Evidence map›Paper›PMID 41091041›Full record

ArticleThe journal of spinal cord medicine2026

Wheelchair user and clinician-centered design of a mobile pressure mapping app and dashboard: A pre-implementation development study.

Tamara Vos-Draper, John Belew, Amber Wacek, Tim Truty, Alexandra Bornstein, Stuart Fairhurst, Byron Eddy, Melissa Morrow, Christine Olney

Abstract read
In one paragraph

Article in The journal of spinal cord medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tamara Vos-DraperRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.ORCID 0000-0002-9038-2764
John BelewRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Amber WacekRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Tim TrutyRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Alexandra BornsteinRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Stuart FairhurstRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Byron EddyRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Melissa MorrowRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Christine OlneyRehabilitation & Engineering Center for Optimizing Veteran Engagement and Reintegration (RECOVER) Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.

Funding

RRD VA I01 RX003222
6 · The paper itself

Abstract

CONTEXT/

objectiveThe purpose of this project was to expand the functionality of current seat interface pressure mapping (IPM) toward a novel integrated system that uses a mobile IPM application for wheelchair users partnered with a clinical IPM dashboard.

methodsGuided by user-centered design, this mixed methods study aimed to understand and integrate user needs and preferences across three iterations of development with two stakeholder groups: (1) occupational and physical therapy (OT/PT) experts in spinal cord injury and disorder (SCI/D) care (n = 6) and (2) Veteran wheelchair users (WCUs) with SCI/D (n = 7). At each iterative stage, rapid qualitative analysis was used to summarize feedback and design inputs. Perception of usability was evaluated with the System Usability Scale (SUS) and User-Experience Questionnaire (UEQ). OT/PT feature preferences were assessed through polling during first focus group.

resultsIteration I resulted in wireframes and models of designs for an IPM dashboard, mounting system for mobile IPM system, and smartwatch display options. Iteration II resulted in prototypes of an IPM dashboard, initial redesign of the mobile IPM app to include all-day IPM recording, automatic detection of pressure relief events and smartwatch functionality, and new hardware for IPM interface box. The final integrated IPM system was completed during Iteration III. OT/PTs indicated that aggregated and filtered views of IPM data could enhance patient communication, decision-making, and individualization of pressure management goals. Interface simplicity and automation minimize time and effort engaging with the system. Both stakeholder groups desired maximum control, flexibility, and efficiency in how they collect, access, and use the resulting IPM data. WCUs prefer a range of options for hardware access and use. SUS and UEQ scores were good to excellent across all subscales after three iterative rounds and both groups provided subjective approval of final products.

conclusionsOT/PTs and WCUs with SCI/D perceived positive relative value and usability for using the newly integrated IPM system to objectively measure pressure and patterns of pressure management on the seating surface over time, evaluate seating equipment efficacy, and facilitate individualized care for managing pressure. Following this successful co-design of the integrated IPM system, real-world usability and information needs will be evaluated in the planned pre-implementation inpatient and outpatient pilot studies.

Indexed as

Mobile ApplicationsSpinal Cord InjuriesUser-Centered DesignWheelchairsDashboard SystemsFemaleHumansMalePressureCo-design processIntervention designParticipationPressure injury preventionSpinal cord injury

Identifiers

PMID41091041
PMCPMC13295080

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.