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首页> 外文会议>Bi-annual AAATE Conference >The MOvIT project phase I: Designing a mobility device monitoring intervention with end-users and healthcare providers (Thematic Session: End-user Participation in the Development of Assistive Device Assessments and Outcome Measures)
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The MOvIT project phase I: Designing a mobility device monitoring intervention with end-users and healthcare providers (Thematic Session: End-user Participation in the Development of Assistive Device Assessments and Outcome Measures)

机译：MOVIT项目阶段I：使用最终用户和医疗保健提供者设计移动设备监控干预（专题会议：最终用户参与辅助设备评估和结果措施的开发）

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Objective The purpose of the Mobility Outcomes via Information Technologies (MOvIT) project is to optimize the mobility and community participation of older wheelchair users by systematically monitoring patient reported outcomes following a wheelchair prescription using an interactive voice response system (IVRS). One of the challenges in designing computerized automated calls was to maximize the acceptability of the monitoring intervention for middle-aged and older wheelchair users, and to consider the perceptions of the clinicians who provide the intervention. Thus, the phase I objectives of MOvIT were to customize the IVRS monitoring intervention for both groups of users. Main Content An iterative user-centered design involved end-users during the development process to receive input about perceived usefulness and ease of use. A single investigator presented the IVRS prototype during individual interviews with 7 wheelchair users and 4 healthcare providers identified by 3 rehabilitation centers. To expose a maximum of age-friendly design issues, a majority of WC users were aged >70 years; healthcare providers had experience in geriatrics and wheelchair prescription. The prototype comprised 2 screening calls after wheelchair delivery, a reminder call to make an appointment for servicing, daily electronic notifications to a clinical coordinator listing cases to call back. Each individual tried 4 different IVRS audio scenarios, followed by a semi-structured interview adapted from the After-scenario Questionnaire and Post-Study Systems Usability Questionnaire. Results The MOvIT questionnaire addresses eight WC-related adverse events: non-use of the WC, presence of pain, skin problem, positioning problem, WC tipping/falls, WC accidents, psychosocial, and mechanical problems. New concepts emerged, the most important being caregiver and psychosocial issues. Moreover, the conceptualization of the environment was simplified. To ensure ease of use, a number of adaptive strategies were implemented in the prototype such as choice of voice, words and expressions, response options, quantity of information in each step, timing of automated calls based on clinical relevance and a realistic callback delay. Conclusion The involvement of end-users led to fundamental changes to tailor the monitoring IVRS intervention for the older population and to insure fit with clinical practice. Our results highlight the need for support following a WC intervention, especially for older adults who receive no formal rehabilitation program. Acknowledgements Funded by the Canadian Institutes of Health Research (IAD 112242)
机译：目的通过信息技术的移动性成果的目的（MOvIT）项目是通过系统地监测病人，优化旧的轮椅使用者的移动性和社会参与报告的结果如下使用交互式语音应答系统（IVRS）轮椅处方。一个在设计电脑自动调用所面临的挑战是要最大限度地为中年和老年轮椅使用者的监测干预的可接受性，并考虑谁提供干预的临床医生的看法。因此，MOvIT的第一阶段目标是定制IVRS监测干预用户的两个群体。主要内容的迭代用户为中心的设计涉及在开发过程的最终用户接收关于感知有用输入和易用性。一个单一的调查与7个轮椅使用者和3个康复中心鉴定4卫生保健提供者个别访谈期间提出的IVRS原型。为了揭露一个最大的年龄友好的设计问题，大多数WC用户的年龄在> 70岁;医疗服务提供者曾在老年医学和轮椅处方经验。该样机由2个筛选通话轮椅分娩后，一个提醒呼叫预约进行维修，日常电子通知到临床协调员上市的情况下回调。每个人尝试过4个不同的IVRS音频场景，其次是半结构化面试改编自后的场景和问卷调查后研究系统可用性问卷。结果MOvIT问卷地址8 WC相关的不良事件：不使用WC的，疼痛，皮肤问题的存在，定位的问题，厕所小费/下降，WC事故，社会心理，和机械问题。新的概念出现了，最重要的是护理人员和心理问题。此外，环境的概念进行了简化。为了保证便于使用，一些自适应策略，在原型中实现，诸如语音，词和短语，响应选项，在每个步骤信息量的选择，根据临床相关性和逼真的回调延迟的自动呼叫定时。结论终端用户导致裁缝根本性的变化监测IVRS老年人口的干预和临床实践，以确保身体健康的参与。我们的研究结果强调以下一个WC干预需要的支持，特别是对谁收到没有正式的康复计划老年人。致谢由健康研究加拿大学院（IAD 112242）资助

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