Ummels Darcy, Beekman Emmylou, Braun Susy M, Beurskens Anna J
Research Centre for Autonomy and Participation of Persons with a Chronic Illness, Academy for Speech and Language Therapy, Zuyd University of Applied Sciences, P.O. Box 550, 6400 AN Heerlen, The Netherlands.
Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Int J Environ Res Public Health. 2021 May 12;18(10):5147. doi: 10.3390/ijerph18105147.
Despite the increased use of activity trackers, little is known about how they can be used in healthcare settings. This study aimed to support healthcare professionals and patients with embedding an activity tracker in the daily clinical practice of a specialized mental healthcare center and gaining knowledge about the implementation process. An action research design was used to let healthcare professionals and patients learn about how and when they can use an activity tracker. Data collection was performed in the specialized center with audio recordings of conversations during therapy, reflection sessions with the therapists, and semi-structured interviews with the patients. Analyses were performed by directed content analyses. Twenty-eight conversations during therapy, four reflection sessions, and eleven interviews were recorded. Both healthcare professionals and patients were positive about the use of activity trackers and experienced it as an added value. Therapists formulated exclusion criteria for patients, a flowchart on when to use the activity tracker, defined goals, and guidance on how to discuss (the data of) the activity tracker. The action research approach was helpful to allow therapists to learn and reflect with each other and embed the activity trackers into their clinical practice at a specialized mental healthcare center.
尽管活动追踪器的使用越来越多，但对于如何在医疗环境中使用它们却知之甚少。本研究旨在支持医疗专业人员和患者将活动追踪器融入一家专业精神卫生保健中心的日常临床实践，并了解实施过程。采用行动研究设计，让医疗专业人员和患者了解如何以及何时使用活动追踪器。在专业中心进行数据收集，包括治疗期间对话的录音、与治疗师的反思会议以及对患者的半结构化访谈。通过定向内容分析进行分析。记录了28次治疗期间的对话、4次反思会议和11次访谈。医疗专业人员和患者对活动追踪器的使用都持积极态度，并认为这是一项附加价值。治疗师为患者制定了排除标准、何时使用活动追踪器的流程图、明确的目标以及如何讨论活动追踪器（数据）的指导。行动研究方法有助于让治疗师相互学习和反思，并将活动追踪器融入他们在专业精神卫生保健中心的临床实践中。
