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      Clinicians’ perspectives on inertial measurement units in clinical practice

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          Abstract

          Inertial measurement units (IMUs) have been increasingly popular in rehabilitation research. However, despite their accessibility and potential advantages, their uptake and acceptance by health professionals remain a big challenge. The development of an IMU-based clinical tool must bring together engineers, researchers and clinicians. This study is part of a developmental process with the investigation of clinicians’ perspectives about IMUs. Clinicians from four rehabilitation centers were invited to a 30-minute presentation on IMUs. Then, two one-hour focus groups were conducted with volunteer clinicians in each rehabilitation center on: 1) IMUs and their clinical usefulness, and 2) IMUs data analysis and visualization interface. Fifteen clinicians took part in the first focus groups. They expressed their thoughts on: 1) categories of variables that would be useful to measure with IMUs in clinical practice, and 2) desired characteristics of the IMUs. Twenty-three clinicians participated to the second focus groups, discussing: 1) functionalities, 2) display options, 3) clinical data reported and associated information, and 4) data collection duration. Potential influence of IMUs on clinical practice and added value were discussed in both focus groups. Clinicians expressed positive opinions about the use of IMUs, but their expectations were high before considering using IMUs in their practice.

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          Most cited references38

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          Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology

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            Achieving integration in mixed methods designs-principles and practices.

            Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Integration at the study design level occurs through three basic mixed method designs-exploratory sequential, explanatory sequential, and convergent-and through four advanced frameworks-multistage, intervention, case study, and participatory. Integration at the methods level occurs through four approaches. In connecting, one database links to the other through sampling. With building, one database informs the data collection approach of the other. When merging, the two databases are brought together for analysis. With embedding, data collection and analysis link at multiple points. Integration at the interpretation and reporting level occurs through narrative, data transformation, and joint display. The fit of integration describes the extent the qualitative and quantitative findings cohere. Understanding these principles and practices of integration can help health services researchers leverage the strengths of mixed methods. © Health Research and Educational Trust.
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              The value and challenges of participatory research: strengthening its practice.

              The increasing use of participatory research (PR) approaches to address pressing public health issues reflects PR's potential for bridging gaps between research and practice, addressing social and environmental justice and enabling people to gain control over determinants of their health. Our critical review of the PR literature culminates in the development of an integrative practice framework that features five essential domains and provides a structured process for developing and maintaining PR partnerships, designing and implementing PR efforts, and evaluating the intermediate and long-term outcomes of descriptive, etiological, and intervention PR studies. We review the empirical and nonempirical literature in the context of this practice framework to distill the key challenges and added value of PR. Advances to the practice of PR over the next decade will require establishing the effectiveness of PR in achieving health outcomes and linking PR practices, processes, and core elements to health outcomes.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: MethodologyRole: Project administrationRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: InvestigationRole: Writing – review & editing
                Role: Formal analysisRole: InvestigationRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – review & editing
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                13 November 2020
                2020
                : 15
                : 11
                : e0241922
                Affiliations
                [1 ] Department of Rehabilitation, Université Laval, Quebec City, QC, Canada
                [2 ] Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Quebec City, QC, Canada
                [3 ] Handicap Activity Cognition Health Team-U1219 BPH, University of Bordeaux, Bordeaux, France
                [4 ] Institut Universitaire des Sciences de la Réadaptation, University of Bordeaux, Bordeaux, France
                [5 ] IntRoLab–Laboratoire de Robotique Intelligente/Interactive/Intégrée/Interdisciplinaire, Institut Interdisciplinaire d’Innovation Technologique, Université de Sherbrooke, Sherbrooke, QC, Canada
                [6 ] Department of Electrical Engineering and Computer Engineering, Université de Sherbrooke, Sherbrooke, QC, Canada
                [7 ] School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
                [8 ] Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal, Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
                [9 ] School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
                [10 ] Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Jewish Rehabilitation Hospital, Centre Intégré de Santé et de Services Sociaux de Laval, Laval, QC, Canada
                Fondazione Ugo Bordoni, ITALY
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0002-5458-6233
                https://orcid.org/0000-0003-1579-9823
                https://orcid.org/0000-0003-2034-4516
                Article
                PONE-D-20-11563
                10.1371/journal.pone.0241922
                7665628
                33186363
                d99206fa-3f1d-46f7-921e-6f05414673a7
                © 2020 Routhier et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 21 April 2020
                : 23 October 2020
                Page count
                Figures: 0, Tables: 8, Pages: 15
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/501100003151, Fonds de Recherche du Québec - Nature et Technologies;
                Award ID: 265 381
                Funded by: Canada First Research Excellence Fund (CA)
                Award ID: team grant 2.8
                Funded by: funder-id http://dx.doi.org/10.13039/501100000156, Fonds de Recherche du Québec - Santé;
                Award ID: 34699
                Award Recipient :
                This research was funded in part by the strategic cluster Ingénierie de technologies interactives en réadaptation (Fonds de recherche du Québec – Nature et technologies; grant number 265 381), and by the Sentinel North program of Université Laval (Canada First Research Excellence Fund; team grant 2.8). FR is supported by a Research Scholar grant from the Fonds de recherche du Québec – Santé (grant number 34699). ND was supported by post-doc scholarships from the Fonds de recherche du Québec – Santé and the Réseau Provincial de Recherche en Adaptation-Réadaptation. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Computer and Information Sciences
                Data Management
                Data Visualization
                Biology and Life Sciences
                Biomechanics
                Musculoskeletal Mechanics
                Biology and Life Sciences
                Physiology
                Muscle Physiology
                Musculoskeletal Mechanics
                Medicine and Health Sciences
                Health Care
                Physiotherapy
                Computer and Information Sciences
                Software Engineering
                Computer Software
                Engineering and Technology
                Software Engineering
                Computer Software
                Engineering and Technology
                Measurement
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognitive Neuroscience
                Motor Reactions
                Postural Control
                Biology and Life Sciences
                Neuroscience
                Cognitive Neuroscience
                Motor Reactions
                Postural Control
                Biology and Life Sciences
                Anatomy
                Body Limbs
                Medicine and Health Sciences
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