Dowthwaite Liz, Cruz Gisela Reyes, Pena Ana Rita, Pepper Cecily, Jäger Nils, Barnard Pepita, Hughes Ann-Marie, Nair Roshan das, Crepaz-Keay David, Cobb Sue, Lang Alexandra, Benford Steve
Horizon Digital Economy Research, University of Nottingham, Nottingham NG7 2TU, UK.
School of Computer Science, University of Nottingham, Nottingham NG8 1BB, UK.
Healthcare (Basel). 2023 Sep 22;11(19):2608. doi: 10.3390/healthcare11192608.
The home is becoming a key location for healthcare delivery, including the use of technology driven by autonomous systems (AS) to monitor and support healthcare plans. Using the example of a smart mirror, this paper describes the outcomes of focus groups with people with multiple sclerosis (MS; = 6) and people who have had a stroke ( = 15) to understand their attitudes towards the use of AS for healthcare in the home. Qualitative data were analysed using a thematic analysis. The results indicate that the use of such technology depends on the level of adaptability and responsiveness to users' specific circumstances, including their relationships with the healthcare system. A smart mirror would need to support manual entry, responsive goal setting, the effective aggregation of data sources and integration with other technology, have a range of input methods, be supportive rather than prescriptive in messaging, and give the user full control of their data. The barriers to its adoption include a perceived lack of portability and practicality, a lack of accessibility and inclusivity, a sense of redundancy, feeling overwhelmed by multiple technological devices, and a lack of trust in data sharing. These results inform the development and deployment of future health technologies based on the lived experiences of people with health conditions who require ongoing care.
家庭正成为医疗服务提供的关键场所，包括利用由自主系统（AS）驱动的技术来监测和支持医疗保健计划。本文以智能镜子为例，描述了针对多发性硬化症患者（n = 6）和中风患者（n = 15）的焦点小组讨论结果，以了解他们对在家中使用自主系统进行医疗保健的态度。使用主题分析法对定性数据进行了分析。结果表明，此类技术的使用取决于对用户特定情况（包括他们与医疗保健系统的关系）的适应能力和响应能力。智能镜子需要支持手动输入、响应式目标设定、数据源的有效整合以及与其他技术的集成，具备一系列输入方法，在信息传递方面提供支持而非指令性，并且让用户完全掌控自己的数据。其采用的障碍包括感觉缺乏便携性和实用性、缺乏可及性和包容性、有冗余感、被多种技术设备弄得不知所措，以及对数据共享缺乏信任。这些结果基于需要持续护理的健康状况患者的实际生活经验，为未来健康技术的开发和部署提供了参考。
