Towards a Model of Rehabilitation Technology Acceptance and Usability

Kaleshtari, Mohammad Hatami; Ciobanu, Ileana; Seiciu, Petre Lucian; Marin, Andreea Georgiana; Berteanu, Mihai

doi:10.7763/ijssh.2016.v6.720

Cited by 8 publications

(12 citation statements)

References 9 publications

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“…This model has been successfully used in healthcare to evaluate different applications. For example, acceptance of web-based aftercare devices [29], therapist acceptance of new technology for rehabilitation [30], new models based on UTAUT for rehabilitation technologies [31], among others.…”

Section: User Acceptance Assessmentmentioning

confidence: 99%

Expectation vs. Reality: Attitudes Towards a Socially Assistive Robot in Cardiac Rehabilitation

et al. 2019

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Currently, Social Assistive Robotics (SAR) is widely explored in different areas and scenarios. In cardiac rehabilitation, SAR has been recently implemented as a tool to improve the quality of the procedures and support patients to boost their performance. As cardiac rehabilitation comprises numerous sessions, such systems must guarantee to be effective in the long term. Therefore, to achieve this goal, it is important to understand how users, namely patients and clinicians who mostly know the needs and the therapy environment, perceive this technology. In this context, this paper presents the assessment of the attitudes towards a social robot in order to evaluate the expectation of potential new users, and perception of users who interacted with the social robot during a period of 18 weeks performing cardiac rehabilitation. A total of 43 participants (28 patients and 15 clinicians) were included in the study, and acceptance and perception factors were evaluated through a modified UTAUT questionnaire model and open discussion sessions. Results show that 75% of patients have positive thoughts regarding the usefulness, utility, safety, and trust perceived of a social robot, and 80% of clinicians consider that the robot is a useful tool for cardiac rehabilitation. Similarly, a more positive perception was noticed after the users interacted with the robot. Furthermore, this perception study allows the enhancement of the social model of interaction in the future, aiming to provide a more natural interaction trough personalized features, increasing social abilities and engagement of the users during the therapy.

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Section: User Acceptance Assessmentmentioning

confidence: 99%

Expectation vs. Reality: Attitudes Towards a Socially Assistive Robot in Cardiac Rehabilitation

et al. 2019

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“…User-centered designs acknowledge and highlight factors relating to the user’s personal, environmental, and social influence, in addition to technological factors (Beckerle, Christ, et al, 2017; Kaleshtari et al, 2016). For medical application, the World Health Organization (WHO) has encouraged this type of contextual approach with its biopsychosocial model, the International Classification of Functioning, Disability and Health (ICF), because a medical diagnosis alone does not adequately define ability or needs.…”

Section: Introductionmentioning

confidence: 99%

“…There is a lack of evidence in the literature with respect to how and to what extent developers involve users during different stages of development and whether needs or desires of the end-user are being fully identified (Federici et al, 2015; Hill et al, 2017; Koumpouros, 2016). Similarly, methods that assess potential users’ perceived usability of the device for their own purposes or consider their opinion of its appearance have received limited attention (Kaleshtari et al, 2016). This lack of evidence and absence of consensus in terms of appropriate evaluation methods in the field seems, in part, to be due to the heterogeneity of studies in the area (He et al, 2017; Hill et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Assessing the Involvement of Users During Development of Lower Limb Wearable Robotic Exoskeletons: A Survey Study

