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A wearable system that can continuously monitor upper-limb performance has been considered as an effective clinical solution for its potential to provide patient-centered, data-driven feedback to improve the motor dosage. Towards that end, we investigate a system leveraging a pair of finger-worn, ring-type accelerometers capable of monitoring both gross-arm and fine-hand movements that are clinically relevant to the performance of daily activities. In this work, we conduct a mixed-methods study to (1) quantitatively evaluate the efficacy of finger-worn accelerometers in measuring clinically relevant information regarding stroke survivors' upper-limb performance, and (2) qualitatively investigate design requirements for the self-monitoring system, based on data collected from 25 stroke survivors and seven occupational therapists. Our quantitative findings demonstrate strong face and convergent validity of the finger-worn accelerometers, and its responsiveness to changes in motor behavior. Our qualitative findings provide a detailed account of the current rehabilitation process while highlighting several challenges that therapists and stroke survivors face. This study offers promising directions for the design of a self-monitoring system that can encourage the affected limb use during stroke survivors' daily living.<\/jats:p>","DOI":"10.1145\/3369817","type":"journal-article","created":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T13:16:03Z","timestamp":1576156563000},"page":"1-26","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":27,"title":["Towards the Design of a Ring Sensor-based mHealth System to Achieve Optimal Motor Function in Stroke Survivors"],"prefix":"10.1145","volume":"3","author":[{"given":"Yoojung","family":"Kim","sequence":"first","affiliation":[{"name":"Seoul National University, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hee-Tae","family":"Jung","sequence":"additional","affiliation":[{"name":"University of Massachusetts Amherst, Amherst, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joonwoo","family":"Park","sequence":"additional","affiliation":[{"name":"Smilegreen Child Development Center, Daegu, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yangsoo","family":"Kim","sequence":"additional","affiliation":[{"name":"Heeyeon Rehabilitation Hospital, Changwon, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Ramasarma","sequence":"additional","affiliation":[{"name":"ArcSecond Inc. 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