Accepted for/Published in: JMIR Human Factors
Date Submitted: Jun 11, 2020
Date Accepted: Feb 19, 2021
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Usability, usefulness, and acceptance of mRehab: A novel, portable rehabilitation system using smartphone and 3D print technology
ABSTRACT
Background:
Smart technology use in rehabilitation is growing and can be used remotely to assist clients in self-monitoring their performance. With written home exercise programs being the commonly prescribed form of rehabilitation after discharge, mHealth technology coupled with task-oriented programs can enhance self-management of upper extremity training. In the current study, a functional rehabilitation system, namely mRehab, was designed which included a smartphone app and 3D printed household items such as mug, bowl, key, and doorknob embedded with a smartphone The app's user interface allowed the participant to select rehabilitation activities and receive feedback on the number of activity repetitions completed, time to complete each activity and quality of movement.
Objective:
To assess the usability, perceived usefulness, and acceptance of the mRehab system by individuals with stroke and identify the challenges experienced by them when using the system remotely in a home-based setting.
Methods:
A mixed-methods approach was used with 11 individuals with chronic stroke. Following training, individuals with stroke used the mRehab system for six weeks at home. Each participant completed surveys and engaged in a semi-structured interview. Participants’ qualitative reports regarding the usability of mRehab were integrated with their survey reports and quantitative performance data.
Results:
Ten of the eleven participants rated the mRehab system between 67.5 to 97.5 percentile on the System Usability Scale, indicating their satisfaction with the usability of the system. Participants also provided high ratings of perceived usefulness (median=6), and perceived ease of use (median=5.75), on a 7-point scale based on the Technology Acceptance Model. Common themes reported by participants showed a positive response to mRehab with some suggestions for improvements. Participants reported an interest in activities they perceived to be of ‘just right challenge’. Some participants indicated a need for customizing the feedback to be more interpretable. Overall, most participants indicated that they would like to continue using the mRehab system at home.
Conclusions:
Assessing usability in the lived environment over a prolonged duration of time is essential to identify match between the system and users’ needs and preferences. While mRehab was well accepted, further customization is desired for a better fit with the end users. Clinical Trial: NCT04363944
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