Stroke patients’ utilisation of extrinsic feedback from computer-based technology in the home: a multiple case study realistic evaluation

Journal article


Parker, Jack, Mawson, Susan, Mountain, Gail, Nasr, Nasrin and Zheng, Huiru 2014. Stroke patients’ utilisation of extrinsic feedback from computer-based technology in the home: a multiple case study realistic evaluation. BMC Medical Informatics and Decision Making. 14 (1). https://doi.org/10.1186/1472-6947-14-46
AuthorsParker, Jack, Mawson, Susan, Mountain, Gail, Nasr, Nasrin and Zheng, Huiru
Abstract

Evidence indicates that post − stroke rehabilitation improves function, independence and quality of life. A key aspect of rehabilitation is the provision of appropriate information and feedback to the learner. Advances in information and communications technology (ICT) have allowed for the development of various systems to complement stroke rehabilitation that could be used in the home setting. These systems may increase the provision of rehabilitation a stroke survivor receives and carries out, as well as providing a learning platform that facilitates long-term self-managed rehabilitation and behaviour change. This paper describes the application of an innovative evaluative methodology to explore the utilisation of feedback for post-stroke upper-limb rehabilitation in the home. Using the principles of realistic evaluation, this study aimed to test and refine intervention theories by exploring the complex interactions of contexts, mechanisms and outcomes that arise from technology deployment in the home. Methods included focus groups followed by multi-method case studies (n = 5) before, during and after the use of computer-based equipment. Data were analysed in relation to the context-mechanism-outcome hypotheses case by case. This was followed by a synthesis of the findings to answer the question, ‘what works for whom and in what circumstances and respects?’ Data analysis reveals that to achieve desired outcomes through the use of ICT, key elements of computer feedback, such as accuracy, measurability, rewarding feedback, adaptability, and knowledge of results feedback, are required to trigger the theory-driven mechanisms underpinning the intervention. In addition, the pre-existing context and the personal and environmental contexts, such as previous experience of service delivery, personal goals, trust in the technology, and social circumstances may also enable or constrain the underpinning theory-driven mechanisms. Findings suggest that the theory-driven mechanisms underpinning the utilisation of feedback from computer-based technology for home-based upper-limb post-stroke rehabilitation are dependent on key elements of computer feedback and the personal and environmental context. The identification of these elements may therefore inform the development of technology; therapy education and the subsequent adoption of technology and a self-management paradigm; long-term self-managed rehabilitation; and importantly, improvements in the physical and psychosocial aspects of recovery.

Keywordsstroke survivor, stroke rehabilitation, smart system, therapy education, computer feedback
Year2014
JournalBMC Medical Informatics and Decision Making
Journal citation14 (1)
PublisherSpringer Science and Business Media LLC
ISSN1472-6947
Digital Object Identifier (DOI)https://doi.org/10.1186/1472-6947-14-46
Web address (URL)http://hdl.handle.net/10545/624989
http://creativecommons.org/licenses/by/2.0
hdl:10545/624989
Publication dates05 Jun 2014
Publication process dates
Deposited13 Jul 2020, 13:47
Accepted2014
ContributorsUniversity of Sheffield and University of Ulster, Belfast
File
File Access Level
Open
Permalink -

https://repository.derby.ac.uk/item/935w2/stroke-patients-utilisation-of-extrinsic-feedback-from-computer-based-technology-in-the-home-a-multiple-case-study-realistic-evaluation

