Informing evaluation of a smartphone application for people with acquired brain injury: a stakeholder engagement study.
Informing evaluation of a smartphone application for people with acquired brain injury: a stakeholder engagement study.
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DOI：
10.1186/s12911-018-0611-0
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发表时间：
2018-05-30
影响因子：
3.5
通讯作者：
dasNair R
中科院分区：
文献类型：
--
作者：
Kettlewell J;Phillips J;Radford K;dasNair R
Brain in Hand是一款智能手机应用程序，允许用户创建结构化日记，其中包含问题和解决方案，附加提醒，记录任务完成情况，并具有症状监测系统。Brain in Hand旨在支持有心理问题的人，并鼓励行为监测和改变。本文的目的是描述探索在临床实践中吸收和使用Brain in in Hand的障碍和推动因素的过程，确定该应用程序用于获得性脑损伤（ABI）患者的潜在适应性，并确定行为改变轮是否可以用作参与模型。我们确定了利益相关者：ABI幸存者和照顾者，国家卫生服务和私人医疗保健专业人员，并通过焦点小组，会议演示，小组讨论和问卷调查与他们接触。结果进行了评估，使用行为变化轮和问卷调查的回答描述性统计。研究对象为20名ABI幸存者、5名照顾者、25名专业人士，共完成41份问卷。在小组讨论中提出的意见得到了问卷调查结果的支持。推动因素包括智能手机能力（能力），应用程序的个性化（机会）和识别感知需求（动机）。障碍包括身体和认知能力无法使用智能手机（能力），技术的潜在成本和可靠性（机会），以及不想使用技术或改变现有战略（动机）。利益相关者确定了该应用程序的潜在用途和变化，这些用途和变化不容易映射到行为改变轮上，例如监测疲劳程度、记录任务完成情况的方法以及在智能手机上编辑日记。该研究发现，ABI幸存者和治疗师都可以看到Brain in Hand的用途，但希望用户能够自己对其进行个性化设置，以满足个人用户的需求，例如监测活动水平。在设计和评价参与活动时，行为改变轮是一个有用的工具，因为它涉及执行的大多数方面，但可能需要更多的类别来探讨辅助技术干预措施的具体特点，例如技术功能。本文的在线版本（10.1186/s12911-018-0611-0）包含补充材料，可供授权用户使用。
Brain in Hand is a smartphone application (app) that allows users to create structured diaries with problems and solutions, attach reminders, record task completion and has a symptom monitoring system. Brain in Hand was designed to support people with psychological problems, and encourage behaviour monitoring and change. The aim of this paper is to describe the process of exploring the barriers and enablers for the uptake and use of Brain in Hand in clinical practice, identify potential adaptations of the app for use with people with acquired brain injury (ABI), and determine whether the behaviour change wheel can be used as a model for engagement. We identified stakeholders: ABI survivors and carers, National Health Service and private healthcare professionals, and engaged with them via focus groups, conference presentations, small group discussions, and through questionnaires. The results were evaluated using the behaviour change wheel and descriptive statistics of questionnaire responses. We engaged with 20 ABI survivors, 5 carers, 25 professionals, 41 questionnaires were completed by stakeholders. Comments made during group discussions were supported by questionnaire results. Enablers included smartphone competency (capability), personalisation of app (opportunity), and identifying perceived need (motivation). Barriers included a physical and cognitive inability to use smartphone (capability), potential cost and reliability of technology (opportunity), and no desire to use technology or change from existing strategies (motivation). The stakeholders identified potential uses and changes to the app, which were not easily mapped onto the behaviour change wheel, e.g. monitoring fatigue levels, method of logging task completion, and editing the diary on their smartphone. The study identified that both ABI survivors and therapists could see a use for Brain in Hand, but wanted users to be able to personalise it themselves to address individual user needs, e.g. monitoring activity levels. The behaviour change wheel is a useful tool when designing and evaluating engagement activities as it addresses most aspects of implementation, however additional categories may be needed to explore the specific features of assistive technology interventions, e.g. technical functions. The online version of this article (10.1186/s12911-018-0611-0) contains supplementary material, which is available to authorized users.
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影响因子：
1.7
作者：
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通讯作者：
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DOI：
10.1080/17483100600856213
发表时间：
2007-01-01
影响因子：
2.2
作者：
Boman, I. -L.;Tham, K.;Hemmingsson, H.
通讯作者：
Hemmingsson, H.