Morrison Lisa, Saynor Zoe Louise, Kirk Alison, McCann Lisa
West of Scotland Adult Cystic Fibrosis Unit, Queen Elizabeth University Hospital, Glasgow, United Kingdom.
Department of Computer and Information Sciences, University of Strathclyde, Glasgow, United Kingdom.
JMIR Rehabil Assist Technol. 2024 Jul 15;11:e55718. doi: 10.2196/55718.
This viewpoint paper explores the dynamic intersection of physiotherapy and digital health technologies (DHTs) in enhancing the care of people with cystic fibrosis (CF), in the context of advancements such as highly effective modulator therapies that are enhancing life expectancy and altering physiotherapy needs. The role of DHTs, including telehealth, surveillance, home monitoring, and activity promotion, has expanded, becoming crucial in overcoming geographical barriers and accelerated by the recent pandemic. Physiotherapy, integral to CF care since 1946, has shifted toward patient-centered approaches, emphasizing exercise training and a physically active lifestyle. The reduction in inpatient admissions due to highly effective modulator therapies has led to increased home care and online or electronic consultations, and DHTs have revolutionized service delivery, offering flexibility, self-management, and personalized care options; however, there is a need to comprehensively understand user experiences from both people with CF and physiotherapists. This paper highlights the essential exploration of user experiences to facilitate clinician adaptation to the digital requirements of modern clinical management, ensuring equitable care in the "future hospitals" arena. Identifying research gaps, this paper emphasizes the need for a thorough evaluation of DHT use in CF physiotherapy education, training, and self-monitoring, as well as the experiences of people with CF with online or electronic consultations, self-monitoring, and remote interventions. Online group exercise platforms address historical challenges relating to infection control but necessitate comprehensive evaluations of user experiences and preferences. Future-proofing DHTs within the physiotherapy management of CF demands a shift toward full integration, considering stakeholder opinions and addressing barriers. While DHTs have the potential to extend physiotherapy beyond the hospital, this paper stresses the importance of understanding user experiences, addressing digital poverty, and working toward more equitable health care access. A flexible approach in the "future hospital" is advocated, emphasizing the need for a nuanced understanding of user preferences and experiences to optimize the integration of DHTs in CF care.
本观点论文探讨了物理治疗与数字健康技术(DHTs)在改善囊性纤维化(CF)患者护理方面的动态交叉点,背景是诸如高效调节剂疗法等进展,这些疗法正在提高预期寿命并改变物理治疗需求。DHTs的作用,包括远程医疗、监测、家庭监测和活动促进,已经扩大,在克服地理障碍方面变得至关重要,并因最近的疫情而加速发展。自1946年以来,物理治疗一直是CF护理的重要组成部分,现已转向以患者为中心的方法,强调运动训练和积极的生活方式。由于高效调节剂疗法导致住院人数减少,家庭护理以及在线或电子咨询有所增加,DHTs彻底改变了服务提供方式,提供了灵活性、自我管理和个性化护理选择;然而,有必要全面了解CF患者和物理治疗师的用户体验。本文强调了对用户体验进行必要探索的重要性,以促进临床医生适应现代临床管理的数字要求,确保在“未来医院”领域提供公平的护理。识别研究差距后,本文强调需要对DHTs在CF物理治疗教育、培训和自我监测中的使用进行全面评估,以及CF患者在在线或电子咨询、自我监测和远程干预方面的体验。在线团体运动平台解决了与感染控制相关的历史挑战,但需要对用户体验和偏好进行全面评估。在CF的物理治疗管理中使DHTs适应未来需求,需要转向全面整合,考虑利益相关者的意见并解决障碍。虽然DHTs有可能将物理治疗扩展到医院之外,但本文强调了了解用户体验、解决数字贫困问题以及努力实现更公平的医疗保健获取的重要性。提倡在“未来医院”中采取灵活的方法,强调需要对用户偏好和体验有细致入微的理解,以优化DHTs在CF护理中的整合。