{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:06:44Z","timestamp":1763644004948,"version":"build-2065373602"},"reference-count":84,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T00:00:00Z","timestamp":1694908800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Operational Program for Competitiveness and Internationalization","award":["POCI-01-0247-FEDER-039869"],"award-info":[{"award-number":["POCI-01-0247-FEDER-039869"]}]},{"DOI":"10.13039\/501100001871","name":"European Regional Development Fund (ERDF)","doi-asserted-by":"publisher","award":["POCI-01-0247-FEDER-039869"],"award-info":[{"award-number":["POCI-01-0247-FEDER-039869"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The global relevance of pressure injury (PI) prevention technologies arise from their impact on the quality of life of people with limited mobility and the costs associated with treating these preventable injuries. The purpose of this mixed methods study is to evaluate the design of a prototype integrating Smart Health Textiles for PI prevention based on feedback from specialist nurses who care for individuals who are prone to or have PIs. This is a mixed methods study. A structured questionnaire was conducted as part of an evaluation of a prototype garment for the prevention of PIs. This questionnaire was applied during the evaluation of the prototype and afterwards focus group discussions were held with experts. Descriptive statistics techniques were used to analyze the data and thematic and integrated content analysis was conducted through concomitant triangulation. Nineteen nurses took part, aged 30 to 39 years (52.6%) and with 12.31 \u00b1 8.96 years of experience. Participants showed that the prototype required more manipulation and physical effort, which interfered its usefulness, in addition to presenting difficulties with the openings and the material of the closure system, which interfered with the ease of use and learning. Overall satisfaction with the product was moderate, with some areas for improvement found, such as satisfaction, recommendations to colleagues, and pleasantness of use. It is concluded that areas for improvement have been found in all dimensions, including in the design of openings and the choice of materials. These findings supply significant insights for improving clothing to meet the needs of healthcare professionals and patients.<\/jats:p>","DOI":"10.3390\/ijerph20186773","type":"journal-article","created":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T23:57:46Z","timestamp":1694995066000},"page":"6773","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Design of Innovative Clothing for Pressure Injury Prevention: End-User Evaluation in a Mixed-Methods Study"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8231-8279","authenticated-orcid":false,"given":"Anabela","family":"Salgueiro-Oliveira","sequence":"first","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0988-5728","authenticated-orcid":false,"given":"Anderson da Silva","family":"R\u00eago","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0761-6548","authenticated-orcid":false,"given":"Paulo","family":"Santos-Costa","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2110-7483","authenticated-orcid":false,"given":"Rafael A.","family":"Bernardes","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6405-9234","authenticated-orcid":false,"given":"Lu\u00edsa","family":"Filipe","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8914-6975","authenticated-orcid":false,"given":"Liliana B.","family":"Sousa","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"given":"Rochelne","family":"Barboza","sequence":"additional","affiliation":[{"name":"Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8010-6478","authenticated-orcid":false,"given":"Miguel","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal"}]},{"given":"Maria","family":"Bou\u00e7anova","sequence":"additional","affiliation":[{"name":"Impetus