%0期刊文章@ 2369- 2529% I JMIR出版公司%V 2%卡塔尔世界杯8强波胆分析 N 1% P e3 %T康复轮:Giesbrecht,Edward Mark %A Miller,William C %A Jin,Boyang Tom %A Mitchell,Ian M %A Eng,Janice J %+康复研究项目，温哥华海岸健康研究所，职业治疗系，马尼托巴大学，R106, 771 McDermot Avenue, Winnipeg, MB，加拿大，1 204 977 5630，ed.giesbrecht@umanitoba.ca %K轮椅%K远程医疗%K自我效能%K老年人%K试点项目%D 2015 %7 30.04.2015 %9原始论文%J JMIR Rehabil辅助技术%G英语%X背景:替代和创新战略，如移动健康和电子学习正在成为提供康复服务的必要条件。例如，需要轮椅的老年人几乎没有接受过熟练掌握行动技能的培训。这种实质性的服务差距部分是由于临床医生的可用性有限，以及消费者参加预约的挑战。一个由职业治疗师和计算机科学家组成的研究团队利用参与式行动设计方法与临床医生、消费者和护理提供者合作。开发了一款基于平板电脑的应用程序“通过提高轮椅技能增强社区参与”(EPIC Wheels)，可实现轮椅上的家庭培训、在线专家培训师监控以及通过安全语音信息进行学员与培训师之间的交流。目的:在进行随机对照试验(RCT)之前，进行了一项试点研究，以确定安全有效地对两名不同技能水平的参与者实施移动健康轮椅技能培训计划的可接受性和可行性。这些发现被用来确定是否需要进一步改进该程序。方法:该项目包括与专家教练进行两次面对面培训和四周的独立家庭培训。 The EPIC Wheels application included video instruction and demonstration, self-paced training activities, and interactive training games. Participants were provided with a 10-inch Android tablet, mounting apparatus, and mobile Wi-Fi device. Frequency and duration of tablet interactions were monitored and uploaded daily to an online trainer interface. Participants completed a structured evaluation survey and provided feedback post-study. The trainer provided feedback on the training protocol and trainer interface. Results: Both participants perceived the program to be comprehensive, useful, and easily navigated. The trainer indicated usage data was comprehensive and informative for monitoring participant progress and adherence. The application performed equally well with multiple devices. Some initial issues with log-in requests were resolved via tablet-specific settings. Inconsistent Internet connectivity, resulting in delayed data upload and voice messaging, was specific to individual Wi-Fi devices and resolved by standardizing configuration. Based on the pilot results, the software was updated to make content download more robust. Additional features were also incorporated such as check marks for completed content, a more consumer-friendly aesthetic, and achievement awards. The trainer web interface was updated to improve usability and provides both a numerical and visual summary of participant data. Conclusions: The EPIC Wheels pilot study provided useful feedback on the feasibility of a tablet-based home program for wheelchair skills training among older adults, justifying advancement to evaluation in an RCT. The program may be expanded for use with other rehabilitation interventions and populations, particularly for those living in rural or remote locations. Future development will consider integration of built-in tablet sensors to provide performance feedback and enable interactive training activities. Trial Registration: ClinicalTrials.gov NCT01644292; https://clinicaltrials.gov/ct2/show/NCT01644292 (Archived by WebCite at http://www.webcitation.org/6XyvYyTUf). %M 28582240 %R 10.2196/rehab.4274 %U http://rehab.www.mybigtv.com/2015/1/e3/ %U https://doi.org/10.2196/rehab.4274 %U http://www.ncbi.nlm.nih.gov/pubmed/28582240