Cohen Christine, Kampel Thomas, Verloo Henk
Department Ra&D, La Source School of Nursing Sciences, University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
Patient Prefer Adherence. 2016 Sep 6;10:1687-95. doi: 10.2147/PPA.S113805. eCollection 2016.
Aging at home rather than in an institution is now considered the gold standard. Public health figures document an important demographic transition to an increasingly elderly society. At the same time, this is accompanied by the emergence of significant numbers of innovative technologies to help and support home-dwelling older adults in declining health who wish to remain at home.
To explore the acceptability of intelligent wireless sensor system (IWSS) among home-dwelling older adults in rapidly detecting their health issues.
Data were sourced from a pilot 3-month randomized clinical trial that involved 34 older patients in the experimental group (EG) using an IWSS to rapidly detect falls and other health issues at home. The effectiveness of the IWSS was assessed by comparing it to participants' functional and cognitive status, as measured both before and after the trial. The Resident Assessment Instrument for Home Care, Confusion Assessment Method, Cognitive Performance Scale, Geriatric Depression Scale, and Informed Questionnaire on Cognitive Decline in the Elderly were used for the assessments. Acceptability of the IWSS was explored at the end of the study.
Both older adults and their informal caregivers considered the performance and usefulness of the IWSS intervention to be low to moderate. A majority of the participants were unsatisfied with its ease of use and found multiple obstacles in using and having an intention to use the IWSS. However, their informal caregivers were more satisfied with the program and gave higher scores for usefulness, ease of use, and intention to use IWSS technology.
The IWSS displayed low-to-moderate acceptability among the older participants and their informal caregivers. We recommend improving and clarifying several components in the IWSS for the development of a design that is user-centered.
如今，在家养老而非机构养老被视为黄金标准。公共卫生数据记录了向老龄化社会的重要人口结构转变。与此同时，大量创新技术应运而生，以帮助和支持健康状况日益下降但希望居家养老的老年人。
探讨智能无线传感器系统（IWSS）在居家老年人中对快速检测其健康问题的可接受性。
数据来源于一项为期3个月的试点随机临床试验，该试验涉及34名老年患者组成的实验组（EG），他们使用IWSS在家中快速检测跌倒和其他健康问题。通过将IWSS与试验前后测量的参与者功能和认知状态进行比较，评估IWSS的有效性。使用居家护理居民评估工具、混乱评估方法、认知表现量表、老年抑郁量表和老年人认知衰退知情问卷进行评估。在研究结束时探讨IWSS的可接受性。
老年人及其非正式照料者都认为IWSS干预的性能和有用性较低至中等。大多数参与者对其易用性不满意，并且在使用和有意使用IWSS方面发现了多个障碍。然而，他们的非正式照料者对该项目更满意，并且在有用性、易用性和使用IWSS技术的意愿方面给出了更高的分数。
IWSS在老年参与者及其非正式照料者中显示出较低至中等的可接受性。我们建议改进和明确IWSS中的几个组件，以开发以用户为中心的设计。
