The promise of mHealth: daily activity monitoring and outcome assessments by wearable sensors.
The promise of mHealth: daily activity monitoring and outcome assessments by wearable sensors.
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MHealth的承诺：可穿戴传感器的日常活动监测和结果评估。
DOI：
10.1177/1545968311425908
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发表时间：
2011-11
影响因子：
4.2
通讯作者：
Dorsch A
中科院分区：
文献类型：
--
作者：
Dobkin BH;Dorsch A
长期以来，临床医生和研究人员一直需要移动健康工具来监测患者和试验参与者日常活动的类型、数量和质量，以改善日常护理，设计更具临床意义的随机干预试验，并建立具有成本效益的循证实践。廉价、不引人注目的无线传感器，包括加速度计、陀螺仪和压敏纺织品，与基于互联网的通信和经过训练以识别上肢和下肢运动的机器学习算法相结合，已经开始满足这一需求。例如，来自脚踝三轴加速度计的连续数据可以通过 WiFi 或智能手机从家庭和社区传输到远程数据分析服务器。报告可以包括每次行走的步行速度和持续时间、腿部之间的时空对称性以及运动期间使用的类型、持续时间和能量。对于日常护理，这种易于访问的现实世界信息流使临床医生能够监控运动量和质量，以进行风险因素管理和技能实践中的合规性。反馈可以激发更好的自我管理并有助于家庭康复工作。监测患有慢性疾病的患者以及住院后或开始使用新药物后日常活动的减少可能有助于在需要再次住院之前发现医疗并发症。对于临床试验，对社区关键活动进行重复的实验室质量评估，而不是通过临床测试、自我报告和顺序量表，可以减少旅行的成本和负担，改善招募和保留，并捕获更可靠、有效和反应灵敏的比例结果测量，而不仅仅是日常损伤、残疾和功能变化的替代品。
Mobile health tools that enable clinicians and researchers to monitor the type, quantity, and quality of everyday activities of patients and trial participants have long been needed to improve daily care, design more clinically meaningful randomized trials of interventions, and establish cost-effective, evidence-based practices. Inexpensive, unobtrusive wireless sensors, including accelerometers, gyroscopes, and pressure-sensitive textiles, combined with Internet-based communications and machine-learning algorithms trained to recognize upper- and lower-extremity movements, have begun to fulfill this need. Continuous data from ankle triaxial accelerometers, for example, can be transmitted from the home and community via WiFi or a smartphone to a remote data analysis server. Reports can include the walking speed and duration of every bout of ambulation, spatiotemporal symmetries between the legs, and the type, duration, and energy used during exercise. For daily care, this readily accessible flow of real-world information allows clinicians to monitor the amount and quality of exercise for risk factor management and compliance in the practice of skills. Feedback may motivate better self-management as well as serve home-based rehabilitation efforts. Monitoring patients with chronic diseases and after hospitalization or the start of new medications for a decline in daily activity may help detect medical complications before rehospitalization becomes necessary. For clinical trials, repeated laboratory-quality assessments of key activities in the community, rather than by clinic testing, self-report, and ordinal scales, may reduce the cost and burden of travel, improve recruitment and retention, and capture more reliable, valid, and responsive ratio-scaled outcome measures that are not mere surrogates for changes in daily impairment, disability, and functioning.
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影响因子：
4.2
作者：
Bowden, Mark G.;Balasubramanian, Chitralakshmi K.;Kautz, Steven A.
通讯作者：
Kautz, Steven A.
影响因子：
4.2
作者：
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通讯作者：
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影响因子：
4.2
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4.2
作者：
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通讯作者：
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4.2
作者：
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通讯作者：
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