期刊文章JMIR出版物使用健康管理远程测量技术的障碍和促进因素:卡塔尔世界杯8强波胆分析[A Simblett,Sara %A Greer,Ben %A Matcham,Faith %A Curtis,Hannah %A Polhemus,Ashley %A ferr, jossore %A Gamble,Peter %A Wykes,Til %+精神病学、心理学和神经科学研究所,心理学,伦敦国王学院,16 De Crespigny Park,伦敦,SE5 8AF,英国,44 2078480762]sara.simblett@kcl.ac.uk %K mHealth %K technology %K engagement %K系统评价%K远程医疗%K遥感技术%K患者参与%K评价%D 2018 %7 12.07.2018 %9评价%J J Med Internet Res %G English %X背景:远程测量技术是指使用移动医疗技术实时跟踪和测量健康状况的变化,这是一个人日常生活的一部分。通过精确的测量,远程测量技术提供个性化、精确和先发制人的干预措施,支持洞察与健康相关的行为模式和自我管理,从而为增强医疗保健提供了机会。然而,为了成功实施,用户需要参与到它的使用中。目的:我们的目标是系统地回顾文献,以更新和扩展对参与和使用远程测量技术的关键障碍和促进因素的理解,指导未来远程测量技术资源的开发。方法:我们使用系统评价和荟萃分析指南的首选报告项目进行了系统评价,包括可追溯到2014年发表的上一篇系统评价的原始研究。我们纳入了符合以下入组标准的研究:人口(使用远程测量技术方法辅助健康管理的人群)、干预(远程测量技术系统)、对照组(未指定对照组)、结果(对参与该系统的障碍和促进因素的定性或定量评估)和研究设计(随机对照试验、可行性研究和观察性研究)。我们检索了5个数据库(MEDLINE、IEEE Xplore、EMBASE、Web of Science和Cochrane Library),检索了2014年1月至2017年5月发表的文章。文章由2名研究者独立筛选。 We extracted study characteristics and conducted a content analysis to define emerging themes to synthesize findings. Formal quality assessments were performed to address risk of bias. Results: A total of 33 studies met inclusion criteria, employing quantitative, qualitative, or mixed-methods designs. Studies were conducted in 10 countries, included male and female participants, with ages ranging from 8 to 95 years, and included both active and passive remote monitoring systems for a diverse range of physical and mental health conditions. However, they were relatively short and had small sample sizes, and reporting of usage statistics was inconsistent. Acceptability of remote measurement technology according to the average percentage of time used (64%-86.5%) and dropout rates (0%-44%) was variable. The barriers and facilitators from the content analysis related to health status, perceived utility and value, motivation, convenience and accessibility, and usability. Conclusions: The results of this review highlight gaps in the design of studies trialing remote measurement technology, including the use of quantitative assessment of usage and acceptability. Several processes that could facilitate engagement with this technology have been identified and may drive the development of more person-focused remote measurement technology. However, these factors need further testing through carefully designed experimental studies. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) CRD42017060644; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=60644 (Archived by WebCite at http://www.webcitation.org/70K4mThTr) %M 30001997 %R 10.2196/10480 %U //www.mybigtv.com/2018/7/e10480/ %U https://doi.org/10.2196/10480 %U http://www.ncbi.nlm.nih.gov/pubmed/30001997
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