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跟踪减肥手术患者行为数据的价值:探索性研究。

The Value of Tracking Data on the Behavior of Patients Who Have Undergone Bariatric Surgery: Explorative Study.

作者信息

Versteegden Dirk, van Himbeeck Magaly, Burghoorn Anne W, Lovei Peter, Deckers Eva, Jansen Jos-Marien, Nienhuijs Simon

机构信息

Department of Surgery, Catharina Hospital, Eindhoven, Netherlands.

Philips Experience Design, Eindhoven, Netherlands.

出版信息

JMIR Form Res. 2022 May 6;6(5):e27389. doi: 10.2196/27389.

DOI:10.2196/27389
PMID:35522477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9123534/
Abstract

BACKGROUND

To maintain the benefits of a bariatric procedure, patients have to change their lifestyle permanently. This happens within a context of coresponsibilities of health care professionals and their social support system. However, most interventions are focused on the patient as an individual. In this explorative pilot study, behavioral, contextual, and experiential data were gathered to obtain insight on coresponsibility.

OBJECTIVE

The aim of this study is to explore the use of trackers by patients who have undergone bariatric surgery in a data-enabled design approach.

METHODS

Behavioral and contextual data on the households of patients who have undergone bariatric surgery were explored using a smartphone with an interactive user interface (UI), weight scale, activity bracelet, smart socket, accelerometer motion sensor, and event button to find examples of opportunities for future interventions.

RESULTS

A total of 6 households were monitored. Approximately 483,000 data points were collected, and the participants engaged in 1483 conversations with the system. Examples were found using different combinations of data types, which provided the obesity team a better understanding of patient behaviors and their support system, such as a referral to a family coach instead of a dietician. Another finding regarding the partners was, for example, that the conversational UI system facilitated discussion about the support structure by asking for awareness.

CONCLUSIONS

An intelligent system using a combination of quantitative data gathered by data tracking products in the home environment and qualitative data gathered by app-enhanced short conversations, as well as face-to-face interviews, is useful for an improved understanding of coresponsibilities in the households of patients who have undergone bariatric surgery. The examples found in this explorative study so far encourage research in this field.

摘要

背景

为维持减肥手术的效果,患者必须永久性地改变生活方式。这一过程发生在医疗保健专业人员及其社会支持系统共同承担责任的背景下。然而,大多数干预措施都聚焦于患者个体。在这项探索性试点研究中,收集了行为、背景和体验数据,以深入了解共同责任。

目的

本研究的目的是探讨减肥手术患者在数据驱动设计方法中对追踪器的使用情况。

方法

使用具有交互式用户界面(UI)的智能手机、体重秤、活动手环、智能插座、加速度计运动传感器和事件按钮,探索减肥手术患者家庭的行为和背景数据,以寻找未来干预机会的示例。

结果

共监测了6个家庭。收集了约483,000个数据点,参与者与系统进行了1483次对话。通过不同数据类型的组合找到了示例,这使肥胖治疗团队能更好地了解患者行为及其支持系统,比如推荐家庭教练而非营养师。关于伴侣的另一个发现是,例如,对话式UI系统通过询问认知情况促进了关于支持结构的讨论。

结论

一个智能系统,结合在家居环境中通过数据追踪产品收集的定量数据、通过应用程序增强的简短对话以及面对面访谈收集的定性数据,有助于更好地理解减肥手术患者家庭中的共同责任。到目前为止,在这项探索性研究中发现的示例鼓励了该领域的研究。

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本文引用的文献

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Utilization of a Directly Supervised Telehealth-Based Exercise Training Program in Patients With Nonalcoholic Steatohepatitis: Feasibility Study.非酒精性脂肪性肝炎患者直接监督下基于远程医疗的运动训练计划的应用:可行性研究
JMIR Form Res. 2021 Aug 17;5(8):e30239. doi: 10.2196/30239.
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Where Are My Patients? Lost and Found in Bariatric Surgery.我的患者在哪里?在减重手术中迷失与寻回。
Obes Surg. 2021 May;31(5):1979-1985. doi: 10.1007/s11695-020-05186-9. Epub 2021 Jan 11.
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Impact of Routine and Long-Term Follow-Up on Weight Loss after Bariatric Surgery.
常规及长期随访对减肥手术后体重减轻的影响。
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Obes Surg. 2020 Jun;30(6):2369-2374. doi: 10.1007/s11695-020-04500-9.
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Patients' experiences of life after bariatric surgery and follow-up care: a qualitative study.患者接受减重手术后的生活体验和随访护理:一项定性研究。
BMJ Open. 2020 Feb 6;10(2):e035013. doi: 10.1136/bmjopen-2019-035013.
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The use of telemedicine for delivering healthcare to bariatric surgery patients: A literature review.远程医疗在肥胖症手术患者医疗服务中的应用:文献综述。
J Telemed Telecare. 2018 Dec;24(10):651-660. doi: 10.1177/1357633X18795356.
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Development of a telehealth monitoring service after colorectal surgery: A feasibility study.结直肠手术后远程健康监测服务的开发:一项可行性研究。
World J Gastrointest Surg. 2017 Sep 27;9(9):193-199. doi: 10.4240/wjgs.v9.i9.193.
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Project HELP: a Remotely Delivered Behavioral Intervention for Weight Regain after Bariatric Surgery.“助力项目”:一种针对减肥手术后体重反弹的远程行为干预措施。
Obes Surg. 2017 Mar;27(3):586-598. doi: 10.1007/s11695-016-2337-3.
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