Portugal-t\u00eaxteis Sa (IMPETUS), 4740-696 Barcelos, Portugal"}]},{"given":"Maria Clara Ferreira da Gra\u00e7a","family":"Lopes","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados na Comunidade Norton de Matos (UCCNM), 3030-790 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3050-4264","authenticated-orcid":false,"given":"Jo\u00e3o A.","family":"Ap\u00f3stolo","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]},{"given":"Pedro","family":"Parreira","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1111\/iwj.13667","article-title":"Our Contemporary Understanding of the A etiology of Pressure Ulcers\/Pressure Injuries","volume":"19","author":"Gefen","year":"2022","journal-title":"Int. Wound J."},{"unstructured":"Haesler, E. (2019). Preven\u00e7\u00e3o e Tratamento de Les\u00f5es\/\u00dalceras por Press\u00e3o GUIA de Consulta R\u00e1pida (Brazilian edition), EPUAP\/NPIAP\/PPPIA.","key":"ref_2"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e047687","DOI":"10.1136\/bmjopen-2020-047687","article-title":"Pressure Injury Prevention Practice and Associated Factors among Nurses at Wolaita Sodo University Teaching and Referral Hospital, South Ethiopia: A Cross-Sectional Study","volume":"12","author":"Awoke","year":"2022","journal-title":"BMJ Open"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2843","DOI":"10.1111\/iwj.14122","article-title":"A Systematic Review of Nurses\u2019 Knowledge and Related Factors towards the Prevention of Medical Device-related Pressure Ulcers","volume":"20","author":"Parvizi","year":"2023","journal-title":"Int. Wound J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.jtv.2022.09.009","article-title":"Comparative Effectiveness of Heel-Specific Medical Devices for the Prevention of Heel Pressure Ulcers: A Systematic Review","volume":"31","author":"Greenwood","year":"2022","journal-title":"J. Tissue Viability"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1080\/03091902.2022.2094007","article-title":"Repositioning Mattress: How a Lateral Tilt Position Reshapes the Prevention of Pressure Ulcers in Bedridden Patients","volume":"46","author":"Mamom","year":"2022","journal-title":"J. Med. Eng. Technol."},{"doi-asserted-by":"crossref","unstructured":"Jeerapan, I., and Khumngern, S. (2023). Printed Devices for Wearable Biosensors: Laboratory to Emerging Markets. IEEE J. Flex. Electron., 1.","key":"ref_7","DOI":"10.1109\/JFLEX.2023.3272624"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1108\/RJTA-10-2019-0047","article-title":"Functional Textiles for Prevention of Pressure Ulcers\u2014A Review","volume":"24","author":"Sikka","year":"2020","journal-title":"Res. J. Text. Appar."},{"doi-asserted-by":"crossref","unstructured":"Imbesi, S., and Scataglini, S. (2021). A User Centered Methodology for the Design of Smart Apparel for Older Users. Sensors, 21.","key":"ref_9","DOI":"10.3390\/s21082804"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"81","DOI":"10.26714\/mki.3.2.2020.81-89","article-title":"The Role of Textiles in Controlling Microclimate to Prevent Pressure Injury","volume":"3","author":"Arfah","year":"2020","journal-title":"Media Keperawatan Indones."},{"doi-asserted-by":"crossref","unstructured":"Baskan, A., and Goncu-Berk, G. (2022). User Experience of Wearable Technologies: A Comparative Analysis of Textile-Based and Accessory-Based Wearable Products. Appl. Sci., 12.","key":"ref_11","DOI":"10.3390\/app122111154"},{"doi-asserted-by":"crossref","unstructured":"Kan, C.-W., and Lam, Y.-L. (2021). Future Trend in Wearable Electronics in the Textile Industry. Appl. Sci., 11.","key":"ref_12","DOI":"10.3390\/app11093914"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e11819","DOI":"10.2196\/11819","article-title":"Consumer-Based Wearable Activity Trackers Increase Physical Activity Participation: Systematic Review and Meta-Analysis","volume":"7","author":"Brickwood","year":"2019","journal-title":"JMIR mHealth uHealth"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1007\/s12221-018-7674-x","article-title":"User-Centered Interface Design Approach for a Smart Heated Garment","volume":"19","author":"Lee","year":"2018","journal-title":"Fibers Polym."