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Motivation, Usability, and Credibility of an Intelligent Activity-Based Client-Centred Training System to Improve Functional Performance in Neurological Rehabilitation: An Exploratory Cohort Study

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  • Els Knippenberg

    (Department of Healthcare, Centre of Expertise–Innovation in Care, PXL University of Applied Sciences and Arts, 3500 Hasselt, Limburg, Belgium
    Faculty of Rehabilitation Sciences, REVAL, Hasselt University, 3590 Diepenbeek, Limburg, Belgium)

  • Ilse Lamers

    (Faculty of Rehabilitation Sciences, REVAL, Hasselt University, 3590 Diepenbeek, Limburg, Belgium
    Noorderhart, Rehabilitation and MS Center, 3900 Pelt, Limburg, Belgium)

  • Annick Timmermans

    (Faculty of Rehabilitation Sciences, REVAL, Hasselt University, 3590 Diepenbeek, Limburg, Belgium)

  • Annemie Spooren

    (Department of Healthcare, Centre of Expertise–Innovation in Care, PXL University of Applied Sciences and Arts, 3500 Hasselt, Limburg, Belgium
    Faculty of Rehabilitation Sciences, REVAL, Hasselt University, 3590 Diepenbeek, Limburg, Belgium)

Abstract

(1) Background: technology-based training systems are increasingly integrated in neurorehabilitation but are rarely combined with a client-centred task-oriented approach. To provide a low-cost client-centred task-oriented system, the intelligent activity-based client-centred task-oriented training (i-ACT) was developed. The objective was to evaluate the usability, credibility and treatment expectancy of i-ACT, and the motivation towards i-ACT use in rehabilitation over time. Additionally, this study will evaluate the upper limb treatment effects after training with i-ACT. (2) Methods: a mixed-method study was performed in four rehabilitation centres. Training with i-ACT was provided during six weeks, three times per week, forty-five minutes per day, additional to conventional care. (3) Results: seventeen persons with central nervous system diseases were included. High scores were seen in the system usability scale (score ≥ 73.8/100), credibility (score ≥ 22.0/27.0)/expectancy (score ≥ 15.8/27.0) questionnaire, and intrinsic motivation inventory (score ≥ 5.2/7.0), except the subscale pressure (score ≤ 2.0/7.0). Results from the interviews corroborate these findings and showed that clients and therapists believe in the i-ACT system as an additional training support system. Upper limb functional ability improved significantly ( p < 0.05) over time on the Wolf motor function test. (4) Conclusion: i-ACT is a client-centred task-oriented usable and motivational system which has the potential to enhance upper limb functional training in persons with neurological diseases.

Suggested Citation

  • Els Knippenberg & Ilse Lamers & Annick Timmermans & Annemie Spooren, 2021. "Motivation, Usability, and Credibility of an Intelligent Activity-Based Client-Centred Training System to Improve Functional Performance in Neurological Rehabilitation: An Exploratory Cohort Study," IJERPH, MDPI, vol. 18(14), pages 1-16, July.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7641-:d:596560
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    References listed on IDEAS

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    1. Janne Marieke Veerbeek & Erwin van Wegen & Roland van Peppen & Philip Jan van der Wees & Erik Hendriks & Marc Rietberg & Gert Kwakkel, 2014. "What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-1, February.
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    1. Giulio Verrienti & Cecilia Raccagni & Ginevra Lombardozzi & Daniela De Bartolo & Marco Iosa, 2023. "Motivation as a Measurable Outcome in Stroke Rehabilitation: A Systematic Review of the Literature," IJERPH, MDPI, vol. 20(5), pages 1-25, February.

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