Johnson E I, Sibon I, Renou P, Rouanet F, Allard M, Swendsen J
National Center for Scientific Research (CNRS 5231), Pôle de Neurosciences Cliniques, Hôpital Pellegrin, Bordeaux, France.
Neurology. 2009 Nov 10;73(19):1579-83. doi: 10.1212/WNL.0b013e3181c0d466.
Computerized ambulatory monitoring provides real-time assessments of clinical outcomes in natural contexts, and it has been increasingly applied in recent years to investigate symptom expression in a wide range of disorders. The purpose of this study was to examine the feasibility and validity of this data collection strategy with adult stroke patients.
Forty-eight individuals (75% of the contacted sample) agreed to participate in the current study and were instructed to complete electronic interviews using a personal digital assistant 5 times per day over a 1-week period.
More than 80% of programmed assessments were completed by the sample, and no evidence was found for fatigue effects. Expected patterns of associations were observed among daily life variables, and data collected through ambulatory monitoring were significantly correlated with standard clinic-based measures of similar constructs.
Support was found for the feasibility and validity of computerized ambulatory monitoring with stroke patients. The application of these novel methods with stroke patients should provide complementary information that is inaccessible to standard hospital-based assessments and permit increased understanding of the significance of clinical results and test scores for daily life experience.
计算机化动态监测可在自然环境中对临床结果进行实时评估，近年来已越来越多地应用于研究各种疾病的症状表现。本研究的目的是检验这种数据收集策略对成年中风患者的可行性和有效性。
48名个体（占所联系样本的75%）同意参与本研究，并被要求在1周时间内每天使用个人数字助理完成5次电子访谈。
样本完成了超过80%的预设评估，未发现疲劳效应的证据。在日常生活变量之间观察到了预期的关联模式，通过动态监测收集的数据与基于标准临床测量的类似结构显著相关。
计算机化动态监测对中风患者的可行性和有效性得到了支持。将这些新方法应用于中风患者应能提供标准医院评估无法获得的补充信息，并有助于加深对临床结果和测试分数对日常生活体验意义的理解。
