TY - JOUR AU - Kowatsch, Tobias AU - Lohse, Kim-Morgaine AU - Erb, val2013.rie AU - Schittenhelm, Leo AU - Galliker, Helen AU - Lehner, Rea AU - Huang, Elaine M PY - 2021 DA - 2021/2/22 TI -基于移动和全息对话代理的混合无处不在训练，目标是坚持家庭练习;四项设计和评估研究JO - J Med Internet Res SP - e23612 VL - 23 IS - 2kw -无处不在的教练KW -增强现实KW -保健KW -治疗依从性KW -设计科学研究KW -物理治疗KW -慢性背痛KW -疼痛KW -慢性疼痛KW -锻炼KW -依从性KW -治疗KW -会话代理KW -智能手机KW -移动电话AB -背景:有效治疗各种疾病，如肥胖、心脏病或腰痛，不仅需要医疗保健专家的个人现场指导课程，还需要大量的家庭锻炼。然而，不坚持在家锻炼仍然是一个严重的问题，因为它会导致由于长期治疗而增加的费用。目的:为了提高家庭运动的依从性，我们提出、实施并评估了混合无处不在教练(HUC)的新教练概念。在HUC中，通过智能手机提供心理教育和个性化激励信息的对话代理(CA)，以及在免提增强现实环境中提供实时锻炼支持、监控和反馈，为医疗保健专家提供补充。方法:我们将HUC应用于物理治疗领域，并与一个跨学科团队进行了4个设计和评估循环，以评估患者和物理治疗师对HUC的看法，以及HUC是否会导致治疗依从性。35名物理治疗患者在实验室环境中评估了第一版HUC，以确定患者对HUC的看法。此外，11名物理治疗师接受了关于HUC的访谈，并评估CA是否可以帮助他们与患者建立工作联盟。第二个版本随后在受试者内实验中由15名患者进行测试，以确定HUC解决依从性的能力，并在患者和CA之间建立工作联盟。最后，对1名患者进行了为期4周的n-of-1试验，以深入展示HUC的一次体验，从而潜在地揭示现实世界的益处和挑战。 Results: Patients perceived HUC to be useful, easy to use, and enjoyable, preferred it to state-of-the-art approaches, and expressed their intentions to use it. Moreover, patients built a working alliance with the CA. Physiotherapists saw a relative advantage of HUC compared to current approaches but initially did not see the potential in terms of a working alliance, which changed after seeing the results of HUC in the field. Qualitative feedback from patients indicated that they enjoyed doing the exercise with an augmented reality–based CA and understood better how to do the exercise correctly with HUC. Moreover, physiotherapists highlighted that HUC would be helpful to use in the therapy process. The longitudinal field study resulted in an adherence rate of 92% (11/12 sessions; 330/360 repetitions; 33/36 sets) and a substantial increase in exercise accuracy during the 4 weeks. Conclusions: The overall positive assessments from both patients and health care experts suggest that HUC is a promising tool to be applied in various disorders with a relevant set of home exercises. Future research, however, must implement a variety of exercises and test HUC with patients suffering from different disorders. SN - 1438-8871 UR - //www.mybigtv.com/2021/2/e23612 UR - https://doi.org/10.2196/23612 UR - http://www.ncbi.nlm.nih.gov/pubmed/33461957 DO - 10.2196/23612 ID - info:doi/10.2196/23612 ER -