Consensus based framework for digital mobility monitoring.
Consensus based framework for digital mobility monitoring.
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DOI：
10.1371/journal.pone.0256541
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Mobilise-D consortium
中科院分区：
文献类型：
--
作者：
Kluge F;Del Din S;Cereatti A;Gaßner H;Hansen C;Helbostad JL;Klucken J;Küderle A;Müller A;Rochester L;Ullrich M;Eskofier BM;Mazzà C;Mobilise-D consortium
使用可穿戴传感器系统的数字移动性评估有可能捕获患者在自然环境中的行走性能。它可以监测健康状况和疾病进展，并在现实世界中评估干预措施。与实验室环境相比，真实世界的行走发生在非传统环境中，并且在不受约束和不受控制的条件下。尽管有普遍的理解，但对于什么构成真实世界的步行缺乏一致的定义，这阻碍了跨系统和研究所获得的数据的比较和解释。本研究的目的是获得专家为基础的共识，在现实世界中行走的具体方面，并提供各自的定义在一个共同的术语框架。一个适应的德尔菲方法被用来获得一致同意的定义有关的现实世界的步行。在一项在线调查中，来自学术、临床和工业专家小组的162名参与者被要求就先前指定的定义达成一致。使用描述性统计来评估是否达成同意（如先验定义的，> 75%的一致性）。在应邀参加的162名专家中，有51名完成了所有回合（答复率为31.5%）。两轮后，我们对所有定义均达成共识（“步行”> 90%、“有目的”> 75%、“现实世界”> 90%、“步行回合”> 80%、“步行速度”> 75%、“转弯”> 90%一致）。确定一组经过同意的真实世界步行定义对于评估和分析协议的制定以及跨研究和系统的数字移动结果的报告和比较具有重要意义。这些定义将作为实施数字和移动的技术进行步态评估的通用框架，是从监督步态评估过渡到无监督步态评估的重要环节。
Digital mobility assessment using wearable sensor systems has the potential to capture walking performance in a patient’s natural environment. It enables monitoring of health status and disease progression and evaluation of interventions in real-world situations. In contrast to laboratory settings, real-world walking occurs in non-conventional environments and under unconstrained and uncontrolled conditions. Despite the general understanding, there is a lack of agreed definitions about what constitutes real-world walking, impeding the comparison and interpretation of the acquired data across systems and studies. The goal of this study was to obtain expert-based consensus on specific aspects of real-world walking and to provide respective definitions in a common terminological framework. An adapted Delphi method was used to obtain agreed definitions related to real-world walking. In an online survey, 162 participants from a panel of academic, clinical and industrial experts with experience in the field of gait analysis were asked for agreement on previously specified definitions. Descriptive statistics was used to evaluate whether consent (> 75% agreement as defined a priori) was reached. Of 162 experts invited to participate, 51 completed all rounds (31.5% response rate). We obtained consensus on all definitions (“Walking” > 90%, “Purposeful” > 75%, “Real-world” > 90%, “Walking bout” > 80%, “Walking speed” > 75%, “Turning” > 90% agreement) after two rounds. The identification of a consented set of real-world walking definitions has important implications for the development of assessment and analysis protocols, as well as for the reporting and comparison of digital mobility outcomes across studies and systems. The definitions will serve as a common framework for implementing digital and mobile technologies for gait assessment and are an important link for the transition from supervised to unsupervised gait assessment.
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影响因子：
5.1
作者：
Iluz T;Gazit E;Herman T;Sprecher E;Brozgol M;Giladi N;Mirelman A;Hausdorff JM
通讯作者：
Hausdorff JM
MHealth的承诺：可穿戴传感器的日常活动监测和结果评估。
影响因子：
4.2
作者：
Dobkin BH;Dorsch A
通讯作者：
Dorsch A
影响因子：
2.4
作者：
Aminian, K;Najafi, B;Robert, P
通讯作者：
Robert, P
影响因子：
2.5
作者：
Hase, K;Stein, RB
通讯作者：
Stein, RB
影响因子：
8.6
作者：
Espay, Alberto J;Bonato, Paolo;Nahab, Fatta B;Maetzler, Walter;Dean, John M;Klucken, Jochen;Eskofier, Bjoern M;Merola, Aristide;Horak, Fay;Lang, Anthony E;Reilmann, Ralf;Giuffrida, Joe;Nieuwboer, Alice;Horne, Malcolm;Little, Max A;Litvan, Irene;Simuni, Tanya;Dorsey, E Ray;Burack, Michelle A;Kubota, Ken;Kamondi, Anita;Godinho, Catarina;Daneault, Jean-Francois;Mitsi, Georgia;Krinke, Lothar;Hausdorff, Jeffery M;Bloem, Bastiaan R;Papapetropoulos, Spyros
通讯作者：
Papapetropoulos, Spyros