title: Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology.
abstract: OBJECTIVE
  To develop and evaluate an information and communication technology (ICT) solution for a post-stroke Personalised Self-Managed Rehabilitation System (PSMrS). The PSMrS translates current models of stroke rehabilitation and theories underpinning self-management and self-efficacy into an ICT-based system for home-based post-stroke rehabilitation.
  
  
  METHODS
  The interdisciplinary research team applied a hybrid of health and social sciences research methods and user-centred design methods. This included a series of home visits, focus groups, in-depth interviews, cultural probes and technology biographies.
  
  
  RESULTS
  The iterative development of both the content of the PSMrS and the interactive interfaces between the system and the user incorporates current models of post-stroke rehabilitation and addresses the factors that promote self-managed behaviour and self-efficacy such as mastery, verbal persuasion and physiological feedback.
  
  
  CONCLUSIONS
  The methodological approach has ensured that the interactive technology has been driven by the needs of the stroke survivors and their carers in the context of their journey to both recovery and adaptation. Underpinned by theories of motor relearning, neuroplasticity, self-management and behaviour change, the PSMrS developed in this study has resulted in a personalised system for self-managed rehabilitation, which has the potential to change motor behaviour and promote the achievement of life goals for stroke survivors.
authors.affiliation: ScHARR, University of Sheffield, Innovation Centre , Sheffield , UK and.
authors.forename: Susan
authors.initials: S
authors.lastname: Mawson
authors.forename: Nasrin
authors.initials: N
authors.lastname: Nasr
authors.forename: Jack
authors.initials: J
authors.lastname: Parker
authors.forename: Huiru
authors.initials: H
authors.lastname: Zheng
authors.forename: Richard
authors.initials: R
authors.lastname: Davies
authors.forename: Gail
authors.initials: G
authors.lastname: Mountain
mesh_terms: D004867:Equipment Design; 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: Rehabilitation; self-management; stroke; technology