医疗服务提供者对将传感器采集的患者生成数据整合到精神卫生保健中的看法。
Provider Perspectives on Integrating Sensor-Captured Patient-Generated Data in Mental Health Care.
作者信息
Ng Ada, Kornfield Rachel, Schueller Stephen M, Zalta Alyson K, Brennan Michael, Reddy Madhu
机构信息
Northwestern University, USA.
University of California, Irvine, USA.
出版信息
Proc ACM Hum Comput Interact. 2019 Nov;3(CSCW). doi: 10.1145/3359217.
The increasing ubiquity of health sensing technology holds promise to enable patients and health care providers to make more informed decisions based on continuously-captured data. The use of sensor-captured patient-generated data (sPGD) has been gaining greater prominence in the assessment of physical health, but we have little understanding of the role that sPGD can play in mental health. To better understand the use of sPGD in mental health, we interviewed care providers in an intensive treatment program (ITP) for veterans with post-traumatic stress disorder. In this program, patients were given Fitbits for their own voluntary use. Providers identified a number of potential benefits from patients' Fitbit use, such as patient empowerment and opportunities to reinforce therapeutic progress through collaborative data review and interpretation. However, despite the promise of sensor data as offering an "objective" view into patients' health behavior and symptoms, the relationships between sPGD and therapeutic progress are often ambiguous. Given substantial subjectivity involved in interpreting data from commercial wearables in the context of mental health treatment, providers emphasized potential risks to their patients and were uncertain how to adjust their practice to effectively guide collaborative use of the FitBit and its sPGD. We discuss the implications of these findings for designing systems to leverage sPGD in mental health care.
健康传感技术的日益普及有望使患者和医疗保健提供者能够根据持续收集的数据做出更明智的决策。在身体健康评估中,利用传感器捕获的患者生成数据(sPGD)的做法越来越受到关注,但我们对sPGD在心理健康方面所能发挥的作用了解甚少。为了更好地理解sPGD在心理健康中的应用,我们采访了一个针对创伤后应激障碍退伍军人的强化治疗项目(ITP)中的护理人员。在这个项目中,患者可以自愿使用Fitbit手环。护理人员指出患者使用Fitbit手环有一些潜在益处,比如增强患者的自主权,以及通过协作式的数据审查和解读来巩固治疗进展的机会。然而,尽管传感器数据有望提供对患者健康行为和症状的“客观”看法,但sPGD与治疗进展之间的关系往往并不明确。鉴于在心理健康治疗背景下解读商业可穿戴设备数据存在大量主观性,护理人员强调了对患者的潜在风险,并且不确定如何调整他们的做法以有效地指导Fitbit手环及其sPGD的协作使用。我们讨论了这些发现对设计在精神卫生保健中利用sPGD的系统的启示。
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