Delivering the digital ambition: Exploring how we can design, implement and evaluate digital technologies in healthcare.
实现数字化雄心:探索如何设计、实施和评估医疗保健领域的数字技术。
基本信息
- 批准号:MR/T022434/1
- 负责人:
- 金额:$ 122.13万
- 依托单位:
- 依托单位国家:英国
- 项目类别:Fellowship
- 财政年份:2021
- 资助国家:英国
- 起止时间:2021 至 无数据
- 项目状态:未结题
- 来源:
- 关键词:
项目摘要
Digital health technologies (DHT) comprise a broad range of applications such as telehealth, wearable devices and smart-phone and tablet applications (apps). However, whilst national and international policies present ambitious plans for DHT to revolutionise healthcare, there has been little consideration of how they can be successfully integrated into healthcare systems and processes. This is important as many reports show that even well designed DHT fail to be adopted or are quickly abandoned in clinical practice, meaning that their potential to transform healthcare is lost.Stroke rehabilitation presents an ideal opportunity to use DHT to improve patient outcomes. Pressures on services mean that the amount of rehabilitation that can be directly delivered by staff, particularly for the arm, falls far short of that known to be beneficial resulting in sub-optimal outcomes for many people and reduced quality of life. With the numbers of people surviving a stroke set to double in the next 15 years, DHT provides an attractive, innovative, practical and engaging way for staff to prescribe additional rehabilitation and improve recovery for people after stroke, within current service constraints. However, DHT are not widely used in rehabilitation and the factors that influence their use in clinical practice are not known. This project seeks to identify and understand the factors that will influence the use of DHT in healthcare. It will employ this knowledge to design, implement and evaluate a DHT intervention, using rehabilitation after stroke as a case example.The project has 3 initial phases. In phase 1, the evidence considering if and how DHT are used in healthcare will be reviewed, to explore the factors influencing their use. A national survey, observations of practice, questionnaires and interviews will describe current practice and explore the behaviours and beliefs of people after stroke, rehabilitation staff and service managers about using DHT. This information will be used to develop a theory about, and framework of, the factors influencing the use of DHT in healthcare rehabilitation.In phase 2, the theory and framework will be used to co-design, create and undertake initial testing of an app and intervention to supplement routine rehabilitation for the arm after stroke with rehabilitation staff, stroke survivors and DHT developers from our in-house innovation lab. In phase 3, the initial feasibility, acceptability and costs of the app and intervention to supplement stroke rehabilitation at a single NHS trust will be evaluated. Data from interviews, questionnaires and generated by the app will investigate how it was used in practice. These findings will be used to further refine the theory and framework developed in Phase 1 and the app and intervention developed in Phase 2. In the second period of the fellowship (Phase 4), a multi-site feasibility study of the app and intervention will be conducted. The project outputs will also be used to guide and assess the use of other forms of DHT (e.g. virtual reality) in stroke rehabilitation and their transferability to support and evaluate DHT in other healthcare settings will be evaluated.This project will transform how DHT can be used in healthcare by generating a clear theory and framework and providing practical tools which detail the factors that must be considered in the design, implementation and evaluation of DHT. It will provide guidance on how patients and healthcare staff can co-design DHT and design a future trial of the effectiveness of the app and intervention. Its results will benefit technology developers and researchers by helping them design and utilise DHT to improve patient outcomes and enable healthcare organisations and policy-makers to consider the vital processes and resources required to realise the vision of a truly innovative and DHT-enabled healthcare service.
