Article

Purpose The purpose of the study was to identify possible reasons for a modest
level of exercise compliance during computer-assisted training for vestibular
rehabilitation. Method Qualitative design and analysis of 14 semi-structured
interviews with seven participants before and after a period with
computer-assisted home training. The interviews evolved around themes, such as
the elderly participants' self-efficacy, motivation and acceptance of the
technology. Results Age was not an excuse for the modest exercise compliance. The
participants were basically self-efficient and accepted the technology, but their
knowledge and understanding of the training programme were insufficient. The
participants asked for a greater variation in the exercises and asked for closer
contact with the physiotherapist. When Mitii is used for vestibular
rehabilitation, the system has some limitations. Conclusions The modest level of
exercise compliance can be explained by (1) missing variety of exercise speed and
duration and lack of introducing new exercises, (2) insufficient interaction with
the physiotherapist regarding the participants' performance and lack of social
contact with other patients and (3) desire for a deeper understanding of the
training programme with supplying information on the parts of the vestibular
system addressed by the training. Implications for Rehabilitation
Computer-assisted technologies should generate feedback on the quality of user
performance and inform the patient of the relevance of the exercise. The
technology should support social contact among patients with the same diagnosis
and establish contact with the physiotherapist at the hospital advice and
feedback. Varity and adjustments to exercises are necessary to maintain
motivation and exercise compliance.

Langue : ANGLAIS