为布鲁耶尔持续护理中心老年康复项目开发一款居家移动应用程序的路径：以用户为中心的设计与可行性测试研究方案。

Development of a Path to Home Mobile App for the Geriatric Rehabilitation Program at Bruyère Continuing Care: Protocol for User-Centered Design and Feasibility Testing Studies.

作者信息

Backman Chantal, Harley Anne, Peyton Liam, Kuziemsky Craig, Mercer Jay, Monahan Mary Anne, Schmidt Sandra, Singh Harvinder, Gravelle Deborah

机构信息

School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.

Bruyère Research Institute, Ottawa, ON, Canada.

出版信息

JMIR Res Protoc. 2018 Sep 24;7(9):e11031. doi: 10.2196/11031.

DOI:10.2196/11031

PMID:30249591

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6231760/

Abstract

BACKGROUND

As the population ages, the need for appropriate geriatric rehabilitation services will also increase. Pressures faced by hospitals to reduce length of stay and reduce costs have driven the need for more complex care being delivered in the home or community setting. As a result, a multifaceted approach that can provide geriatric rehabilitation patients with safe and effective person- and family-centered care during transitions from hospital to home is required. We hypothesize that a technology-supported person- and family-centered care transition could empower geriatric rehabilitation patients, engage them in shared decision making, and ultimately help them to safely manage their personalized needs during care transitions from hospital to home.

OBJECTIVE

The purpose of this study is to design and test the feasibility of a novel Path to Home mobile app to manage the personalized needs of geriatric rehabilitation patients during their transitions from hospital to home.

METHODS

This study will consist of (1) codesigning a patient- and provider-tailored mobile app, and (2) feasibility pilot testing of the mobile app to manage the needs of geriatric rehabilitation patients when leaving the hospital. In phase 1, we will follow a user-centered design process integrated with a modern agile software development methodology to iteratively codesign the personalized care transition Path to Home mobile app. In phase 2, we will conduct a single-arm feasibility pilot test with geriatric rehabilitation patients using the personalized care transition Path to Home mobile app to manage their needs during the transition from hospital to home.

RESULTS

The project was funded in May 2018, and enrollment and data analysis are underway. First results are expected to be submitted for publication in 2019.

CONCLUSIONS

Our findings will help validate the use of this technology for geriatric rehabilitation patients discharged from the hospital to home. Future research will more rigorously evaluate the health and economic benefits to inform wide-scale adoption of the technology.

REGISTERED REPORT IDENTIFIER

RR1-10.2196/11031.

摘要

背景

随着人口老龄化，对适当的老年康复服务的需求也将增加。医院面临着缩短住院时间和降低成本的压力，这推动了在家庭或社区环境中提供更复杂护理的需求。因此，需要一种多方面的方法，以便在老年康复患者从医院过渡到家庭的过程中，为他们提供安全有效的以患者和家庭为中心的护理。我们假设，技术支持的以患者和家庭为中心的护理过渡可以增强老年康复患者的能力，使他们参与共同决策，并最终帮助他们在从医院到家庭的护理过渡期间安全地管理个人需求。

目的

本研究的目的是设计并测试一款新颖的“回家之路”移动应用程序的可行性，该应用程序用于管理老年康复患者从医院过渡到家庭期间的个人需求。

方法

本研究将包括（1）共同设计一款针对患者和提供者量身定制的移动应用程序，以及（2）对该移动应用程序进行可行性试点测试，以满足老年康复患者出院时的需求。在第一阶段，我们将遵循以用户为中心的设计流程，并结合现代敏捷软件开发方法，迭代地共同设计个性化护理过渡“回家之路”移动应用程序。在第二阶段，我们将对老年康复患者进行单臂可行性试点测试，使用个性化护理过渡“回家之路”移动应用程序来管理他们从医院到家庭过渡期间的需求。