},{"unstructured":"Rizzi, C., Campana, F., Bici, M., Gherardini, F., Ingrassia, T., and Cicconi, P. (2022). International Conference on Design, Simulation, Manufacturing: The Innovation Exchange, Springer International Publishing.","key":"ref_15"},{"doi-asserted-by":"crossref","unstructured":"R\u00eago, A.S., Filipe, L., Dias, R.A., Alves, F.S., Queiroz, J., Ainla, A., Arruda, L.M., Fangueiro, R., Bou\u00e7anova, M., and Bernardes, R.A. (2023). End-User Assessment of an Innovative Clothing-Based Sensor Developed for Pressure Injury Prevention: A Mixed-Method Study. Int. J. Environ. Res. Public Health, 20.","key":"ref_16","DOI":"10.3390\/ijerph20054039"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1080\/17569370.2022.2031011","article-title":"Making Life Easier: A Case Study Exploring the Development of Adaptive Apparel Design Innovations from a User-Centered Approach","volume":"14","year":"2022","journal-title":"Fash. Pract."},{"key":"ref_18","first-page":"27","article-title":"Required Attributes of a Smart Clothing for Pressure Ulcers Prevention","volume":"57","author":"Barboza","year":"2022","journal-title":"J. Biomim. Biomater. Biomed. Eng."},{"doi-asserted-by":"crossref","unstructured":"R\u00eago, A.D.S., Furtado, G.E., Bernardes, R.A., Santos-Costa, P., Dias, R.A., Alves, F.S., Ainla, A., Arruda, L.M., Moreira, I.P., and Bessa, J. (2023). Development of Smart Clothing to Prevent Pressure Injuries in Bedridden Persons and\/or with Severely Impaired Mobility: 4NoPressure Research Protocol. Healthcare, 11.","key":"ref_19","DOI":"10.3390\/healthcare11101361"},{"doi-asserted-by":"crossref","unstructured":"Ferraro, V., and Ugur, S. (2011, January 22\u201325). Designing Wearable Technologies through a User Centered Approach. Proceedings of the 2011 Conference on Designing Pleasurable Products and Interfaces, Milano, Italy.","key":"ref_20","DOI":"10.1145\/2347504.2347510"},{"doi-asserted-by":"crossref","unstructured":"Goleva, R.I., Ganchev, I., Dobre, C., Garcia, N., and Valderrama, C. (2017). Enhanced Living Environments: From Models to Technologies, Institution of Engineering and Technology.","key":"ref_21","DOI":"10.1049\/PBHE010E"},{"doi-asserted-by":"crossref","unstructured":"Franc\u00e9s-Morcillo, L., Morer-Camo, P., Rodr\u00edguez-Ferradas, M.I., and Caz\u00f3n-Mart\u00edn, A. (2020). Wearable Design Requirements Identification and Evaluation. Sensors, 20.","key":"ref_22","DOI":"10.3390\/s20092599"},{"doi-asserted-by":"crossref","unstructured":"Scataglini, S., and Paul, G. (2019). DHM and Posturography, Academic Press.","key":"ref_23","DOI":"10.1016\/B978-0-12-816713-7.00026-X"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"545646","DOI":"10.3389\/fdgth.2020.545646","article-title":"Evolution of Wearable Devices in Health Coaching: Challenges and Opportunities","volume":"2","year":"2020","journal-title":"Front. Digit. Health"},{"key":"ref_25","first-page":"285","article-title":"The Mixed Methods Appraisal Tool (MMAT) Version 2018 for Information Professionals and Researchers","volume":"34","author":"Hong","year":"2018","journal-title":"Educ. Inf."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1109\/TEM.2020.3030172","article-title":"User-Centered Design Roadmapping: Anchoring Roadmapping in Customer Value Before Technology Selection","volume":"69","author":"Kim","year":"2022","journal-title":"IEEE Trans. Eng. Manag."