PTOTQualitativeTopics in spinal cord injury rehabilitation2023

Designing an Egocentric Video-Based Dashboard to Report Hand Performance Measures for Outpatient Rehabilitation of Cervical Spinal Cord Injury.

Adesh Kadambi, Andrea Bandini, Ryan D Ramkalawan and 2 others

PMID 38174134

WHAT IT FOUND

Therapists prioritized seeing video clips and movement quality to judge home hand use, while physicians preferred numerical trends.

All seven clinicians wanted summarized data to save appointment time and requested patient diaries to understand barriers like pain or frustration.

Key findings

01Physical and occupational therapists favored qualitative measures such as movement quality and patient video snippets, whereas physicians preferred quantitative metrics to help motivate their patients to exercise.

02Clinicians expressed concerns about implementation, noting that adoption would be determined by how easy it was to use given the short amount of time with patients.

03Some clinicians were in favour of having someone else interpret the results and display those summaries on the dashboard so they would not have to spend valuable appointment time going over the results.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study included only seven clinicians from a single hospital network, which limits generalizability. The sample size was too small to control for the influence of sex or gender on feedback. Clinicians were shown screenshots of the interface rather than using a functional prototype, which may not reflect real-world usability. The study did not compare this reporting interface against other formats like paper reports or mobile apps. The dashboard was designed for a theoretical environment and has not been tested for clinical utility or effectiveness in real-world settings.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not interpret this as evidence that egocentric video monitoring improves patient outcomes. This study only reports clinician preferences for how data should be presented; the interface has not been tested for clinical effectiveness or real-world usability.

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