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A remote training approach for teaching seniors to use a telehealth system.

机译：一种远程培训方法，用于指导老年人使用远程医疗系统。

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There has been a growth of home health care technology in rural areas. However, a problem with its use has been the need for costly and repetitive training in order for patients to efficiently use their home telemedicine unit (HTU). This research describes the development and evaluation of an architecture for remote training of patients in a telemedicine environment. Repetitive traditional training sessions can be costly due to the amount of travel time that is necessary to reach patients' homes. A potential solution would be to remotely educate patients to use their HTUs. By supporting more frequent sessions, a remote training method may be helpful in improving patients' ability to interpret their self-monitored physiological data.; This work examines the viability of a remote training architecture called REmote Patient Education in a Telemedicine Environment (REPETE). This architecture allows for audio communication simultaneous with remote control and observation of the patient's HTU. REPETE was implemented and evaluated in the context of the IDEATel project, a large-scale telemedicine project, focusing on Medicare beneficiaries with diabetes in New York State. The architecture is evaluated for efficacy of training digital divide seniors, a population that is likely to be one of the most challenging for a remote training task.; Patients were trained on a series of relevant tasks using REPETE. The effectiveness of the training was determined using a combination of qualitative and quantitative methods. Benchmarks were developed to evaluate web skills competency prior to and following training. Patients not only reported that the training was beneficial, but also showed statistically significant improvements in their ability to effectively perform tasks. We also performed qualitative evaluations scrutinizing the interaction between the trainer and patient. This analysis shows that the mutually visible pointer used in REPETE enhances the computer-mediated instruction. In addition, there is a learning curve for both the trainer and the patient when negotiating the shared workspace.; To our knowledge, this work represents the first formal evaluation of the effectiveness of remote training in any population. The training approach taken in this study could have widespread application to domains outside of telemedicine, including that of the corporate training and support market.
机译：农村地区的家庭保健技术正在增长。然而，其使用的问题是需要昂贵且重复的训练以使患者有效地使用其家庭远程医疗单元（HTU）。这项研究描述了在远程医疗环境中对患者进行远程培训的体系结构的开发和评估。重复传统的培训课程可能会很昂贵，因为要到达患者家中需要很长时间。潜在的解决方案是远程教育患者使用其HTU。通过支持更频繁的会议，远程培训方法可能有助于提高患者解释其自我监测的生理数据的能力。这项工作研究了称为远程医疗环境（REPETE）的远程患者教育的远程培训体系结构的可行性。这种架构允许音频通信与远程控制和患者HTU的观察同时进行。 REPETE是在IDEATel项目（大型远程医疗项目）的背景下实施和评估的，该项目专注于纽约州患有糖尿病的Medicare受益人。对体系结构进行了数字老年人培训的有效性评估，该人群可能是远程培训任务中最具挑战性的人群之一。使用REPETE对患者进行了一系列相关任务的培训。使用定性和定量方法相结合的方法来确定培训的有效性。制定基准以评估培训前后的网络技能能力。患者不仅报告说培训是有益的，而且在有效执行任务的能力上也显示出统计学上的显着提高。我们还进行了定性评估，详细检查了培训师与患者之间的相互作用。该分析表明REPETE中使用的相互可见的指针增强了计算机介导的指令。另外，在协商共享工作空间时，对于培训者和患者而言，都有一条学习曲线。据我们所知，这项工作代表了对任何人群中远程培训有效性的首次正式评估。本研究中采用的培训方法可能会广泛应用于远程医疗之外的领域，包括公司培训和支持市场的领域。

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