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School of Health and Rehabilitation Sciences

Questionnaire: Evaluation of a
Remote Wheelchair Selection-Advisor (RWS-A)

 

The Rehabilitation Engineering Research Center on Telerehabilitation (RERC-TR) funded by the National Institute on Disability and Rehabilitation Research (NIDRR) of the U.S. Department of Education, is currently conducting a research project to develop a computer-aided resource known as the Remote Wheelchair Selection Advisor (RWS-A). This tool is intended to assist practitioners and suppliers in the selection of wheeled mobility interventions based on the new Medicare coding structure for powered mobility devices.

We invite you to view a short demonstration of the system. The presentation format uses MediaSite Live. If you have difficulty viewing the presentation, please review the system requirements. Also note that some firewalls might prohibit access to the presentation.

This questionnaire is to survey your initial opinion and acceptance of the RWS-A prototype in order to assist with further development. After watching the video, please complete this online survey regarding your opinion of the usefulness of RWS-A. We would also like to collect some basic demographic data about you as a participant. None of this data will be used to identify you specifically but rather to provide us with information regarding trends as to the potential usefulness and usability of the tool therefore the anonymity of your response is assured.

 

 

RERC-TR
University of Pittsburgh
&
Laboratory for Engineered system Automation and Development
Wayne State University
 


The questionnaire measures your response on a scale of 1 to 7. If you strongly agree with a question, then select your answer with number seven. If you strongly disagree with a question, then mark your answer with number one. You can mark number five or six according to the extent to which you agree with each question. You can mark number two or three as well, according to the extent which you disagree with each question. You cannot choose multiple responses for each question.
 
The term “task” in the questions refers to your role in selecting an appropriate wheeled mobility device for a particular client.

 

  1. Using the RWS-A tool would improve my performance in my task 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  2. Using the RWS-A tool would improve productivity in my task 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  3. Using the RWS-A tool would enable me to accomplish my task more effectively 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  4. Learning to use the RWS-A tool appears to be easy for me 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  5. The RWS-A tool appears to be clear and understandable 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )
  6. The RWS-A appears to be easy to use 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  7. I intend to answer positively when someone asks me my opinion of the RWS-A tool 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  8. I intend to recommend the RWS-A tool to others assuming it will be commercialized 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  9. I intend to recommend mobility devices using the RWS-A tool assuming that it will be commercialized 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  10. When I hear about a new product, I would look for ways to purchase it 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  11. Among my peers, I am usually the first to try out new products 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  12. I usually provide new information of new products to others 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  13. I could complete the task using the RWS-A tool, if I only had manuals for reference 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  14. I could complete the task using the RWS-A tool, if I could call someone for help if I got stuck 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  15. I could complete the task using the RWS-A tool, if I had a lot of time to complete the task for which the tool was designed to do 
    (strongly disagree) 1  2  3  4  5  6  7 (strongly agree )

  16. Which result would you trust more? 
    RWS-Advisor  Intuition
     
  17. If you would not trust the decision making capabilities of the RWS-A, please give some reasons:
     

  18. Gender 
    Male  Female 

  19. Age 
    0 – 24  

    25 – 34 

    35 – 44 
     
    45 – 54

    55 or older

  20. Expertise 
    I am a Beginner 

    Intermediate 

    Expert 

  21. Years of clinical experience providing wheeled mobility and seating interventions (number of years)

  22. Profession 
    Therapist  

    Physician 

    ATS

    ATP

    RRTS

    CRTS 


We appreciate your participation in this research survey. Your comments regarding our survey are appreciated:


         

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