The potential of wearable technology to support stroke survivors’ motivation for home exercise–Focus group discussions with stroke survivors and physiotherapists

Abstract

Introduction Wearable technology may provide the possibility to monitor and quantify home exercises, to increase motivation for training and to facilitate cooperation between stroke survivors and physiotherapists. However, little is known about potential users’ opinions about using such systems. Purpose To explore stroke survivors’ and physiotherapists’ perspectives on the potential benefit of such wearable technology consisting of a smartphone application and movement sensors. Methods Four semi-structured focus group discussions, two with stroke survivors (n = 12) and physiotherapists (n = 11) respectively, were conducted to explore their perceptions on the potential of such technology. Findings We developed four main themes through the thematic analysis: 1) the app should be well-developed, user-friendly and flexible; 2) the app’s potential for feedback and the experience of progression; 3) the app as a tool for rehabilitation; and 4) the app’s potential to strengthen the relationship between stroke survivors and physiotherapists. Conclusions Stroke survivors’ use of wearable technology to promote home exercise will depend as much on their trust in the professional and relational competence of the physiotherapist as the technical issues of an app. The potential benefits of wearable technology for cooperation between stroke survivors and physiotherapists and as a tool for rehabilitation were highlighted.