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Updated: Dec 18, 2025

Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
How patients and clinicians experience the utility of a personalized clinical feedback system in routine practice
Runar Tengel Hovland1, Siri Ytrehus1, John Mellor-Clark2
1Faculty of Health Studies, Western Norway University of Applied Sciences, Bergen, Norway.
Objective:
The objective was to explore how a person-adaptive clinical feedback system (CFS) effects its users, and how meaning and relevance are negotiated.
Methods:
We conducted a 10-month case-study of the implementation and practice of Norse Feedback, a personalized CFS. The data material consisted of 12 patient interviews, 22 clinician interviews, 23 field notes, and 16 archival documents.
Results:
We identified four main categories or themes: (i) patients' use of clinical feedback for enhanced awareness and insight; (ii) patients work to make clinical feedback a communication mode; (iii) patients and clinicians negotiate clinical feedback as a way to influence treatment; and (iv) clinical feedback requires an interactive sense-making effort.
Conclusion:
Patients and therapists produced the meaning and relevance of the CFS by interpreting the CFS measures to reflect the unique patient experience of the patient-therapist relationship. Patients regarded CFS as a tool to inform therapy with important issues. Patients became more self-aware and prepared for therapy.
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