数字医疗技术 (DHT) 包括广泛的应用,例如远程医疗、可穿戴设备以及智能手机和平板电脑应用程序 (app)。然而,虽然国家和国际政策提出了雄心勃勃的 DHT 计划,以彻底改变医疗保健,但很少考虑如何将它们成功整合到医疗保健系统和流程中。这一点很重要,因为许多报告表明,即使设计良好的 DHT 也无法在临床实践中被采用或很快被放弃,这意味着它们失去了改变医疗保健的潜力。中风康复为使用 DHT 改善患者预后提供了理想的机会。服务压力意味着工作人员可以直接提供的康复量,特别是手臂的康复量,远远低于已知的有益康复量,导致许多人的结果不佳,生活质量下降。随着未来 15 年内中风幸存者数量将增加一倍,DHT 为工作人员提供了一种有吸引力、创新、实用且引人入胜的方式,以便在当前服务限制范围内为中风患者提供额外的康复治疗并改善其康复。然而,DHT 在康复中的应用并不广泛,影响其在临床实践中使用的因素尚不清楚。该项目旨在识别和了解影响 DHT 在医疗保健中使用的因素。它将利用这些知识来设计、实施和评估 DHT 干预措施,以中风后康复为例。该项目有 3 个初始阶段。在第一阶段,将审查考虑 DHT 是否以及如何在医疗保健中使用的证据,以探讨影响其使用的因素。一项全国性调查、实践观察、问卷调查和访谈将描述当前的实践,并探讨中风后患者、康复人员和服务管理人员对使用 DHT 的行为和信念。这些信息将用于制定关于影响 DHT 在医疗康复中使用的因素的理论和框架。在第二阶段,该理论和框架将用于与康复人员、中风幸存者和我们内部创新实验室的 DHT 开发人员共同设计、创建和进行应用程序和干预措施的初步测试,以补充中风后手臂的常规康复。在第 3 阶段,将评估该应用程序和干预措施的初步可行性、可接受性和成本,以补充单一 NHS 信托机构的中风康复。来自访谈、调查问卷和应用程序生成的数据将调查其在实践中的使用情况。这些发现将用于进一步完善第一阶段开发的理论和框架以及第二阶段开发的应用程序和干预措施。在研究金的第二阶段(第四阶段),将对应用程序和干预措施进行多地点可行性研究。该项目的成果还将用于指导和评估其他形式的 DHT(例如虚拟现实)在中风康复中的使用,并将评估它们在其他医疗保健环境中支持和评估 DHT 的可转移性。该项目将通过生成清晰的理论和框架并提供详细说明 DHT 设计、实施和评估中必须考虑的因素的实用工具,从而改变 DHT 在医疗保健中的使用方式。它将为患者和医护人员如何共同设计 DHT 以及设计应用程序和干预措施有效性的未来试验提供指导。其结果将使技术开发人员和研究人员受益,帮助他们设计和利用 DHT 来改善患者的治疗结果,并使医疗保健组织和政策制定者能够考虑实现真正创新和 DHT 支持的医疗保健服务愿景所需的重要流程和资源。
项目成果
期刊论文数量(5)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Toolkits to enable managers to support early career researchers
使管理者能够支持早期职业研究人员的工具包
- DOI:
- 发表时间:2021
- 期刊:
- 影响因子:0
- 作者:Sheehan, K
- 通讯作者:Sheehan, K
The importance of embracing complexity in rehabilitation
拥抱康复中的复杂性的重要性
- DOI:10.1111/jep.13715
- 发表时间:2022
- 期刊:
- 影响因子:2.4
- 作者:Stockley R
- 通讯作者:Stockley R
Are Behaviour Change Approaches Incorporated Within Digital Technology-Based Rehabilitation Interventions? A Scoping Review Focusing on Physical Stroke Rehabilitation (Preprint)
行为改变方法是否纳入基于数字技术的康复干预措施?
- DOI:10.2196/preprints.48725
- 发表时间:2023
- 期刊:
- 影响因子:0
- 作者:Gooch H
- 通讯作者:Gooch H
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Rachel Stockley其他文献
Online advice for the symptomatic management of post-stroke fatigue: A scoping review
- DOI:
10.1016/j.jpsychores.2022.111039 - 发表时间:
2022-11-01 - 期刊:
- 影响因子:
- 作者:
Tiev Miller;Rachel Stockley;Avril Drummond;Caroline Watkins;Rachel Georgiou;Kiran Deep Kaur Ahuja;Marie-Louise Bird - 通讯作者:
Marie-Louise Bird
Rachel Stockley的其他文献
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