使用微传感器和眼罩助手改善对遮盖治疗依从性的监测。
Improved monitoring of adherence with patching treatment using a microsensor and Eye Patch Assistant.
机构信息
Salus University Pennsylvania College of Optometry, Elkins Park, Pennsylvania.
Panorama Windows Ltd. New York, New York.
出版信息
J AAPOS. 2020 Apr;24(2):96.e1-96.e7. doi: 10.1016/j.jaapos.2020.01.006. Epub 2020 Mar 18.
BACKGROUND
Use of a microsensor has been suggested to monitor patching adherence. Application has been limited because the microsensor's small size makes it easy to lose and a swallowing risk. We designed the Eye Patch Assistant (EPA) to hold the small microsensor in place and reduce the risk of loss or swallowing. This study reports the accuracy, precision, ease of use, and comfort for patching with EPA (patch+EPA) to monitor adherence.
METHODS
Adults (N = 13) wore an adhesive patch alone or a patch+EPA for 2 hours each, recorded wear time, and completed an ease of use/comfort questionnaire; 30 children wore a patch or patch+EPA and completed the questionnaire. Sensor sampling interval was every 5 minutes or every 1 minute. Sensor accuracy and precision were evaluated by Bland-Altman analysis and 95% limits of agreement, and questionnaire scores compared by Wilcoxon tests.
RESULTS
With 5-minute sampling, we found excellent accuracy for adults (mean actual vs recorded time difference, 1.4 minutes) and children (mean difference, -0.9 min). We found high precision for both adults and children (95% limits of agreement half widths of 6.4 minutes and 1.9 minutes, respectively). In adults, the ease of use score for the patch+EPA was lower than the patch (P < 0.01), but the comfort score for the patch+EPA was higher (P < 0.01). For children, scores did not differ significantly. The patch+EPA functioned well between 45° and 82°F.
CONCLUSIONS
The patch+EPA was well accepted and monitored adherence accurately and precisely.
背景
使用微传感器已被建议用于监测贴片的贴合度。但由于微传感器体积小，容易丢失且存在吞咽风险，其应用受到限制。我们设计了眼部贴片辅助器（EPA）来固定小的微传感器，以降低丢失或吞咽的风险。本研究报告了使用 EPA（贴片+EPA）监测贴合度的准确性、精密度、易用性和舒适性。
方法
成人（N=13）分别单独佩戴粘性贴片或贴片+EPA 各 2 小时，记录佩戴时间，并完成易用性/舒适性问卷；30 名儿童佩戴贴片或贴片+EPA 并完成问卷。传感器采样间隔为每 5 分钟或每 1 分钟。通过 Bland-Altman 分析和 95%一致性界限评估传感器的准确性和精密度，并通过 Wilcoxon 检验比较问卷评分。
结果
采用 5 分钟的采样间隔，我们发现成人（实际时间与记录时间的平均差值为 1.4 分钟）和儿童（平均差值为-0.9 分钟）的准确性非常好。我们发现成人和儿童的精密度都很高（95%一致性界限的半宽分别为 6.4 分钟和 1.9 分钟）。在成人中，贴片+EPA 的易用性评分低于贴片（P<0.01），但贴片+EPA 的舒适性评分更高（P<0.01）。对于儿童，评分没有显著差异。贴片+EPA 在 45°F 至 82°F 之间功能良好。
结论
贴片+EPA 得到了很好的接受，能够准确、精确地监测贴合度。
Zotero 插件