Evans Jarrett, Papadopoulos Amy, Silvers Christine Tsien, Charness Neil, Boot Walter R, Schlachta-Fairchild Loretta, Crump Cindy, Martinez Michele, Ent Carrie Beth
1 Department of Psychology, Florida State University , Tallahassee, Florida.
2 AFrame Digital, Inc. , Reston, Virginia.
Telemed J E Health. 2016 Jun;22(6):480-8. doi: 10.1089/tmj.2015.0140. Epub 2015 Nov 5.
Remote health monitoring technology has been suggested as part of an early intervention and prevention care model. Older adults with a chronic health condition have been shown to benefit from remote monitoring but often have challenges with complex technology. The current study reports on the usability of and adherence with an integrated, real-time monitoring system over an extended period of time by older adults with and without a chronic health condition.
Older adults 55 years of age and over with and without heart failure participated in a study in which a telehealth system was used for 6 months each. The system consisted of a wireless wristwatch-based monitoring device that continuously collected temperature and motion data. Other health information was collected daily using a weight scale, blood pressure cuff, and tablet that participants used for health surveys. Data were automatically analyzed and summarized by the system and presented to study nurses.
Forty-one older adults participated. Seventy-one percent of surveys, 75% of blood pressure readings, and 81% of daily weight measurements were taken. Participants wore the watch monitor 77% of the overall 24/7 time requested. The weight scale had the highest usability rating in both groups. The groups did not otherwise differ on device usage.
The findings indicate that a health monitoring system designed for older adults can and will be used for an extended period of time and may help older adults with chronic conditions reside longer in their own homes in partnership with the healthcare system.
远程健康监测技术已被提议作为早期干预和预防护理模式的一部分。患有慢性健康状况的老年人已被证明可从远程监测中受益，但他们在使用复杂技术方面往往面临挑战。本研究报告了患有和未患有慢性健康状况的老年人在较长一段时间内对集成实时监测系统的可用性和依从性。
55岁及以上患有和未患有心力衰竭的老年人参与了一项研究，其中每个远程医疗系统使用6个月。该系统由一个基于无线手表的监测设备组成，该设备持续收集体温和运动数据。其他健康信息通过体重秤、血压袖带以及参与者用于健康调查的平板电脑每天收集。数据由系统自动分析和汇总，并呈现给研究护士。
41名老年人参与了研究。完成了71%的调查问卷、75%的血压读数测量以及81%的每日体重测量。在要求的全天24小时中，参与者佩戴手表监测器的时间占77%。体重秤在两组中的可用性评分最高。两组在设备使用方面没有其他差异。
研究结果表明，为老年人设计的健康监测系统能够且将会被长期使用，并且可能有助于患有慢性疾病的老年人与医疗保健系统合作，在自己家中居住更长时间。
