{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T11:53:13Z","timestamp":1792929193686,"version":"4.5.0"},"reference-count":46,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T00:00:00Z","timestamp":1679961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Telerehabilitation systems represent a promising way for the management of chronic disability, delivering technology-enabled rehabilitation outside the hospital setting. However, usability and acceptability assessment with users represents a critical starting point when using digital healthcare solutions. This study aims at evaluating the user experience with a Telerehabilitation system (SIDERA<jats:sup>\u2227<\/jats:sup>B) from the end-user side.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>SIDERA<jats:sup>\u2227<\/jats:sup>B consists of an asynchronous delivery of rehabilitation activities through multimedia digital contents and tele-monitoring of vital parameters with technological devices for individualized, home-based management of chronic conditions. Usability (with the System Usability Scale, SUS) and acceptability (using the Technology Acceptance Model, TAM - and The Service User Technology Acceptance Questionnaire, SUTAQ) data were analyzed from the dataset of the SIDERA<jats:sup>\u2227<\/jats:sup>B project (<jats:italic>N<\/jats:italic> = 112 patients with Chronic Heart Failure, Parkinson's Disease and Chronic Obstructive Pulmonary Disease). The possible influence of five external factors (i.e., technological expertise, education, sex, age, and level of disability) on TAM domains was tested using Spearman's Correlation analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results showed a satisfactory level of technological usability (SUS Median = 77.5) and good scores in usability and learnability SUS subdomains (mean scores &amp;gt; 2.5). Regarding technological acceptability, participants showed high scores (Median &amp;gt; 4) in \u201cBehavioral Intention\u201d, \u201cPerceived Usefulness\u201d, and \u201cPerceived Ease of Use\u201d TAM domains. Finally, results from the SUTAQ scale highlighted that the SIDERA<jats:sup>\u2227<\/jats:sup>B system obtained optimal scores in all domains, especially in \u201cIncreased accessibility,\u201d \u201cCare personnel concerns,\u201d and \u201cSatisfaction.\u201d Age (rho = \u22120.291, <jats:italic>p<\/jats:italic> = 0.002) and disability level (WHODAS Total score: rho = \u22120.218, <jats:italic>p<\/jats:italic> = 0.021) were the two external factors inversely associated with the Perceived Ease of Use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The age of digital transformation requires everyone to understand, accept and master the changes affecting modern-day healthcare. The usability and acceptability of the SIDERA<jats:sup>\u2227<\/jats:sup>B system were high across all end-users, despite the medium-low level of the technological expertise of the sample. These findings support the efficiency and the suitability of these digital solutions in the modern digital age transition of rehabilitation from inside to outside the clinic.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1154481","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T13:20:32Z","timestamp":1683897632000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":35,"title":["System Integrated Digital Empowering and teleRehabilitation to promote patient Activation and well-Being in chronic disabilities: A usability and acceptability study"],"prefix":"10.3389","volume":"11","author":[{"given":"Federica","family":"Rossetto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Borgnis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Isernia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Foglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Garagiola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Realdon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Baglio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,3,28]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","DOI":"10.5772\/intechopen.85869","article-title":"A systematic review of usability and accessibility in tele-rehabilitation systems","volume-title":"Assistive and Rehabilitation Engineering.","author":"Medina","year":"2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1055\/s-0040-1713398","article-title":"A systematic review of the effectiveness of telerehabilitation interventions for therapeutic purposes in the elderly","volume":"59","author":"Velayati","year":"2020","journal-title":"Methods Inf Med."},{"key":"B3","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1177\/1357633X19850381","article-title":"Integrated telerehabilitation approach in multiple sclerosis: a systematic review and meta-analysis","volume":"26","author":"di Tella","year":"2020","journal-title":"J Telemed Telecare."},{"key":"B4","doi-asserted-by":"publisher","first-page":"846","DOI":"10.3389\/fneur.2020.00846","article-title":"Effects of an innovative telerehabilitation intervention for people with Parkinson's disease on quality of life, motor, and non-motor abilities","volume":"11","author":"Isernia","year":"2020","journal-title":"Front Neurol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1206","DOI":"10.3389\/fneur.2019.01206","article-title":"Efficiency and patient-reported outcome measures from clinic to home: the human empowerment aging and disability program for digital-health rehabilitation","volume":"10","author":"Isernia","year":"2019","journal-title":"Front Neurol."