JMIR Rehabilitation and Assistive Technologies最新文献

{"title":"Iterative Development and Usability Evaluation of an Open-Source Rehabilitation Follow-Up Platform: User-Centered Development Study.","authors":"Noora Emilia Angelva, Franziska Gurschler, Michael Single, Valerie Frischknecht, Dominik Näf, Noel Kampus, Eva Cioffi, Thimo Marcin, Branislav Savic, Matthias Wilhelm, Anke Scheel-Sailer, Anna Lisa Martin-Niedecken, Urs Mosimann, Tobias Nef","doi":"10.2196/100614","DOIUrl":"https://doi.org/10.2196/100614","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation frequently extends beyond supervised clinical settings, creating a demand for scalable digital tools to support structured follow-up. We propose a novel open-source telerehabilitation platform.</p><p><strong>Objective: </strong>We describe the iterative, user-centered development of an open-source rehabilitation follow-up platform and report findings from an initial formative usability evaluation with patients, health care professionals, and additional end users.</p><p><strong>Methods: </strong>The platform was developed through repeated cycles of stakeholder engagement, prototyping, and evaluation within the rehabilitation department of Insel Group, University of Bern. A formative usability evaluation was conducted with 24 participants (8 health care professionals, 9 patients, and 7 additional participants; mean age 41.1, SD 12.9 y) using a task-based protocol. Perceived usability was assessed with the System Usability Scale (scored 0-100) and the Post-Study System Usability Questionnaire (scored 1-7; higher is better). Open-ended written responses were processed by one researcher using rapid content analysis.</p><p><strong>Results: </strong>A web-based telerehabilitation platform enables therapists to manage patient caseloads, assign and track personalized rehabilitation interventions, and monitor patient progress through Fitbit activity data and rehabilitation plan adherence. It supports multiclinic workflows with role-based access, REDCap patient importing (Vanderbilt University), automated background processing via Celery, and multilingual content. Its mean System Usability Scale score was 82.8 (SD 14.1), placing the platform in the \"excellent\" usability range. The mean Post-Study System Usability Questionnaire overall score was 6.02 (SD 0.77), with all 3 subscales scoring above 5.7. Most participants (20/24, 83%) rated the task set as easy or very easy; no participant rated any task as difficult. Among health care professionals, 7 out of 8 (88%) reported an intention to use the platform in practice. Qualitative themes highlighted the value of a rehabilitation plan overview, structured intervention scheduling, and progress tracking.</p><p><strong>Conclusions: </strong>The platform, released as open-source (Massachusetts Institute of Technology [MIT] License), demonstrated promising perceived usability across both patient and clinician user groups in a formative evaluation. These findings provide preliminary support for the platform's perceived usability and justify further evaluation in real-world rehabilitation settings. Future work will evaluate deployment in real-world outpatient settings and assess clinical effectiveness.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e100614"},"PeriodicalIF":3.1,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13473804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usability and Functional Outcomes of the Obi3 Robotic Feeding Device Among People With Disabilities, Caregivers, and Providers: Mixed Methods Study.","authors":"Andrea D Fairman, Ryan B Osal, Heather Keeton, Jonathan P Dekar","doi":"10.2196/86338","DOIUrl":"10.2196/86338","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Loss of self-feeding ability due to severe bilateral upper extremity motor impairment (BUEMI) limits functional independence with a critical activity of daily living, increases medical risks, reduces social participation, and affects overall well-being. Robotic feeding devices are an emerging category of assistive technology. Obi3 is a third-generation, robotic feeding device, regulated in the United States as a Class I medical device and CE marked as a Class I device under the European Union Medical Device Regulation. The device is designed to enable people with BUEMI to independently select and safely consume food and liquid using accessible switches or interfaces while maintaining culturally normative dining practices. Although earlier Obi generations showed promise, comprehensive usability data across multiple stakeholder groups remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study evaluated the usability, safety, and clinical relevance of Obi3 in real-world use from the perspectives of people with BUEMI, caregivers, and rehabilitation providers. The findings were intended to generate evidence to inform clinical decision-making and determinations of medical necessity for potential DME coverage, consistent with the device's intended use and clinician-assessed implementation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A mixed methods usability study provided a 1-week home trial of Obi3. Quantitative measures included the System Usability Scale (SUS), survey items adapted from the Matching Person and Technology (MPT) framework, and