Understanding Persuasion and Motivation in Interactive Stroke Rehabilitation

A Physiotherapists’ Perspective on Patient Motivation
  • Michelle PickrellEmail author
  • Bert Bongers
  • Elise van den Hoven
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9072)


For the research reported in this paper ethnographic research methodologies were used to explore patient motivation, feedback and the use of interactive technologies in the ward. We have conducted in-depth interviews with physiotherapists, who work closely with stroke patients to help them regain movement and function. From this research, a set of design guidelines have been developed which can be applied in the design of interactive rehabilitation equipment.


Rehabilitation Stroke Healthcare Feedback Design research 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Gollwitzer, P.M., Oettingen, G.: Motivation, History of the concept. In: Wright, J. (ed.) International Encyclopaedia of Social and Behavioural Sciences, vol. 15, pp. 10109–10112. Elseview, Oxford (2001)CrossRefGoogle Scholar
  2. 2.
    Maclean, N., Pound, P., Wolfe, C., Rudd, A.: The concept of patient motivation: a qualitative analysis of stroke professionals’ attitudes. Stroke 33, 444–448 (2002)CrossRefGoogle Scholar
  3. 3.
    Furnham, A.: The Psychology of Behaviour at Work, pp. 248–251. Psychology Press, East Sussex (1997)Google Scholar
  4. 4.
    Sugavanam, T., Mead, G., Bulley, C., Donaghy, M., van Wijck, F.: The effects and experiences of goal setting in stroke rehabilitation – a systematic review. Disability and Rehabilitation (3), 177–190 (2013)Google Scholar
  5. 5.
    Rosewilliam, S., Roskell, C., Pandyan, A.D.: A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centered goal setting in stroke rehabilitation. Clinical Rehabilitation 25, 501–514 (2011)CrossRefGoogle Scholar
  6. 6.
    Hartigan, I.: Goal setting in stroke rehabilitation: part 1. British Journal of Neuroscience and Nursing 8, 123–128 (2012)CrossRefMathSciNetGoogle Scholar
  7. 7.
    Siegert, R.J., Taylor, W.J.: Theoretical aspects of goal-setting and motivation in rehabilitation. Disability and Rehabilitation 26, 1–8 (2004)CrossRefGoogle Scholar
  8. 8.
    Fogg, B.: Creating Persuasive Technologies: An Eight-Step Design Process. In: Proceedings of the 4th International Conference on Persuasive Technology, pp. 1–6. ACM, California (2009)Google Scholar
  9. 9.
    IJsselsteijn, W.: deKort, Y., Midden, C., Eggen, B., van den Hoven, E.: Persuasive Technology for Human Well-Being: Setting the Scene. In: First International Conference on Persuasive Technology for Human Well-Being, pp. 1–5. Springer Link, Heidelberg (2006)Google Scholar
  10. 10.
    Caplan, L.: Stroke. Demost Medical Publishing, New York (2006)Google Scholar
  11. 11.
    Fasoli, S., Krebs, H., Hogan, N.: Robotic technology and stroke rehabilitation: Translating Research into Practice. Topics in Stroke Rehabilitation 11, 11–19 (2004)CrossRefGoogle Scholar
  12. 12.
    Maclean, N., Pound, P., Wolfe, C., Rudd, A.: Qualitative analysis of stroke patients’ in rehabilitation. British Medical Journal 321, 1051–1054 (2000)CrossRefGoogle Scholar
  13. 13.
    Bongers, A.J., Smith, S.: Interactivating Rehabilitation through Active Multimodal Feedback and Guidance. In: Rocker, C., Ziefle, M. (eds.) Smart Healthcare Applications and Services: Developments and Practices, pp. 236–260. IGI-Global, Pennsylvania (2010)Google Scholar
  14. 14.
    Balaam, M., Rennick-Egglestone, S., Hughes, A., Nind, T., Wilkinson, A., Harris, E., Axelrod, L., Fitzpatrick, G.: Rehabilitation Centered Design. In: CHI 2010 Extended Abstracts on Human Factors in Computing Systems, pp. 4583–4586. ACM, New York (2010)Google Scholar
  15. 15.
    Blake, P., Chen, Y., Duff, M., Lehrer, N.: A novel adaptive mixed reality system for stroke rehabilitation: principles, proof of concept, and preliminary application in 2 patients. Topics in Stroke Rehabilitation 18, 212–231 (2011)CrossRefGoogle Scholar
  16. 16.
    Harvey, N., Ada, L.: Suitability of Nintendo Wii Balance Board for rehabilitation of standing after stroke. Physical Therapy Reviews 17, 311–321 (2012)CrossRefGoogle Scholar
  17. 17.
    Lange, B., Flynn, S., Rizzo, A.: Initial usability assessment of off-the shelf video game consoles for clinical game-based motor rehabilitation. Physical Therapy Reviews 14, 355–363 (2009)CrossRefGoogle Scholar
  18. 18.
    Alankus, G., Lazar, A., May, M., Kelleher, C.: Towards Customizable Games for Stroke Rehabilitation. In: CHI 2010 Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 2113–2122. ACM, New York (2010)Google Scholar
  19. 19.
    Bongers, A.J., Smith, S.T., Donker, V., Pickrell, M., Hall, R.: Interactive infrastructures – physical rehabilitation modules for pervasive healthcare technology. In: Holzinger, A., Ziefle, M., Röcker, C. (eds.) Pervasive Health – State of the art and Beyond, pp. 229–254. Springer, London (2014)CrossRefGoogle Scholar
  20. 20.
    Braun, V., Clarke, V.: Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101 (2006)CrossRefGoogle Scholar
  21. 21.
    Pérez-Quiñones, M., Sibert, J.: A collaborative model of feedback in human-computer interaction. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 1996), pp. 316–323. ACM, New York (1996)Google Scholar
  22. 22.
    Orji, R., Vassileva, J., Mandryk, R.: LunchTime: a slow-casual game for long-term dietary behaviour change. Personal and Ubiquitous Computing 17, 1211–1221 (2013)CrossRefGoogle Scholar
  23. 23.
    Consolvo, S., Klasnja, P., McDonald, D.W., Landay, J.A.: Goal-setting considerations for persuasive technologies that encourage physical activity. In: Proceedings of the 4th International Conference on Persuasive Technology (Persuasive 2009), pp. 1–8. ACM, New York (2009)Google Scholar
  24. 24.
    Holmqvist, L.W., Koch, L.: Environmental factors in stroke rehabilitation: Being in hospital itself demotivates patients. British Medical Journal 322, 1501 (2001)CrossRefGoogle Scholar
  25. 25.
    Van Vliet, P., Wulf, G.: Extrinsic feedback for motor learning after Stroke: What is the evidence? Disability and Rehabilitation 28, 831–840 (2006)CrossRefGoogle Scholar
  26. 26.
    Hilland, T., Murphy, R., Stratton, G.: The Feasibility and Appropriateness of Utilising the Nintendo Wii during Stroke Rehabilitation to Promote Physical Activity. A report by the Liverpool John Moores University (2011)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Michelle Pickrell
    • 1
    Email author
  • Bert Bongers
    • 1
  • Elise van den Hoven
    • 1
    • 2
  1. 1.Faculty of Design, Architecture and BuildingUniversity of TechnologySydneyAustralia
  2. 2.Industrial DesignEindhoven University of TechnologyEindhovenThe Netherlands

Personalised recommendations