University of Twente Student Theses
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Effective Coercion : Using a Commitment-Based Interactive System to Improve Adherence to Home-Based Physical Therapy
Mathijssen, Olivier P. (2025) Effective Coercion : Using a Commitment-Based Interactive System to Improve Adherence to Home-Based Physical Therapy.
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| Abstract: | This thesis explores how the concept of commitment devices can be used to develop an interactive system that supports patients in adhering to home-based physical therapy exercises. The research is situated in the real-world context of rotator cuff tear rehabilitation, a domain in which exercise adherence is essential but often inconsistent. Drawing on relevant theoretical models, a concept was designed, developed, and evaluated in real-world context. The prototype takes the form of a toothbrush holder that locks a toothbrush in place on designated exercise days until a user completes their prescribed exercises, an example of a hard-friction commitment device. A week-long field study (n = 9) involving multiple experimental conditions revealed that the prototype significantly improved perceived self-efficacy for two of the six participants who used it. These results suggest that such an intervention could enhance long-term adherence. However, the study also identified several limitations of the commitment-based approach, highlighting the need for further long-term evaluation. Overall, this thesis suggests that self-imposed coercive strategies, though often overlooked, may offer a promising and effective avenue for self-management in rehabilitation contexts. |
| Item Type: | Essay (Master) |
| Faculty: | EEMCS: Electrical Engineering, Mathematics and Computer Science |
| Subject: | 01 general works, 54 computer science, 70 social sciences in general |
| Programme: | Interaction Technology MSc (60030) |
| Link to this item: | https://purl.utwente.nl/essays/106797 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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