从临床医生和中风幸存者那里学到的关于使用远程康复结合锻炼游戏的经验教训卡塔尔世界杯8强波胆分析:多重案例研究阿莱格，多拉·拉基亚·斯维特，谢恩·诺曼·希金斯，约翰·阿坎博，菲利普·米绍德，弗朗索瓦·米勒，威廉·图西南特，米歇尔·凯利，达莉亚+大蒙特利尔康复跨学科研究中心，大学学院réadaptation en déficience体质de Montréal, 6363 Chemin Hudson，蒙特利尔，QC, H3S1M9，加拿大，1 438 990 1309，dorra.rakia.allegue@umontreal.ca %K中风%K康复%K虚拟现实%K视频游戏%K远程康复%K上肢%K动机%D 2022 %7 15.9.2022 %9原始论文%J JMIR Rehabil辅助技术%G英语%X背景:在加拿大，由于缺乏资源，中风幸存者很难获得基于社区的康复服务。VirTele是一个结合了虚拟现实运动游戏和远程康复的个性化远程康复项目，旨在为中风幸存者提供一个机会，让他们在家中进行慢性上肢(UE)缺损的康复，同时接受临床医生的持续随访。目的:我们旨在确定临床医生在VirTele干预期间使用的行为和激励技术，探索中风幸存者的赋权指标，并调查中风幸存者和临床医生使用VirTele的决定因素。方法:这项多案例研究涉及3名患有慢性UE缺陷的中风幸存者及其各自的临床医生(物理治疗师)，他们参与了VirTele干预，这是一项为期2个月的远程康复干预，使用非沉浸式虚拟现实运动游戏和远程康复，旨在改善中风幸存者的UE缺陷。研究参与者可以自主使用Jintronix运动游戏，并被要求每周使用5次，每次30分钟。VirTele干预包括每周与临床医生进行1- 3次1小时的视频会议，在此期间，临床医生进行动机性访谈，监督中风幸存者对运动游戏的使用，并通过日常生活活动监测他们对受影响UE的使用。在VirTele干预结束4至5周后，对临床医生和中风幸存者进行了半定向访谈。所有采访都进行了录音和逐字转录。 An abductive thematic analysis was conducted to generate new ideas through a dynamic interaction between data and theory. Results: Three stroke survivors (n=2, 67%, women and n=1, 33%, man), with a mean age of 58.8 (SD 19.4) years, and 2 physiotherapists participated in the study. Five major determinants of VirTele use emerged from the qualitative analyses, namely technology performance (usefulness and perception of exergames), effort (ease of use), family support (encouragement), facilitators (considerations of the stroke survivors’ safety as well as trust and understanding of instructions), and challenges (miscommunication and exergame limits). During the VirTele intervention, both clinicians used motivational and behavioral techniques to support autonomy, competence, and connectivity. All these attributes were reflected as empowerment indicators in the stroke survivors. Lessons learned from using telerehabilitation combined with exergames are provided, which will be relevant to other researchers and contexts. Conclusions: This multiple case study provides a first glimpse into the impact that motivational interviewing can have on adherence to exergames and changes in behavior in the use of the affected UE in stroke survivors. Lessons learned regarding the supportive role caregivers play and the new responsibilities clinicians have when using the VirTele intervention may inform the use of exergames via telerehabilitation. These lessons will also serve as a model to guide the implementation of similar interventions. International Registered Report Identifier (IRRID): RR2-10.2196/14629 %M 36107484 %R 10.2196/31305 %U https://rehab.www.mybigtv.com/2022/3/e31305 %U https://doi.org/10.2196/31305 %U http://www.ncbi.nlm.nih.gov/pubmed/36107484