Related Experiment Video
Updated: Jan 11, 2026
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Co-creating and Evaluating Preimplementation Outcomes of the Recovery Ruler for the Coma Recovery Scale-Revised: A
Jennifer A Weaver1, Christina Papadimitriou2, Alison McGuire3
1Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins, CO.
Objective:
To describe the co-creation, using the Knowledge-to-Action framework and person-centered measurement principles, of a data visualization tool that presents results from the previously validated Coma Recovery Scale-Revised. The 5 person-centered measurement principles include (1) relationship-driven, (2) holistic, (3) transparent, (4) comprehensible and timely, and (5) co-created. We also examined the tool's usability, acceptability, appropriateness, and feasibility for use by care teams.
Design:
Concurrent mixed methods using 2 design sessions and surveys. A semistructured interview guide facilitated design sessions.
Setting:
International.
Participants:
Fourteen individuals (N=14) (practitioners and care partners) with experience caring for people with disorders of consciousness.
Interventions:
Not applicable.
Main Outcome Measures:
Surveys included the System Usability Scale, Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure.
Results:
Content analysis of the transcripts identified Recovery Ruler elements that could be added, removed, or revised. Participants added a descriptive text box to indicate the patient's preferences (relationship-driven) provided by their care partner, suggested the tool could be laminated and placed at the patient's bedside (transparent and timely), and changed words to clarify concepts (comprehensible). There was a statistically significant increase between the System Usability Scale scores from design session 1 (M=77.9, SD=13.3) and design session 2 (M=83.3, SD=11.9) indicating improved usability; t(11) 1.84, P=.045. Acceptability of Intervention Measure and Intervention Appropriateness Measure results from design session 2 were statistically significantly higher than design session 1 (Wilcoxon signed-rank test; z=1.71 and 1.99, P<.05), indicating improved acceptability and appropriateness, respectively.
Conclusions:
Coma Recovery Scale-Revised assessment result information was embedded into a data visualization tool named the Recovery Ruler. Participants indicated that the Recovery Ruler was usable, acceptable, appropriate, and feasible. The Recovery Ruler may provide a mechanism to make assessment result information immediately available to share with care partners (transparent and timely) in an easy-to-understand format (comprehensible). The methodological approach describes a process for incorporating person-centered measurement principles with existing rehabilitation assessments.
