Exploring Users’ and Clinicians’ Perceptions of an Intelligent Dynamic System for Multi-Component Motorized Wheelchairs

Introduction: Motorized components on power wheelchairs (PWC) enable repositioning to pre-programmed positions (e.g., tilt, leg support, verticalization) to prevent prolonged static positions. Smart technologies can track positioning information and give feedback according to clinical recommendations and personal goals. This study aimed to explore users’ and clinicians’ perceptions of an intelligent dynamic seating (IDS) system prototype comprising a PWC with motorized multi-components connected to a web interface. Methods: A purposive sample of six PWC users and eight clinicians were recruited in this exploratory descriptive qualitative study. Semi-structured interviews included viewing a video of the IDS and images of the web interface. Interviews were transcribed, deductively coded, and thematically analyzed using a conceptual model for evaluating eHealth interventions. Results: Clinicians found the IDS system intuitive to use, customizable, relevant in terms of positioning and clinical recommendations, and timesaving. Powered wheelchair users perceived benefits that could motivate behavioural change, autonomy, health, and inclusion. Concerns related to familiarity with complex technology, funding, cognitive requirements, and technical and health risks were raised. Conclusion: The results inform improvements for the integration of the IDS in clinical practice to respond to the positioning needs of PWC users.