Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-24T13:33:47.864Z Has data issue: false hasContentIssue false
  • English
  • Français

The perspectives of stroke survivors and health professionals on the use of augmented reality for inpatient stroke rehabilitation: an anticipatory exploration

Published online by Cambridge University Press:  21 June 2021

Cassandra Gorman ,
Louise Gustafsson Open the ORCID record for Louise Gustafsson [Opens in a new window]  and
Carly Gomura
Cassandra Gorman*
Affiliation:
School of Allied Health Sciences, Griffith University, QLD, Australia
Louise Gustafsson
Affiliation:
School of Allied Health Sciences, Griffith University, QLD, Australia The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia
Carly Gomura
Affiliation:
Princess Alexandra Hospital, Department of Occupational Therapy, Brisbane, QLD, Australia
*
*Corresponding author. Email: cassandra.gorman@alumni.griffithuni.edu.au
Get access

Abstract

Background:

Augmented reality is a novel technology with potential to overlay aspects or objects from the home environment into hospital-based training, which may increase relevance and motivation for hospital-based rehabilitation. Consultation with people with lived experience and clinician stakeholders is an important step when exploring possibilities for use of new technology in the hospital environment.

Aims:

This study sought to understand the need and acceptability of augmented reality from the perspectives of health professionals and stroke survivors during inpatient stroke rehabilitation.

Methods:

This qualitative descriptive study included stroke survivors (n = 4) and health professionals (n = 10) from a large metropolitan hospital. Data collection was undertaken via focus groups which were transcribed verbatim and analysed using qualitative content analysis.

Results:

Inductive content analysis revealed three themes: everything is computerised these days; the possibilities are endless…but what about?; and bringing the outside into the hospital. Participants were open to the use of augmented reality for stroke rehabilitation; however there was uncertainty with pragmatic concerns and stroke survivors describing possible applications in building confidence and self-efficacy, and sharing experiences to enhance caregivers understanding.

Conclusion:

This research identified that there is potential acceptability for augmented reality in stroke rehabilitation. The needs identified by the participants may inform development of current and future technology.

