{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:05:55Z","timestamp":1782846355700,"version":"3.54.5"},"reference-count":44,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Due to the high burden on health care, home-based rehabilitation (HBR) has gained increasing interest. A new HBR program for stroke survivors, containing a gaming app with upper-limb exercises, monitoring system, and virtual coach was being developed.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to assess the user requirements of an HBR tool including a gaming app, monitoring system, and virtual coach, and to examine potential differences between end users and countries.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Thirteen stroke survivors, 12 caregivers, and 15 health care professionals from centers in the Netherlands, Italy, and Spain, participated in focus groups or interviews. Each center used the same interview guide with open questions about each component. An inductive thematic analysis was conducted separately at each center, and results were combined during a physical meeting.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n User requirements were categorized into three main themes: (1) customization: aligning with individual preferences and capabilities; (2) motivational elements: these included reminders, a variety of levels and games, and ease of use; and (3) feedback elements: maintaining interactions with therapists. These themes apply to both home-based exercises as well as daily-life activities during HBR. There were minor differences between end users or centers.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n All end users across the participating countries emphasized the importance of integrating gamified exercises, monitoring, and virtual coaching into an HBR system. The user requirements for such a system can be categorized into three key areas: customization, motivational elements, and feedback elements.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/79382","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:41:22Z","timestamp":1777491682000},"page":"e79382-e79382","source":"Crossref","is-referenced-by-count":0,"title":["User Requirements of the Integrated Home-Based Rehabilitation Tool, Neurorehabilitation Ecosystem for Sustained Therapy: Multicenter Focus Group Study With Stroke Survivors, Caregivers, and Health Care Professionals"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9284-7637","authenticated-orcid":false,"given":"Merle","family":"Matijsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3961-8396","authenticated-orcid":false,"given":"Cheriel","family":"Hofstad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6170-5253","authenticated-orcid":false,"given":"Susana","family":"Rodriguez Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6814-7373","authenticated-orcid":false,"given":"Xavier","family":"Bux\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7536-7606","authenticated-orcid":false,"given":"Vera","family":"Stara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2907-4698","authenticated-orcid":false,"given":"Sara","family":"Leonzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9235-9923","authenticated-orcid":false,"given":"Margherita","family":"Rampioni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5673-1174","authenticated-orcid":false,"given":"Anna","family":"Mura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7835-7112","authenticated-orcid":false,"given":"No\u00ebl","family":"Keijsers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"issue":"4","key":"R1","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.pmr.2015.06.008","article-title":"Upper limb motor impairment after stroke","volume":"26","author":"Raghavan","journal-title":"Phys Med Rehabil Clin N Am"},{"issue":"1-2","key":"R2","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1159\/000492820","article-title":"Impact of the ageing population on the burden of stroke: The Dijon Stroke Registry","volume":"52","author":"B\u00e9jot","journal-title":"Neuroepidemiology"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1177\/17474930211065917","article-title":"World Stroke Organization (WSO): Global Stroke Fact Sheet 2022","volume":"17","author":"Feigin","journal-title":"Int J Stroke"},{"issue":"8","key":"R4","doi-asserted-by":"publisher","first-page":"2418","DOI":"10.1161\/STROKEAHA.120.029606","article-title":"Burden of stroke in Europe: Thirty-year projections of incidence, prevalence, deaths, and disability-adjusted life years","volume":"51","author":"Wafa","journal-title":"Stroke"},{"issue":"1","key":"R5","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1177\/2396987319883160","article-title":"Economic burden of stroke across Europe: A population-based cost analysis","volume":"5","author":"Luengo-Fernandez","journal-title":"Eur Stroke J"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.904855","article-title":"Knowledge structure and emerging trends of telerehabilitation in recent 20 years: A bibliometric analysis via CiteSpace","volume":"10","author":"Zheng","journal-title":"Front Public Health"},{"issue":"1","key":"R7","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0827-5","article-title":"Why the uptake of eRehabilitation programs in stroke care is so difficult-a focus group study in the Netherlands","volume":"13","author":"Brouns","journal-title":"Implement Sci"},{"issue":"6","key":"R8","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1097\/WCO.0000000000000256","article-title":"Dose and timing in neurorehabilitation: prescribing motor therapy after stroke","volume":"28","author":"Lang","journal-title":"Curr Opin Neurol"},{"issue":"7","key":"R9","doi-asserted-by":"publisher","first-page":"2053","DOI":"10.1161\/STROKEAHA.114.004695","article-title":"Is more better? 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