Hu Xiaolei, Jonzén Karolina, Karlsson Marcus, Lindahl Olof A
Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Department of Radiation Sciences, Radiation Physics, Biomedical Engineering, Umeå University, Umeå, Sweden.
Digit Health. 2022 Jun 3;8:20552076221104662. doi: 10.1177/20552076221104662. eCollection 2022 Jan-Dec.
It remains a huge challenge to identify individual rehabilitation needs in a time-efficient manner for providing patient-tailored rehabilitation during the continuum of stroke care. We have recently demonstrated the usefulness of a paper-version Rehab-Compass as a follow-up tool. The aim of the current study was to develop a digital version of the Rehab-Compass and evaluate its usability and feasibility.
The novel digital tool Rehabkompassen was developed by an iterative and participatory design process. Patients' rehabilitation needs were visualized by the tool and used before, during, and after the consultation. The usability and feasibility of the tool was assessed by task completion rate, the System Usability Scale, and satisfaction questionnaires among 2 physicians and 24 adult stroke patients in an outpatient clinical setting.
Rehabkompassen identified and graphically visualized a panoramic view of the stroke patients' multidimensional needs in individual- and group levels. The instrument appeared to be feasible and time efficient in clinical use with a 100% overall task completion rate for both patients and physicians. A majority of the patients reported that it was very easy or fairly easy to answer the digital questionnaires and to understand their own digital Rehab-Compass graph. Two physicians reported a high mean score on the System Usability Scale (95/100) and were positive about using the tool in the future.
The current results indicated that Rehabkompassen was a feasible, useful, and time-saving follow-up tool for the identification of rehabilitation needs among stroke survivors in the post-acute continuum of care after stroke. Further research is needed to evaluate the efficacy of the digital instrument among stroke patients.
在卒中连续护理过程中，以高效的方式确定个体康复需求以提供个性化康复仍然是一项巨大挑战。我们最近证明了纸质版康复指南针作为一种随访工具的有用性。本研究的目的是开发康复指南针的数字版本，并评估其可用性和可行性。
新型数字工具Rehabkompassen通过迭代和参与式设计过程开发。该工具可直观呈现患者的康复需求，并在会诊前、会诊期间和会诊后使用。在门诊临床环境中，通过任务完成率、系统可用性量表以及2名医生和24名成年卒中患者的满意度问卷对该工具的可用性和可行性进行评估。
Rehabkompassen识别并以图形方式直观呈现了卒中患者在个体和群体层面的多维需求全景。该工具在临床使用中似乎可行且高效，患者和医生的总体任务完成率均为100%。大多数患者报告称，回答数字问卷和理解自己的数字康复指南针图表非常容易或比较容易。两名医生在系统可用性量表上的平均得分较高（95/100），并对未来使用该工具持积极态度。
目前的结果表明，Rehabkompassen是一种可行、有用且省时的随访工具，可用于识别卒中后急性后期连续护理中的卒中幸存者的康复需求。需要进一步研究以评估该数字工具在卒中患者中的疗效。
