Multimodal Ambulatory Monitoring of Daily Activity and Health-Related Symptoms in Community-Dwelling Survivors of Stroke: Feasibility, Acceptability, and Validity.
Multimodal Ambulatory Monitoring of Daily Activity and Health-Related Symptoms in Community-Dwelling Survivors of Stroke: Feasibility, Acceptability, and Validity.
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居住在社区居民中风幸存者日常活动和健康相关症状的多模式卧床监测：可行性，可接受性和有效性。
DOI：
10.1016/j.apmr.2022.06.002
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发表时间：
2022-10
影响因子：
4.3
通讯作者：
Baum, Carolyn M.
中科院分区：
文献类型：
--
作者：
Lau, Stephen C. L.;Connor, Lisa Tabor;King, Allison A.;Baum, Carolyn M.
关键词：
旨在检验多模式动态监测的可行性、可接受性和有效性，该监测将加速度测量与生态瞬时评估 (EMA) 相结合，以评估中风幸存者的日常活动和健康相关症状。涉及 7 天动态监测的前瞻性队列研究；参与者在佩戴加速计时完成了 8 项每日 EMA 调查，内容涉及日常活动和症状（情绪、认知问题、疲劳、疼痛）。参与者还完成了回顾性评估和可接受性调查问卷。社区。四十名中风幸存者 (N=40)。不适用。使用流失率和依从性来确定可行性。使用可接受性调查问卷报告可接受性。收敛效度和判别效度由动态监测和回顾性自我报告之间的相关性决定。标准有效性由加速度计测量的日常活动与 EMA 报告的日常活动之间的一致性来确定。所有参与者均完成了研究（流失率 = 0%）。 EMA 和加速度计顺应性分别为 93.6% 和 99.7%。参与者对多模式动态监测的经验给予积极评价。他们对使用动态监测非常满意（平均值，4.8/5）和信心（平均值，4.7/5），并且比传统的回顾性评估（平均值，4.7/5）更喜欢它。多模态动态监测估计与预测方向上相同和相反结构的回顾性自我报告相关（r=-0.66 至 0.72，P<.05）。当参与者报告进行了更多体力活动时，就会观察到更强烈的加速计测量的体力活动，反之亦然。研究结果支持对轻度中风幸存者进行多模式动态监测的可行性、可接受性和有效性。多模式动态监测有可能更全面地了解幸存者在日常生活中的日常活动。
To examine the feasibility, acceptability, and validity of multimodal ambulatory monitoring, which combines accelerometry with ecological momentary assessment (EMA), to assess daily activity and health-related symptoms among survivors of stroke. Prospective cohort study involving 7 days of ambulatory monitoring; participants completed 8 daily EMA surveys about daily activity and symptoms (mood, cognitive complaints, fatigue, pain) while wearing an accelerometer. Participants also completed retrospective assessments and an acceptability questionnaire. Community. Forty survivors of stroke (N=40). Not applicable. Feasibility was determined using attrition rate and compliance. Acceptability was reported using the acceptability questionnaire. Convergent and discriminant validity were determined by the correlations between ambulatory monitoring and retrospective self-reports. Criterion validity was determined by the concordance between accelerometer-measured and EMA-reported daily activity. All participants completed the study (attrition rate=0%). EMA and accelerometer compliance were 93.6 % and 99.7%, respectively. Participants rated their experience with multimodal ambulatory monitoring positively. They were highly satisfied (mean, 4.8/5) and confident (mean, 4.7/5) in using ambulatory monitoring and preferred it over traditional retrospective assessments (mean, 4.7/5). Multimodal ambulatory monitoring estimates correlated with retrospective self-reports of the same and opposing constructs in the predicted directions (r=−0.66 to 0.72, P<.05). More intense accelerometer-measured physical activity was observed when participants reported doing more physically demanding activities and vice versa. Findings support the feasibility, acceptability, and validity of multimodal ambulatory monitoring in survivors of mild stroke. Multimodal ambulatory monitoring has potential to provide a more complete understanding of survivors’ daily activity in the context of everyday life.
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