},{"unstructured":"Rogers, E.M. (2003). Diffusion of Innovations, Free Press. [5th ed.].","key":"ref_27"},{"doi-asserted-by":"crossref","unstructured":"Farao, J., Malila, B., Conrad, N., Mutsvangwa, T., Rangaka, M.X., and Douglas, T.S. (2020). A User-Centred Design Framework for mHealth. PLoS ONE, 15.","key":"ref_28","DOI":"10.1371\/journal.pone.0237910"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s40691-019-0179-z","article-title":"Conceptual Design Framework as a Model for Wheelchair Users\u2019 Sportswear Comfort","volume":"6","author":"Lee","year":"2019","journal-title":"Fash. Text."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"111941","DOI":"10.1016\/j.sna.2020.111941","article-title":"Highly sensitive and flexible wearable pressure sensor with dielectric elastomer and carbon nanotube electrodes","volume":"305","author":"Han","year":"2020","journal-title":"Sens. Actuators A Phys."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"205520762211133","DOI":"10.1177\/20552076221113396","article-title":"Time to act mature\u2014Gearing eHealth evaluations towards technology readiness levels","volume":"8","author":"Broekhuis","year":"2022","journal-title":"Digit. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1080\/09537325.2019.1601694","article-title":"Aligning Technology and Institutional Readiness: The Adoption of Innovation","volume":"31","author":"Webster","year":"2019","journal-title":"Technol. Anal. Strateg. Manag."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1002\/sys.21533","article-title":"Technology readiness levels: Shortcomings and improvement opportunities","volume":"23","author":"Olechowski","year":"2020","journal-title":"Syst. Eng."},{"unstructured":"Mankins, J.C. (2022, June 01). Technology Readiness Levels: A White Paper, Available online: http:\/\/www.hq.nasa.gov\/office\/codeq\/trl\/trl.pdf.","key":"ref_34"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/00405160208688955","article-title":"Clothing, textiles, and human performance","volume":"32","author":"Laing","year":"2002","journal-title":"Text. Prog."},{"unstructured":"Duffy, V.G. (2017, January 9\u201314). Applications in Health, Safety, Ergonomics, and Risk Management: Ergonomics and Design. Proceedings of the 8th International Conference, DHM 2017, Held as Part of HCI International 2017, Vancouver, BC, Canada. Information Systems and Applications, incl. Internet\/Web, and HCI; 1st ed. 2017;.","key":"ref_36"},{"key":"ref_37","first-page":"141","article-title":"The Motion Analysis of Transferring from Bed to Wheelchair Conducted in the Nursing Field with Focusing on the Body Pressure Distribution","volume":"Volume 10286","author":"Duffy","year":"2017","journal-title":"Digital Human Modeling. Applications in Health, Safety, Ergonomics, and Risk Management: Ergonomics and Design"},{"key":"ref_38","first-page":"61","article-title":"A Review of the Research Literature on Evidence-Based Healthcare Design","volume":"1","author":"Ulrich","year":"2008","journal-title":"Health Environ. Res. Des. J."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1080\/00405000.2020.1827582","article-title":"Skin-Textiles Friction: Importance and Prospects in Skin Comfort and in Healthcare in Prevention of Skin Injuries","volume":"112","author":"Baby","year":"2021","journal-title":"J. Text. Inst."},{"doi-asserted-by":"crossref","unstructured":"Vilhena, L., and Ramalho, A. (2016). Friction of Human Skin against Different Fabrics for Medical Use. Lubricants, 4.","key":"ref_40","DOI":"10.3390\/lubricants4010006"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1108\/09556229510087137","article-title":"Importance of Mechanical and Physical Properties of Fabrics in the Clothing Manufacturing Process","volume":"7","author":"Shishoo","year":"1995","journal-title":"Int. J. Cloth. Sci. Technol."},{"unstructured":"Koncar, V. (2019). Smart Textiles for in Situ Monitoring of Composites, Woodhead Publishing, an imprint of Elsevier. The Textile Institute Book Series.","key":"ref_42"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1900092","DOI":"10.1002\/gch2.201900092","article-title":"Futuristic Clothes: Electronic Textiles and Wearable Technologies","volume":"4","author":"Ismar","year":"2020","journal-title":"Glob. Chall."