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  • 1. Boman, Inga-Lill
    et al.
    Ehn, Maria
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Sjölinder, Marie
    Folke, Mia
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Hansson, Pär
    Sommerfeld, Disa
    Borg, Jörgen
    Users’ and health-care professionals’ contributions in developing a home-based stroke rehabilitation tool2014Conference paper (Refereed)
  • 2.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Carlén Eriksson, Lennie
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Åkerberg, Nina
    Västerås Municipality, Västerås, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Activity Monitors as Support for Older Persons’ Physical Activity in Daily Life: Qualitative Study of the Users’ Experiences2018In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 6, no 2, article id e34Article in journal (Refereed)
    Abstract [en]

    Background

    Falls are a major threat to the health and independence of seniors. Regular physical activity (PA) can prevent 40% of all fall injuries. The challenge is to motivate and support seniors to be physically active. Persuasive systems can constitute valuable support for persons aiming at establishing and maintaining healthy habits. However, these systems need to support effective behavior change techniques (BCTs) for increasing older adults’ PA and meet the senior users’ requirements and preferences. Therefore, involving users as codesigners of new systems can be fruitful. Prestudies of the user’s experience with similar solutions can facilitate future user-centered design of novel persuasive systems.

    Objective

    The aim of this study was to investigate how seniors experience using activity monitors (AMs) as support for PA in daily life. The addressed research questions are as follows: (1) What are the overall experiences of senior persons, of different age and balance function, in using wearable AMs in daily life?; (2) Which aspects did the users perceive relevant to make the measurements as meaningful and useful in the long-term perspective?; and (3) What needs and requirements did the users perceive as more relevant for the activity monitors to be useful in a long-term perspective?

    Methods

    This qualitative interview study included 8 community-dwelling older adults (median age: 83 years). The participants’ experiences in using two commercial AMs together with tablet-based apps for 9 days were investigated. Activity diaries during the usage and interviews after the usage were exploited to gather user experience. Comments in diaries were summarized, and interviews were analyzed by inductive content analysis.

    Results

    The users (n=8) perceived that, by using the AMs, their awareness of own PA had increased. However, the AMs’ impact on the users’ motivation for PA and activity behavior varied between participants. The diaries showed that self-estimated physical effort varied between participants and varied for each individual over time. Additionally, participants reported different types of accomplished activities; talking walks was most frequently reported. To be meaningful, measurements need to provide the user with a reliable receipt of whether his or her current activity behavior is sufficient for reaching an activity goal. Moreover, praise when reaching a goal was described as motivating feedback. To be useful, the devices must be easy to handle. In this study, the users perceived wearables as easy to handle, whereas tablets were perceived difficult to maneuver. Users reported in the diaries that the devices had been functional 78% (58/74) of the total test days.

    Conclusions

    Activity monitors can be valuable for supporting seniors’ PA. However, the potential of the solutions for a broader group of seniors can significantly be increased. Areas of improvement include reliability, usability, and content supporting effective BCTs with respect to increasing older adults’ PA.

  • 3.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Derneborg, Mattias
    Region Västmanland, Sweden.
    Ekström, Martin
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Inter- disciplinary and -sectorial cooperation for development of technology supporting behavioral change: Peer reviewed poster abstract2017Conference paper (Other academic)
  • 4.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Hansson, P.
    SICS Swedish ICT, Kista, Sweden.
    Sjölinder, M.
    SICS Swedish ICT, Kista, Sweden.
    Boman, I. -L
    Karolinska Institutet, Solna, Sweden .
    Folke, Mia
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Sommerfeld, D.
    SICS Swedish ICT, Kista, Sweden.
    Borg, J.
    SICS Swedish ICT, Kista, Sweden.
    Palmcrantz, S.
    SICS Swedish ICT, Kista, Sweden.
    Users perspectives on interactive distance technology enabling home-based motor training for stroke patients2015In: Studies in Health Technology and Informatics, vol. 211, 2015, p. 145-152Conference paper (Refereed)
    Abstract [en]

