Article

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.

Langue : ANGLAIS