...continues on Tuesday 4th November with a talk from Dr Jack Parker on ‘Stroke patients’ utilisation of extrinsic feedback from computer-based technology in the home: a multiple case study realistic evaluation’ at 12.30-13.30 – Lecture Rooms 1&2, Regent Court.
Methods: Using the principles of realistic evaluation, this study explored the complex interactions of contexts, mechanisms and outcomes. Methods included focus groups and multi-method case studies (n = 5). Data were analysed and synthesised to answer the question, ‘what works for whom and in what circumstances and respects?’
Results: Data analysis reveals that key elements of computer feedback, such as accuracy, measurability, rewarding feedback, adaptability, and knowledge of results feedback, are required to trigger the theory-driven mechanisms underpinning the intervention. In addition, the pre-existing context and the personal and environmental contexts, such as previous experience of service delivery, personal goals, trust in the technology, and social circumstances may also enable or constrain the underpinning theory-driven mechanisms.
Conclusions: Findings suggest that the theory-driven mechanisms underpinning the utilisation of feedback from computer-based technology are dependent on key elements of computer feedback and the personal and environmental context. The identification of these elements may therefore inform the development of technology; therapy education and the subsequent adoption of technology and a self-management paradigm; long-term self-managed rehabilitation; and importantly, improvements in the physical and psychosocial aspects of recovery.