User needs in the performance of prescribed home exercise therapy

Musculoskeletal disorders are a globally significant health problem affecting millions. Physiotherapy, including prescribed exercises performed independently by patients in their homes, is a key treatment for many sufferers. However, many fail to complete home exercises, prolonging recovery periods or accelerating decline. Pervasive health technologies, capable of monitoring users in their homes, are ideally suited to address this problem. This paper describes user research with a group of three physiotherapists and eleven current physiotherapy patients to understand the problems and user needs underlying non-compliance with home exercise regimes. The user research adopted a speed dating approach and culminated with recommendations relating to the design of feedback, scheduling systems and privacy.

[1]  Ben J. A. Kröse,et al.  Telemonitoring for independently living elderly: Inventory of needs & requirements , 2011, 2011 5th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.

[2]  Keith J Petrie,et al.  The Effect of Treatment Goals on Patient Compliance with Physiotherapy Exercise Programmes , 1999 .

[3]  David González-Cutre,et al.  Peers' influence on exercise enjoyment: a self-determination theory approach. , 2008, Journal of sports science & medicine.

[4]  Hugo Silva,et al.  AAL+: Continuous Institutional and Home Care Through Wireless Biosignal Monitoring Systems , 2011 .

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

[6]  Gregory D. Abowd,et al.  CybreMinder: A Context-Aware System for Supporting Reminders , 2000, HUC.

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

[8]  John Zimmerman,et al.  Rapidly Exploring Application Design Through Speed Dating , 2007, UbiComp.

[9]  Luca Chittaro,et al.  Bringing mobile guides and fitness activities together: a solution based on an embodied virtual trainer , 2006, Mobile HCI.

[10]  Sylvain Hanneton,et al.  Coaching the Wii : evaluation of a physical training experiment assisted by a video game , 2009, 0911.2387.

[11]  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.

[12]  Inger Holm,et al.  Measuring physiotherapy performance in patients with osteoarthritis of the knee: A prospective study , 2008, BMC health services research.