Motivating mobility

Abstract

How to motivate and support behaviour change through design is becoming of increasing interest to the CHI community. In this paper, we present our experiences of building systems that motivate people to engage in upper limb rehabilitation exercise after stroke. We report on participatory design work with four stroke survivors to develop a holistic understanding of their motivation and rehabilitation needs, and to construct and deploy engaging interactive systems that satisfy these. We reflect on the limits of motivational theories in trying to design for the lived experience of motivation and highlight lessons learnt around: helping people articulate what motivates them; balancing work, duty, fun; supporting motivation over time; and understanding the wider social context. From these we identify design guidelines that can inform a toolkit approach to support both scalability and personalisability.

Custom-designed motion-based games for older adults: A review of literature in human-computer interaction

“…A qualitative user study with a single participant that was conducted in cooperation with a physical therapist over a period of six weeks showed that patient motivation increased when examining the short-term effects of augmented stroke therapy. Baalam et al 45 present different approaches towards using information technology to support stroke rehabilitation, such as Rehab Reader, an e-book reader that moves through text as users interact with a squeeze ball (to increase muscle strength and motor skills). The results of these user studies suggest that it is important to individually adapt rehabilitation measures to user preferences for therapy to be successful.…”

Self-rehabilitation with a game

“…Whether the drop in perceived benefit from entry to exit in the test group was due to the game becoming easier to use and less challenging (c.f. [4]), disappointment in experienced vs. expected training gains, or less benefit from the game at a later stage in rehabilitation remained unclear.…”

“…Given differences in interest and what people find motivating especially when handicapped by low insight and initiative we should not assume that WAM will be a good fit for all people to self-rehabilitate [4] especially in its current state, which leaves the task of gaining insight to the patient actively engaging with the result page. While little research has focused on user needs in rehabilitative games, the field of personalized informatics and quantified-self has identified user needs in terms of the following questions that people who collect data about themselves seek to answer [26] and might equally apply to games like WAM that generate data in each session: [2,7,42].…”

“…time of day (c.f. [4]) and specifically for severely impaired and high performers. This was especially important for sessions in which participants hit only very few targets, which increased the likelihood for misclassifications of having neglect.…”

“…using performance parameters as indicators of patients condition and progress [13], 3. improving patients' insight into their own condition [20] and progress, 4. providing benefits in non-game scenarios, while 5.…”