    The aim of this work has been to develop a technical support enabling home-based motor training after stroke. The basis for the work plan has been to develop an interactive technical solution supporting three different groups of stroke patients: (1) patients with stroke discharged from hospital with support from neuro team; (2) patients with stroke whose support from neuro team will be phased out and (3) patients living with impaired motor functions long-term. The technology has been developed in close collaboration with end-users using a method earlier evaluated and described [12]. This paper describes the main functions of the developed technology. Further, results from early user-tests with end-users, performed to identify needs for improvements to be carried out during further technical development. The developed technology will be tested further in a pilot study of the safety and, usefulness of the technology when applied as a support for motor training in three different phases of the post-stroke rehabilitation process. 

  • 5.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Hansson, Pär
    SICS Swedish ICT, Stockholm, Sweden.
    Sjölinder, Marie
    SICS Swedish ICT, Stockholm, Sweden.
    Boman, Inga-Lill
    Karolinska Institutet, Stockholm, Sweden.
    Folke, Mia
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Sommerfeld, Disa
    Karolinska Institutet, Stockholm, Sweden.
    Borg, Jörgen
    Karolinska Institutet, Stockholm, Sweden.
    Interaktiv distanslösning för motorisk träning av patienter med stroke i hemmiljö2014In: Medicinteknikdagarna 2014 MTD10, 2014Conference paper (Refereed)
  • 6.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Sjölinder, M.
    SICS Swedish ICT, Kista, Sweden .
    Boman, I. -L
    Department of Clinical Sciences, Karolinska Institute, Danderyd Hospital, Stockholm, Sweden .
    Folke, Mia
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Hansson, P.
    SICS Swedish ICT, Kista, Sweden .
    Sommerfeld, D.
    Karolinska University Hospital, Department of Geriatric Medicine.
    Nylander, S.
    SICS Swedish ICT, Kista, Sweden .
    Borg, J.
    A multi-disciplinary approach in the development of a stroke rehabilitation tool2014In: Lecture Notes in Computer Science, vol. 8512, 2014, no PART 3, p. 351-362Conference paper (Refereed)
    Abstract [en]

    This work describes a method used in the development of a stroke rehabilitation tool. The method was based on three key elements. The first key element was iterations between the use of broad groups with different professionals/stakeholders and small hands-on working groups with users from the same profession. The second key element was movement between understanding differences between different organizations and professionals and understanding of specific needs within the different organizations. The final key element was including implementation aspects from the very start of the work.

  • 7.
    Palmcrantz, Susanne
    et al.
    Karolinska Institutet, Sweden.
    Borg, Jörgen
    Karolinska Institutet, Sweden.
    Sommerfeld, Disa
    Karolinska Institutet, Sweden.
    Plantin, Jeanette
    Karolinska Institutet, Sweden.
    Wall, Annelie
    Karolinska Institutet, Sweden.
    Ehn, Maria
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Sjölinder, Marie
    SICS, Swedish ICT, Stockholm, Sweden.
    Boman, Inga-Lill
    Karolinska Institutet, Sweden.
    An interactive distance solution for stroke rehabilitation in the home setting: A feasibility study2017In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 42, no 3, p. 303-320Article in journal (Refereed)
    Abstract [en]

    In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke. Objectives: The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke. Methods: Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool. The program included 15 training sessions with recurrent follow-ups by the integrated application for video communication with a physiotherapist. Safety and feasibility were assessed from patients, physiotherapists, and a technician using logbooks, interviews, and a questionnaire. Qualitative content analysis and descriptive statistics were used in the analysis. Results: Fourteen out of 15 patients finalized the training period with a mean of 19.5 minutes spent on training at each session. The DISKO-tool was found to be useful and safe by patients and physiotherapists. Conclusions: This study demonstrates the feasibility and safety of the DISKO-tool and provides guidance in further development and testing of interactive distance technology for home rehabilitation, to be used by health care professionals and patients in different phases of rehabilitation after stroke.

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