An Interactive Vision-Based 3D Augmented Reality System for In-Home Physical Rehabilitation: A Qualitative Inquiry to Inform System Development

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2024-10-23 DOI:10.1111/hex.70020

Afolasade Fakolade, Adriana C. Salvia, Siona Phadke, Manuela Kunz

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引用次数: 0

Abstract

Background

Postoperative physical rehabilitation is crucial after total joint replacement (TJR). However, completing the recommended levels of postoperative physical exercise is challenging for many older adults with TJR. Lack of adequate postoperative physical exercise has negative consequences on rehabilitation outcomes. Innovative rehabilitation tools for postoperative physical exercises are needed to ensure successful rehabilitation outcomes among older adults with TJR.

Objective

The aim of this study is to explore key knowledge users' perspectives about how to design an interactive vision-based three-dimensional augmented reality system (3D ARS) to support in-home postoperative physical rehabilitation for older adults with TJR.

Methods

We conducted a qualitative descriptive study involving 11 semi-structured interviews and six focus groups with 42 older adults with TJR and four unrelated family caregivers. Data were analysed using thematic analysis.

Results

Participant insights were grouped into two main themes: (1) dreaming up possibilities and (2) being pragmatic. The first theme captured participants' reflections on the potential utility of a 3D ARS for postoperative physical rehabilitation and features that could be embedded in the 3D ARS to support successful postoperative physical rehabilitation. The second theme captured participants' reflections on practical issues and considerations that could impact access and usage of the 3D ARS.

Conclusion

These findings provide researchers, rehabilitation providers and system developers with the foundations for designing, implementing and evaluating innovative augmented reality tools that support effective in-home physical rehabilitation among older adults with TJR.

Patient or Public Contribution

Research users (i.e., individuals and organisations invested in and using the research findings) were actively engaged throughout this work. Specifically, a meeting was held between the research team and representatives of an Expert by Experience team (individuals with lived experience), which was established to support the National Research Council's (organisation) Aging in Place programme. During this meeting, the idea to develop and evaluate an ARS for postoperative physical rehabilitation of older adults with TJR was supported. Research users had the opportunity to review the current study protocol and provide feedback on the study design, offering direction to maximize the relevance and usefulness of our findings to the National Research Council Canada's Aging in Place programme. Research users contributed to participant recruitment efforts and the development of the interview guide. Two Experts by Experience also agreed to be on the Advisory Panel for this multi-phased study, supporting active engagement and centring the voice of research users in knowledge creation and implementation. These experts reviewed a brief report of the current study findings, and continue to guide how the study findings are used to inform the next phase of this multi-phased research.

查看原文本刊更多论文

用于家庭物理康复的基于视觉的三维增强现实互动系统：为系统开发提供信息的定性调查。

背景：全关节置换术（TJR）术后身体康复至关重要。然而，对于许多接受全关节置换术的老年人来说，完成推荐水平的术后体育锻炼具有挑战性。术后缺乏适当的体育锻炼会对康复效果产生负面影响。为确保接受 TJR 的老年人获得成功的康复结果，需要创新的术后体育锻炼康复工具：本研究的目的是探索关键知识用户对如何设计基于视觉的交互式三维增强现实系统（3D ARS）的看法，以支持接受 TJR 的老年人的居家术后身体康复：我们进行了一项定性描述性研究，其中包括 11 次半结构式访谈和 6 次焦点小组讨论，访谈对象为 42 名患有 TJR 的老年人和 4 名无亲属关系的家庭护理人员。采用主题分析法对数据进行分析：参与者的见解分为两大主题：(1) 梦想的可能性和 (2) 务实。第一个主题反映了参与者对 3D ARS 在术后物理康复中的潜在作用的思考，以及 3D ARS 可以嵌入哪些功能来支持成功的术后物理康复。第二个主题反映了参与者对可能影响 3D ARS 获取和使用的实际问题和考虑因素的思考：这些研究结果为研究人员、康复服务提供者和系统开发人员提供了设计、实施和评估创新型增强现实工具的基础，这些工具可支持接受过全麻术后康复的老年人进行有效的居家身体康复：研究用户（即投资和使用研究成果的个人和组织）积极参与了整个研究工作。具体而言，研究团队与 "体验专家 "团队（具有生活经验的人）的代表举行了一次会议，该团队是为支持国家研究委员会（组织）的 "居家养老 "计划而成立的。在这次会议上，为接受 TJR 的老年人术后身体康复开发和评估 ARS 的想法得到了支持。研究用户有机会审查了当前的研究方案，并对研究设计提出了反馈意见，为最大限度地提高我们的研究结果与加拿大国家研究理事会的 "居家养老 "计划的相关性和实用性提供了指导。研究用户为参与者招募工作和访谈指南的制定做出了贡献。两位经验专家还同意加入这项多阶段研究的顾问小组，支持研究用户积极参与并在知识创造和实施过程中发出自己的声音。这些专家审查了当前研究结果的简要报告，并继续指导如何利用研究结果为下一阶段的多阶段研究提供信息。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.