Biomedical Engineering Group, University of Seville, 41092 Seville, Spain.
Department of Telematics Engineering, University of Seville, 41092 Seville, Spain.
Int J Environ Res Public Health. 2021 Nov 8;18(21):11730. doi: 10.3390/ijerph182111730.
Frailty syndrome is an independent risk factor for serious health episodes, disability, hospitalization, falls, loss of mobility, and cardiovascular disease. Its high reversibility demands personalized interventions among which exercise programs are highly efficient to contribute to its delay. Information technology-based solutions to support frailty have been recently approached, but most of them are focused on assessment and not on intervention. This paper describes a sensor-based mHealth platform integrated in a service-based architecture inside the FRAIL project towards the remote monitoring and intervention of pre-frail and frail patients at home. The aim of this platform is constituting an efficient and scalable system for reducing both the impact of aging and the advance of frailty syndrome. Among the results of this work are: (1) the development of elderly-focused sensors and platform; (2) a technical validation process of the sensor devices and the mHealth platform with young adults; and (3) an assessment of usability and acceptability of the devices with a set of pre-frail and frail patients. After the promising results obtained, future steps of this work involve performing a clinical validation in order to quantify the impact of the platform on health outcomes of frail patients.
虚弱综合征是严重健康事件、残疾、住院、跌倒、失去活动能力和心血管疾病的独立风险因素。其高度可逆转性要求针对个人进行干预,其中运动方案非常有效,可以延缓其发展。最近已经提出了基于信息技术的虚弱支持解决方案,但大多数解决方案都侧重于评估,而不是干预。本文描述了一个基于传感器的移动健康平台,该平台集成在 FRAIL 项目中的服务基础架构中,用于在家中对虚弱前期和虚弱患者进行远程监测和干预。该平台的目的是构建一个高效且可扩展的系统,以减少衰老的影响和虚弱综合征的进展。这项工作的结果包括:(1)开发了针对老年人的传感器和平台;(2)对年轻成年人进行了传感器设备和移动健康平台的技术验证过程;(3)对一组虚弱前期和虚弱患者进行了设备的可用性和可接受性评估。在获得有希望的结果后,下一步是进行临床验证,以量化该平台对虚弱患者健康结果的影响。