Development of a virtual reality-based intervention for community walking post stroke: an integrated knowledge translation approach.
Autor: | Villeneuve M; School of Physical and Occupational Therapy, McGill University, Montreal, Canada.; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada., Ogourtsova T; School of Physical and Occupational Therapy, McGill University, Montreal, Canada.; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada., Deblock-Bellamy A; École des sciences de la réadaptation, Université Laval, Quebec City, Canada.; Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Quebec City, Canada.; Department of Occupational Therapy, University of Applied Sciences and Arts Western Switzerland (HETSL |HES-SO), Lausanne, Switzerland., Blanchette A; École des sciences de la réadaptation, Université Laval, Quebec City, Canada.; Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Quebec City, Canada., Bühler MA; School of Physical and Occupational Therapy, McGill University, Montreal, Canada.; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada., Fung J; School of Physical and Occupational Therapy, McGill University, Montreal, Canada.; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada., McFadyen BJ; École des sciences de la réadaptation, Université Laval, Quebec City, Canada.; Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Quebec City, Canada., Menon A; School of Physical and Occupational Therapy, McGill University, Montreal, Canada., Perez C; School of Physical and Occupational Therapy, McGill University, Montreal, Canada.; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada., Sangani S; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada., Lamontagne A; School of Physical and Occupational Therapy, McGill University, Montreal, Canada.; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, Canada. |
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Jazyk: | angličtina |
Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2024 Sep; Vol. 46 (19), pp. 4428-4438. Date of Electronic Publication: 2023 Nov 03. |
DOI: | 10.1080/09638288.2023.2277397 |
Abstrakt: | Purpose: To develop a virtual reality (VR) based intervention targeting community walking requirements. Methods: Two focus groups each involving 7 clinicians allowed exploring optimal features, needed support and perceived favorable/unfavorable factors associated with the use of the VR-based intervention from the clinicians' perspective. Three stroke survivors and 2 clinicians further interacted with the intervention and filled questionnaires related to acceptability and favorable/unfavorable perceptions on the VR intervention. Stroke participants additionally rated their perceived effort (NASA Tax Load Index), presence (Slater-Usoh-Steed) and cybersickness (Simulator Sickness Questionnaire). Results: Results identified optimal features (patient eligibility criteria, task complexity), needed support (training, human assistance), as well as favorable (cognitive stimulation, engagement, representativeness of therapeutic goals) and unfavorable factors (misalignment with a natural walking pattern, client suitability, generalization to real-life) associated with the intervention. Acceptability scores following the interaction with the tool were 28 and 42 (max 56) for clinicians and ranged from 43 to 52 for stroke participants. Stroke participants reported moderate perceptions of effort (range:20-33/max:60), high levels of presence (29-42/42) and minimal cybersickness (0-3/64). Conclusion: Findings collected in the early development phase of the VR intervention will allow addressing favorable/unfavorable factors and incorporating desired optimal features, prior to conducting effectiveness and implementation studies. |
Databáze: | MEDLINE |
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