title: The provision of feedback through computer-based technology to promote self-managed post-stroke rehabilitation in the home.
abstract: OBJECTIVE
  Building on previous research findings, this article describes the development of the feedback interfaces for a Personalised Self-Managed Rehabilitation System (PSMrS) for home-based post-stroke rehabilitation using computer-based technology.
  
  
  METHODS
  Embedded within a realistic evaluative methodological approach, the development of the feedback interfaces for the PSMrS involved the incorporation of existing and emerging theories and a hybrid of health and social sciences research and user-centred design methods.
  
  
  RESULTS
  User testing confirmed that extrinsic feedback for home-based post-stroke rehabilitation through computer-based technology needs to be personalisable, accurate, rewarding and measurable. In addition, user testing also confirmed the feasibility of using specific components of the PSMrS.
  
  
  CONCLUSIONS
  A number of key elements are crucial for the development and potential utilisation of technology in what is an inevitable shift towards the use of innovative methods of delivering post-stroke rehabilitation. This includes the specific elements that are essential for the promotion of self-managed rehabilitation and rehabilitative behaviour change; the impact of the context on the mechanisms; and, importantly, the need for reliability and accuracy of the technology.
authors.affiliation: School of Health and Related Research (ScHARR), Innovation Centre, University of Sheffield , Sheffield , UK and.
authors.forename: Jack
authors.initials: J
authors.lastname: Parker
authors.forename: Susan
authors.initials: S
authors.lastname: Mawson
authors.forename: Gail
authors.initials: G
authors.lastname: Mountain
authors.forename: Nasrin
authors.initials: N
authors.lastname: Nasr
authors.forename: Richard
authors.initials: R
authors.lastname: Davies
authors.forename: Huiru
authors.initials: H
authors.lastname: Zheng
mesh_terms: D004867:Equipment Design; D005246:Feedback; D006040:Goals; D006801:Humans; D018670:Monitoring, Ambulatory / Q000295:instrumentation*; D036301:Qualitative Research; D012107:Research Design; D012648:Self Care / Q000295:instrumentation*; D020377:Self Efficacy; D012656:Self-Help Devices; D000071939:Stroke Rehabilitation; D017216:Telemedicine; D014584:User-Computer Interface
keywords: Feedback; rehabilitation; self-management; stroke; technology