},{"key":"B6","doi-asserted-by":"publisher","first-page":"64","DOI":"10.3390\/jcm12010064","article-title":"Telerehabilitation approaches for people with chronic heart failure: a systematic review and meta-analysis","volume":"12","author":"Isernia","year":"2022","journal-title":"J Clin Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"15165","DOI":"10.3390\/ijerph192215165","article-title":"Characteristics, components, and efficacy of telerehabilitation approaches for people with chronic obstructive pulmonary disease: a systematic review and meta-analysis","volume":"19","author":"Isernia","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B8","doi-asserted-by":"publisher","first-page":"aaw7610","DOI":"10.1126\/scitranslmed.aaw7610","article-title":"A decade of digital medicine innovation","volume":"11","author":"Topol","year":"2019","journal-title":"Sci Transl Med"},{"key":"B9","first-page":"4","article-title":"quick and dirty usability scale","volume":"189","author":"Brooke","year":"1996","journal-title":"Usability Eval Ind."},{"key":"B10","year":"1998","journal-title":"ISO 9241-11: Ergonomic Requirements for Office Work With Visual Display Terminals (VDTs): Part 11: Guidance on Usability"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e11951","DOI":"10.2196\/11951","article-title":"Provider-and patient-related barriers to and facilitators of digital health technology adoption for hypertension management: scoping review","volume":"3","author":"Palacholla","year":"2019","journal-title":"JMIR Cardio."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e15337","DOI":"10.2196\/15337","article-title":"Usability evaluations of mobile mental health technologies: systematic review","volume":"22","author":"Inal","year":"2020","journal-title":"J Med Internet Res."},{"key":"B13","doi-asserted-by":"publisher","first-page":"85","DOI":"10.5195\/ijt.2009.6016","article-title":"Telerehabilitation technologies: accessibility and usability","volume":"1","author":"Pramuka","year":"2009","journal-title":"Int J Telerehabil."},{"key":"B14","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1016\/j.jart.2015.06.001","article-title":"Acceptability engineering: the study of user acceptance of innovative technologies","volume":"13","author":"Kim","year":"2015","journal-title":"J Appl Res Technol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"319","DOI":"10.2307\/249008","article-title":"Perceived usefulness, perceived ease of use, and user acceptance of information technology","volume":"13","author":"Davis","year":"1989","journal-title":"MIS Q"},{"key":"B16","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1287\/mnsc.35.8.982","article-title":"User acceptance of computer technology: a comparison of two theoretical models","volume":"35","author":"Davis","year":"1989","journal-title":"Manage Sci."},{"key":"B17","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.ijmedinf.2019.06.027","article-title":"Factors influencing seniors' acceptance of technology for ageing in place in the post-implementation stage: a literature review","volume":"129","author":"Tsertsidis","year":"2019","journal-title":"Int J Med Inform."},{"key":"B18","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1177\/1357633X16649531","article-title":"Quantifying beliefs regarding telehealth: development of the whole systems demonstrator service user technology acceptability questionnaire","volume":"23","author":"Hirani","year":"2017","journal-title":"J Telemed Telecare."},{"key":"B19","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1258\/jtt.2007.007040","article-title":"Human factors in the development and implementation of telerehabilitation systems","volume":"14","author":"Brennan","year":"2008","journal-title":"J Telemed Telecare."},{"key":"B20","doi-asserted-by":"publisher","first-page":"237","DOI":"10.2147\/MDER.S144158","article-title":"Digital health technology for use in patients with serious mental illness: a systematic review of the literature","volume":"10","author":"Batra","year":"2017","journal-title":"Med Devices."},{"key":"B21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-016-1168-z","article-title":"MindSurf: a pilot study to assess the usability and acceptability of a smartphone app designed to promote contentment, wellbeing, and goal achievement","volume":"16","author":"Carey","year":"2016","journal-title":"BMC Psychiatry."},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1101\/2022.04.19.22274012","article-title":"System integrated digital empowerment and rehabilitation to promote patient activation and well-being (SIDERA\u2227B): protocol for a randomized crossover trial on effectiveness and implementation","author":"Rossetto","year":"2022","journal-title":"medRxiv"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.5603\/KP.2016.0141","article-title":"2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure","volume":"74","author":"Ponikowski","year":"2016","journal-title":"Kardiologia Polska."},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1183\/09031936.05.00034205","article-title":"Coming together: the ATS\/ERS consensus on clinical pulmonary function testing","volume":"26","author":"Brusasco","year":"2005","journal-title":"Eur Respir J."},{"key":"B25","doi-asserted-by":"publisher","first-page":"1591","DOI":"10.1002\/mds.26424","article-title":"MDS clinical diagnostic criteria for Parkinson's disease","volume":"30","author":"Postuma","year":"2015","journal-title":"Mov Disord."},{"key":"B26","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1007\/s10072-014-1921-3","article-title":"Montreal cognitive assessment (MoCA)-Italian version: regression based norms and equivalent scores","volume":"36","author":"Conti","year":"2015","journal-title":"Neurol Sci."},{"key":"B27","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1080\/09638280802240498","article-title":"World Health Organisation disability assessment schedule II: contribution to the Italian validation","volume":"31","author":"Federici","year":"2009","journal-title":"Disabil Rehabil."