Universidade do Estado do Rio de Janeiro (UERJ), Rua São Francisco Xavier, 524 - Maracanã, Rio de Janeiro, 20550-900, Brazil.
Bacharelado em Ciência da Computação (BCC/IME) and Laboratório de Ciência da Computação (LCC), Rio de Janeiro, Brazil.
BMC Med Inform Decis Mak. 2019 Jul 22;19(1):140. doi: 10.1186/s12911-019-0839-3.
The challenges faced by caregivers of the elderly with chronic diseases are always complex. In this context, mobile technologies have been used with promising results, but often have restricted functionality, or are either difficult to use or do not provide the necessary support to the caregiver - which leads to declining usage over time. Therefore, we developed the Mobile System for Elderly Monitoring, SMAI. The purpose of SMAI is to monitor patients with functional loss and to improve the support to caregivers' communication with the health team professionals, informing them the data related to the patients' daily lives, while providing the health team better tools.
SMAI is composed of mobile applications developed for the caregivers and health team, and a web portal that supports management activities. Caregivers use an Android application to send information and receive care advice and feedback from the health team. The system was constructed using a refinement stage approach. Each stage involved caregivers and the health team in prototype release-test-assessment-refinement cycles. SMAI was evaluated during 18 months. We studied which features were being used the most, and their use pattern throughout the week. We also studied the users' qualitative perceptions. Finally, the caregiver application was also evaluated for usability.
SMAI functionalities showed to be very useful or useful to caregivers and health professionals. The Focus Group interviews reveled that among caregivers the use of the application gave them the sensation of being connected to the health team. The usability evaluation identified that the interface design and associated tasks were easy to use and the System Usability Scale, SUS, presented very good results.
In general, the use of SMAI represented a positive change for the family caregivers and for the NAI health team. The overall qualitative results indicate that the approach used to construct the system was appropriate to achieve the objectives.
照顾患有慢性病的老年人的护理人员面临的挑战总是很复杂。在这种情况下，移动技术已经得到了应用，并取得了一定的成效，但通常功能有限，或者难以使用，或者不能为护理人员提供必要的支持，从而导致使用频率随着时间的推移而下降。因此，我们开发了移动老年监测系统（SMAI）。SMAI 的目的是监测有功能丧失的患者，并改善对护理人员与医疗团队专业人员沟通的支持，向他们提供与患者日常生活相关的数据，同时为医疗团队提供更好的工具。
SMAI 由为护理人员和医疗团队开发的移动应用程序和一个支持管理活动的网络门户组成。护理人员使用一个 Android 应用程序向健康团队发送信息，并接收护理建议和反馈。该系统采用精细化阶段方法构建。每个阶段都让护理人员和医疗团队参与原型发布-测试-评估-精细化循环。SMAI 经过 18 个月的评估。我们研究了哪些功能最常被使用，以及它们在一周内的使用模式。我们还研究了用户的定性认知。最后，还对护理人员应用程序的可用性进行了评估。
SMAI 的功能对护理人员和医疗专业人员来说非常有用或有用。焦点小组访谈揭示了，在护理人员中，应用程序的使用让他们感到与医疗团队保持联系。可用性评估表明，界面设计和相关任务易于使用，系统可用性量表（SUS）的结果非常好。
总的来说，SMAI 的使用对家庭护理人员和 NAI 医疗团队来说是一个积极的变化。总体定性结果表明，用于构建系统的方法是合适的，可以实现目标。
