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通过简化交互与控制平台在医疗保健中可持续实施数字辅助技术:共创可行性研究方案

Sustainable Implementation of Digital Assistive Technologies in Health Care Through a Simplified Interaction and Control Platform: Protocol for a Cocreative Feasibility Study.

作者信息

Müller Pascal, Hofstetter Sebastian, Jahn Patrick

机构信息

Health Service Research Working Group, Acute Care, Department of Internal Medicine, Faculty of Medicine, University Medicine Halle (Saale), Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

出版信息

JMIR Res Protoc. 2025 Mar 18;14:e63089. doi: 10.2196/63089.

Abstract

BACKGROUND

With the expected increase in the number of people needing care and the increasing shortage of skilled care workers, new care concepts are required. Therefore, digital assistive technologies (DATs), especially robotics, can improve the situation of people with different needs and create opportunities for participation. For a human-technology interaction to have a high level of usability, DAT's meaningfulness and effectiveness must be accessible to end users. Significant barriers to the use of DATs in health care are the lack of controllability and adaptivity, as well as control functions that are too complex.

OBJECTIVE

The objective of this paper is to develop an interaction and control platform that is understandable to a layperson and has a programming interface for DAT interactions. The innovation consists of the expansion of usage and interaction options for carers of existing DAT in a more individual manner. This is to be achieved by combining modern interactive media, a modular software architecture, and already available DAT.

METHODS

The project is planned as a mixed methods study with a longitudinal design, with multiple user involvements and measurement times in collaboration with 3 care facilities in Germany. When assessing technologies, the satisfaction of the basic human needs of competence, connection, and autonomy plays an important role in the actual use of the technology. These needs can be measured in the form of usability (System Usability Scale), intention to use (Technology Usage Inventory), and satisfaction with the carers' needs (Technology-Based Experience of Need Satisfaction). In the qualitative assessment, user experience is recorded using the think-aloud method and focus groups in order to obtain information about potential improvements of the platform.

RESULTS

The EduXBot (Educational Exploration Robot Application Platform) project was initiated in January 2023 and is scheduled to conclude in December 2025, at which point the project's final results are expected to be available. The initial results were attained in the summer of 2024 when the final concept for the platform prototype was developed. In November 2024, an initial prototype of a functional platform for the simplified interaction and control of DAT was evaluated.

CONCLUSIONS

It is expected that the open DAT system architecture enables caregivers without any previous technical knowledge to assemble their individual DAT functional portfolio. The results of the project will provide low-threshold access to interaction options for existing DAT as well as expand the usage of such technologies in an individual and patient-centered way.

TRIAL REGISTRATION

Deutsches Register Klinischer Studien DRKS00034195; https://drks.de/search/de/trial/DRKS00034195.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/63089.

摘要

背景

随着需要护理的人数预计增加以及熟练护理人员的短缺日益严重,需要新的护理概念。因此,数字辅助技术(DATs),尤其是机器人技术,可以改善不同需求人群的状况,并创造参与机会。为了使人机交互具有高度的可用性,终端用户必须能够理解DAT的意义和有效性。在医疗保健中使用DAT的重大障碍是缺乏可控性和适应性,以及控制功能过于复杂。

目的

本文的目的是开发一个外行也能理解的交互和控制平台,并具有用于DAT交互的编程接口。创新之处在于以更个性化的方式扩展现有DAT护理人员的使用和交互选项。这将通过结合现代交互式媒体、模块化软件架构和现有的DAT来实现。

方法

该项目计划作为一项采用纵向设计的混合方法研究,与德国的3家护理机构合作,有多个用户参与和测量时间点。在评估技术时,能力、联系和自主性等基本人类需求的满意度在技术的实际使用中起着重要作用。这些需求可以通过可用性(系统可用性量表)、使用意图(技术使用清单)和对护理人员需求的满意度(基于技术的需求满足体验)的形式进行测量。在定性评估中,使用出声思考法和焦点小组记录用户体验,以获取有关平台潜在改进的信息。

结果

EduXBot(教育探索机器人应用平台)项目于2023年1月启动,计划于2025年12月结束,届时预计将获得该项目的最终结果。初步结果于2024年夏天获得,当时开发了平台原型的最终概念。2024年11月,对一个用于简化DAT交互和控制的功能平台的初始原型进行了评估。

结论

预计开放的DAT系统架构将使没有任何先前技术知识的护理人员能够组装他们的个人DAT功能组合。该项目的结果将为现有DAT的交互选项提供低门槛访问,并以个性化和以患者为中心的方式扩大此类技术的使用。

试验注册

德国临床研究注册中心DRKS00034195;https://drks.de/search/de/trial/DRKS00034195。

国际注册报告识别码(IRRID):DERR1-10.2196/63089。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e43c/11962334/4a398eb2c075/resprot_v14i1e63089_fig1.jpg

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