Development of a web-supported programme of Constraint Induced Therapy following stroke (LifeCit)
Meagher, Claire, Conlon, A., Hughes, Anne-Marie, Pollet, Sebastien, Yardley, Lucy and Burridge, Jane (2012) Development of a web-supported programme of Constraint Induced Therapy following stroke (LifeCit). At 7th World Congress for NeuroRehabilitation, Melbourne, Australia, 16 - 19 May 2012.
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Background and Aims: Constraint Induced Therapy (CIT) is an evidence-based intensive intervention which has not been widely implemented in UK stroke rehabilitation practice. A team at the University of Southampton has developed a software system (‘LifeGuide’). LifeGuide allows researchers to create web based interventions for online healthcare support. The aim is to use LifeGuide to develop a web supported CIT system (‘LifeCIT’) for upper limb stroke rehabilitation. Method: To identify and implement the necessary components of this web-based intervention, qualitative “think aloud studies” were carried out with a purposive sample of 4 chronic stroke patients. Data was transcribed and coded, using constant comparison to extract principles for optimal intervention design. Data collection and analysis has been concurrent with intervention development, allowing immediate modification and re-testing of intervention components as potential improvements have been identified. We anticipate to recruit 12 acute stroke patients in early 2012 and their carers/therapists to take part in further ‘think aloud’ studies. Results: Two main themes were identified: usability and motivational aspects of the system. The need for explicit instructions to navigate the website emerged, as well as a system design with limited choice and self-evident navigation. Participants reported they would have been motivated to adhere to LifeCIT if it was available to them. Data analysis revealed that computer games and activities would be motivational if they had an addictive challenging nature, with a user centred approach. Conclusion: The results have led us to alter the LifeCIT system design to automatically direct users through the website rather than having user led navigation. We are currently developing computer games to include in the CIT therapy programme, which are based on the findings of this study. Future work involves conducting a randomised controlled, single blinded pilot study of the feasibility, acceptability and clinical effectiveness of this intervention.
|Item Type:||Conference or Workshop Item (Poster)|
|Subjects:||B Philosophy. Psychology. Religion > BF Psychology
Q Science > QA Mathematics > QA75 Electronic computers. Computer science
R Medicine > RT Nursing
|Divisions:||Faculty of Physical and Applied Science > Electronics and Computer Science
Faculty of Health Sciences
Faculty of Social and Human Sciences > Psychology
|Date Deposited:||16 Jan 2012 15:37|
|Last Modified:||18 Apr 2013 15:22|
|Contributors:||Meagher, Claire (Author)
Conlon, A. (Author)
Hughes, Anne-Marie (Author)
Pollet, Sebastien (Author)
Yardley, Lucy (Author)
Burridge, Jane (Author)
|Further Information:||Google Scholar|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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