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"113159","DOI":"10.1016\/j.sna.2021.113159","article-title":"Local Measurement of Dynamic Strain of Impacted Woven Structure","volume":"332","author":"Watel","year":"2021","journal-title":"Sens. Actuators A Phys."},{"key":"ref_45","first-page":"e5835026","article-title":"CLO3D-Based 3D Virtual Fitting Technology of Down Jacket and Simulation Research on Dynamic Effect of Cloth","volume":"2022","author":"Huang","year":"2022","journal-title":"Wirel. Commun. Mob. Comput."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s40691-021-00286-1","article-title":"3D Dynamic Fashion Design Development Using Digital Technology and Its Potential in Online Platforms","volume":"9","author":"Choi","year":"2022","journal-title":"Fash. Text."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"145","DOI":"10.15406\/jteft.2022.08.00313","article-title":"An Approach to Design Solutions for Garments Using a CAD System","volume":"8","author":"Moniruzzaman","year":"2022","journal-title":"J. Text. Eng. Fash. Technol."},{"unstructured":"Pei, J. (2022). Digital Manufacturing Technology for Sustainable Anthropometric Apparel, Elsevier.","key":"ref_48"},{"doi-asserted-by":"crossref","unstructured":"Papachristou, E., and Anastassiu, H.T. (2022). Application of 3D Virtual Prototyping Technology to the Integration of Wearable Antennas into Fashion Garments. Technologies, 10.","key":"ref_49","DOI":"10.3390\/technologies10030062"},{"doi-asserted-by":"crossref","unstructured":"Muthu, S.S. (2014). Roadmap to Sustainable Textiles and Clothing, Springer.","key":"ref_50","DOI":"10.1007\/978-981-287-110-7"},{"doi-asserted-by":"crossref","unstructured":"Harmsen, P., Scheffer, M., and Bos, H. (2021). Textiles for Circular Fashion: The Logic behind Recycling Options. Sustainability, 13.","key":"ref_51","DOI":"10.3390\/su13179714"},{"doi-asserted-by":"crossref","unstructured":"Luu, T.T.A., and Baker, J.R. (2021). Exploring Consumers\u2019 Purchase Intention of rPET Bottle-Based Apparel in an Emerging Economy. J. Open Innov. Technol. Mark. Complex., 7.","key":"ref_52","DOI":"10.3390\/joitmc7010022"},{"doi-asserted-by":"crossref","unstructured":"Avadanei, M.L., Olaru, S., Dulgheriu, I., Ionesi, S.D., Loghin, E.C., and Ionescu, I. (2022). A New Approach to Dynamic Anthropometry for the Ergonomic Design of a Fashionable Personalised Garment. Sustainability, 14.","key":"ref_53","DOI":"10.3390\/su14137602"},{"doi-asserted-by":"crossref","unstructured":"Sousa, L.B., Santos-Costa, P., Marques, I.A., Cruz, A., Salgueiro-Oliveira, A., and Parreira, P. (2020). Brief Report on Double-Chamber Syringes Patents and Implications for Infusion Therapy Safety and Efficiency. Int. J. Environ. Res. Public Health, 17.","key":"ref_54","DOI":"10.3390\/ijerph17218209"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s13063-019-3887-1","article-title":"Double-Chamber Syringe versus Classic Syringes for Peripheral Intravenous Drug Administration and Catheter Flushing: A Study Protocol for a Randomised Controlled Trial","volume":"21","author":"Parreira","year":"2020","journal-title":"Trials"},{"doi-asserted-by":"crossref","unstructured":"Parreira, P., Sousa, L.B., Marques, I.A., Costa, P., Cortez, S., Carneiro, F., Cruz, A., and Salgueiro-Oliveira, A. (2020). Development of an Innovative Double-Chamber Syringe for Intravenous Therapeutics and Flushing: Nurses\u2019 Involvement through a Human-Centred Approach. PLoS ONE, 15.","key":"ref_56","DOI":"10.1371\/journal.pone.0235087"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e21032","DOI":"10.12707\/RV21032","article-title":"Funcionalidade e aprendizagem de um dispositivo de reabilita\u00e7\u00e3o para doentes p\u00f3s-enfarte: Perspetiva de enfermeiros de reabilita\u00e7\u00e3o","volume":"6","author":"Bernardes","year":"2022","journal-title":"Rev. Enferm. Ref."