DEVELOPMENT OF PATIENT REPORTED OUTCOME MEASURE TO ASSESS USER-SATISFACTION WITH GAME-BASED REHABILITATION IN STROKE

G. Shivani¹, A. Unni¹, A. Sulfikar Ali¹, V. Guruprasad², T.S. Shwetha³, A. Habib⁴, N. Manikandan¹, J.M. Solomon¹, S. Kumaran D.¹

¹Manipal College of Health Professions, Manipal Academy of Higher Education, Department of Physiotherapy, Karnataka, India, ²Manipal College of Health Professions, Manipal Academy of Higher Education, Department of Occupational therapy, Karnataka, India, ³Manipal College of Health Professions, Manipal Academy of Higher Education, Department of Clinical Psychology, Karnataka, India, ⁴BeAble Health, Hyderabad, India

Background: Game-based-rehabilitation has gained popularity as an important therapeutic tool in neurorehabilitation that utilizes principles of motor learning and increases interest, motivation, intensity of training, adherence, and engagement. Understanding the users’ perspective and satisfaction with game based-rehabilitation would give us information regarding ways to improve patient experience and compliance with this intervention. To the best of our knowledge there is no tool that assess the user satisfaction with game-based rehabilitation in stroke survivors and therefore there is a need to develop an assessment tool that would measure the user satisfaction with a game-based rehabilitation intervention in patients with stroke.

Purpose: The purpose of the study is to develop a Patient Reported Outcome Measure (PROM) that would assess the user satisfaction following a game-based rehabilitation in patients with stroke.

Methods: The study was conducted in 3 steps. The first step involved item generation and pooling from 3 resources; i) extensive literature review pertaining to the scales/tools and methods used to assess user satisfaction with Game-based neurological rehabilitation; ii) interview with stroke survivors who underwent Game-based rehabilitation, and iii) focus group discussion with all the relevant stakeholders (physiotherapist, occupational therapist, clinical psychologist along with a game developer). The second step was item de-duplicate and synonyms removal following which in the third step, a scale was drafted.

Results: A total of 138 items were obtained from the 3 resources. These were screened individually for redundancy, and similarly phrased items were reduced to a single item. A PROM questionnaire was drafted that consisted a total of 38 items divided across 4domains.

Conclusions: In this study a Patient Reported Outcome Measure consisting of 4 major domains game elements, game usability, game experiences and game impact was developed. Furthermore, research is needed to assess the psychometric properties like content validity, concurrent validity, reliability of the developed outcome measure.

Implications: The satisfaction of the patient with game-based intervention can be assessed using the developed outcome measure. This would help the therapist, set a proper rehabilitation protocol in order to improve the patient’s motor recovery. It would also be helpful to the game developers to design the game depending on the user satisfaction.

Funding acknowledgements: None

Keywords:
Game-based Rehabilitation
Satisfaction
Hemiparesis

Topics:
Disability & rehabilitation

Did this work require ethics approval? Yes

Institution: Manipal Academy of Higher Education, Manipal, Karnataka, India

Committee: Institutional Ethics Committee (IEC),Kasturba Medical College, Kasturba Hospital

Ethics number: IEC registration number: 297/2021