Pereira Salgado Débora, de Queiroz Caroline Valentini, Naves Eduardo Lázaro Martins, Qiao Yuansong, Fallon Sheila
Faculty of Engineering & Informatics, Technological University of the Shannon, Athlone, Ireland.
Faculty of Electrical Engineering, Federal University of Uberlândia, Uberlândia, Brazil.
PLoS One. 2025 Jun 6;20(6):e0325186. doi: 10.1371/journal.pone.0325186. eCollection 2025.
BACKGROUND: Current wheelchair acquisition, prescription, and training programs often require comprehensive assessments integrating both power mobility skills and cognitive abilities. While wheelchair simulators offer promise for these assessments, but they have not been fully validated. OBJECTIVE: This study aims to develop and refine a protocol for evaluating the feasibility, reliability and preliminary validity of virtual wheelchair simulator metrics in assessing users' current power mobility skills and cognitive abilities, following STARD guidelines. Reference standards include the self-report Wheelchair Skill Test (WST), Power Mobility Road Test (PMRT) and the Montreal Cognitive Assessment (MoCA). METHODS: This multicentric, mixed-methods pilot study will recruit participants with mobility disabilities, a control group of individuals without disabilities, and healthcare professionals to use a virtual wheelchair simulator. Healthcare professionals will evaluate the simulator's assessments and provide expert feedback on the protocol. Quantitative data will include simulator-derived performance metrics compared to reference standards, and physiological data (e.g., heart rate, skin conductance, temperature, inter-beat-intervals, accelerometer and eye-gaze tracking). Qualitative data (semi-structured interviews) will capture user experiences and insights for protocol refinement. The Quality of Experience (QoE) evaluation framework will assess cognitive workload (NASA-TLX and PAAS), usability (System Usability Scale), immersion (IGroup Presence Questionnaire), and emotion (Self-Assessment Manikin). Data analysis will include correlation analysis, regression models, thematic analysis, and statistical tests (e.g., independent t-tests, Mann-Whitney U tests) to compare simulator-based performance across groups. DISCUSSION: This pilot study seeks to fill critical gaps in current wheelchair training and prescription methods by exploring the use of a virtual simulator to objectively assess both cognitive abilities and power mobility skills. Integrating the QoE assessment framework will provide insights into user interactions, ensuring that the simulator supports tailored training and improve user outcomes in mobility, and safety. Future research may extend this protocol to clinical settings to further evaluate its applicability and effectiveness.
背景:当前的轮椅购置、处方及培训项目通常需要综合评估,将动力移动技能和认知能力整合起来。虽然轮椅模拟器为这些评估带来了希望,但尚未得到充分验证。 目的:本研究旨在按照STARD指南,制定并完善一项协议,以评估虚拟轮椅模拟器指标在评估用户当前动力移动技能和认知能力方面的可行性、可靠性和初步有效性。参考标准包括自我报告的轮椅技能测试(WST)、动力移动道路测试(PMRT)和蒙特利尔认知评估(MoCA)。 方法:这项多中心、混合方法的试点研究将招募行动不便的参与者、无残疾个体的对照组以及医疗保健专业人员,使用虚拟轮椅模拟器。医疗保健专业人员将评估模拟器的评估,并就该协议提供专家反馈。定量数据将包括与参考标准相比模拟器得出的性能指标,以及生理数据(如心率、皮肤电导、温度、心跳间期、加速度计和眼动追踪)。定性数据(半结构化访谈)将收集用户体验和见解,以完善协议。体验质量(QoE)评估框架将评估认知工作量(NASA-TLX和PAAS)、可用性(系统可用性量表)、沉浸感(IGroup临场感问卷)和情绪(自我评估人体模型)。数据分析将包括相关分析、回归模型、主题分析和统计测试(如独立t检验、曼-惠特尼U检验),以比较各群体基于模拟器的表现。 讨论:这项试点研究旨在通过探索使用虚拟模拟器来客观评估认知能力和动力移动技能,填补当前轮椅训练和处方方法中的关键空白。整合QoE评估框架将深入了解用户交互情况,确保模拟器支持量身定制的训练,并改善移动性和安全性方面的用户结果。未来的研究可能会将该协议扩展到临床环境,以进一步评估其适用性和有效性。
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