Download files

  • 2
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Psychoeducation Intervention Effectiveness to Improve Social Skills in Young People with ADHD: A Meta-Analysis.
Powell, Lauren Amy, Parker, Jack, Weighall, Anna and Harpin, Valerie 2021. Psychoeducation Intervention Effectiveness to Improve Social Skills in Young People with ADHD: A Meta-Analysis. Journal of attention disorders. https://doi.org/10.1177/1087054721997553
The use of a smartphone app and an activity tracker to promote physical activity in the management of chronic obstructive pulmonary disease: randomized controlled feasibility study
Bentley, Claire L, Powell, Lauren, Potter, Stephen, Parker, Jack, Mountain, Gail A, Bartlett, Yvonne Kiera, Farwer, Jochen, O'Connor, Cath, Burns, Jennifer, Cresswell, Rachel L, Dunn, Heather D and Hawley, Mark S 2020. The use of a smartphone app and an activity tracker to promote physical activity in the management of chronic obstructive pulmonary disease: randomized controlled feasibility study. JMIR mHealth and uHealth. https://doi.org/10.2196/16203
A personalized self-management rehabilitation system with an intelligent shoe for stroke survivors: a realist evaluation
Mawson, Susan, Nasr, Nasrin, Parker, Jack, Davies, Richard, Zheng, Huiru and Mountain, Gail 2016. A personalized self-management rehabilitation system with an intelligent shoe for stroke survivors: a realist evaluation. JMIR Rehabilitation and Assistive Technologies. 3 (1), p. e1. https://doi.org/10.2196/rehab.5079
Exploring the experiences of living with stroke through narrative
Nasr, Nasrin, Mawson, Susan, Wright, Peter, Parker, Jack and Mountain, Gail 2016. Exploring the experiences of living with stroke through narrative. Global Qualitative Nursing Research. 3, p. 233339361664651. https://doi.org/10.1177/2333393616646518
A personalized self-management rehabilitation system for stroke survivors: A quantitative gait analysis using a smart insole
Davies, Richard John, Parker, Jack, McCullagh, Paul, Zheng, Huiru, Nugent, Chris, Black, Norman David and Mawson, Susan 2016. A personalized self-management rehabilitation system for stroke survivors: A quantitative gait analysis using a smart insole. JMIR Rehabilitation and Assistive Technologies. 3 (2), p. e11. https://doi.org/10.2196/rehab.5449
The provision of feedback through computer-based technology to promote self-managed post-stroke rehabilitation in the home
Parker, Jack, Mawson, Susan, Mountain, Gail, Nasr, Nasrin, Davies, Richard and Zheng, Huiru 2013. The provision of feedback through computer-based technology to promote self-managed post-stroke rehabilitation in the home. Disability and Rehabilitation: Assistive Technology. 9 (6), pp. 529-538. https://doi.org/10.3109/17483107.2013.845611
Assessing walking strategies using insole pressure sensors for stroke survivors
Munoz-Organero, Mario, Parker, Jack, Powell, Lauren and Mawson, Susan 2016. Assessing walking strategies using insole pressure sensors for stroke survivors. Sensors. 16 (10), p. 1631. https://doi.org/10.3390/s16101631
The SMART personalised self-management system for congestive heart failure: results of a realist evaluation
Bartlett, Yvonne K, Haywood, Annette, Bentley, Claire L, Parker, Jack, Hawley, Mark S, Mountain, Gail A and Mawson, Susan 2014. The SMART personalised self-management system for congestive heart failure: results of a realist evaluation. BMC Medical Informatics and Decision Making. 14 (1). https://doi.org/10.1186/s12911-014-0109-3
Attention deficit hyperactivity disorder: Is there an app for that? Suitability assessment of apps for children and young people with ADHD
Powell, Lauren, Parker, Jack, Robertson, Naomi and Harpin, Valerie 2017. Attention deficit hyperactivity disorder: Is there an app for that? Suitability assessment of apps for children and young people with ADHD. JMIR mHealth and uHealth. 5 (10), p. e145. https://doi.org/10.2196/mhealth.7371
Providing sources of self-efficacy through technology enhanced post-stroke rehabilitation in the home
Parker, Jack and Mawson, Susan 2017. Providing sources of self-efficacy through technology enhanced post-stroke rehabilitation in the home. in: IOS Press.
Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology
Mawson, Susan, Nasr, Nasrin, Parker, Jack, Zheng, Huiru, Davies, Richard and Mountain, Gail 2013. Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology. Disability and Rehabilitation: Assistive Technology. 9 (6), pp. 521-528. https://doi.org/10.3109/17483107.2013.840863
Identification of walking strategies of people With osteoarthritis of the knee using insole pressure sensors
