Jenny Wingham1, Katja Adie2, David Turner3, Christine Schofield3, Colin Pritchard3. 1. Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK Primary Care, University of Exeter Medical School, Exeter, UK. 2. Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK katja.adie@rcht.cornwall.nhs.uk. 3. Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital, Truro, UK.
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. DESIGN: A qualitative study within a randomized controlled trial investigating the effectiveness of using the Wii™ for arm rehabilitation. Data were analysed using thematic analysis. SETTINGS: Participants and carers were interviewed in their homes. SUBJECTS: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. INTERVENTION: All participants were using the Wii™ for arm rehabilitation. MAIN MEASURES: 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.
RCT Entities:
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. DESIGN: A qualitative study within a randomized controlled trial investigating the effectiveness of using the Wii™ for arm rehabilitation. Data were analysed using thematic analysis. SETTINGS: Participants and carers were interviewed in their homes. SUBJECTS: 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. INTERVENTION: All participants were using the Wii™ for arm rehabilitation. MAIN MEASURES: 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: Yu Chen; Kingsley Travis Abel; John T Janecek; Yunan Chen; Kai Zheng; Steven C Cramer Journal: Int J Med Inform Date: 2018-12-11 Impact factor: 4.046
Authors: Alexandra L Borstad; Roger Crawfis; Kala Phillips; Linda Pax Lowes; David Maung; Ryan McPherson; Amelia Siles; Lise Worthen-Chaudhari; Lynne V Gauthier Journal: J Patient Cent Res Rev Date: 2018-01-30
Authors: Steinunn A Olafsdottir; Helga Jonsdottir; Charlotte Magnusson; Héctor Caltenco; Mikko Kytö; Laura Maye; David McGookin; Ingibjörg Bjartmarz; Solveig Asa Arnadottir; Ingibjörg Hjaltadottir; Thora B Hafsteinsdottir Journal: BMC Health Serv Res Date: 2020-05-25 Impact factor: 2.655
Authors: Steinunn A Olafsdottir; Helga Jonsdottir; Ingibjörg Bjartmarz; Charlotte Magnusson; Héctor Caltenco; Mikko Kytö; Laura Maye; David McGookin; Solveig Asa Arnadottir; Ingibjörg Hjaltadottir; Thora B Hafsteinsdottir Journal: BMC Health Serv Res Date: 2020-06-22 Impact factor: 2.655