},{"doi-asserted-by":"crossref","unstructured":"Parreira, P., Sousa, L.B., Marques, I.A., Santos-Costa, P., Cortez, S., Carneiro, F., Cruz, A., and Salgueiro-Oliveira, A. (2020). Usability Assessment of an Innovative Device in Infusion Therapy: A Mix-Method Approach Study. Int. J. Environ. Res. Public Health, 17.","key":"ref_58","DOI":"10.3390\/ijerph17228335"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"112516","DOI":"10.1016\/j.psychres.2019.112516","article-title":"Qualitative Methods in Implementation Research: An Introduction","volume":"280","author":"Hamilton","year":"2019","journal-title":"Psychiatry Res."},{"doi-asserted-by":"crossref","unstructured":"Roulston, K. (2010). Reflective Interviewing: A Guide to Theory and Practice, SAGE Publications Ltd.","key":"ref_60","DOI":"10.4135\/9781446288009"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1590\/S1413-81232012000300007","article-title":"An\u00e1lise qualitativa: Teoria, passos e fidedignidade","volume":"17","year":"2012","journal-title":"Ci\u00eancia Sa\u00fade Coletiva"},{"key":"ref_62","first-page":"e1590016","article-title":"Integra\u00e7\u00e3o entre dados quantitativos e qualitativos em uma pesquisa de m\u00e9todos mistos","volume":"26","author":"Erdmann","year":"2017","journal-title":"Texto Contexto-Enferm."},{"doi-asserted-by":"crossref","unstructured":"Qi, W., and Zhou, L. (2019, January 19\u201321). User-Centered Wearable Product Design for Community Elderly Care. Proceedings of the 2019 12th International Congress on Image and Signal Processing, BioMedical Engineering and Informatics (CISP-BMEI), Suzhou, China.","key":"ref_63","DOI":"10.1109\/CISP-BMEI48845.2019.8965947"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/17569370.2021.1872902","article-title":"A Method for the Evaluation of Functional Clothing for Older Individuals with Restricted Mobility","volume":"13","author":"Wu","year":"2021","journal-title":"Fash. Pract."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.apergo.2013.07.010","article-title":"Evaluation on an Ergonomic Design of Functional Clothing for Wheelchair Users","volume":"45","author":"Wang","year":"2014","journal-title":"Appl. Ergon."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"103058","DOI":"10.1016\/j.apergo.2020.103058","article-title":"The Role of Clothing on Participation of Persons with a Physical Disability: A Scoping Review","volume":"85","author":"Esmail","year":"2020","journal-title":"Appl. Ergon."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"102848","DOI":"10.1016\/j.bspc.2021.102848","article-title":"IoT Garment for Remote Elderly Care Network","volume":"69","year":"2021","journal-title":"Biomed. Signal Process. Control."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.colegn.2018.04.005","article-title":"A Qualitative Study of the Thoughts and Experiences of Hospital Nurses Providing Pressure Injury Prevention and Management","volume":"26","author":"Lai","year":"2019","journal-title":"Collegian"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/01.ASW.0000653152.36482.7d","article-title":"Pressure Ulcer Risk Factors in Persons with Mobility-Related Disabilities","volume":"33","author":"Sprigle","year":"2020","journal-title":"Adv. Ski. Wound Care"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.clinbiomech.2019.04.018","article-title":"Bioengineering Considerations in the Prevention of Medical Device-Related Pressure Ulcers","volume":"67","author":"Bader","year":"2019","journal-title":"Clin. Biomech."