RESUMEN
OBJECTIVE: This study evaluated the usefulness of a booklet as support material for counseling focused on self-efficacy and therapist interaction in the course of counseling in a hybrid CR program (i.e., supervised and unsupervised sessions) developed for low-resource settings. METHODS: Counseling material was developed by a multidisciplinary team, with patient input. Using multi-methods, first input from patients from six centers in Chile was sought through a telephone survey (cross-sectional). Second, input from physiotherapists delivering the intervention at all centres was solicited qualitatively through a focus group on Zoom. Content analysis was performed using a deductive-thematic approach. RESULTS: Seventy-one patients were included. All (100 %) participants responded that the materials were easy to understand, contained suggestions applicable to daily life, captured their attention and was useful for future questions. The booklet overall was rated 6.7 ± 0.6/7 %, and 98.2 % were satisfied with the counselling. Overall themes from the six deliverers related to the CR intervention (e.g., well manualized protocols for counselling), the deliverer (e.g., expertise to deliver) and patients (e.g., found information useful). CONCLUSION: The usefulness of the counseling together with the supporting booklet was established by patients and delivering professionals. PRACTICE IMPLICATIONS: Thus, with some final refinement, this resource can be disseminated for use by other Spanish CR programs.
Asunto(s)
Rehabilitación Cardiaca , Humanos , Rehabilitación Cardiaca/métodos , Estudios Transversales , Consejo/métodos , Autoeficacia , Grupos FocalesRESUMEN
PURPOSE: The solution described in this paper allows wheelchair users with reduced mobility or physical disabilities to move independently throughout an aircraft and to board and disembark autonomously. MATERIALS AND METHODS: A motorized aircraft seat was developed to substitute current aircraft aisle wheelchairs. The real-scale functional prototype was evaluated in a focus group. The results show that the proposed solution is considered superior to current solutions in nine of twenty requirements and neutral in one of them. There was low agreement among the focus group participants in ten requirements, even though the focus group discussion brought interesting reflections, including positive feedback, critics, and suggestions for further research and development in the field. RESULTS: The design concept consists of a motorized wheelchair that becomes the seat of the aircraft when anchored on a docking platform attached to the aircraft fuselage via a seat track. The manoeuvring is allowed by a rotating mechanism, which solves a critical function that is to enable wheelchair manoeuvring in the narrow aisles of aircraft. A parking assistant system aids the control of the motorized wheelchair. CONCLUSIONS: The main benefits of this solution are to reduce seat transfers during the flight experience and to provide more autonomy and comfort for passengers during flights.IMPLICATIONS FOR REHABILITATIONA motorized aircraft seat was developed to replace traditional aircraft aisle wheelchairs.A real-scale functional prototype was built, tested in an aircraft mockup, and evaluated in a focus group.The main benefits of the proposed solution are to reduce the number of chair transfers during the flight experience and to provide more autonomy for passengers.Additional benefits are to allow the passengers to experience less physical and emotional stresses, to enter the aircraft corridor looking ahead, and to sit in any aisle position in the aircraft.
Asunto(s)
Personas con Discapacidad , Silla de Ruedas , Aeronaves , Diseño de Equipo , Grupos Focales , HumanosRESUMEN
BACKGROUND: Ergonomics can help instructional designers to develop projects compatible with students' needs, capabilities, and limitations. OBJECTIVE: We intend to verify the application of ergonomics in instructional design methods, methodologies, techniques, and recommendations. METHODS: We searched journal articles in the following databases: Compendex, ScienceDirect, Scopus, and Web of Science. Based on two inclusion criteria: (1) whether the article presents methods, methodologies, techniques, or recommendations for the instructional design; (2) whether the article addresses issues of ergonomics, we found 17 studies published from 1988 to 2013 in 16 journals. RESULTS: The main ergonomic concept addressed in the reviewed studies was usability, followed by accessibility, and user-centred design. Most articles suggest guidelines for embedding ergonomics in instructional design. CONCLUSIONS: We found that future research could explore topics, such as user experience, design thinking, service design, and organisational ergonomics to improve instructional design practice. The number of studies found in this review demonstrates that scientific research should explore the application of ergonomics in instructional design methods.