一个新的轮椅轮子滚动阻力临床决策支持系统:利益相关者报告了高可用性,感知到的有用性和价值
Holly Wilson-Jene1, Rachel E Cowan2, Alicia M Koontz1,3
1Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, USA.
Disability and rehabilitation. Assistive technology
|February 28, 2026
概括
右轮临床决策支持系统通过预测轮胎滚动阻力,有效地减少手动轮椅推进力,增强客户决策和临床医生支持. 这种工具提高了可用性,建议治疗师每周使用.
科学领域:
- 康复工程 康复工程 康复工程
- 辅助技术 辅助技术 辅助技术
- 生物力学 生物力学
背景情况:
- 手动推进轮椅需要大量的力,导致重复性应变损伤和降低生活质量.
- 轮胎滚动阻力 (RR) 是手动推进轮椅所需的力的主要贡献者.
- 开发了一种临床决策支持系统RightWheel,用于预测特定用户的RR和辅助设备选择.
研究的目的:
- 评估RightWheel系统的可用性和感知的有用性.
- 在为期八周的试点研究中收集临床医生对RightWheel的反.
- 评估RightWheel对客户决策和设备选择的影响.
主要方法:
- 七名经过认证的职业或物理治疗师 (辅助技术专业人员) 在RightWheel上接受了培训.
- 可用性和感知有用性调查 (SUS,QUIS,TAQ) 由临床医生完成.
- 每两周一次的调查和最后的采访收集了关于系统使用,遇到的问题和客户效益的数据.
主要成果:
- 高可用性和有用性得分 (SUS=87.5,QUIS=8.2,TAQ=4.6) 超过了可以接受的水平.
- 随着时间的推移,该系统变得更容易使用 (修改后的QUIS p<.001,TAQ p=.005).
- 临床医生发现RightWheel支持推,有助于客户决策,对教育和理解RR.R.有价值.
结论:
- 右轮为客户提供可视化信息,以做出明智的决策.
- 主要的临床用途包括客户沟通,培训和了解滚动阻力.
- 该系统对大多数手动轮椅使用者有益,并被临床医生推.
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