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"21","DOI":"10.5965\/1982615x01012008021","article-title":"Usabilidade Do Vestu\u00e1rio: Fatores T\u00e9cnicos\/Funcionais","volume":"1","author":"Silveira","year":"2008","journal-title":"ModaPalavra"},{"key":"ref_72","first-page":"412","article-title":"Case Study on the Experience and Perception of Rehabilitators and Caregivers of People with Parkinson\u2019s Disease in the Interaction with Clothing Assistive Devices: Narratives About Everyday Problems, in Portugal","volume":"Volume 19","author":"Martins","year":"2022","journal-title":"Advances in Design and Digital Communication II"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"179","DOI":"10.5354\/0719-5346.2020.54446","article-title":"Evaluaci\u00f3n de La Percepci\u00f3n de Usabilidad, Calidad y Est\u00e9tica de La Cuchara Adaptada","volume":"20","author":"Paschoarelli","year":"2020","journal-title":"Rev. Chil. Ter. Ocup."},{"key":"ref_74","first-page":"12","article-title":"Elderly and Clothing: Considerations about Handling Trimmings","volume":"2","author":"Neves","year":"2018","journal-title":"Curr. Trends Fash. Technol. Text. Eng."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5327\/Z2447-211520191900010","article-title":"Older person with Parkinson\u2019s disease and aspects of usability in the interaction with clothing fasteners","volume":"13","author":"Marteli","year":"2019","journal-title":"Geriatr. Gerontol. Aging"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s40691-018-0163-z","article-title":"Proposing Value-Based Technology Acceptance Model: Testing on Paid Mobile Media Service","volume":"6","author":"Youn","year":"2019","journal-title":"Fash. Text."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s40691-020-00210-z","article-title":"Consumer Resistance to Innovation: Smart Clothing","volume":"7","author":"Ju","year":"2020","journal-title":"Fash. Text."},{"doi-asserted-by":"crossref","unstructured":"Broega, A.C., Cunha, J., Carvalho, H., and Provid\u00eancia, B. (2023). Advances in Fashion and Design Research, Springer International Publishing.","key":"ref_78","DOI":"10.1007\/978-3-031-16773-7"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1108\/IMDS-03-2015-0087","article-title":"An Empirical Study of Wearable Technology Acceptance in Healthcare","volume":"115","author":"Gao","year":"2015","journal-title":"Ind. Manag. Data Syst."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1111\/fcsr.12404","article-title":"Factors Influencing Older Adults\u2019 Acceptance of Health Monitoring Smart Clothing","volume":"49","author":"Mahmood","year":"2021","journal-title":"Fam. Consum. Sci. Res. J."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.tele.2017.11.006","article-title":"Success Factors in Developing IHeart as a Patient-Centric Healthcare System: A Multi-Group Analysis","volume":"35","author":"Keikhosrokiani","year":"2018","journal-title":"Telemat. Inform."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s10209-019-00663-0","article-title":"A Confirmatory Factor Analysis of the Behavioral Intention to Use Smart Wellness Wearables in Malaysia","volume":"19","author":"Niknejad","year":"2020","journal-title":"Univers. Access Inf. Soc."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1038\/s41430-023-01289-5","article-title":"Translating Digital Anthropometry Measurements Obtained from Different 3D Body Image Scanners","volume":"77","author":"Ashby","year":"2023","journal-title":"Eur. J. Clin. Nutr."},{"doi-asserted-by":"crossref","unstructured":"Wang, Z., Tao, X., Zeng, X., Xing, Y., Xu, Z., and Bruniaux, P. (2023). A Machine Learning-Enhanced 3D Reverse Design Approach to Personalized Garments in Pursuit of Sustainability. Sustainability, 15.","key":"ref_84","DOI":"10.3390\/su15076235"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/18\/6773\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:52:30Z","timestamp":1760129550000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/18\/6773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,17]]},"references-count":84,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["ijerph20186773"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20186773","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,9,17]]}}}