self-feeding ratings based on the International Classification of Functioning, Disability, and Health impairment scale. Paired-sample t tests, Wilcoxon signed-rank tests, and effect sizes (Cohen d) assessed changes in self-feeding scores. Qualitative data from open-ended survey responses and follow-up semistructured interviews were analyzed thematically to complement quantitative findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 50 participants were enrolled, of whom 42 completed follow-up surveys. Participants included 15 people with BUEMI (pediatric and adult), 14 caregivers, and 13 providers. Participants' mean self-feeding impairment scores decreased significantly from 3.80 (SD 0.41) at baseline to 0.60 (SD 0.74) post trial (n=15; t&lt;sub&gt;14&lt;/sub&gt;=10.75; P&lt;.001; Cohen d=3.40). All patient participants demonstrated improvement in functional self-feeding ability. Mean SUS scores exceeded the benchmark for acceptable usability (≥68) across stakeholder groups: 82.8 (SD 17.2) for people with BUEMI, 85.2 (SD 12.6) for caregivers, and 85.0 (SD 10.7) for providers. Responses to MPT items indicated strong alignment between user goals and device capabilities, perceived safety, and low complexity. Caregivers reported reduced feeding-related workload and stress, and providers endorsed ease of clinical integration. No adverse events or device malfunctions occurred.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/str","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e86338"},"PeriodicalIF":3.1,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Basic Technology to Support Stimulation Access, Activity, and Correct Posture in Individuals With Intellectual and Multiple Disabilities: Development and Usability Study.","authors":"Giulio E Lancioni, Gloria Alberti, Valeria Chiariello, Elia Zacchini, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Serafino Buono","doi":"10.2196/92873","DOIUrl":"10.2196/92873","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;People with severe to profound intellectual disability and visual or visual and motor impairments often experience passivity and isolation. This can lead to limited environmental stimulation, reduced physical activity, and the acquisition of incorrect body postures. Approaches to improve the situation have generally involved increasing environmental stimulation, which was regulated by the context or controlled by the people through adaptive responding and assistive technology.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study assessed 2 intervention programs serving as extensions and advancements of previous approaches aimed at helping participants with intellectual and multiple disabilities control environmental stimulation through their own responses and assistive technology. The first program was designed to help 4 participants with severe intellectual disability and blindness alternate between periods of preferred music stimulation and mild physical activity. The second program was designed to help 5 participants with severe to profound intellectual disability, visual and motor impairments, and postural problems (ie, a tendency to tilt their torso and head forward). These participants were led to access preferred environmental stimulation, engage in mild physical activity, and increase correct posture.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Each of the 2 programs was implemented according to a single-case research design. The technology for the first program involved (1) a smartphone with the MacroDroid app, which regulated the intervention conditions; (2) pressure sensors that allowed the participants to activate music stimulation; (3) a proximity sensor that monitored the participants' physical activity responses (ie, placing objects in a container high up in front of them); and (4) a mini speaker. The same technology was also used for the second program. In this program, the participants' physical activity responses consisted of arm-stretching movements, and the smartphone also served for monitoring the participants' correct posture. Within each program, a session included 7 music periods and 6 activity periods.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;During programs 1 and 2, the mean percentage of music pieces activated independently of research assistants' guidance was between 94.7% and 99.4%. The mean percentage of objects placed in the carton and of shelf-touching responses performed independently was between 98.7% and 99.7%. The baseline mean percentages were between 0% and 24.5%. The mean percentage of session time in a correct posture (program 2) increased to 71.1%-89.6% from baseline values of 18.8%-36.5%. A total of 8 of the 9 participants involved in the 2 programs showed higher levels of indices of happiness during program sessions than control sessions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The results suggest that the programs might be a useful resource for supporting people with severe to profound intellectual disab","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e92873"},"PeriodicalIF":3.1,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Visual Telerehabilitation Program in Virtual Reality for Age-Related Macular Degeneration: Randomized Feasibility and Proof-of-Concept