Published June 8, 2019 | Version Pre-final
Journal article Open

Achieving Adherence in Home-Based Rehabilitation with Novel Human Machine Interactions that Stimulate Community-Dwelling Older Adults

  • 1. Unit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering University of Ioannina Ioannina Greece
  • 2. First Department of Otolaryngology-Head and Neck Surgery, 'Hippokrateio' General Hospital National Kapodistrian University of Athens Athens Greece
  • 3. Centre for Human and Applied Physiological Sciences King's College London London United Kingdom
  • 4. UCL Ear Institute & University College London Hospitals Biomedical Research Centre Hearing & Deafness London United Kingdom


Balance disorders are expressed with main symptoms of vertigo, dizziness instability and disorientation. Most of them are caused by inner ear pathologies, but neurological, medical and psychological factors are also responsible. Balance disorders overwhelmingly affect daily activities and cause psychological and emotional hardship. They are also the main cause of falls which are a global epidemic. Home based balance rehabilitation is an effective approach for alleviating symptoms and for improving balance and self-confidence. However, the adherence in such programs is usually low with lack of motivation and disease related issues being the most influential factors. Holobalance adopts the Capability, Opportunity and Motivation (COM) and Behaviour (B) model to identify the sources of the behaviour that should be targeted for intervention and proposes specific Information Technology components that provide the identified interventions to the users in order to achieve the target behavioural change, which in this case is adherence to home base rehabilitation


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10.1145/3316782.3322762 (DOI)


HOLOBALANCE – HOLOgrams for personalised virtual coaching and motivation in an ageing population with BALANCE disorders 769574
European Commission