TY - JOUR AU - Cristiano, Alessia AU - Musteata, Stela AU - De Silvestri, Sara AU - Bellandi, Valerio AU - Ceravolo, Paolo AU - Cesari, Matteo AU - Azzolino, Domenico AU - Sanna, Alberto AU - Trojaniello, Diana PY - 2022 DA - 2022/2/28 TI -老年人和临床医生对老龄人口智能健康平台的看法:设计和评估研究JO - JMIR Aging SP - e29623 VL - 5is - 1kw -智能健康KW -远程监测KW -需求诱导KW -老年人口KW -与年龄相关的慢性疾病KW -健康老龄化KW -物联网KW -移动电话AB -背景:近年来，人们对开发旨在支持老年人口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)。目的:本研究的目的是2倍;我们的目标是通过考虑老年人和临床医生的角度，设计一个智能健康平台的功能，解决老年人中普遍存在的5种慢性疾病(即听力损失、心血管疾病、认知障碍、精神健康问题和平衡障碍)，并在一小部分老年人中评估已确定的智能健康平台功能。方法:通过焦点小组活动和基于网络的问卷调查，对24名老年人(年龄为> ~ 65岁)和118名临床医生进行了访谈，以引出智能健康平台的需求。根据所提出的需求，设计了智能健康平台的主要功能。然后，一个涉及6名老年人的焦点小组进行了评估提出的解决方案的有用性、可信性、可取性和可学习性。结果:识别和评估了八种主要功能——认知训练和听力训练(有效性: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. SN - 2561-7605 UR - https://aging.www.mybigtv.com/2022/1/e29623 UR - https://doi.org/10.2196/29623 UR - http://www.ncbi.nlm.nih.gov/pubmed/35225818 DO - 10.2196/29623 ID - info:doi/10.2196/29623 ER -