Roadmap for the Development of at-Home Telemonitoring Systems to Augment Occupational Therapy
Roadmap for the Development of at-Home Telemonitoring Systems to Augment Occupational Therapy
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DOI：
10.1109/thms.2015.2506729
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发表时间：
2016-08-01
影响因子：
3.6
通讯作者：
MacLean, Julie
中科院分区：
文献类型：
--
作者：
Stirling, Leia;MacLean, Julie
虽然文献支持通过远程医疗提供职业治疗的潜力，但在创建家庭远程监护系统时存在几个设计挑战，该系统可以可视化临床决策所需的复杂生物力学数据。这里强调的挑战是制定符合当前决策方法的措施，这将支持技术的整合和转化。提出了一种改进的认知任务分析方法，该方法由三部分组成：表征主题、定义相关信息和形式化需求。这种方法是通过观察8个治疗师超过21个病人的会议。临床医生和患者之间观察到9种独特的互动模式。在这些相互作用中嵌入了14个不同的功能。从这些互动中定义了相关的性能指标，以向临床医生提供有关患者任务性能的感知和理解情况意识（SA）。使用在治疗过程中观察到的特定活动，提供了遵循SA要求的样本指标和可视化。最后，确定了与进行这些测量有关的技术挑战。
While the literature supports the potential to provide occupational therapy through telemedicine, there are several design challenges embedded in creating an at-home telemonitoring system that can visualize the complex biomechanical data required for clinical decision making. The challenge highlighted here is the development of measures that align with current decision making methods, which will support the integration and translation of the technology. A modified cognitive task analysis methodology is presented that is composed of three segments: characterizing the subject matter, defining relevant information, and formalizing requirements. This method was implemented through observations of eight therapists over 21 patient sessions. There were nine unique modes of interaction observed between the clinician and patient. Embedded within these interactions were 14 different features monitored. Relevant performance measures were defined from these interactions to provide perception and comprehension situation awareness (SA) to the clinician about the patients task performance. Using specific activities observed during therapy sessions, sample metrics and a visualization are presented that followed from the SA requirements. Finally, the technological challenges associated with making these measurements were identified.