School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
Providence Care Hospital, Kingston, Ontario, Canada.
Health Expect. 2024 Oct;27(5):e70020. doi: 10.1111/hex.70020.
Postoperative physical rehabilitation is crucial after total joint replacement (TJR). However, completing the recommended levels of postoperative physical exercise is challenging for many older adults with TJR. Lack of adequate postoperative physical exercise has negative consequences on rehabilitation outcomes. Innovative rehabilitation tools for postoperative physical exercises are needed to ensure successful rehabilitation outcomes among older adults with TJR.
The aim of this study is to explore key knowledge users' perspectives about how to design an interactive vision-based three-dimensional augmented reality system (3D ARS) to support in-home postoperative physical rehabilitation for older adults with TJR.
We conducted a qualitative descriptive study involving 11 semi-structured interviews and six focus groups with 42 older adults with TJR and four unrelated family caregivers. Data were analysed using thematic analysis.
Participant insights were grouped into two main themes: (1) dreaming up possibilities and (2) being pragmatic. The first theme captured participants' reflections on the potential utility of a 3D ARS for postoperative physical rehabilitation and features that could be embedded in the 3D ARS to support successful postoperative physical rehabilitation. The second theme captured participants' reflections on practical issues and considerations that could impact access and usage of the 3D ARS.
These findings provide researchers, rehabilitation providers and system developers with the foundations for designing, implementing and evaluating innovative augmented reality tools that support effective in-home physical rehabilitation among older adults with TJR.
Research users (i.e., individuals and organisations invested in and using the research findings) were actively engaged throughout this work. Specifically, a meeting was held between the research team and representatives of an Expert by Experience team (individuals with lived experience), which was established to support the National Research Council's (organisation) Aging in Place programme. During this meeting, the idea to develop and evaluate an ARS for postoperative physical rehabilitation of older adults with TJR was supported. Research users had the opportunity to review the current study protocol and provide feedback on the study design, offering direction to maximize the relevance and usefulness of our findings to the National Research Council Canada's Aging in Place programme. Research users contributed to participant recruitment efforts and the development of the interview guide. Two Experts by Experience also agreed to be on the Advisory Panel for this multi-phased study, supporting active engagement and centring the voice of research users in knowledge creation and implementation. These experts reviewed a brief report of the current study findings, and continue to guide how the study findings are used to inform the next phase of this multi-phased research.
全关节置换术（TJR）后，术后身体康复至关重要。然而，对于许多接受 TJR 的老年患者来说，完成推荐水平的术后体育锻炼具有挑战性。缺乏足够的术后体育锻炼会对康复结果产生负面影响。需要创新的康复工具来支持接受 TJR 的老年患者的术后身体康复。
本研究旨在探讨关键知识使用者对如何设计交互式基于视觉的三维增强现实系统（3D ARS）以支持接受 TJR 的老年患者家庭术后身体康复的看法。
我们进行了一项定性描述性研究，包括 11 次半结构化访谈和 6 次焦点小组，共有 42 名接受 TJR 的老年患者和 4 名无关的家庭照顾者参加。使用主题分析对数据进行分析。
参与者的观点分为两个主要主题：（1）畅想可能性和（2）务实。第一个主题捕捉到参与者对 3D ARS 用于术后身体康复的潜在效用的思考，以及可以嵌入 3D ARS 以支持成功术后身体康复的功能。第二个主题捕捉到参与者对可能影响 3D ARS 访问和使用的实际问题和考虑因素的思考。
这些发现为研究人员、康复提供者和系统开发人员提供了设计、实施和评估创新增强现实工具的基础，以支持接受 TJR 的老年患者在家中进行有效的身体康复。
研究用户（即对研究结果感兴趣并使用研究结果的个人和组织）在整个工作中都得到了积极参与。具体来说，研究团队与一个经验专家小组（有生活经验的个人）的代表举行了一次会议，该小组是为支持加拿大国家研究委员会的“安于家中”计划而成立的。在这次会议上，开发和评估用于接受 TJR 的老年患者术后身体康复的 ARS 的想法得到了支持。研究用户有机会审查当前的研究方案，并就研究设计提供反馈，为最大限度地提高我们的研究结果对加拿大国家研究委员会“安于家中”计划的相关性和实用性提供指导。研究用户还协助了参与者招募工作和访谈指南的制定。两位经验专家还同意成为这项多阶段研究的顾问小组的成员，支持积极参与并将研究用户的声音置于知识创造和实施的中心。这些专家审查了当前研究结果的简要报告，并继续指导如何使用研究结果为下一阶段的多阶段研究提供信息。
