Table 3 Themes and subthemes
Theme | Sub-theme | Sample codes | Sample quote |
|---|---|---|---|
Devices Must be flexible to meet diverse needs | Multiple Treatment Target | Treatment targets | “The ones that incorporated more than a singular movement got more fun to me…but the ones that did not were pretty boring” J07 |
Choice/variety | “the pegboard is extremely repetitive that you’re doing the exact same things. You’re just grasping a peg and putting it in a hole regardless of what the gameplay is” J07 | ||
Just Right Challenge | Challenge | “it’s just hard for me to use…[I’d] probably give up after not working for a while” J06 | |
Gamification | Progress monitoring | “The reporting at the end is very interesting. Because then you can kind of see how you’re improving. I’m a competitive person so that makes it a little more interesting than just doing exercise” J01 | |
Game features | “I like the fact that you can play different games with it and it challenges your memorization skills” J05 | ||
Gamification | “When you mess up, it’s like Oh, my God. Now let’s do this again. Let’s do this again. I know I can do it, I know I can do it. So it keeps you engaged as you want to do better. You don’t want the lower score on the system…..you want to be one of the high scores” J05 | ||
Intervention protocols must be individualized to address unique needs and contexts of users | Individualized goals | System match | “it was fun because I knew I was getting something out of it that was gonna benefit me” J06 |
Movement demands | “Especially with my right arm reaching across, that was difficult… Reaching across there was difficult, but umm, uh, that’s what, that’s what I have to work on. It’s really weak.” J02 | ||
Desire to use beyond therapy goals | Fits in my life | “I can also see me doing this with my granddaughter on my lap. And use doing it together” J05 pegs | |
Desire to use independently | Assistance | “That’s the aspect I was looking at it for. Being able to move my arms on my own and at my own pace, without having to ask somebody” J05 | |
Intervention protocols should be developed and updated by a skilled clinician | No subthemes identified | Fidelity | “One thing I did notice since it’s a lot of shoulders, especially in the beginning, I could hear my OT saying to me “Don’t chicken wing” and I felt myself starting to chicken wing” J01 |
Need therapist training | “Maybe having a therapist run through it one time with somebody. Just so they’re using all the features. But I think there’s a real value in doing a circle back, you know after a couple weeks, after they’re using it. And I think that would hold true with any of the equipment’ J01 |