Development and evaluation of a personalized physiotherapy mobile app for post-stroke rehabilitation | Blazingprojects Postgraduate Thesis
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Development and evaluation of a personalized physiotherapy mobile app for post-stroke rehabilitation

 

Table Of Contents


Chapter ONE

INTRODUCTION

  • 1.1Introduction
  • 1.2Background of the Study: Post-Stroke Rehabilitation Challenges and Mobile Health Interventions
  • 1.3Statement of the Problem: Gaps in Access and Customization in Current Physiotherapy Practices
  • 1.4Aim and Objectives of the Study: Designing and Assessing a Personalized Physiotherapy App
  • 1.5Research Questions: Effectiveness, Usability, and User Satisfaction of the App
  • 1.6Research Hypotheses: Impact of Personalized App on Rehabilitation Outcomes
  • 1.7Significance of the Study: Advancing Tele-rehabilitation and Patient-centered Care
  • 1.8Scope and Delimitation of the Study: Focus on Post-Stroke Patients in Urban Settings
  • 1.9Limitations of the Study: Technology Proficiency and Connectivity Constraints
  • 1.10Organisation of the Study: Chapter overviews and Methodological Approach
  • 1.11Operational Definition of Terms: Personalization, Tele-rehabilitation, User Engagement, Functional Recovery, Stroke

Chapter TWO

LITERATURE REVIEW

  • 2.1Conceptual Review of Post-Stroke Rehabilitation and Mobile Health Apps
  • 2.2Theoretical Framework: Health Belief Model and Self-Determination Theory
  • 2.3Empirical Review of Mobile App Interventions for Stroke Rehabilitation
  • 2.4Review of Personalization Techniques in Digital Health Solutions
  • 2.5User-Centered Design and Usability in Physiotherapy Apps
  • 2.6Effectiveness of Mobile Apps in Improving Motor and Cognitive Outcomes Post-Stroke
  • 2.7Challenges and Barriers to Mobile App Adoption in Rehabilitation
  • 2.8Technological Components of Effective Physiotherapy Apps
  • 2.9Gaps in the Literature: Personalization Limitations, Long-term Engagement, and Clinical Validation
  • 2.10Summary of Existing Evidence and Theoretical Gaps
  • 2.11Conceptual Model: Framework for Developing and Evaluating a Personalized Physiotherapy App
  • 2.12Synthesis and Conceptual Diagram: Pathways of Intervention Impact and User Engagement

Chapter THREE

RESEARCH METHODOLOGY

  • 3.1Research Design: Mixed-Methods Approach Combining Development and Evaluation
  • 3.2Philosophical Paradigm: Pragmatism for Practical Application and Evidence-based Evaluation
  • 3.3Population of the Study: Post-Stroke Patients and Physiotherapists in Urban Rehabilitation Centers
  • 3.4Sample Size and Sampling Technique: Stratified Random Sampling and Power Calculation
  • 3.5Data Sources and Instruments: App Usage Logs, Standardized Rehabilitation Scales, User Satisfaction Questionnaires
  • 3.6Validity and Reliability of Instruments: Content Validity Testing and Cronbach’s Alpha Analysis
  • 3.7Data Analysis Methods: Quantitative Statistical Tests and Qualitative Thematic Analysis
  • 3.8Model Specification: Framework for App Evaluation - Effectiveness, Usability, Engagement
  • 3.9Ethical Considerations: Informed Consent, Privacy, and Data Security Protocols
  • 3.10Implementation Timeline and Data Management Strategies

Chapter FOUR

DATA PRESENTATION AND ANALYSIS

  • ANALYSIS AND DISCUSSION OF FINDINGS
  • 4.1Descriptive Statistics of Participant Demographics and App Usage
  • 4.2Analysis of App Engagement Metrics and Usage Patterns
  • 4.3Evaluation of Rehabilitation Outcomes: Pre- and Post-Intervention Comparison
  • 4.4Testing of Hypotheses: Impact of Personalization on Functional Recovery and Satisfaction
  • 4.5Thematic Analysis of User Feedback and Experience
  • 4.6Interpretation of Quantitative and Qualitative Results
  • 4.7Correlation of App Features with User Engagement and Outcomes
  • 4.8Discussion of Findings in the Context of Existing Literature and Theoretical Frameworks

Chapter FIVE

SUMMARY, CONCLUSION AND RECOMMENDATIONS

  • CONCLUSION AND RECOMMENDATIONS
  • 5.1Summary of Key Findings Related to App Development and Evaluation
  • 5.2Conclusion: Effectiveness and User Acceptance of the Personalized Physiotherapy App
  • 5.3Contribution to Knowledge: Advances in Tele-Rehabilitation and Digital Personalization
  • 5.4Recommendations for Practice: Integration of Mobile Apps into Standard Post-Stroke Care
  • 5.5Recommendations for Future Research: Long-term Impact, Scalability, and Customization Features
  • 5.6Final Remarks and Reflection on Study Limitations and Strengths

