{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:21:02Z","timestamp":1777864862155,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Improving Health and Function Through Use of Performance Standards in Wheelchair Selection","award":["90REGE0001-02-00"],"award-info":[{"award-number":["90REGE0001-02-00"]}]},{"name":"U.S. Agency for International Development through Agreement","award":["APC-GM-00068, SPANS-037, APC-GM 0107, and FY19-A01-6024"],"award-info":[{"award-number":["APC-GM-00068, SPANS-037, APC-GM 0107, and FY19-A01-6024"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Rehabilitation and Assistive Technologies Engineering"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Manual wheelchair users (MWU) frequently experience upper limb (UL) injury and pain. Clinical practice guidelines (CPG) provide guidance on how to reduce risk of UL injury and pain but the recommendations provide only general advice such as to minimizing repetitive strain by reducing rolling resistance (RR). RR is due to energy loss between wheels and ground during wheelchair propulsion and is a major contributor of repetitive strain for MWUs. Motivated by the recommendation to reduce RR, we developed a clinical decision support system (CDSS) to provide client-specific RR predictions across several wheelchair setups to allow clinicians and users to make informed decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An iterative user-centered design process (mixed methods) recruited ATP certified occupational or physical therapists to suggest modifications, assess usability and usefulness, identify client use cases, and provide rear wheel and caster selection criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six clinicians participated and suggested over 100 modifications. Usability (SUS = 83.8; modified QUIS = 7.5) and perceived usefulness (TAQ = 4.7) were acceptable. Client use cases and rear wheel and caster selection criteria were identified. All clinicians thought it would be a useful tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RightWheel online CDSS provides user-customized RR estimates for equipment options in an easy-to-understand format, and was deemed ready for pilot launch.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20556683251336184","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T02:49:36Z","timestamp":1750819776000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Development of the RightWheel manual wheelchair wheel rolling resistance clinical decision support system through iterative clinician interviews"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1940-4916","authenticated-orcid":false,"given":"Holly","family":"Wilson-Jene","sequence":"first","affiliation":[{"name":"University of Pittsburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3320-0653","authenticated-orcid":false,"given":"Rachel E","family":"Cowan","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Roy","sequence":"additional","affiliation":[{"name":"University of Pittsburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0830-9136","authenticated-orcid":false,"given":"Jonathan","family":"Pearlman","sequence":"additional","affiliation":[{"name":"University of Pittsburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"issue":"1","key":"e_1_3_6_2_2","first-page":"44","article-title":"Upper extremity pain in the post-rehabilitation spinal cord injured patient","volume":"73","author":"Sie IH","year":"1992","unstructured":"Sie IH, Waters RL, Adkins RH, et al. Upper extremity pain in the post-rehabilitation spinal cord injured patient. 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Development of a workflow integration survey (WIS) for implementing computerized clinical decision support. AMIA Annu Symp Proc 2011; 2011: 427\u2013434.","journal-title":"AMIA Annu Symp Proc"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1062860613517926"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2018-008022"},{"key":"e_1_3_6_18_2","volume-title":"Challenges and barriers to clinical decision support (CDS) design and implementation experienced in the agency for healthcare research and quality CDS demonstrations","author":"Agency for Healthcare Research and Quality","year":"2010","unstructured":"Agency for Healthcare Research and Quality. Challenges and barriers to clinical decision support (CDS) design and implementation experienced in the agency for healthcare research and quality CDS demonstrations, 2010."},{"key":"e_1_3_6_19_2","volume-title":"User-centered design","author":"Loudenmilk T","year":"2013","unstructured":"Loudenmilk T. User-centered design. O\u2019Reiley Media, 2013. https:\/\/learning.oreilly.com\/"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1075\/hts.1.thi1"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.11.011"},{"key":"e_1_3_6_22_2","unstructured":"U.S. Dept. of Health and Human Services. Research-based web design & usability guidelines: System Usability Scale (SUS). https:\/\/www.usability.gov\/how-to-and-tools\/methods\/system-usability-scale.html (2006 accessed 23 May 2022)."},{"key":"e_1_3_6_23_2","doi-asserted-by":"crossref","unstructured":"Chin JP Diehl VA Norman KL. Development of an instrument measuring user satisfaction of the human-computer interface. In: Association for Computing Machinery (ACM) conference proceeding. Washington DC 1988 pp. 213\u2013218.","DOI":"10.1145\/57167.57203"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2009.07.002"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077558707305942"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.2196\/17256"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2021.1890843"},{"key":"e_1_3_6_28_2","unstructured":"University of Pittsburgh. Rolling resistance fact sheet. https:\/\/www.wheelchairstandards.pitt.edu\/fact-sheets (2020 accessed 13 June 2024)."},{"key":"e_1_3_6_29_2","volume-title":"Handbook of human factors in medical device design (chapter 2, page 35)","year":"2010","unstructured":"Handbook of human factors in medical device design (chapter 2, page 35). 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