Trial.","authors":"Yulia Pyatova, Bill Zhang, Mariana Misawa, Samuel N Markowitz, Atri Sen, Lora Appel, Kyle Cheung, Pi Nasir, Danielle Tchao, Eduardo Garcia-Giler, Monica Daibert-Nido, Michael Reber","doi":"10.2196/87596","DOIUrl":"10.2196/87596","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Age-related macular degeneration (AMD) causes progressive central vision loss in older adults. Low-vision rehabilitation can improve functional vision by training the use of a preferred retinal locus, commonly through clinic-based biofeedback training (BFT). However, repeated supervised rehabilitation is burdensome, and functional gains may be difficult to sustain without home practice. Stand-alone virtual reality (VR) may enable home-based, remotely monitored visual stimulation, but feasibility, safety, and usability in older adults with AMD remain insufficiently characterized.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to evaluate the feasibility and safety of adding home-based VR 3D single-object tracking (3D-SOT-VR) to conventional BFT in older adults with dry AMD in a parallel, randomized, single-blind (to assessors), controlled, formative trial and to generate exploratory functional hypotheses for a future trial.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Adults with dry AMD were recruited at the Low Vision Clinic, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada, from September 2021 to October 2023. Participants were randomized to BFT once weekly for 4 weeks (BFT group) or BFT plus home-based 3D-SOT-VR (BFT-VR group) every other day for 4 weeks. Experimental intervention consisted of tracking a single object among distractors moving at different speeds in a 3D virtual space in a VR headset. Primary feasibility and safety outcomes included recruitment, adoption, adherence, compliance, intervention completion, remote data transfer, usability, and VR-induced symptoms and effects. Secondary outcomes included visual acuity, contrast sensitivity, fixation stability, retinal sensitivity, reading speed, and low-vision quality of life. Exploratory outcomes assessed performance at 3D-SOT-VR and usage. Analyses were descriptive and exploratory, with CIs and denominators reported to reflect limited precision and missingness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Fourteen individuals were randomized (BFT, n=6; BFT-VR, n=8), below the planned sample size of 32. Recruitment was not achieved because of COVID-19-related interruptions and reduced onsite access. Eleven individuals were analyzed for the primary outcome (BFT n=6, BFT-VR n=5). Intervention completion was 100% in the BFT arm and 75% in the BFT-VR arm, below the prespecified BFT-VR threshold. Among participants who used VR, adherence to scheduled home sessions was acceptable, completed VR-session files were transmitted without loss, and no participant met the predefined cybersickness stopping rule. One BFT-VR participant discontinued because headset weight caused neck fatigue. Group-level visual outcomes did not provide significant effectiveness. Reading speed showed a clinically meaningful individual-level improvement in the BFT-VR arm and correlated with VR-task performance. The findings were not clearly durable at follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Con","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e87596"},"PeriodicalIF":3.1,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13432248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indoor Navigation for People With Visual Impairment in Canada: Participatory Co-Design and Interdisciplinary Study of the Edge A-Eye Platform.","authors":"Soutongnoma Safiata Kaboré, Deborah Annan, Prajjol Raj Puri, Sergio Mejia Romero, Nathalie Gingras-Royer, Justin Gauthier, Hồng Nhung, Phuong Anh Nguyen, Benoit Pelletier, Kim Khoa Nguyen, Hassane Alami, Joseph Paul Nemargut","doi":"10.2196/81347","DOIUrl":"10.2196/81347","url":null,"abstract":"<p><strong>Background: </strong>Indoor navigation remains a major challenge for people with visual impairments, affecting autonomy, safety, and quality of life. While navigation‑based assistive technologies leveraging artificial intelligence and mobile computing show promise, their adoption remains limited due to insufficient user-centered and context-aware design.</p><p><strong>Objective: </strong>This study aimed to co-design Edge A-Eye, an inclusive artificial intelligence-powered indoor navigation platform for people with visual impairment in Canada, using a participatory and interdisciplinary approach grounded in accessibility, rehabilitation, and human-centered design principles.</p><p><strong>Methods: </strong>From May 2024 to December 2025, we conducted research using an 8-step iterative co-design process. A total of 12 people with visual impairment and 2 specialists in vision rehabilitation participated in bilingual focus groups and semistructured interviews. A co-creation workshop gathered 21 stakeholders (users, clinicians, researchers, and industry partners). Successive prototypes were evaluated in controlled environments and real-world public settings. Data were analyzed thematically using an inductive-deductive approach informed by human-centered and inclusive design frameworks.