IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy.
School of Industrial Engineering and Healthcare Datascience LAB, LIUC-Università Carlo Cattaneo, Castellanza, VA, Italy.
Front Public Health. 2023 Mar 28;11:1154481. doi: 10.3389/fpubh.2023.1154481. eCollection 2023.
Telerehabilitation systems represent a promising way for the management of chronic disability, delivering technology-enabled rehabilitation outside the hospital setting. However, usability and acceptability assessment with users represents a critical starting point when using digital healthcare solutions. This study aims at evaluating the user experience with a Telerehabilitation system (SIDERAB) from the end-user side.
SIDERAB consists of an asynchronous delivery of rehabilitation activities through multimedia digital contents and tele-monitoring of vital parameters with technological devices for individualized, home-based management of chronic conditions. Usability (with the System Usability Scale, SUS) and acceptability (using the Technology Acceptance Model, TAM - and The Service User Technology Acceptance Questionnaire, SUTAQ) data were analyzed from the dataset of the SIDERAB project ( = 112 patients with Chronic Heart Failure, Parkinson's Disease and Chronic Obstructive Pulmonary Disease). The possible influence of five external factors (i.e., technological expertise, education, sex, age, and level of disability) on TAM domains was tested using Spearman's Correlation analysis.
Results showed a satisfactory level of technological usability (SUS Median = 77.5) and good scores in usability and learnability SUS subdomains (mean scores > 2.5). Regarding technological acceptability, participants showed high scores (Median > 4) in "Behavioral Intention", "Perceived Usefulness", and "Perceived Ease of Use" TAM domains. Finally, results from the SUTAQ scale highlighted that the SIDERAB system obtained optimal scores in all domains, especially in "Increased accessibility," "Care personnel concerns," and "Satisfaction." Age (rho = -0.291, = 0.002) and disability level (WHODAS Total score: rho = -0.218, = 0.021) were the two external factors inversely associated with the Perceived Ease of Use.
The age of digital transformation requires everyone to understand, accept and master the changes affecting modern-day healthcare. The usability and acceptability of the SIDERAB system were high across all end-users, despite the medium-low level of the technological expertise of the sample. These findings support the efficiency and the suitability of these digital solutions in the modern digital age transition of rehabilitation from inside to outside the clinic.
远程康复系统为慢性病管理提供了一种有前景的方式，可在医院环境之外提供基于技术的康复服务。然而，当使用数字医疗解决方案时，从终端用户的角度对可用性和可接受性进行评估是一个关键的起点。本研究旨在从终端用户的角度评估远程康复系统（SIDERAB）的用户体验。
SIDERAB 系统通过多媒体数字内容异步传输和使用技术设备远程监测生命参数，为慢性病患者提供个体化的家庭管理。该研究分析了 SIDERAB 项目数据集（= 112 例慢性心力衰竭、帕金森病和慢性阻塞性肺疾病患者）中的可用性（采用系统可用性量表 SUS）和可接受性（采用技术接受模型 TAM 和服务用户技术接受问卷 SUTAQ）数据。使用 Spearman 相关分析测试了五个外部因素（即技术专长、教育、性别、年龄和残疾程度）对 TAM 领域的可能影响。
结果表明，该系统具有令人满意的技术可用性水平（SUS 中位数= 77.5），并且在可用性和易学性 SUS 子领域中得分较高（平均得分> 2.5）。关于技术接受度，参与者在“行为意向”、“感知有用性”和“感知易用性”TAM 领域中表现出较高的分数（中位数> 4）。最后，SUTAQ 量表的结果突出表明，SIDERAB 系统在所有领域均获得了最佳分数，尤其是在“增加可及性”、“护理人员关注”和“满意度”方面。年龄（rho=-0.291，=0.002）和残疾程度（WHO-DAS 总分：rho=-0.218，=0.021）是与感知易用性呈负相关的两个外部因素。
数字化转型的时代要求每个人都理解、接受和掌握影响现代医疗保健的变化。尽管样本的技术专长水平中等偏低，但所有终端用户对 SIDERAB 系统的可用性和可接受性均较高。这些发现支持了这些数字解决方案在从诊所内部到外部的康复现代数字时代过渡中的效率和适用性。
