Tsiouris Kostas M, Tsakanikas Vassilios D, Gatsios Dimitrios, Fotiadis Dimitrios I
Biomedical Engineering Laboratory, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Unit of Medical Technology and Intelligent Information Systems, Department of Material Science and Engineering, University of Ioannina, Ioannina, Greece.
Front Digit Health. 2020 Sep 30;2:567502. doi: 10.3389/fdgth.2020.567502. eCollection 2020.
This review focuses on virtual coaching systems that were designed to enhance healthcare interventions, combining the available sensing and system-user interaction technologies. In total, more than 1,200 research papers have been retrieved and evaluated for the purposes of this review, which were obtained from three online databases (i.e.,PubMed, Scopus and IEEE Xplore) using an extensive set of search keywords. After applying exclusion criteria, the remaining 41 research papers were used to evaluate the status of virtual coaching systems over the past 10 years and assess current and future trends in this field. The results suggest that in home coaching systems were mainly focused in promoting physical activity and a healthier lifestyle, while a wider range of medical domains was considered in systems that were evaluated in lab environment. In home patient monitoring with IoT devices and sensors was mostly limited to activity trackers, pedometers and heart rate monitoring. Real-time evaluations and personalized patient feedback was also found to be rather lacking in home coaching systems and this is the most alarming find of this analysis. Feasibility studies in controlled environment and an ongoing active research on Horizon 2020 funded projects, show that the future trends in this field are aiming to close the loop with automated patient monitoring, real-time evaluations and more precise interventions.
本综述聚焦于旨在增强医疗保健干预措施的虚拟指导系统，这些系统结合了现有的传感技术和系统与用户的交互技术。为了本次综述，总共检索并评估了1200多篇研究论文，这些论文是通过使用大量搜索关键词从三个在线数据库（即PubMed、Scopus和IEEE Xplore）获取的。在应用排除标准后，剩余的41篇研究论文被用于评估过去10年虚拟指导系统的状况，并评估该领域的当前和未来趋势。结果表明，家庭指导系统主要侧重于促进身体活动和更健康的生活方式，而在实验室环境中评估的系统则考虑了更广泛的医学领域。使用物联网设备和传感器进行的家庭患者监测大多局限于活动追踪器、计步器和心率监测。家庭指导系统中也缺乏实时评估和个性化患者反馈，这是该分析中最令人担忧的发现。在受控环境中的可行性研究以及对“地平线2020”资助项目的持续积极研究表明，该领域的未来趋势旨在通过自动患者监测、实时评估和更精确的干预措施来实现闭环。
