"Rehabilitation at home: self management of stroke patients "

1. "Rehabilitation at home: self management of stroke patients" s.torsi@shu.ac.uk n.nasr@shu.ac.uk Silvia Torsi, PhD Nasrin Nasr, PhD

2. The SMART consortiumhttp://www.thesmartconsortium.org/ Acknowledgements: University of Bath Professor Chris Eccleston (PI) Dr Kevin Vowles Dr Lance McCracken Dr Ed Keogh Ben Rosser University of Ulster Professor Norman Black (PI) Dr Paul McCullagh Dr Chris Nugent Dr Huiru Zheng William Burns Sheffield Hallam University • Professor Gail Mountain (Project director) • Professor Sue Mawson (PI) • Professor Peter Wright (PI) • Dr Nasrin Nasr • Dr Silvia Torsi • Ruthy Chileshe University of Sheffield • Professor Mark Hawley (Technical director) • Dr Simon Brownsell • Dr Annette Haywood • Hazel Aldred Funded by the Engineering and Physical Sciences Research Council (EPSRC)

3. Why self-management? “as long as the acute care model dominates health care systems, health care expenditures will continue to escalate, but improvements in populations’ health status will not.” WHOGeneva 2002

4. What is Self-management? Key processes: (Lorig and Holman, 2003) • Goal selection • Information collection • Decision making • Problem solving • Self-reaction Self efficacy following a self management programme (Jones, 2006) • Mastery experiences • Vicarious experiences • Verbal persuasion • Physiological feedback

5. SMART 2 The project is developing a personalised self management system (PSMS) to provide feedback on activity and to monitor changes in activity during the users' self management of their condition leading to behaviour change.

6. Theories of rehabilitation Restorative -----> Adaptive Select from Therapy Toolkit Motor Learning NDT Exercise Education Poor Balance Allotment Self Management of Rehabilitation The Conceptual Matrix for Stroke PSMS Prevention the Soft Tissues Shortening Dressing Assess Clinical needs Negotiating Life Goals Muscles Weakness (UL) Games Meeting Friends Select feedback Mechanisms for Behaviour Change Propriaception Neglect Wrist Sensor Intelligent Shoe Furniture Sensors Clothing Sensors

7. Qualitative Studies Modelling The User Refining Scenarios Iteratively Defining Interaction Frameworks Problem & Vision Statement Problem & Vision Statement Refining User Personas Sketches Prototypes & Evaluation Evaluation Refining Visual Language Refining Form & Behaviour USER-CENTRED DESIGN