@文章{info:doi/ 10.2196,29623,作者="克里斯蒂亚诺,阿莱西亚和穆斯塔塔,斯特拉和德西尔维斯特里,萨拉和贝兰迪,瓦莱里奥和塞拉沃罗,保罗和切萨里,马特奥和阿佐利诺,多梅尼科和桑娜,阿尔贝托和特罗杰尼埃洛,戴安娜",标题="老年人和临床医生对老年人口智能健康平台的看法:设计和评估研究",期刊="JMIR老龄化",年="2022",月="2 ",日="28",卷="5",数="1",页="e29623",关键词="智能健康;远程监控;要求引出;老年人口;与年龄有关的慢性疾病;健康老龄化;物联网;背景:近年来,人们对开发旨在支持老年人独立生活的智能健康技术的兴趣有所增加。物联网、可穿戴技术、人工智能和环境辅助生活应用等创新技术的集成为这一领域提供了有价值的解决方案。设计这样一个综合系统需要解决几个方面的问题(例如,设备选择、数据管理、分析、成本和用户需求),并涉及不同的专业领域(例如,医学科学、服务设计、生物医学和计算机工程)。 Objective: The objective of this study is 2-fold; we aimed to design the functionalities of a smart health platform addressing 5 chronic conditions prevalent in the older population (ie, hearing loss, cardiovascular diseases, cognitive impairments, mental health problems, and balance disorders) by considering both older adults' and clinicians' perspectives and to evaluate the identified smart health platform functionalities with a small group of older adults. Methods: Overall, 24 older adults (aged >65 years) and 118 clinicians were interviewed through focus group activities and web-based questionnaires to elicit the smart health platform requirements. Considering the elicited requirements, the main functionalities of smart health platform were designed. Then, a focus group involving 6 older adults was conducted to evaluate the proposed solution in terms of usefulness, credibility, desirability, and learnability. Results: Eight main functionalities were identified and assessed---cognitive training and hearing training (usefulness: 6/6, 100{\%}; credibility: 6/6, 100{\%}; desirability: 6/6, 100{\%}; learnability: 6/6, 100{\%}), monitoring of physiological parameters (usefulness: 6/6, 100{\%}; credibility: 6/6, 100{\%}; desirability: 6/6, 100{\%}; learnability: 5/6, 83{\%}), physical training (usefulness: 6/6, 100{\%}; credibility: 6/6, 100{\%}; desirability: 5/6, 83{\%}; learnability: 2/6, 33{\%}), psychoeducational intervention (usefulness: 6/6, 100{\%}; credibility: 6/6, 100{\%}; desirability: 4/6, 67{\%}; learnability: 2/6, 33{\%}), mood monitoring (usefulness: 4/6, 67{\%}; credibility: 4/6, 67{\%}; desirability: 3/6, 50{\%}; learnability: 5/6, 50{\%}), diet plan (usefulness: 5/6, 83{\%}; credibility: 4/6, 67{\%}; desirability: 1/6, 17{\%}; learnability: 2/6, 33{\%}), and environment monitoring and adjustment (usefulness: 1/6, 17{\%}; credibility: 1/6, 17{\%}; desirability: 0/6, 0{\%}; learnability: 0/6, 0{\%}). Most of them were highly appreciated by older participants, with the only exception being environment monitoring and adjustment. The results showed that the proposed functionalities met the needs and expectations of users (eg, improved self-management of patients' disease and enhanced patient safety). However, some aspects need to be addressed (eg, technical and privacy issues). Conclusions: The presented smart health platform functionalities seem to be able to meet older adults' needs and desires to enhance their self-awareness and self-management of their medical condition, encourage healthy and independent living, and provide evidence-based support for clinicians' decision-making. Further research with a larger and more heterogeneous pool of stakeholders in terms of demographics and clinical conditions is needed to assess system acceptability and overall user experience in free-living conditions. ", issn="2561-7605", doi="10.2196/29623", url="https://aging.www.mybigtv.com/2022/1/e29623", url="https://doi.org/10.2196/29623", url="http://www.ncbi.nlm.nih.gov/pubmed/35225818" }
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