Designing for Lived Informatics in Out-of-Clinic Physical Rehabilitation

In this article we focus on how rehabilitees make use of personal data as part of performing their prescribed physical therapy in out-of-clinic settings (e.g., home). Over the past 5 years we have been extensively involved in the design of pervasive and mobile technologies to support out-of-clinic physical rehabilitation. Two strands guide our work: situated and embodied interaction, and the practice and theory of physical rehabilitation. In particular we draw upon the latter’s practice of integrating therapy with the lived everyday settings and the model of Person–Environment–Occupation. We revisit this work from the emerging perspective of lived informatics to bring forward multiple instances of rehabilitees using personal rehabilitation data to make sense of their physical rehabilitation process. We present these instances under four categories: becoming your own standard of reference; marking your life as a rehabilitee; articulating with therapists, partners, and peers; and incorporating exercising with everyday activities. We put forward the Person–Environment–Occupation model as a generative entry point for designing digital technology in support of lived informatics in out-of-clinic physical rehabilitation. Through this article we invite researchers in the field of lived informatics to engage in the design of digital technologies for out-of-clinic physical rehabilitation.

[1]  Colleen McClain Collaborative Rehabilitation Goal Setting , 2005, Topics in stroke rehabilitation.

[2]  恵子 紀国谷 国際生活機能分類(International Classification of Functioning, Disability and Health: ICF)にみた福祉・保健・医療の専門職協働における連携に関する貢献と課題 , 2007 .

[3]  Matthew Chalmers,et al.  Personal tracking as lived informatics , 2014, CHI.

[4]  Tomas Sokoler,et al.  Facilitating continuity: exploring the role of digital technology in physical rehabilitation , 2010, NordiCHI.

[5]  Jodi Forlizzi,et al.  A stage-based model of personal informatics systems , 2010, CHI.

[6]  Tomas Sokoler,et al.  Going Beyond the Desktop Computer with an Attitude , 2004 .

[7]  Eva Brandt,et al.  Evoking the future: Drama and props in user centered design , 2000 .

[8]  Sean A. Munson,et al.  A lived informatics model of personal informatics , 2015, UbiComp.

[9]  B. Gibson,et al.  The body and physiotherapy , 2010, Physiotherapy theory and practice.

[10]  Lucy Suchman,et al.  Human-Machine Reconfigurations: Plans and Situated Actions , 2006 .

[11]  G. Kok,et al.  Correlates of exercise compliance in physical therapy. , 1993, Physical therapy.

[12]  Bill Buxton,et al.  Sketching User Experiences: Getting the Design Right and the Right Design , 2007 .

[13]  Tomas Sokoler,et al.  Integrating physiotherapy with everyday life: exploring the space of possibilities through ReHandles , 2012, Tangible and Embedded Interaction.

[14]  Nadia Bianchi-Berthouze,et al.  Activity tracking: barriers, workarounds and customisation , 2015, UbiComp.

[15]  Mark W. Newman,et al.  When fitness trackers don't 'fit': end-user difficulties in the assessment of personal tracking device accuracy , 2015, UbiComp.

[16]  Tomas Sokoler,et al.  Unboxing the tools for physical rehabilitation: embracing the difference between the clinic and home , 2012, NordiCHI.

[17]  Sigridur Halldorsdottir,et al.  Facilitators and Barriers to Exercising Among People With Osteoarthritis: A Phenomenological Study , 2010, Physical Therapy.

[18]  J. Burridge,et al.  The reality of homes fit for heroes: design challenges for rehabilitation technology at home , 2009 .

[19]  K. J. Miller,et al.  Goal-directed training: linking theories of treatment to clinical practice for improved functional activities in daily life , 2007, Clinical rehabilitation.

[20]  Paul Dourish,et al.  Where the action is , 2001 .

[21]  J. Donovan,et al.  Why don't patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee , 2001, Journal of epidemiology and community health.

[22]  Stefan Rennick Egglestone,et al.  Motivating mobility: designing for lived motivation in stroke rehabilitation , 2011, CHI.

[23]  Patricia Rigby,et al.  The Person-Environment-Occupation Model: A Transactive Approach to Occupational Performance , 1996 .

[24]  Muriel Zimmerman,et al.  Design Research Through Practice: From the Lab, Field, and Showroom , 2011, IEEE Transactions on Professional Communication.

[25]  Tomas Sokoler,et al.  MyReDiary: Co-Designing for Collaborative Articulation in Physical Rehabilitation , 2011, ECSCW.

[26]  Tomas Sokoler,et al.  Embodied-self-monitoring: Embracing the context for adherence to physical rehabilitation in the design for self-monitoring , 2013, 2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops.

[27]  Erik Stolterman,et al.  Concept-Driven Interaction Design Research , 2010, Hum. Comput. Interact..