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使用带手机提醒功能的互动数字日历(RemindMe)干预认知障碍患者,以提高日常生活活动表现的可行性。

Feasibility of an Intervention for Patients with Cognitive Impairment Using an Interactive Digital Calendar with Mobile Phone Reminders (RemindMe) to Improve the Performance of Activities in Everyday Life.

机构信息

Department of Health, Medicine and Caring Sciences, Linköping University, 601 74 Norrköping, Sweden.

Department of Special Education, Stockholm University, 106 91 Stockholm, Sweden.

出版信息

Int J Environ Res Public Health. 2020 Mar 26;17(7):2222. doi: 10.3390/ijerph17072222.

Abstract

The aim of this study is to increase evidence-based interventions by investigating the feasibility of an intervention using an interactive digital calendar with mobile phone reminders (RemindMe) as support in everyday life. Qualitative and quantitative data were collected from participating patients ( = 8) and occupational therapists ( = 7) from three rehabilitation clinics in Sweden. The intervention consisted of delivering the interactive digital calendar RemindMe, receiving an individualized introduction, a written manual, and individual weekly conversations for two months with follow-up assessments after two and four months. Feasibility areas of acceptability, demand, implementation, practicality, and integration were examined. Patients expressed their interest and intention to use RemindMe and reported a need for reminders and individualized support. By using reminders in activities in everyday life their autonomy was supported. The study also demonstrated the importance of confirming reminders and the possible role of habit-forming. Occupational therapists perceived the intervention to be useful at the rehabilitation clinics and the weekly support conversations enabled successful implementation. This study confirmed the importance of basing and tailoring the intervention to patients' needs and thus being person-centered.

摘要

本研究旨在通过调查一种使用带手机提醒功能的互动数字日历(RemindMe)作为日常生活支持的干预措施的可行性,来增加基于证据的干预措施。从瑞典三家康复诊所的参与患者(=8)和职业治疗师(=7)处收集定性和定量数据。该干预措施包括提供互动数字日历 RemindMe、接受个性化介绍、书面手册以及两个月内每周一次的单独对话,并在两个月和四个月后进行随访评估。对可接受性、需求、实施、实用性和融合性等可行性领域进行了检查。患者表示对使用 RemindMe 很感兴趣,并表示需要提醒和个性化支持。通过在日常生活活动中使用提醒,他们的自主性得到了支持。该研究还表明,确认提醒和形成习惯的可能作用很重要。职业治疗师认为该干预措施在康复诊所很有用,每周的支持对话使实施得以顺利进行。本研究证实了根据患者的需求为其量身定制干预措施的重要性,即以人为本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a26/7177339/0d71e72a2cde/ijerph-17-02222-g001.jpg

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