Disability and Rehabilitation: Assistive Technology

The usability of a video feedback-based walking aid skills training program: a multi-method study.

Abstract

Purpose: To explore the usability of a novel interactive video-based educational mobile application for teaching walking aid skills to users with various indications for and experiences with using walking aids.

Materials and Methods: This study employed a multi-method design. Participants used the app on two occasions, two weeks apart. Usability was explored through semi-structured interviews and the System Usability Scale (SUS) at the end of the intervention. Interviews were analysed thematically using the Braun and Clarke approach. A combination of inductive and deductive coding was used, leveraging constructs from the Technology Acceptance Model (taM) and adding new themes as they emerged.

Results: Twelve walking aid users [mean (SD) age 54.2 (15.8) years; 6 males] participated. The mean (SD) SUS score was 88.3 (10.5). Four themes emerged: experiences of walking aid training, perceived ease of use, perceived usefulness, and motivations for app use.

Conclusion: The SUS score obtained in this study was indicative of high usability (96th-100th percentile). Walking aid users found the interactive app to be easy-to-use and a useful platform for learning and maintaining walking aid skills. Participants also highlighted areas for improving the app, such as adding an audio component.

IMPLICATIONS FOR REHABILITATION

  • Many walking aid users do not receive adequate guidance on device fitting or assisted gait patterns, which may contribute to injury or falls.

  • An interactive, video feedback-based mobile application may provide accessible education on safe walking aid use to bridge this knowledge gap.

  • Walking aid users found this mobile application to be highly usable.

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