Cargando…

Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training

BACKGROUND: The introduction of technology-assisted rehabilitation (TAR) uncovers promising challenges for the treatment of motor disorders, particularly if combined with exergaming. Patients with neurological diseases have proved to benefit from TAR, improving their performance in several activitie...

Descripción completa

Detalles Bibliográficos
Autores principales: Fundarò, Cira, Casale, Roberto, Maestri, Roberto, Traversoni, Silvia, Colombo, Roberto, Salvini, Silvana, Ferretti, Chiara, Bartolo, Michelangelo, Buonocore, Michelangelo, Giardini, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037786/
https://www.ncbi.nlm.nih.gov/pubmed/36964543
http://dx.doi.org/10.1186/s12984-023-01146-3
_version_ 1784911949655441408
author Fundarò, Cira
Casale, Roberto
Maestri, Roberto
Traversoni, Silvia
Colombo, Roberto
Salvini, Silvana
Ferretti, Chiara
Bartolo, Michelangelo
Buonocore, Michelangelo
Giardini, Anna
author_facet Fundarò, Cira
Casale, Roberto
Maestri, Roberto
Traversoni, Silvia
Colombo, Roberto
Salvini, Silvana
Ferretti, Chiara
Bartolo, Michelangelo
Buonocore, Michelangelo
Giardini, Anna
author_sort Fundarò, Cira
collection PubMed
description BACKGROUND: The introduction of technology-assisted rehabilitation (TAR) uncovers promising challenges for the treatment of motor disorders, particularly if combined with exergaming. Patients with neurological diseases have proved to benefit from TAR, improving their performance in several activities. However, the subjective perception of the device has never been fully addressed, being a conditioning factor for its use. The aims of the study were: (a) to develop a questionnaire on patients’ personal experience with TAR and exergames in a real-world clinical setting; (b) to administer the questionnaire to a pilot group of neurologic patients to assess its feasibility and statistical properties. METHODS: A self-administrable and close-ended questionnaire, Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q), designed by a multidisciplinary team, was developed in Italian through a Delphi procedure. An English translation has been developed with consensus, for understandability purposes. The ultimate version of the questionnaire was constituted of 10 questions (5 with multiple answers), totalling 29 items, exploring the patient’s performance and personal experience with TAR with Augmented Performance Feedback. TARPP-Q was then administered pre-post training in an observational, feasible, multi-centric study. The study involved in-patients aged between 18 and 85 with neurological diseases, admitted for rehabilitation with TAR (upper limb or gait). FIM scale was run to control functional performance. RESULTS: Forty-four patients were included in the study. All patients answered the TARPP-Q autonomously. There were no unaccounted answers. Exploratory factor analyses identified 4 factors: Positive attitude, Usability, Hindrance perception, and Distress. Internal consistency was measured at T0. The values of Cronbach’s alpha ranged from 0.72 (Distress) to 0.92 (Positive attitude). Functional Independence Measure (FIM®) scores and all TARPP-Q factors (Positive attitude, Usability, Hindrance perception, except for Distress (p = 0.11), significantly improved at the end of the treatment. A significant positive correlation between Positive attitude and Usability was also recorded. CONCLUSIONS: The TARPP-Q highlights the importance of patients’ personal experience with TAR and exergaming. Large-scale applications of this questionnaire may clarify the role of patients’ perception of training effectiveness, helping to customize devices and interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12984-023-01146-3.
format Online
Article
Text
id pubmed-10037786
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-100377862023-03-25 Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training Fundarò, Cira Casale, Roberto Maestri, Roberto Traversoni, Silvia Colombo, Roberto Salvini, Silvana Ferretti, Chiara Bartolo, Michelangelo Buonocore, Michelangelo Giardini, Anna J Neuroeng Rehabil Research BACKGROUND: The introduction of technology-assisted rehabilitation (TAR) uncovers promising challenges for the treatment of motor disorders, particularly if combined with exergaming. Patients with neurological diseases have proved to benefit from TAR, improving their performance in several activities. However, the subjective perception of the device has never been fully addressed, being a conditioning factor for its use. The aims of the study were: (a) to develop a questionnaire on patients’ personal experience with TAR and exergames in a real-world clinical setting; (b) to administer the questionnaire to a pilot group of neurologic patients to assess its feasibility and statistical properties. METHODS: A self-administrable and close-ended questionnaire, Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q), designed by a multidisciplinary team, was developed in Italian through a Delphi procedure. An English translation has been developed with consensus, for understandability purposes. The ultimate version of the questionnaire was constituted of 10 questions (5 with multiple answers), totalling 29 items, exploring the patient’s performance and personal experience with TAR with Augmented Performance Feedback. TARPP-Q was then administered pre-post training in an observational, feasible, multi-centric study. The study involved in-patients aged between 18 and 85 with neurological diseases, admitted for rehabilitation with TAR (upper limb or gait). FIM scale was run to control functional performance. RESULTS: Forty-four patients were included in the study. All patients answered the TARPP-Q autonomously. There were no unaccounted answers. Exploratory factor analyses identified 4 factors: Positive attitude, Usability, Hindrance perception, and Distress. Internal consistency was measured at T0. The values of Cronbach’s alpha ranged from 0.72 (Distress) to 0.92 (Positive attitude). Functional Independence Measure (FIM®) scores and all TARPP-Q factors (Positive attitude, Usability, Hindrance perception, except for Distress (p = 0.11), significantly improved at the end of the treatment. A significant positive correlation between Positive attitude and Usability was also recorded. CONCLUSIONS: The TARPP-Q highlights the importance of patients’ personal experience with TAR and exergaming. Large-scale applications of this questionnaire may clarify the role of patients’ perception of training effectiveness, helping to customize devices and interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12984-023-01146-3. BioMed Central 2023-03-24 /pmc/articles/PMC10037786/ /pubmed/36964543 http://dx.doi.org/10.1186/s12984-023-01146-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Fundarò, Cira
Casale, Roberto
Maestri, Roberto
Traversoni, Silvia
Colombo, Roberto
Salvini, Silvana
Ferretti, Chiara
Bartolo, Michelangelo
Buonocore, Michelangelo
Giardini, Anna
Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training
title Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training
title_full Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training
title_fullStr Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training
title_full_unstemmed Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training
title_short Technology Assisted Rehabilitation Patient Perception Questionnaire (TARPP-Q): development and implementation of an instrument to evaluate patients’ perception during training
title_sort technology assisted rehabilitation patient perception questionnaire (tarpp-q): development and implementation of an instrument to evaluate patients’ perception during training
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037786/
https://www.ncbi.nlm.nih.gov/pubmed/36964543
http://dx.doi.org/10.1186/s12984-023-01146-3
work_keys_str_mv AT fundarocira technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT casaleroberto technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT maestriroberto technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT traversonisilvia technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT colomboroberto technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT salvinisilvana technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT ferrettichiara technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT bartolomichelangelo technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT buonocoremichelangelo technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining
AT giardinianna technologyassistedrehabilitationpatientperceptionquestionnairetarppqdevelopmentandimplementationofaninstrumenttoevaluatepatientsperceptionduringtraining