</p><p><strong>Results: </strong>Continuous stakeholder engagement reinforced the relevance and usability of the evolving prototypes. Participant feedback guided major design decisions, such as optimizing iPhone (Apple Inc) compatibility, excluding the gyroscope due to usability and battery constraints, and integrating hands-free navigation. The process also addressed cross-cutting issues such as digital accessibility, cybersecurity, universal design, and equitable access for users with varying technological literacy.</p><p><strong>Conclusions: </strong>The Edge A-Eye project demonstrates how a sustained participatory co-design approach can meaningfully shape assistive technology innovation. By integrating the expertise of people with visual impairment, clinicians, researchers, and industry partners at every stage, the resulting platform is better aligned with real-world needs, safety considerations, and user expectations. This work provides a replicable framework for developing inclusive, context-aware indoor navigation technologies.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e81347"},"PeriodicalIF":3.1,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Accessing Physical Rehabilitation Services and Assistive Products Among Orthosis and Wheelchair Users: Qualitative Study.","authors":"Charlotte Spurway, Andrew Power, Maggie Donovan-Hall, Andrew Amos Channon","doi":"10.2196/84735","DOIUrl":"10.2196/84735","url":null,"abstract":"<p><strong>Background: </strong>Access to physical rehabilitation services, including orthotics and wheelchairs, is recognized as a fundamental human right but remains limited in many low- and middle-income countries due to resource constraints, fragmented care, and a shortage of trained rehabilitation professionals. In Cambodia, where the health system still faces challenges from past conflict, these services are delivered through a mix of government, international, and nongovernmental organizations.</p><p><strong>Objective: </strong>This study investigated the pathways to obtaining orthoses and wheelchairs in Cambodia and their impact on individuals with physical impairments.</p><p><strong>Methods: </strong>Semistructured interviews were conducted to explore experiences and the impact of accessing physical rehabilitation and assistive products for orthosis and wheelchair users. Interviews were conducted face-to-face with translation support, audio recorded, transcribed, and analyzed using thematic analysis. Interviews were conducted with participants in Phnom Penh and the Kandal province in Cambodia. In total, 17 participants aged 18 to 65 years who were current or previous patients of the Exceed Worldwide physical rehabilitation center located in Phnom Penh took part in the study.</p><p><strong>Results: </strong>Three themes emerged (early experiences of illness and health care seeking, pathways to assistive products, and the impact of these assistive products). Access to orthoses and wheelchairs often involved lengthy delays and inconsistent experiences with medical care and physiotherapy. Despite these challenges, assistive products played a vital role in improving mobility, independence, and social participation, contributing to greater confidence and emotional well-being. However, issues such as poor environmental accessibility and delays in repair or replacement limited their effectiveness.</p><p><strong>Conclusions: </strong>The findings demonstrate that, while assistive products offer significant benefits, they do not fully address the systemic barriers faced by people with physical disabilities in Cambodia. Persistent challenges such as stigma, environmental constraints, and emotional strain demonstrate the need for integrated policy reforms and a robust continuum of care that ensures coordinated, ongoing support across all stages of rehabilitation.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e84735"},"PeriodicalIF":3.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing an mHealth App for Stroke Rehabilitation in Indonesia: Mixed Methods Design Science Research Study.","authors":"Sabrina Atha Shania, Putu Wuri Handayani, Kamila Alifia Imanuddin","doi":"10.2196/91464","DOIUrl":"10.2196/91464","url":null,"abstract":"<p><strong>Background: </strong>Indonesia has the second-highest prevalence of stroke in Southeast Asia, with 4,918,487 people (1.7% of the population) living with this condition as of 2025. This is attributable to the living conditions in Indonesia, where limited health care workers and facilities are available to assist with stroke rehabilitation via mobile health (mHealth) interventions.</p><p><strong>Objective: </strong>This study designed an mHealth app to facilitate stroke rehabilitation in Indonesia.</p><p><strong>Methods: </strong>In this mixed methods study, interviews were conducted with 10 experts (doctors, therapists, and medical students) and 8 patients who have experienced a stroke to explore the need for stroke rehabilitation management apps. Using a design science research approach, we conducted 3 iterative design cycles, each comprising design, development, and evaluation, to construct an mHealth app for stroke rehabilitation. The first iteration produced a low-fidelity app prototype informed by intervention theory. The prototype, which comprised 13 features for patients and 12 for medical personnel, was evaluated through interviews with medical personnel. The second iteration produced a design for a high-fidelity app prototype based on feedback from the first iteration. The third iteration yielded an improved app based on feedback from the second iteration.