Keywords

TechnologyNeurological rehabilitationTask-specific trainingHome environmentClient-centred
Type
Brief Report
Information
Brain Impairment , Volume 23 , Issue 2 , September 2022 , pp. 206 - 215
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Al-Issa, H., Regenbrecht, H., & Hale, L. (2012). Augmented reality applications in rehabilitation to improve physical outcomes. Physical Therapy Reviews, 17(1), 16–28. doi: 10.1179/1743288X11Y.0000000051 CrossRefGoogle Scholar
Collins, J., Hoermann, S., & Regenbrecht, H. (2016). Comparing a finger dexterity assessment in virtual, video-mediated, and unmediated reality. International Journal of Child Health and Human Development, 9(3), 333–342.Google Scholar
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quartertly, 13(3), 319–340. doi: 10.2307/249008 CrossRefGoogle Scholar
Gorman, C., & Gustafsson, L. (2020). The use of augmented reality for rehabilitation after stroke: a narrative review, Disability and Rehabilitation: Assistive Technology. doi: 10.1080/17483107.2020.1791264 Google ScholarPubMed
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. doi: 10.1016/j.nedt.2003.10.001 CrossRefGoogle ScholarPubMed
Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., … Shaw, S. (2017). Beyond adoption: A new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. Journal of Medical Internet Research, 19(11), e367, doi: 10.2196/jmir.8775 CrossRefGoogle Scholar
Greenhalgh, T., Maylor, H., Shaw, S., Wherton, J., Papoutsi, C., … Taylor, J. (2020). The NASSS-CAT tools for understanding, guiding, monitoring, and researching technology implementation projects in health and social care: protocol for an evaluation study in real-world settings. Journal of Medical Internet Research-Research Protocols, 9(5), e16861. doi: 10.2196/16861 Google ScholarPubMed
Hamilton, C., McCluskey, A., Hassett, L., Killington, M., & Lovarini, M. (2018). Patient and therapist experiences of using affordable feedback-based technology in rehabilitation: a qualitative study nested in a randomized controlled trial. Clinical Rehabilitation, 32(9), 1258–1270. doi: 10.1177/0269215518771820 CrossRefGoogle ScholarPubMed
Hole, E., Stubbs, B., Roskell, C., & Soundy, A. (2014). The patient’s experience of the psychosocial process that influences identity following stroke rehabilitation: A metaethnography. The Scientific World Journal, Article ID 349151. doi: 10.1155/2014/349151 Google ScholarPubMed
Hondori, H. M., Khademi, M., Dodakian, L., Cramer, S. C., & Lopes, C. V. A (2013). Spatial Augmented Reality rehab system for post-stroke hand rehabilitation. Studies in Health Technology and Informatics, 184, 279–285.Google Scholar
Hubbard, I. J., Parsons, M. W., Neilson, C, & Carey, L. (2009). Task-specific training: Evidence for and translation to clinical practice. Occupational Therapy International, 16(3–4), 175–189. doi: 10.1002/oti.275 CrossRefGoogle ScholarPubMed
Hsieh, H.-F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. doi: 10.1177/1049732305276687 CrossRefGoogle ScholarPubMed
Kildea, J., Battista, J., Cabral, B., Hendren, L., Herrera, D., Hijal, T., & Joseph, A. (2019). Design and development of a person-centered patient portal using participatory stakeholder co-design. Journal of Medical Internet Research, 21(2), e11371. doi: 10.2196/11371 CrossRefGoogle ScholarPubMed
Kim, H., Sefcik, J. S., Bradway, C. (2017). Characteristics of qualitative descriptive studies: A systematic review. Research in Nursing and Health, 40(1), 23–42. doi: 10.1002/nur.21768 CrossRefGoogle ScholarPubMed
Kleim, J. A., & Jones, T. A. (2008). Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research, 51(1), S225–S239. doi: 10.1044/1092-4388(2008/018)CrossRefGoogle ScholarPubMed
Kristensen, H. K., Tistad, M., von Koch, L., & Ytterberg, C., (2016). The importance of patient involvement in stroke rehabilitation. PLoS One, 11(6), e0157149. doi: 10.1371/journal.pone.0157149 CrossRefGoogle ScholarPubMed
Levac, D., Glegg, S., Sveistrup, H., Colguhuon, H., Miller, P. A., Finestone, H., … Veikonja, D. (2016). A knowledge translation intervention to enhance clinical application of a virtual reality system in stroke rehabilitation. BMC Health Services Research, Article number: 557. doi: 10.1186/s12913-016-1807-6.CrossRefGoogle ScholarPubMed
Lewis, G. N., & Rosie, J. A. (2012). Virtual reality games for movement rehabilitation in neurological conditions: how do we meet the needs and expectations of the users? Disability and Rehabilitation, 34(22), 1880–1886. doi: 10.3109/09638288.2012.670036.CrossRefGoogle ScholarPubMed
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. California: SAGE Publications, Inc.CrossRefGoogle Scholar
Lukosch, S., Billinghurst, M., Alem, L., & Kiyokawa, K. (2015). Collaboration in augmented reality. Computer Support Cooperative Work, 24(6), 515–525. doi: 10.1007/s10606-015-9239-0 CrossRefGoogle Scholar
Lutz, B. J., Young, M. E., Cox, K. J., Martz, C., & Creasy, K. R. (2011). The crisis of stroke: Experiences of patients and their family caregivers. Topics in Stroke Rehabilitation, 18(6), 786–797. doi: 10.1310/tsr1806-786 CrossRefGoogle ScholarPubMed
Macnaghten, P. (2017). Focus groups as anticipatory methodology: A contribution from science and technology studies towards socially-resilient governance. In Barbour, R. & Morgan, D. (Eds.), A new era in focus group research: Challenges, innovation and practice (pp. 343–363), London: Palgrove.CrossRefGoogle Scholar
Milne, J., & Oberle, K. (2005). Enhancing rigor in qualitative description: A case study. Journal of Wound, Ostomy, and Continence Nursing, 32(6), 413–420. doi: 10.1097/00152192-200511000-00014 CrossRefGoogle ScholarPubMed
Neergaard, M. A., Olesen, F., Andersen, R. S., & Sondergaard, J. (2009). Qualitative description: The poor cousin of health research? BMC Medical Research Methodology, 9(1), Article number 52, doi: 10.1186/1471-2288-9-52 CrossRefGoogle ScholarPubMed
Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing and Health, 33(1), 77–84. doi: 10.1002/nur.20362 CrossRefGoogle Scholar
Saposnik, G., Levin, M., & Outcome Research Canada Working Group. (2011). Virtual reality in stroke rehabilitation: A meta-analysis and implications for clinicians. Stroke, 42(5), 1380–1386. doi: 10.1161/STROKEAHA.110.605451 CrossRefGoogle ScholarPubMed
Song, G. B. (2015). The effects of task-oriented versus repetitive bilateral arm training on upper limb function and activities of daily living in stroke patients. Journal of Physical Therapy Science, 27(5), 1353–1355. doi: 10.1589/jpts.27.1353 CrossRefGoogle ScholarPubMed
Stroke Foundation. (2020). Clinical guidelines for stroke management 2020. Rev. ed. Melbourne (Australia): Stroke Foundation.Google Scholar
Turton, A. J., Cunningham, P., Heron, E., van Wijck, F., Sackley, C., Rogers, C., … van Vliet, P. (2013). Home-based reach-to-grasp training for people after stroke: Study protocol for a feasibility randomized controlled trial. Trials, 14(109). doi: 10.1186/1745-6215-14-109 CrossRefGoogle ScholarPubMed
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405. doi: 10.1111/nhs.12048 CrossRefGoogle ScholarPubMed
van Vliet, P. M., & Sheridan, M. R. (2007). Coordination between reaching and grasping in patients with hemiparesis and healthy subjects. Archives of Physical Medicine and Rehabilitation, 88(10), 1325–1331. doi: 10.1016/j.apmr.2007.06.769 CrossRefGoogle ScholarPubMed
Willis, D. G., Sullivan-Bolyai, S., Knafl, K., & Cohen, M. Z. (2016). Distinguishing features and similarities between descriptive phenomenological and qualitative description research. Western Journal of Nursing Research, 38(9), 1185–1204. doi: 10.1177/0193945916645499 CrossRefGoogle ScholarPubMed
Wottrich, A. W., Åström, K., & Löfgren, M. (2012). On parallel tracks: Newly home from hospital-people with stroke describe their expectations. Disability and Rehabilitation, 34(14), 1218–1224. doi: 10.3109/09638288.2011.640381 CrossRefGoogle ScholarPubMed