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Providing Sources of Self-Efficacy Through Technology Enhanced Post-Stroke Rehabilitation in the Home

机译:通过技术提供自我效能的来源,增强了家庭的中风后康复

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This research explores the impact of receiving feedback through a Personalised Self-Managed Rehabilitation System (PSMrS) for home-based post-stroke rehabilitation on the users' self-efficacy; more specifically, mastery experiences and the interpretation of biomechanical data. Embedded within a realistic evaluation methodological approach, exploring the promotion of self-efficacy from the utilisation of computer-based technology to facilitate post-stroke upper-limb rehabilitation in the home included; semi-structured interviews, quantitative user data (activity and usage), observations and field notes. Data revealed that self-efficacy was linked with obtaining positive knowledge of results feedback. Encouragingly, this also transferred to functional activities such as, confidence to carry out kitchen tasks and bathroom personal activities. Findings suggest the PSMrS was able to provide key sources of self-efficacy by providing feedback which translated key biomechanical data to the users. Users could interpret and understand their performance, gain a sense of mastery and build their confidence which in some instances led to increased confidence to carry out functional activities. However, outcome expectations and socio-structural factors impacted on the self-efficacy associated with the use of the system. Increasing the understanding of how these factors promote or inhibit self-management and self-efficacy is therefore crucial to the successful adoption of technology solutions and promotion of self-efficacy.
机译:本研究探讨了通过个性化的自我管理康复系统(PSMRS)对用户的自我疗效对家庭的中行程康复的个人化的自我管理康复系统的影响;更具体地说,掌握经验和对生物力学数据的解释。嵌入在逼真的评估方法方法中,探讨了利用计算机技术利用的自我效能,以促进包括在内的房屋中的中风中的上肢康复;半结构化访谈,定量用户数据(活动和使用),观察和现场备注。数据显示,与获得结果反馈的积极知识有关的自我效能。鼓励,这也转移到功能活动,如有信心开展厨房任务和卫生间的个人活动。调查结果表明,PSMRS能够通过提供将关键生物力学数据转换给用户的反馈来提供自我效能的关键来源。用户可以解释和理解他们的表现,获得掌握感,并建立他们的信心,这在某些情况下导致了履行功能活动的信心。然而,结果期望和社会结构因素影响与系统使用相关的自我效能。因此,了解这些因素如何促进或抑制自我管理和自我效能,因此对于成功采用技术解决方案和促进自我效能来说至关重要。

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