (X2 = 25.15, p < 0.001).

Conclusion: Wheelchair satisfaction was largely determined by comfort, location of the users' wheelchair fitting (for example the NHS) and users choosing their own wheelchair. Future wheelchair designs should utilise a user centred and inclusive design approach to cater for a wider range of individual needs and requirements.

文章目的本研究旨在确定英国手动轮椅用户的满意度,并确定可以改进的方面,以帮助推动未来的设计和开发:邀请居住在英国的 18-65 岁手动轮椅用户填写一份在线横截面问卷。通过电子邮件和社交媒体向慈善机构、组织和轮椅使用者团体分发了问卷链接。共收集到 122 位受访者的回复,并采用描述性统计、交叉表法和内容分析法进行了分析:受访者认为舒适度(39.3%)、重量(35.4%)、可操作性(34.3%)和耐用性(30.7%)是轮椅最重要的特征。在对自己目前的轮椅 "完全不满意 "的受访者中,有 70% 是由国家医疗服务机构(NHS,X2 = 42.39,P X2 = 17.82,P = 0.001)为其安装的。对轮椅 "完全不满意 "的人中有 60% 没有选择过轮椅(X2 = 25.15,p 结论:"完全不满意 "的人中有 60% 没有选择过轮椅:轮椅满意度在很大程度上取决于舒适度、用户安装轮椅的地点(例如国家医疗服务体系)以及用户是否选择了自己的轮椅。未来的轮椅设计应采用以用户为中心的包容性设计方法,以满足更广泛的个人需求和要求。
{"title":"Wheelchair satisfaction and recommended improvements of manual wheelchairs in the UK.","authors":"Katy E Griggs","doi":"10.1080/17483107.2024.2359473","DOIUrl":"10.1080/17483107.2024.2359473","url":null,"abstract":"<p><strong>Purpose of the article: </strong>The aim of this study was to determine user satisfaction with manual wheelchairs in the United Kingdom and to determine areas that could be improved to help drive future design and development.</p><p><strong>Materials and methods: </strong>Manual wheelchair users, aged 18-65 years old living in the United Kingdom, were invited, to complete an online cross-sectional questionnaire. The link to the questionnaire was distributed using a range of methods to charities, organisations and wheelchair user groups <i>via</i> invitation by email and social media. Responses were gathered from 122 respondents and analysed using descriptive statistics, cross-tabulation and content analysis.</p><p><strong>Results: </strong>Respondents felt comfort (39.3%), weight (35.4%), manoeuvrability (34.3%) and durability (30.7%) were the most important features of a wheelchair. Seventy percent of respondents that were \"not at all satisfied\" with their current wheelchair were fitted by the National Health Service (NHS, <i>X<sup>2</sup></i> = 42.39, <i>p</i> < 0.001). Ninety percent of respondents who were \"not at all satisfied\" with their current wheelchair experienced issues with comfort (<i>X<sup>2</sup></i> = 17.82, <i>p</i> = 0.001). Sixty percent who were \"not satisfied at all\" with their wheelchair had not chosen their wheelchair (<i>X<sup>2</sup></i> = 25.15, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Wheelchair satisfaction was largely determined by comfort, location of the users' wheelchair fitting (for example the NHS) and users choosing their own wheelchair. Future wheelchair designs should utilise a user centred and inclusive design approach to cater for a wider range of individual needs and requirements.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"163-170"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Customised joystick-making and training service of power wheelchair using rapid prototyping in rehabilitation centre for people with cervical spinal cord injury: findings from two case studies. 颈椎损伤康复中心利用快速原型技术定制电动轮椅操纵杆和提供训练服务:两个案例研究的结果。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-01-17 DOI: 10.1080/17483107.2023.2295947
Ja-Ho Leigh, Moon Young Kim, Jae-Nam Kim, Jun-Chul Chung, Soul Han, Jin Hong Kim, Gangpyo Lee

Purpose: This study aimed to evaluate the clinical applicability of a customised power wheelchair joystick using rapid prototyping with 3D modeling and printing technology within a rehabilitation centre for patients with cervical spinal cord injury.

Materials and methods: Two male participants with tetraplegia following cervical-level spinal cord injury who had difficulty operating a powered wheelchair were recruited. The procedure of the joystick-making and training service consists of four steps: (1) driving evaluation; (2) digital fabrication; (3) functional test; and (4) driving training. K-QUEST 2.0 (Korean-Quebec User Evaluation of Satisfaction version 2.0) was used to measure the usability of the off-the-shelf and customised joystick.

Results: During the application process, several redesign stages were required to obtain the final customised joystick. After participants attended a 30-min driving training five times per week for 8 weeks, the usability of the customised joystick was higher than that of the off-the-shelf one.

Conclusion: Providing the customised joystick-making and training service can be used in hospitalised rehabilitation centre before the hospital discharge of patients and returns to their everyday lives.

目的:本研究旨在评估在颈椎脊髓损伤患者康复中心使用三维建模和打印技术快速制作的定制电动轮椅操纵杆的临床适用性:招募了两名因颈椎脊髓损伤导致四肢瘫痪且难以操作电动轮椅的男性参与者。操纵杆制作和训练服务程序包括四个步骤:(1) 驾驶评估;(2) 数字制作;(3) 功能测试;(4) 驾驶训练。K-QUEST 2.0(韩国-魁北克用户满意度评估 2.0 版)用于测量现成操纵杆和定制操纵杆的可用性:在应用过程中,需要经过几个重新设计阶段才能获得最终的定制操纵杆。在参与者参加了为期 8 周、每周 5 次、每次 30 分钟的驾驶培训后,定制操纵杆的可用性高于现成的操纵杆:结论:住院康复中心可在患者出院前提供定制操纵杆制作和训练服务,以便患者重返日常生活。
{"title":"Customised joystick-making and training service of power wheelchair using rapid prototyping in rehabilitation centre for people with cervical spinal cord injury: findings from two case studies.","authors":"Ja-Ho Leigh, Moon Young Kim, Jae-Nam Kim, Jun-Chul Chung, Soul Han, Jin Hong Kim, Gangpyo Lee","doi":"10.1080/17483107.2023.2295947","DOIUrl":"10.1080/17483107.2023.2295947","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the clinical applicability of a customised power wheelchair joystick using rapid prototyping with 3D modeling and printing technology within a rehabilitation centre for patients with cervical spinal cord injury.</p><p><strong>Materials and methods: </strong>Two male participants with tetraplegia following cervical-level spinal cord injury who had difficulty operating a powered wheelchair were recruited. The procedure of the joystick-making and training service consists of four steps: (1) driving evaluation; (2) digital fabrication; (3) functional test; and (4) driving training. K-QUEST 2.0 (Korean-Quebec User Evaluation of Satisfaction version 2.0) was used to measure the usability of the off-the-shelf and customised joystick.</p><p><strong>Results: </strong>During the application process, several redesign stages were required to obtain the final customised joystick. After participants attended a 30-min driving training five times per week for 8 weeks, the usability of the customised joystick was higher than that of the off-the-shelf one.</p><p><strong>Conclusion: </strong>Providing the customised joystick-making and training service can be used in hospitalised rehabilitation centre before the hospital discharge of patients and returns to their everyday lives.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"247-253"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Disability and Rehabilitation-Assistive Technology
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