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Developing ActivABL...
Developing ActivABLES for community-dwelling stroke survivors using the Medical Research Council framework for complex interventions
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- Olafsdottir, Steinunn A. (author)
- University of Iceland
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- Jonsdottir, Helga (author)
- University of Iceland
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- Magnusson, Charlotte (author)
- Lund University,Lunds universitet,Certec - Rehabiliteringsteknik och Design,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Certec - Rehabilitation Engineering and Design,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH
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- Caltenco, Héctor (author)
- Lund University,Lunds universitet,Certec - Rehabiliteringsteknik och Design,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Certec - Rehabilitation Engineering and Design,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH
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- Kytö, Mikko (author)
- Aalto University
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- Maye, Laura (author)
- Aalto University
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- McGookin, David (author)
- Aalto University
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- Bjartmarz, Ingibjörg (author)
- National University Hospital of Iceland
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- Arnadottir, Solveig Asa (author)
- University of Iceland
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- Hjaltadottir, Ingibjörg (author)
- National University Hospital of Iceland,University of Iceland
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- Hafsteinsdottir, Thora B. (author)
- University of Iceland,University Medical Center Utrecht
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(creator_code:org_t)
- 2020-05-25
- 2020
- English.
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In: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 20
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Abstract
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- Background: Novel technical solutions are called for to promote home-based exercise among community-dwelling stroke survivors supported by their caregivers. Lack of resources and knowledge about how to accomplish it, has been demonstrated. The objective of this study is to describe in detail the development of ActivABLES, a technical intervention to promote home-based exercise and physical activity engagement of community-dwelling stroke survivors with support from their caregivers. Methods: The technical development process of ActivABLES was guided by the Medical Research Council (MRC) framework for development and evaluation of complex interventions as well as by principles of human-centred design and co-design. The main steps included: (1) Synthesis of evidence supporting the inclusion of balance exercises, mobility and walking exercises and exercises for the upper arm; (2) Implementation of initial user studies with qualitative data collection from individual interviews with stroke survivors, and focus group interviews with caregivers and health professionals; (3) Preliminary testing of eight prototypes with seven stroke survivors and their caregivers. Results: After the preliminary testing of eight prototypes, four prototypes were not further developed whereas four prototypes were modified further. In addition, two new prototypes were developed, leaving six prototypes for further modification: 1) ActivFOAM for balance exercises, 2) WalkingSTARR to facilitate walking, 3) ActivBALL for hand exercises, 4) ActivSTICKS for upper arm exercises, and 5) ActivLAMP and 6) ActivTREE which both give visual feedback on progress of daily exercise and physical activities. ActivFOAM, ActivBALL and ActivSTICKS are all connected to a tablet where exercise instructions are given. All the exercise prototypes can be connected to ActivLAMP and ActivTREE to give feedback on how much exercise the user has done. Settings can be individualised and recommended daily time and/or repetition can easily be changed as the user progresses to higher activity levels. Conclusions: The development process of ActivABLES was guided by the principles of human-centred design, with iterative testing of future users, and by the MRC framework of complex intervention, with a repeated process of development and testing. This process resulted in six prototypes which are available for feasibility testing among a small group of community-dwelling stroke survivors.
Subject headings
- NATURVETENSKAP -- Data- och informationsvetenskap -- Människa-datorinteraktion (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Human Computer Interaction (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- Home-based exercise
- Stroke survivors
- Technical intervention
Publication and Content Type
- art (subject category)
- ref (subject category)
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Olafsdottir, Ste ...
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Jonsdottir, Helg ...
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Magnusson, Charl ...
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Caltenco, Héctor
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Kytö, Mikko
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Maye, Laura
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show more...
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McGookin, David
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Bjartmarz, Ingib ...
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Arnadottir, Solv ...
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Hjaltadottir, In ...
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Hafsteinsdottir, ...
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- About the subject
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- NATURAL SCIENCES
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NATURAL SCIENCES
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and Computer and Inf ...
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and Human Computer I ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
- Articles in the publication
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BMC Health Servi ...
- By the university
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Lund University