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在新冠疫情期间,使用远程临场机器人作为工具让患者及家属参与痴呆症研究:一项定性参与式研究

Using telepresence robots as a tool to engage patient and family partners in dementia research during COVID-19 pandemic: a qualitative participatory study.

作者信息

Hung Lillian, Lake Charlie, Hussein Ali, Wong Joey, Mann Jim

机构信息

School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.

出版信息

Res Involv Engagem. 2023 Mar 23;9(1):12. doi: 10.1186/s40900-023-00421-w.

Abstract

BACKGROUND

Long-term care (LTC) settings have been disproportionately affected by the COVID-19 pandemic; it is important to address unmet needs and explore practical strategies for supporting LTC residents and staff. The involvement of patient partners and family community members in research planning, implementation and evaluation is the basis of Patient and Public Involvement approach and has been challenging during the COVID-19 pandemic, as visitation restrictions have created barriers to conducting research in healthcare settings. Innovative methods and tools are needed for conducting participatory research. This study investigated the use of telepresence as innovative tools for participatory research based on three projects conducted with patient and family partners during the COVID-19 pandemic.

METHODS

The data source includes (a) team reflective discussions, (b) weekly meeting notes, (c) field notes, and (d) interviews with ten researchers. We applied purposive sampling to select ten researchers who used a telepresence robot to conduct research in British Columbia, Canada. Semi-structured one-to-one interviews were conducted via Zoom virtual meetings. Patient and family partners contributed to team analysis to identify themes.

RESULTS

Analysis of the data produced five themes: (1) Research Enabler, (2) User-Friendly Technology, (3) Increased Engagement, (4) Lack of Infrastructure and Resources, and (5) Training and Technical Obstacles. Based on the results, we propose "ROBOT"-an acronym for five actionable recommendations to support the use of telepresence robots for research. The ROBOT recommendations represent: Realign to adapt, Organize with champions, Blend strategies, Offer timely technical assistance, and Tailor training to individual needs.

CONCLUSIONS

This study offers practical insights into the use of telepresence robots as a safe and innovative tool for conducting remote research with people with dementia, even in times of restricted access, as with COVID-19. Future research should apply more creativity and flexibility in adopting technology to expand possibilities for involving people with dementia in research.

摘要

背景

长期护理(LTC)机构受到新冠疫情的影响尤为严重;满足未得到满足的需求并探索支持长期护理机构居民和工作人员的切实可行策略非常重要。患者合作伙伴以及家庭社区成员参与研究规划、实施和评估是患者及公众参与方法的基础,而在新冠疫情期间这一直具有挑战性,因为探视限制给在医疗机构开展研究造成了障碍。开展参与式研究需要创新方法和工具。本研究基于在新冠疫情期间与患者及家庭合作伙伴开展的三个项目,调查了使用远程呈现技术作为参与式研究的创新工具的情况。

方法

数据来源包括(a)团队反思讨论、(b)周会议记录、(c)实地记录以及(d)对十位研究人员的访谈。我们采用目的抽样法选择了十位在加拿大不列颠哥伦比亚省使用远程呈现机器人进行研究的研究人员。通过Zoom虚拟会议进行了半结构化一对一访谈。患者及家庭合作伙伴参与团队分析以确定主题。

结果

数据分析产生了五个主题:(1)研究促进因素,(2)用户友好型技术,(3)参与度提高,(4)基础设施和资源匮乏,(5)培训和技术障碍。基于这些结果,我们提出了“ROBOT”——五个可操作建议的首字母缩写,以支持使用远程呈现机器人进行研究。“ROBOT”建议代表:调整以适应、与倡导者组织起来、融合策略、提供及时的技术援助以及根据个人需求量身定制培训。

结论

本研究为将远程呈现机器人作为一种安全且创新的工具用于对痴呆症患者进行远程研究提供了切实的见解,即使在像新冠疫情期间访问受限的情况下也是如此。未来的研究在采用技术时应运用更多的创造力和灵活性,以扩大让痴呆症患者参与研究的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b9/10037836/30cda181730f/40900_2023_421_Fig1_HTML.jpg

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