Thesis Abstract

Stroke remains a leading cause of long-term disability worldwide, with post-stroke rehabilitation crucial for restoring physical function and enhancing quality of life. However, current physiotherapy practices often face challenges related to accessibility, personalization, and patient engagement, which limit the overall effectiveness of rehabilitation outcomes. This study aims to develop and evaluate a personalized physiotherapy mobile application designed specifically to support post-stroke rehabilitation, with objectives to assess the app’s usability, effectiveness in improving motor recovery, and its influence on patient adherence to prescribed therapy regimens. Employing a mixed-methods research design, the study integrates qualitative and quantitative approaches to provide a comprehensive evaluation. The population comprises 150 adult post-stroke patients within six months of stroke onset receiving physiotherapy at outpatient clinics in a metropolitan healthcare system. A stratified random sampling technique was used to select participants, allocating 75 to an intervention group utilizing the mobile app alongside standard physiotherapy and 75 to a control group receiving conventional therapy only. Data collection instruments include a customized usability questionnaire, the Fugl-Meyer Assessment for motor function, the Therapy Adherence Scale, and semi-structured interviews to explore patient experiences. The usability and reliability of the instruments were established through pilot testing with Cronbach’s alpha coefficients exceeding 0.85. Data analysis involves descriptive statistics, independent samples t-tests, and repeated measures ANOVA to compare motor function improvements over time, along with thematic analysis for qualitative interview data. The development phase of the app incorporated user-centered design principles, drawing on Roger’s Diffusion of Innovations Theory and the Technology Acceptance Model to inform its features and acceptability. It integrates customizable exercise modules, progress tracking, motivational prompts, and remote feedback mechanisms, enabling personalized rehabilitation pathways. Anticipated findings include statistically significant improvements in motor function (p<0.01) among app users compared to controls, enhanced therapy adherence, and positive patient perceptions of usability and engagement. The qualitative data is expected to reveal themes relating to increased motivation, ease of use, and perceived effectiveness of tailored exercises, supporting the quantitative outcomes. This study contributes novel insights into the integration of mobile health technologies within physiotherapy frameworks, demonstrating how tailored digital interventions can complement conventional rehabilitation, improve outcomes, and foster sustained patient engagement. It extends existing theoretical models of technology acceptance by contextualizing their application within a post-stroke rehabilitation setting, offering a framework for future digital health innovations in physiotherapy. Concluding, the research underscores the potential of personalized mobile applications to transform post-stroke rehabilitation practices, emphasizing the importance of user-centered design and evidence-based evaluation. The study recommends adopting such technological solutions within clinical protocols, enhancing accessibility, and tailoring interventions to individual patient needs. Further research should explore long-term functional outcomes, cost-effectiveness analyses, and integration strategies for scalable deployment across diverse healthcare settings. This work lays a foundation for ongoing digital transformation in physiotherapy, aiming to improve recovery trajectories and quality of life for stroke survivors globally.

Thesis Overview

This research focuses on creating and testing a mobile application designed specifically to support physiotherapy exercises for people recovering after a stroke. Stroke patients often face challenges with mobility and coordination, and consistent physiotherapy is essential for regaining function. However, many patients struggle to follow prescribed exercises at home due to lack of motivation, unclear instructions, or access barriers. This study aims to address these issues by developing a personalized app that adjusts exercises based on individual needs, tracks progress, and provides motivational feedback. The research will begin with a review of existing mobile health tools used in stroke rehabilitation, identifying their strengths and weaknesses. It will then involve designing the app based on user-centered principles and relevant behavior change theories, such as the Social Cognitive Theory and the Technology Acceptance Model, to ensure it is engaging and easy to use. The next step involves testing the app with a sample of approximately 50 post-stroke patients recruited from a rehabilitation center. Data collection will include user feedback through questionnaires, app usage logs, and clinical assessments of motor abilities before and after a set intervention period, typically six weeks. Data will be analyzed using quantitative methods such as descriptive statistics, paired t-tests, and regression analysis to evaluate improvements in physical function and user satisfaction with the app. The study may also incorporate qualitative analysis of user feedback to understand barriers and facilitators to app usage. This research will contribute to knowledge by providing evidence on whether personalized mobile applications can effectively support home-based stroke rehabilitation. It is expected that the app will improve patients' adherence to prescribed exercises, enhance functional recovery, and increase motivation. The ultimate goal is to inform future development of digital health tools for stroke rehabilitation, making therapy more accessible, personalized, and engaging. The study will conclude with recommendations for clinical practice and further research in mobile health interventions.

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