Towards RehabCoach: Design and Preliminary Evaluation of a Conversational Agent Supporting Unsupervised Therapy after Stroke

Unsupervised therapy after stroke is a promising way to boost therapy dose without significantly increasing the workload on healthcare professionals. However, it raises important challenges, such as lower adherence to therapy in the absence of social interaction with therapists. We present the initial prototype of RehabCoach, a novel smartphone-based app with conversational agent to support unsupervised therapy. RehabCoach is designed to increase patients engagement and adherence to therapy and to provide information (e.g., about stroke, health) in an interactive and user-friendly manner. We report on the design and usability evaluation of the first prototype of RehabCoach, assessed by four stroke patients and five healthcare professionals, who interacted with the app in a single testing session. Task completion time and success rates were measured for 15 representative tasks, and participants assessed usability via questionnaires and a semi-structured interview. Results show that it was feasible for stroke patients to successfully interact with RehabCoach (task success $\geq$ 93 $\%$) without requiring extensive training. Participants positively rated the usability of RehabCoach (mean mHealth App Usability Questionnaire score: 1.3 for primary users, 1.4 for healthcare professionals, on a scale from 1 (positive evaluation) to 7). The feedback collected in this work opens the door to further enhance RehabCoach as an interactive digital tool to support unsupervised rehabilitation.