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老年人平衡障碍和跌倒风险的数字健康服务:设计科学方法。

A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach.

机构信息

Instituto de Higiene e Medicina Tropical (IHMT), Universidade NOVA de Lisboa (UNL), 1349-008 Lisbon, Portugal.

Hospital Beatriz Ângelo, 2674-514 Lisbon, Portugal.

出版信息

Int J Environ Res Public Health. 2022 Feb 7;19(3):1855. doi: 10.3390/ijerph19031855.


DOI:10.3390/ijerph19031855
PMID:35162877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8835704/
Abstract

In this study, a design science research methodology was used aiming at designing, implementing and evaluating a digital health service to complement the provision of healthcare for elderly people with balance disorders and risk of falling. An explanatory sequential mixed methods study allowed to identify and explore the dissatisfaction with electronic medical records and the opportunity for using digital health solutions. The suggested recommendations helped to elaborate and develop "BALANCE", a digital service implemented on the METHIS platform, which was recently validated for remote monitoring of chronic patients in primary healthcare. "BALANCE" provides clinical and interactive data, questionnaire pre and post-balance rehabilitation, tutorial videos with balance exercises and patient-recorded videos of the exercises. This digital service was demonstrated, including five elderly patients with clinical recommendations for balance rehabilitation at home. Finally, the authors conducted two focus groups with the participants and their caregivers as well as with physicians. The focus groups aimed at exploring their satisfaction level, needs of adjustment in the "BALANCE" service and strategies for applicability. The digital healthcare service evaluation revealed a significant potential for clinical applicability of this digital solution for elderly people with balance disorders and risk of falling.

摘要

在这项研究中,使用了设计科学研究方法,旨在设计、实施和评估一项数字健康服务,以补充为患有平衡障碍和跌倒风险的老年人提供的医疗保健。一项解释性顺序混合方法研究允许确定和探索对电子病历的不满以及使用数字健康解决方案的机会。建议的建议有助于详细阐述和开发“BALANCE”,这是一个在 METHIS 平台上实施的数字服务,最近已验证可用于远程监测初级保健中的慢性患者。“BALANCE”提供临床和交互数据、平衡康复前后的问卷调查、带平衡练习的教程视频以及患者记录的练习视频。展示了这个数字服务,包括五名患有临床平衡康复建议的老年患者。最后,作者与参与者及其照顾者以及医生进行了两次焦点小组讨论。焦点小组旨在探讨他们对服务的满意度、对“BALANCE”服务的调整需求以及适用性策略。数字医疗保健服务评估显示,对于患有平衡障碍和跌倒风险的老年人,该数字解决方案具有显著的临床适用性潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/044e1cf8ea28/ijerph-19-01855-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/21c4663dbe17/ijerph-19-01855-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/f9962192ea17/ijerph-19-01855-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/044e1cf8ea28/ijerph-19-01855-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/21c4663dbe17/ijerph-19-01855-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/f9962192ea17/ijerph-19-01855-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/8835704/044e1cf8ea28/ijerph-19-01855-g003.jpg

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引用本文的文献

[1]
Navigating Through Innovation in Elderly's Health: A Scoping Review of Digital Health Interventions.

Public Health Rev. 2024-12-19

[2]
Postimplementation Evaluation in Assisted Living Facilities of an eHealth Medical Device Developed to Predict and Avoid Unplanned Hospitalizations: Pragmatic Trial.

J Med Internet Res. 2024-12-10

[3]
Digital home care interventions and quality of primary care for older adults: a scoping review.

BMC Geriatr. 2024-6-10

[4]
Global scientific trends in healthy aging in the early 21st century: A data-driven scientometric and visualized analysis.

Heliyon. 2023-12-9

[5]
Healthy Ageing: A Decision-Support Algorithm for the Patient-Specific Assignment of ICT Devices and Services.

Sensors (Basel). 2023-2-7

本文引用的文献

[1]
The Role of the Smartphone in the Diagnosis of Vestibular Hypofunction: A Clinical Strategy for Teleconsultation during the COVID-19 Pandemic and Beyond.

Int Arch Otorhinolaryngol. 2021-8-4

[2]
Let's Walk It: Mobility and the Perceived Quality of Life in Older Adults.

Int J Environ Res Public Health. 2021-11-2

[3]
Telehealth and digital developments in society that persons 75 years and older in European countries have been part of: a scoping review.

BMC Health Serv Res. 2021-10-26

[4]
E-Health Practices and Technologies: A Systematic Review from 2014 to 2019.

Healthcare (Basel). 2021-9-10

[5]
Peripheral vestibular system: Age-related vestibular loss and associated deficits.

J Otol. 2021-10

[6]
An Evaluation Service for Digital Public Health Interventions: User-Centered Design Approach.

J Med Internet Res. 2021-9-8

[7]
Implementation of Digital Monitoring Services During the COVID-19 Pandemic for Patients With Chronic Diseases: Design Science Approach.

J Med Internet Res. 2021-8-26

[8]
Tele-Monitoring System for Chronic Diseases Management: Requirements and Architecture.

Int J Environ Res Public Health. 2021-7-13

[9]
How Can We Develop an Efficient eHealth Service for Provision of Care for Elderly People with Balance Disorders and Risk of Falling? A Mixed Methods Study.

Int J Environ Res Public Health. 2021-7-11

[10]
Current Insights into Treating Vertigo in Older Adults.

Drugs Aging. 2021-8

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