Munoz-Organero, Mario, Littlewood, Chris, Parker, Jack, Powell, Lauren, Grindell, Cheryl and Mawson, Sue 2017. Identification of walking strategies of people With osteoarthritis of the knee using insole pressure sensors. IEEE Sensors. 17 (12), pp. 3909-3920. https://doi.org/10.1109/jsen.2017.2696303
Sensor optimization in smart insoles for post-stroke gait asymmetries using total variation and L1Distances
Munoz-Organero, Mario, Parker, Jack, Powell, Lauren, Davies, Richard and Mawson, Sue 2017. Sensor optimization in smart insoles for post-stroke gait asymmetries using total variation and L1Distances. IEEE Sensors. 17 (10), pp. 3142-3151. https://doi.org/10.1109/jsen.2017.2686641
ADHD: Is there an app for that? A suitability assessment of apps for the parents of children and young people with ADHD
Powell, Lauren, Parker, Jack and Harpin, Valerie 2017. ADHD: Is there an app for that? A suitability assessment of apps for the parents of children and young people with ADHD. JMIR mHealth and uHealth. 5 (10), p. e149. https://doi.org/10.2196/mhealth.7941
Involving users in the evaluation of apps for specific health conditions
Powell, L, Joddrell, P and Parker, Jack 2017. Involving users in the evaluation of apps for specific health conditions. Studies in Health Technology and Informatics. https://doi.org/10.3233/978-1-61499-798-6-646
Automatic extraction and detection of characteristic movement patterns in children with adhd based on a convolutional neural network (cnn) and acceleration images
Muñoz-Organero, Mario, Powell, Lauren, Heller, Ben, Harpin, Val and Parker, Jack 2018. Automatic extraction and detection of characteristic movement patterns in children with adhd based on a convolutional neural network (cnn) and acceleration images. Sensors. 18 (11), p. 3924. https://doi.org/10.3390/s18113924
The effectiveness of group exercise for improving activity and participation in adult stroke survivors: a systematic review
Church, Gavin, Parker, Jack, Powell, Lauren and Mawson, Susan 2019. The effectiveness of group exercise for improving activity and participation in adult stroke survivors: a systematic review. Physiotherapy. 105 (4), pp. 399-411. https://doi.org/10.1016/j.physio.2019.01.005
Guideline development for technological interventions for children and young people to self-manage attention deficit hyperactivity disorder: realist evaluation
Powell, Lauren, Parker, Jack, Harpin, Val and Mawson, Susan 2019. Guideline development for technological interventions for children and young people to self-manage attention deficit hyperactivity disorder: realist evaluation. Journal of Medical Internet Research. 21 (4), p. e12831. https://doi.org/10.2196/12831
Using recurrent neural networks to compare movement patterns in adhd and normally developing children based on acceleration signals from the wrist and ankle
Munoz-Organero, Mario, Powell, Lauren, Heller, Ben, Harpin, Val and Parker, Jack 2019. Using recurrent neural networks to compare movement patterns in adhd and normally developing children based on acceleration signals from the wrist and ankle. Sensors. https://doi.org/10.3390/s19132935
What is the level of evidence for the use of currently available technologies in facilitating the self-management of difficulties associated with ADHD in children and young people? A systematic review
Powell, Lauren, Parker, Jack and Harpin, Valerie 2017. What is the level of evidence for the use of currently available technologies in facilitating the self-management of difficulties associated with ADHD in children and young people? A systematic review. European Child & Adolescent Psychiatry volume. 27 (11), pp. 1391-1412. https://doi.org/10.1007/s00787-017-1092-x
Effectiveness of upper limb wearable technology for improving activity and participation in adult stroke survivors: Systematic review
Parker, Jack, Powell, Lauren, Mawson, Susan and Parker, Jack 2020. Effectiveness of upper limb wearable technology for improving activity and participation in adult stroke survivors: Systematic review. Journal of Medical Internet Research. 22 (1), p. e15981. https://doi.org/10.2196/15981
Social gradients in the receipt of medication for attention-deficit hyperactivity disorder in children and young people in Sheffield
Nunn, Samuel P.T., Kritsotakis, Evangelos I., Harpin, Val and Parker, Jack 2020. Social gradients in the receipt of medication for attention-deficit hyperactivity disorder in children and young people in Sheffield. BJPsych Open. 6 (2). https://doi.org/10.1192/bjo.2019.87