title: Participant and caregiver experience of the Nintendo Wii Sports™ after stroke: qualitative study of the trial of Wii™ in stroke (TWIST).
abstract: OBJECTIVE
  To understand stroke survivors and their caregivers' experience and acceptability of using the Nintendo Wii Sports™ games (Wii™) as a home-based arm rehabilitation tool.
  
  
  METHODS
  A qualitative study within a randomized controlled trial investigating the effectiveness of using the Wii™ for arm rehabilitation. Data were analysed using thematic analysis.
  
  
  METHODS
  Participants and carers were interviewed in their homes.
  
  
  METHODS
  Eleven male and seven female participants and 10 caregivers who were taking part in the randomized controlled trial within six months of stroke. Median age 65.
  
  
  METHODS
  All participants were using the Wii™ for arm rehabilitation.
  
  
  METHODS
  Semi-structured interviews.
  
  
  RESULTS
  Five themes were identified: diligence of play, perceived effectiveness, acceptability, caregiver and social support, and the set-up and administration of the Wii™. Participants appreciated the ability to maintain a social role and manage other comorbidities around the use of the Wii™. A small number of participants found the Mii characters too childlike for adult rehabilitation. The most popular game to start the rehabilitation programme was bowling. As confidence grew, tennis was the most popular, with baseball and boxing being the least popular games. Caregivers provided some practical support and encouragement to play the Wii™.
  
  
  CONCLUSIONS
  The Wii™ may provide an engaging and flexible form of rehabilitation with relatively high reported usage rates in a home setting. The Wii™ was acceptable to this sample of patients and their caregivers in home-based rehabilitation of the arm following stroke.
authors.affiliation: Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK Primary Care, University of Exeter Medical School, Exeter, UK.
authors.forename: Jenny
authors.initials: J
authors.lastname: Wingham
authors.affiliation: Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK katja.adie@rcht.cornwall.nhs.uk.
authors.forename: Katja
authors.initials: K
authors.lastname: Adie
authors.affiliation: Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK.
authors.forename: David
authors.initials: D
authors.lastname: Turner
authors.affiliation: Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK.
authors.forename: Christine
authors.initials: C
authors.lastname: Schofield
authors.affiliation: Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK.
authors.forename: Colin
authors.initials: C
authors.lastname: Pritchard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000503:physiopathology*; D017028:Caregivers / Q000523:psychology*; D005081:Exercise Therapy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015397:Program Evaluation; D036301:Qualitative Research; D012944:Social Support; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation; D006113:United Kingdom; D018910:Video Games
keywords: Rehabilitation; arm; assistive electronic technologies; qualitative study; stroke