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Development of a smart walker for clinical settings: a protocol of an exploratory mixed-methods study
Nicole Strutz1,2, Thorsten Meyer-Feil3, René Schwesig2
1Munich Campus for Health and Engineering, Munich University of Applied Sciences, Munich, Germany nicole.strutz@hm.edu.
BMJ Open
|December 31, 2025
Summary
This study aims to develop an innovative smart walker for geriatric patients, enhancing mobility and clinical workflows. The user-centered design and pilot testing will refine features for improved patient care and data collection.
Area of Science:
- Geriatric Medicine
- Rehabilitation Engineering
- Human-Computer Interaction
Background:
- Patient mobility is crucial for recovery post-surgery and trauma.
- Smart walkers offer potential benefits for geriatric patients, improving clinical workflows and providing gait/vital data.
- Current walkers lack advanced features for comprehensive patient monitoring and support.
Purpose of the Study:
- To develop an innovative smart walker for clinical use.
- To identify essential features through patient and healthcare professional perspectives.
- To co-design and pilot-test the smart walker with older patients in German clinics.
Main Methods:
- An exploratory sequential mixed-methods approach across three phases.
- Phase I: Scoping literature review and qualitative interviews/observations.
- Phase II: User-centered design with iterative testing; Phase III: Pilot study in a German University Hospital.
Main Results:
- The study is designed to integrate qualitative and quantitative data for comprehensive insights.
- Iterative testing and pilot studies will validate the smart walker's design and usability.
- The project will generate refined insights into feature needs and patient use of smart walkers.
Conclusions:
- The project will yield an innovative smart walker tailored to geriatric patients' needs.
- User-centered design ensures clinical relevance and patient acceptance.
- Findings will inform the future development and implementation of smart mobility aids in healthcare settings.

