000013559 001__ 13559 000013559 005__ 20240126163817.0 000013559 022__ $$a0963-8288 000013559 0247_ $$2DOI$$a10.1080/09638288.2023.2277397 000013559 037__ $$aARTICLE 000013559 039_9 $$a2024-01-26 16:38:17$$b0$$c2024-01-26 12:36:27$$d1000072$$c2024-01-17 11:28:37$$d0$$y2024-01-17 11:28:28$$z1000070 000013559 041__ $$aeng 000013559 245__ $$aDevelopment of a virtual reality-based intervention for community walking post stroke :$$ban integrated knowledge translation approach 000013559 269__ $$a2023-11 000013559 300__ $$a12 p. 000013559 506__ $$avisible 000013559 520__ $$9eng$$aPurpose. To develop a virtual reality (VR) based intervention targeting community walking requirements. Methods. Two focus groups each involving 7 clinicians allowed exploring optimal features, needed support and perceived favorable/unfavorable factors associated with the use of the VR-based intervention from the clinicians’ perspective. Three stroke survivors and 2 clinicians further interacted with the intervention and filled questionnaires related to acceptability and favorable/unfavorable perceptions on the VR intervention. Stroke participants additionally rated their perceived effort (NASA Tax Load Index), presence (Slater-Usoh-Steed) and cybersickness (Simulator Sickness Questionnaire). Results. Results identified optimal features (patient eligibility criteria, task complexity), needed support (training, human assistance), as well as favorable (cognitive stimulation, engagement, representativeness of therapeutic goals) and unfavorable factors (misalignment with a natural walking pattern, client suitability, generalization to real-life) associated with the intervention. Acceptability scores following the interaction with the tool were 28 and 42 (max 56) for clinicians and ranged from 43 to 52 for stroke participants. Stroke participants reported moderate perceptions of effort (range:20-33/max:60), high levels of presence (29-42/42) and minimal cybersickness (0-3/64). Conclusion. Findings collected in the early development phase of the VR intervention will allow addressing favorable/unfavorable factors and incorporating desired optimal features, prior to conducting effectiveness and implementation studies. IMPLICATIONS FOR REHABILITATION. This study presents the development process of a new virtual reality (VR) intervention for community walking and participation in stroke survivors. Results from the focus group and hands-on pilot trial suggest that the VR intervention is feasible and accepted by clinicians and stroke survivors. Addressing favorable/unfavorable factors and incorporating features desired by clinicians in the development of the VR tool should promote its eventual implementation in clinical setting. 000013559 540__ $$acorrect 000013559 592__ $$aHETSL 000013559 592__ $$bLaReSS - Laboratoire de Recherche Santé - Social, HETSL 000013559 592__ $$cSanté 000013559 592__ $$dErgothérapie 000013559 65017 $$aSanté 000013559 6531_ $$9eng$$acerebrovascular accident 000013559 6531_ $$9eng$$amobility 000013559 6531_ $$9eng$$aomnidirectional treadmill 000013559 6531_ $$9eng$$arehabilitation 000013559 6531_ $$9eng$$avirtual reality 000013559 655__ $$ascientifique 000013559 700__ $$aVilleneuve, Myriam$$uSchool of Physical and Occupational Therapy, McGill University, Montreal ; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval 000013559 700__ $$aOgourtsova, Tatiana$$uSchool of Physical and Occupational Therapy, McGill University, Montreal ; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval 000013559 700__ $$aDeblock-Bellamy, Anne$$uÉcole des sciences de la réadaptation, Université Laval, Quebec City ; Haute école de travail social et de la santé Lausanne (HETSL), HES-SO 000013559 700__ $$aBlanchette, Andréanne$$uÉcole des sciences de la réadaptation, Université Laval, Quebec City ; Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Quebec City 000013559 700__ $$aBühler, Marco A.$$uSchool of Physical and Occupational Therapy, McGill University, Montreal ; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval 000013559 700__ $$aFung, Joyce$$uSchool of Physical and Occupational Therapy, McGill University, Montreal ; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval 000013559 700__ $$aMcFadyen, Bradford J.$$uÉcole des sciences de la réadaptation, Université Laval, Quebec City ; Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Quebec City 000013559 700__ $$aMenon, Anita$$uSchool of Physical and Occupational Therapy, McGill University, Montreal 000013559 700__ $$aPerez, Claire$$uSchool of Physical and Occupational Therapy, McGill University, Montreal ; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval 000013559 700__ $$aSangani, Samir$$uFeil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval 000013559 700__ $$aLamontagne, Anouk$$uSchool of Physical and Occupational Therapy, McGill University, Montreal ; Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of CISSS-Laval and research site of the Montreal Centre for Interdisciplinary Research in Rehabilitation (CRIR), Laval, 000013559 773__ $$tDisability and Rehabilitation$$q1-11 000013559 8564_ $$yPublished version$$9ce11e912-ca57-4455-9077-6351ddadbe8d$$s2598897$$uhttps://arodes.hes-so.ch/record/13559/files/Villeneuve_Ogourtsova_Deblock-Bellamy_etal_2023_development_virtual_reality.pdf 000013559 906__ $$aGOLD 000013559 909CO $$ooai:hesso.tind.io:13559$$pGLOBAL_SET 000013559 950__ $$aSan2 000013559 980__ $$ascientifique 000013559 981__ $$ascientifique