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Source publication
ehealth solutions at home are gaining interest and relevance in healthcare; however, they face challenges in sustaining motivation for therapy due to difficulties in creating meaningful connections between technology and people receiving care. in this article, we explore how embodied agents in ehealth interventions could be designed to establish a...
Context in source publication
Context 1
... was designed as a system based on three elements: a screen on which instructions were given, one object that served as a practise tool and communicated via light feedback at the conclusion of the exercises and a disc-shaped component that communicated via light and sound with the participants the start and the conclusion of a training during the day (Figure 4). With edo, the wearable sensors were excluded, and the cylinder and the cube objects were combined into a single practise tool. ...
Citations
... The interactive demonstrator EDO design was based on research conducted by our research group [26]. EDO was designed as an interactive coach supporting patients to perform UE exercises at home, independently from a formal caregiver ( Figure 1). ...
... An eHealth tool should give patients the feeling that they can rely on it by providing clear instructions and supportive feedback on patients' exercise performance. Following up on these findings, we investigated how social interaction with users could be established using agentic objects for home rehabilitation and if those interactions could enhance a trustful feeling of relatedness that motivates for home-based rehabilitation [26]. ...
Purpose:
eHealth-based exercise therapies were developed to increase stroke patients' adherence to home-based motor rehabilitation. However, these eHealth tools face a rapid decrease in use after a couple of weeks. This study investigates stroke patients' motivation for home-based upper extremity rehabilitation with eHealth tools and their relation with Basic Psychological Needs.
Materials and methods:
This is a qualitative study using thematic analysis. We conducted semi-structured interviews with stroke patients with upper extremity motor impairments, who were discharged home from a rehabilitation centre, after they interacted with a novel eHealth coach demonstrator in their homes for five consecutive days.
Results:
We included ten stroke patients. Thematic analysis resulted in eight themes for home-based rehabilitation motivation: Curiosity, Rationale, Choice, Optimal challenge, Reference, Encouragement, Social Support and Trustworthiness. Those themes are embedded into three Basic Psychological Needs: "Autonomy", "Competence", and "Relatedness".
Conclusion:
Eight motivational themes related to the three Basic Psychological Needs describe stroke patients' motivation for home-based upper extremity rehabilitation. We recommend considering those themes when developing a home-based eHealth intervention for stroke patients to increase the alignment of eHealth tools to the patient's needs and reduce motivational decreases in home-based rehabilitation.