</p><p><strong>Results: </strong>This study identified app features that support patient rehabilitation, including patient training programs with progress monitoring in functional, speech, and occupational therapy, along with consultations and home visits to connect rehabilitating patients with medical personnel. Other features of the app include onboarding, gamification, users' authentication, user profile management, schedule reminders, activity targets, therapeutic progress reports, and educational materials and videos. The prototypes received a System Usability Scale score of 71.83 (\"good\") and average scores of 2.32 (system usefulness), 2.39 (information quality), 2.42 (interface quality), and 2.35 (overall).</p><p><strong>Conclusions: </strong>This study provides guidance for health care facilities and regulators to improve the quality of rehabilitation services for patients with stroke in Indonesia.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e91464"},"PeriodicalIF":3.1,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13394849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction of Nurse-Led Rehabilitation Services for Patients With Stroke After Discharge to Improve Self-Care Management in Bangladesh: Pilot Randomized Controlled Trial.","authors":"Salma Akhter, Katm Ehsanul Huq, Shota Date, Mahmudul Islam, Farida Khatun Chhobi, S K Jakaria Been Sayeed, Md Mazharul Islam, Mahabuba Afrin, Kana Kazawa, Michiko Moriyama","doi":"10.2196/88808","DOIUrl":"10.2196/88808","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a leading cause of disability and death, resulting in a clinical, social, and economic burden upon families and the health system worldwide.</p><p><strong>Objective: </strong>This study aimed to introduce nurse-led rehabilitation services for patients after stroke to improve functional independence for self-care management.</p><p><strong>Methods: </strong>A pilot, open-label, 2-arm (1:1), randomized controlled trial was conducted at the National Institute of Neuroscience & Hospital in Bangladesh between March and August 2025. A total of 64 patients with stroke were enrolled using simple randomization. In the intervention group (IG), patients received rehabilitation education and assistive devices to improve activities of daily living. The control group (CG) received usual hospital care for stroke. Data were collected through a structured questionnaire. After discharge from the hospital, study nurses enrolled patients after stroke after a face-to-face assessment and provided rehabilitation education at the hospital and monthly rehabilitative education at home for 3 months. The study outcomes were improvement of functional independence, self-efficacy, social participation and reduction of caregivers' burden.</p><p><strong>Results: </strong>Among 64 participants, 47 (73%) completed the study. Results depict an increase in self-care capacity, self-efficacy, social involvement and a decrease in care burden in both groups from baseline to end line; nevertheless, there was no statistically significant difference between IG and CG (F_{2, 44}=0.113; P=.74). Functional Independence Measure mean scores (IG: mean 78.4, SD 37.6; CG: mean 74.3, SD 35.4; P=.70; 95% CI -25.16 to 18.14), self-efficacy (IG: mean 27.0, SD 6.9; CG: mean 26.6, SD 7.1; P=.83; 95% CI -3.6 to 4.6), social participation (IG: mean 30.4, SD 21.4; CG: mean 28.2, SD 17.2; P=.61; 95% CI -9.33 to 13.61), and care burden (IG: mean 24.9, SD 13.6; CG: mean 25.2, SD 12.6; P=.83; 95% CI -8 to 7). In qualitative analysis, we noticed enhanced self-care capacities of patients with poststroke disabilities after rehabilitative intervention, as indicated by participants' perceptions.</p><p><strong>Conclusions: </strong>In this study, patients' self-care capability was improved after the intervention from baseline, and improvements were noted by using assistive devices based on patients' perceptions and responses. The study findings demonstrated the importance of early self-care management for patients with poststroke disabilities. Future research should focus on long-term, community-integrated strategies that involve primary care, enhanced technological support, and caregiver-focused disability adjustment programs to achieve better outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT06786559; https://clinicaltrials.gov/search?id=NCT06786559.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e88808"},"PeriodicalIF":3.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Specialist Rehabilitation Providers' Experiences With an Online Self-Compassion Course: Reflexive Thematic Analysis.","authors":"Eva Cohen, Kristina M Kokorelias, Dorothy Luong, McKyla McIntyre, Marina Bastawrous Wasilewski, Sander L Hitzig, Sarah Munce, Rosalie Steinberg, Anthony Feinstein, Mark T Bayley, Lawrence R Robinson, Carolyn Steele Gray, Robert Simpson","doi":"10.2196/81706","DOIUrl":"10.2196/81706","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation health care providers (HCPs) report high levels of burnout. Self-compassion interventions have shown beneficial effects on HCP burnout, but they have never been explored in specialist rehabilitation settings where challenges may differ.