title: Behavioral intention to use a virtual instrumental activities of daily living system among people with stroke.
abstract: OBJECTIVE
  The purpose of this study was to investigate the behavioral intention to use (BIU) regarding a virtual system for practicing instrumental activities of daily living (IADLs) among people with stroke.
  
  
  METHODS
  Fourteen people who had sustained a stroke used a virtual world-based system over four sessions to participate in virtual occupations of preparing meals and putting away groceries. To investigate intention to use the technology, participants responded to a questionnaire based on the Technology Acceptance Model and were interviewed about the experience.
  
  
  RESULTS
  Analysis of questionnaire responses revealed favorable attitudes toward the technology and statistically significant correlations between these attitudes and positive BIU. Analysis of qualitative data revealed four themes to support system use: Use of the affected arm increased, the virtual practice was enjoyable, the technology was user-friendly, and the system reflected real-life activities.
  
  
  CONCLUSIONS
  This study shows that participants reported a positive BIU for the virtual system for practicing IADLs.
authors: Allison Ellington, MS, OTR/L, is Director of Clinical Education, Department of Occupational Therapy, Murphy Deming College of Health Sciences, Mary Baldwin College, Staunton, VA, and occupational therapist, University of Virginia HealthSouth Rehabilitation Hospital, Charlottesville; aellington@mbc.edu.
authors: Allison
authors: A
authors: Ellington
authors: Richard Adams, PhD, is Principal Research Scientist, Barron Associates, Charlottesville, VA.
authors: Richard
authors: R
authors: Adams
authors: Marga White, MS, OTL, is Occupational Therapist, University of Virginia HealthSouth Rehabilitation Hospital, Charlottesville.
authors: Marga
authors: M
authors: White
authors: Paul Diamond, MD, is Director of Neurorehabilitation and Associate Professor, Physical Medicine and Rehabilitation Department, University of Virginia School of Medicine, Charlottesville.
authors: Paul
authors: P
authors: Diamond
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001292:Attitude to Computers; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011214:Practice, Psychological; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires; D014584:User-Computer Interface