PMID- 31796713 OWN - NLM STAT- MEDLINE DCOM- 20210820 LR - 20210820 IS - 1878-7401 (Electronic) IS - 0928-7329 (Linking) VI - 28 IP - 4 DP - 2020 TI - Developing an intelligent activity-based client-centred training system with a user-centred approach. PG - 355-368 LID - 10.3233/THC-191854 [doi] AB - BACKGROUND: In neurorehabilitation, clinicians and managers are searching for new client-centred task-oriented applications which can be administered without extra costs and effort of therapists, and increase the client's motivation. OBJECTIVE: To develop and evaluate a prototype of an intelligent activity-based client-centred training (i-ACT) system based on Microsoft Kinect(R). METHODS: Within an iterative user centred process, the i-ACT prototype was developed and necessary features were established for use in neurological settings. After the test trial with a high fidelity prototype, the value, usefulness, and credibility were evaluated. RESULTS: Seven therapists participated in focus groups and 54 persons with neurological problems participated in test trials. A prototype was established based on the user's experience. Results show that clients and therapists acknowledge the value and usefulness (clients 5.71/7; therapists 4.86/7), and credibility (clients 21.00/27; therapists 14.50/27) of i-ACT. CONCLUSIONS: Therapists want to be able to record an endless range of movements and activities which enables individualised exercise programs for persons with disabilities. For therapists it is important that the system provides feedback about the quality of movement and not only results. In future work, clinical trials will be performed towards feasibility and effectiveness of i-ACT in neurorehabilitation and other rehabilitation domains. FAU - Knippenberg, Els AU - Knippenberg E AD - Innovation in Care, Centre of Expertise, PXL University College, 3500 Hasselt, Belgium. AD - Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. FAU - Van Hout, Lode AU - Van Hout L AD - Smart-ICT, Centre of Expertise, PXL University College, 3500 Hasselt, Belgium. FAU - Smeets, Wout AU - Smeets W AD - Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. FAU - Palmaers, Steven AU - Palmaers S AD - Smart-ICT, Centre of Expertise, PXL University College, 3500 Hasselt, Belgium. FAU - Timmermans, Annick AU - Timmermans A AD - Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. FAU - Spooren, Annemie AU - Spooren A AD - Innovation in Care, Centre of Expertise, PXL University College, 3500 Hasselt, Belgium. AD - Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. LA - eng PT - Journal Article PL - Netherlands TA - Technol Health Care JT - Technology and health care : official journal of the European Society for Engineering and Medicine JID - 9314590 SB - IM MH - *Disabled Persons MH - Exercise MH - Humans MH - *Occupational Therapy MH - Patient-Centered Care OTO - NOTNLM OT - Client-centred OT - Kinect(R) OT - rehabilitation OT - task-oriented OT - technology EDAT- 2019/12/05 06:00 MHDA- 2021/08/21 06:00 CRDT- 2019/12/05 06:00 PHST- 2019/12/05 06:00 [pubmed] PHST- 2021/08/21 06:00 [medline] PHST- 2019/12/05 06:00 [entrez] AID - THC191854 [pii] AID - 10.3233/THC-191854 [doi] PST - ppublish SO - Technol Health Care. 2020;28(4):355-368. doi: 10.3233/THC-191854.