et al. 2020

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Objective To explore user-centered design methods currently implemented during development of lower limb wearable robots and how they are utilized during different stages of product development. Background Currently, there appears to be a lack of standardized frameworks for evaluation methods and design requirements to implement effective user-centered design for safe and effective clinical or ergonomic system application. Method Responses from a total of 191 experts working in the field of lower limb exoskeletons were analyzed in this exploratory survey. Descriptive statistics were used to present responses and measures of frequency, and chi-square tests were used to contrast the answers of respondents who identified as clinicians versus engineers. Results A vast majority of respondents involve users in their development, in particular at the initial and iterative stages, although some differences were found between disciplines. A variety of methods and metrics are used to capture feedback from users and test devices, and although valuable, some methods used may not be based on validated measures. Guidelines regarding tests on safety of exoskeletons also lack standardization. Conclusion There seems to be a consensus among experts regarding the importance of a user-centered approach in exoskeleton development; however, standardized frameworks with regard to appropriate testing methods and design approaches are lacking. Such frameworks should consider an interdisciplinary focus on the needs and safety of the intended user during each iteration of the process. Application This exploratory study provides an overview of current practice among engineers and clinicians regarding the user-centered design of exoskeletons. Limitations and recommendations for future directions are identified.

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“…Nevertheless, it has been shown that perceived usefulness of assistive or rehabilitative technology is one of the primary factors in predicting actual use of the device [50,51]. In the present study, users positively evaluated the perceived effectiveness in strengthening muscles and improving hand function.…”

Section: Effectivenessmentioning

confidence: 70%

On the way home: a BCI-FES hand therapy self-managed by sub-acute SCI participants and their caregivers: a usability study

Zulauf-Czaja

Al-Taleb

Purcell

et al. 2021

J NeuroEngineering Rehabil

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Background Regaining hand function is the top priority for people with tetraplegia, however access to specialised therapy outwith clinics is limited. Here we present a system for hand therapy based on brain-computer interface (BCI) which uses a consumer grade electroencephalography (EEG) device combined with functional electrical stimulation (FES), and evaluate its usability among occupational therapists (OTs) and people with spinal cord injury (SCI) and their family members. Methods Users: Eight people with sub-acute SCI (6 M, 2F, age 55.4 ± 15.6) and their caregivers (3 M, 5F, age 45.3 ± 14.3); four OTs (4F, age 42.3 ± 9.8). User Activity: Researchers trained OTs; OTs subsequently taught caregivers to set up the system for the people with SCI to perform hand therapy. Hand therapy consisted of attempted movement (AM) of one hand to lower the power of EEG sensory-motor rhythm in the 8-12 Hz band and thereby activate FES which induced wrist flexion and extension. Technology: Consumer grade wearable EEG, multichannel FES, custom made BCI application. Location: Research space within hospital. Evaluation: donning times, BCI accuracy, BCI and FES parameter repeatability, questionnaires, focus groups and interviews. Results Effectiveness: The BCI accuracy was 70–90%. Efficiency: Median donning times decreased from 40.5 min for initial session to 27 min during last training session (N = 7), dropping to 14 min on the last self-managed session (N = 3). BCI and FES parameters were stable from session to session. Satisfaction: Mean satisfaction with the system among SCI users and caregivers was 3.68 ± 0.81 (max 5) as measured by QUEST questionnaire. Main facilitators for implementing BCI-FES technology were “seeing hand moving”, “doing something useful for the loved ones”, good level of computer literacy (people with SCI and caregivers), “active engagement in therapy” (OT), while main barriers were technical complexity of setup (all groups) and “lack of clinical evidence” (OT). Conclusion BCI-FES has potential to be used as at home hand therapy by people with SCI or stroke, provided it is easy to use and support is provided. Transfer of knowledge of operating BCI is possible from researchers to therapists to users and caregivers. Trial registration Registered with NHS GG&C on December 6th 2017; clinicaltrials.gov reference number NCT03257982, url: https://clinicaltrials.gov/ct2/show/NCT03257982.

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Towards a Model of Rehabilitation Technology Acceptance and Usability

Cited by 8 publications

References 9 publications

Expectation vs. Reality: Attitudes Towards a Socially Assistive Robot in Cardiac Rehabilitation

Expectation vs. Reality: Attitudes Towards a Socially Assistive Robot in Cardiac Rehabilitation

Assessing the Involvement of Users During Development of Lower Limb Wearable Robotic Exoskeletons: A Survey Study

On the way home: a BCI-FES hand therapy self-managed by sub-acute SCI participants and their caregivers: a usability study

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