},{"key":"B28","unstructured":"Determining what individual SUS scores mean: Adding an adjective rating scale11423\n            BangorA\n            KortumP\n            MillerJ\n          J Usabil Stud.42009"},{"key":"B29","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1080\/10447310802205776","article-title":"An empirical evaluation of the system usability scale","volume":"24","author":"Bangor","year":"2008","journal-title":"Int J Hum Comp Interact."},{"key":"B30","volume-title":"System Usability Scale (SUS): A Quick-and-Dirty Method of System Evaluation User Information","author":"Brooke","year":"1986"},{"key":"B31","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/978-3-642-02806-9_12","article-title":"The factor structure of the system usability scale","volume-title":"Human Centered Design: First International Conference, HCD 2009, Held as Part of HCI International 2009, San Diego, CA, USA, July 19-24, 2009 Proceedings 1","author":"Lewis","year":"2009"},{"key":"B32","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1111\/j.1540-5915.2008.00192.x","article-title":"Technology acceptance model 3 and a research agenda on interventions","volume":"39","author":"Venkatesh","year":"2008","journal-title":"Decis Sci."},{"key":"B33","doi-asserted-by":"publisher","first-page":"470","DOI":"10.4338\/ACI-2016-10-R-0170","article-title":"Towards usable e-health","volume":"8","author":"Sousa","year":"2017","journal-title":"Appl Clin Inform."},{"key":"B34","doi-asserted-by":"publisher","first-page":"2052","DOI":"10.3389\/fpsyg.2015.02052","article-title":"Being present in action: a theoretical model about the \u201cinterlocking\u201d between intentions and environmental affordances","volume":"6","author":"Triberti","year":"2016","journal-title":"Front Psychol."},{"key":"B35","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1515\/9783110452440-006","article-title":"Engaging users to design positive technologies for patient engagement: the perfect interaction model","volume-title":"Patient Engagement: A Consumer-Centered Model To Innovate Healthcare","author":"Triberti","year":"2015"},{"key":"B36","doi-asserted-by":"publisher","first-page":"e5951","DOI":"10.2196\/jmir.5951","article-title":"Toward patient-centered telerehabilitation design: understanding chronic pain patients' preferences for web-based exercise telerehabilitation using a discrete choice experiment","volume":"19","author":"Cranen","year":"2017","journal-title":"J Med Internet Res."},{"key":"B37","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1177\/1357633X16686747","article-title":"Participatory design methods in telemedicine research","volume":"23","author":"Clemensen","year":"2017","journal-title":"J Telemed Telecare."},{"key":"B38","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1038\/nrneurol.2017.27","article-title":"Cognitive decline in Parkinson disease","volume":"13","author":"Aarsland","year":"2017","journal-title":"Nat Rev Neurol."},{"key":"B39","doi-asserted-by":"publisher","first-page":"2076942","DOI":"10.1155\/2020\/2076942","article-title":"Cognition deficits in parkinson's disease: mechanisms and treatment","volume":"2020","author":"Fang","year":"2020","journal-title":"Parkinsons Dis"},{"key":"B40","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1002\/mds.27135","article-title":"Cognitive changes in prodromal Parkinson's disease: a review","volume":"32","author":"Fengler","year":"2017","journal-title":"Mov Disord."},{"key":"B41","doi-asserted-by":"publisher","first-page":"2305","DOI":"10.1002\/mds.23868","article-title":"Executive functions in Parkinson's disease: systematic review and meta-analysis","volume":"26","author":"Kudlicka","year":"2011","journal-title":"Mov Disord."},{"key":"B42","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1016\/S1474-4422(17)30167-9","article-title":"The promise of telemedicine for chronic neurological disorders: the example of Parkinson's disease","volume":"16","author":"Schneider","year":"2017","journal-title":"Lancet Neurol."},{"key":"B43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-021-12393-1","article-title":"The experiences, needs and barriers of people with impairments related to usability and accessibility of digital health solutions, levels of involvement in the design process and strategies for participatory and universal design: a scoping review","volume":"22","author":"Henni","year":"2022","journal-title":"BMC Public Health."},{"key":"B44","doi-asserted-by":"publisher","first-page":"e31858","DOI":"10.2196\/31858","article-title":"Methods for human-centered eHealth development: narrative scoping review","volume":"24","author":"Kip","year":"2022","journal-title":"J Med Internet Res."},{"key":"B45","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.procs.2017.12.177","article-title":"Understanding the implementation of telerehabilitation at pre-implementation stage: a systematic literature review","volume":"124","author":"Jafni","year":"2017","journal-title":"Proc Comput Sci."},{"key":"B46","doi-asserted-by":"publisher","first-page":"354","DOI":"10.3389\/fneur.2020.00354","article-title":"The role of engagement in teleneurorehabilitation: a systematic review","volume":"11","author":"Matamala-Gomez","year":"2020","journal-title":"Front Neurol."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1154481\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T13:20:42Z","timestamp":1683897642000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1154481\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,28]]},"references-count":46,"alternative-id":["10.3389\/fpubh.2023.1154481"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1154481","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,28]]},"article-number":"1154481"}}