</p><p><strong>Objective: </strong>This study aimed to explore the experiences of specialist rehabilitation HCPs with an online Self-Compassion for Healthcare Communities (SCHC) course aimed at providing tools to regulate emotional well-being, including burnout.</p><p><strong>Methods: </strong>Semistructured qualitative interviews (n=20) with specialist rehabilitation HCPs were used to explore experiences with the SCHC course. A reflexive thematic analysis study design was chosen to highlight participants' insights, and inductive coding was undertaken to analyze data and organize findings into themes.</p><p><strong>Results: </strong>Six themes that reflected HCPs' experiences with the course were constructed: (1) the nature of working in rehabilitation; (2) different perspectives on burnout in specialist rehabilitation; (3) a new perspective, less self-criticism, more self-compassion; (4) growing recognition of the importance of compassion for oneself and others; (5) challenges engaging with the SCHC course; and (6) challenges to sustaining self-compassion in specialist rehabilitation.</p><p><strong>Conclusions: </strong>Specialist rehabilitation HCPs who participated in the SCHC course developed a new understanding of the importance of fostering self-compassion and compassion for others. This shift may have supported HCPs in navigating workplace challenges, and HCPs described experiencing changes that could help with burnout, improve their care of patients and relationships with colleagues.</p>","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":"13 ","pages":"e81706"},"PeriodicalIF":3.1,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13372217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scientific and Technological Developments in Brain-Computer Interfaces: A Dual Bibliometric Analysis of Articles and Patents.","authors":"Junhui Wang, Yakun Yuan, Hang Xu, Guannan Luan","doi":"10.2196/95902","DOIUrl":"https://doi.org/10.2196/95902","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Brain-computer interface (BCI) technology is undergoing rapid translation from laboratory research to clinical applications, heralding a fundamental restructuring of human-machine relationships with profound societal implications. Existing bibliometric analyses of this domain have exclusively relied on scholarly article databases, critically overlooking patent data that is essential for capturing the full spectrum of technological innovation in this highly translational field.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to investigate the overall scientific and technological trajectories, key research drivers (journals, institutions, countries, and funding agencies), as well as research topics and trends in the BCI field through a comprehensive analysis of scientific and technical literature (articles and patents).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;BCI-related articles (11,346) and granted patents (1,551) published from 2015 to 2025 were retrieved from the Web of Science (WOS) and the incoPat database, respectively. VOSviewer, CiteSpace, Microsoft Excel and InCites were used to summarize bibliometric features. Additionally, the Disruptive Index was calculated to characterize the developmental trajectory of scientific and technological advancements in BCI field.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The number of BCI articles and patents has been continuously increasing over the past decade. JOURNAL OF NEURAL ENGINEERING published the largest number of BCI articles. The Chinese Academy of Sciences ranked first in article output, while the University of California System achieved the greatest citation impact; Tianjin University from China led in patent filings. At the country level, China dominated article output and patent filings, whereas the United States attained the highest article citation impact and the most extensive international patent portfolios. The National Natural Science Foundation of China (NSFC) was the most prolific funding agency for BCI articles. Disruptive Index analysis revealed that BCI scientific research (article-based) maintained sustained growth in disruptiveness, whereas technological development (patent-based) demonstrated a pattern of fluctuation rather than consistent growth during the observation period. Five major research topics were identified, with Neural Interfaces and Motor Control attracting the greatest attention. In parallel, the leading technology categories were computer input/output interface devices (IPC: G06F3) and diagnostic measurement and human identification (IPC: A61B5). Citation analysis revealed an average knowledge transfer lag of 8.8 years, alongside limited bidirectional article-patent linkages.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study reveals a rapidly expanding yet strategically differentiated global BCI landscape dominated by China and the United States, with the former leading in output volume and the latter achieving highest citation impact and internat","PeriodicalId":36224,"journal":{"name":"JMIR Rehabilitation and Assistive Technologies","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}