School of Design, Victoria University of Wellington, Wellington, New Zealand.
Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand.
Disabil Rehabil. 2020 Jul;42(14):1954-1962. doi: 10.1080/09638288.2018.1543460. Epub 2019 Jan 27.
Information and communication technology devices have become a ubiquitous part of everyday life and a primary means of communication. The aim of this study was to describe the experience of information and communication technology and to explore the barriers and motivators to its use following stroke. This observational study used semi-structured individual interviews and video observation of information and communication technology device use with six people, four men, and two women age 60-82 years with upper limb disability following stroke. They were analyzed using thematic analysis. Three themes were identified that relate to barriers: (i) Sensory and motor impairments; (ii) Limited vision and impaired speech; and (iii) Device-specific limitations. Six themes were identified as motivators: (i) Connect with others; (ii) Provide safety; (iii) Facilitate reintegration; (iv) Reinforce technology adoption; (v) Leisure activities; and (vi) Contribute to the rehabilitation process. All participants used some form of information and communication technology daily to promote safety, enable daily activities, and social interaction, and to a lesser extent engage in leisure and rehabilitation activities. Barriers to information and communication technology use were primarily related to stroke related impairments and device-specific requirements, which limited use, particularly of smartphones. These barriers should be addressed to facilitate the use of information and communication technology devices.Implications for rehabilitationThis research suggests that;People with stroke are highly motivated to use information and communication technology devices in daily activitiesStroke-specific and age-related impairments limit the use and functionality of information and communication technology devices for people with strokeInformation and communication technology devices do not appear to be promoted or used in the rehabilitation or as assistive technologies.
信息技术设备已经成为日常生活中无处不在的一部分，也是主要的沟通方式。本研究旨在描述信息和通信技术的使用体验，并探讨中风后使用信息和通信技术的障碍和动机。这项观察性研究使用半结构化的个人访谈和视频观察，对 6 名年龄在 60-82 岁之间、上肢残疾的男性和女性中风患者使用信息和通信技术设备的情况进行了研究。采用主题分析对其进行分析。确定了三个与障碍相关的主题：（i）感觉和运动障碍；（ii）视力有限和言语障碍；（iii）设备特定限制。确定了六个动机主题：（i）与他人联系；（ii）提供安全保障；（iii）促进重新融入社会；（iv）促进技术采用；（v）休闲活动；（vi）有助于康复过程。所有参与者每天都使用某种形式的信息和通信技术来促进安全、日常活动和社交互动，以及在较小程度上参与休闲和康复活动。信息和通信技术使用的障碍主要与中风相关的损伤和设备特定要求有关，这限制了使用，特别是智能手机的使用。为了促进信息和通信技术设备的使用，应该解决这些障碍。
康复的意义
中风患者在日常生活活动中非常有动机使用信息和通信技术设备；中风特有的和与年龄相关的损伤限制了中风患者对信息和通信技术设备的使用和功能；信息和通信技术设备似乎没有在康复或作为辅助技术中得到推广或使用。
