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在医疗保险和医疗补助服务中心(CMS)的一个示范项目中发现支持远程健康指导和护理协调的用户需求。

Discovery of User Requirements to Support Remote Health Coaching and Care Coordination in a CMS Demonstration Project.

作者信息

Boles Katrina K, Young Lisa, Emezue Chuka, Lee Knoo, Popejoy Lori, Reeder Blaine

机构信息

Institute for Data Science and Informatics, University of Missouri, Columbia, MO, USA.

Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.

出版信息

AMIA Annu Symp Proc. 2025 May 22;2024:182-191. eCollection 2024.

PMID:40417539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12099368/
Abstract

Remote interventionists in the novel ASSETs for Aging in Place demonstration project rely on smart home and wearable sensor data to understand daily behavior patterns of older adult clients discharged from nursing homes to the community and to inform coaching during telehealth visits to help clients self-manage personal goals for health and independence. We employed contextual inquiry during design of the interventionist dashboard to support the new ASSETs program. Focus groups with interventionists and leadership characterized themes for primary dashboard goals, interface and technology needs, and data collection expectations. Four contextual inquiry sessions with interventionists characterized user goals, barriers, and standardized user workflows. We articulated a sequential discovery process for user requirements that can be replicated in dashboard design for future remote service delivery programs that will rely on sensor data and telehealth visits.

摘要

在新颖的“就地养老资产”示范项目中,远程干预人员依靠智能家居和可穿戴传感器数据来了解从疗养院出院到社区的老年客户的日常行为模式,并在远程医疗访问期间提供指导,以帮助客户自我管理健康和独立的个人目标。我们在干预人员仪表板的设计过程中采用了情境探究法,以支持新的“就地养老资产”项目。与干预人员和领导层进行的焦点小组讨论确定了仪表板主要目标、界面和技术需求以及数据收集期望的主题。与干预人员进行的四次情境探究会议确定了用户目标、障碍和标准化的用户工作流程。我们阐述了一个用于用户需求的顺序发现过程,该过程可在未来依赖传感器数据和远程医疗访问的远程服务提供项目的仪表板设计中复制。

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本文引用的文献

1
User-Centered Development of a Web Platform Supporting Community-Based Health Care Organizations for Older Persons in Need of Support: Qualitative Focus Group Study.以用户为中心的网络平台开发,支持有需要的老年人社区保健组织:定性焦点小组研究。
J Med Internet Res. 2021 Mar 10;23(3):e24006. doi: 10.2196/24006.
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Socioeconomic Status and Access to Healthcare: Interrelated Drivers for Healthy Aging.社会经济地位与医疗保健获取:健康老龄化的相互关联驱动因素。
Front Public Health. 2020 Jun 18;8:231. doi: 10.3389/fpubh.2020.00231. eCollection 2020.
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IDMVis: Temporal Event Sequence Visualization for Type 1 Diabetes Treatment Decision Support.IDMVis:用于1型糖尿病治疗决策支持的时间事件序列可视化
IEEE Trans Vis Comput Graph. 2018 Aug 20. doi: 10.1109/TVCG.2018.2865076.
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The development of a mobile monitoring and feedback tool to stimulate physical activity of people with a chronic disease in primary care: a user-centered design.开发一种移动监测和反馈工具,以激发初级保健中慢性病患者的身体活动:以用户为中心的设计。
JMIR Mhealth Uhealth. 2013 Jul 2;1(2):e8. doi: 10.2196/mhealth.2526.
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Using the framework method for the analysis of qualitative data in multi-disciplinary health research.运用多学科健康研究中定性数据分析的框架方法。
BMC Med Res Methodol. 2013 Sep 18;13:117. doi: 10.1186/1471-2288-13-117.