TY -非盟的孟塞尔迈克尔AU - De Oliveira艾米丽盟——Saxena Sadhvi AU - Godlove,杰森盟——Kiran Swathi PY - 2020 DA - 2020/2/11 TI -缩小数字鸿沟在演讲中,语言,和认知疗法:队列研究的因素与技术使用康复乔- J地中海互联网Res SP - e16286六世- 22 - 2 KW -失语症KW -中风KW -创伤性脑损伤KW - AB技术背景:对于中风、创伤性脑损伤(TBI)和其他与语言障碍相关的神经系统疾病，语言和语言治疗是促进康复的标准护理。然而，诸如临床医生时间限制和保险报销等障碍可能会抑制患者获得优化功能增益所需的支持的能力。尽管数字康复有可能通过允许患者在家练习来增加获得治疗的机会，但影响患者参与基于技术的治疗水平的临床和人口统计学特征目前尚不清楚。目的:本研究旨在评估不同患者特征(包括年龄、性别、诊断、发病时间和地理位置(城市与农村))对数字治疗的参与程度是否存在差异。方法:回顾性分析卒中或TBI患者开始使用Constant Therapy(一种远程交付的基于云的语言障碍患者康复计划)的数据。仅包括在家中完成的治疗过程的数据。评估了以下三个活动指标:(1)有效治疗周数，(2)每周平均有效治疗天数，(3)前20周计划访问期间完成的治疗疗程总数。活跃的一天或一周被定义为至少完成了一次治疗。以每项活动测量作为因变量，所有可用的患者人口统计数据作为模型协变量，进行单独的多元线性回归模型。 Results: Data for 2850 patients with stroke or TBI were analyzed, with the average patient completing 8.6 weeks of therapy at a frequency of 1.5 days per week. Contrary to known barriers to technological adoption, older patients were more active during their first 20 weeks of program access, with those aged 51 to 70 years completing 5.01 more sessions than patients aged 50 years or younger (P=.04). Similarly, patients living in a rural area, who face greater barriers to clinic access, were more digitally engaged than their urban counterparts, with rural patients completing 11.54 more (P=.001) sessions during their first 20 weeks of access, after controlling for other model covariates. Conclusions: An evaluation of real-world data demonstrated that patients with stroke and TBI use digital therapy frequently for cognitive and language rehabilitation at home. Usage was higher in areas with limited access to clinical services and was unaffected by typical barriers to technological adoption, such as age. These findings will help guide the direction of future research in digital rehabilitation therapy, including the impact of demographics on recovery outcomes and the design of large, randomized controlled trials. SN - 1438-8871 UR - //www.mybigtv.com/2020/2/e16286 UR - https://doi.org/10.2196/16286 DO - 10.2196/16286 ID - info:doi/10.2196/16286 ER -