Technology-assisted behavioral intervention to encourage prehabilitation in frail older adults undergoing surgery: Development and design of the BeFitMe™ Apple Watch app.
Technology-assisted behavioral intervention to encourage prehabilitation in frail older adults undergoing surgery: Development and design of the BeFitMe™ Apple Watch app.
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DOI：
10.1177/20552076231203957
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发表时间：
2023-01
期刊：
影响因子：
3.9
通讯作者：
Madariaga, Maria Lucia L.
中科院分区：
文献类型：
--
作者：
Kerstiens, Savanna;Bender, Edward M.;Rizzo Jr, Michael G.;Landi, Andrea;Gleason, Lauren J.;Huisingh-Scheetz, Megan;Rubin, Daniel;Ferguson, Mark;Madariaga, Maria Lucia L.
术前通过预康复（prehab）增加体弱的老年患者的身体活动，可以加速恢复自主性，减少术后并发症。然而，在临床环境中，预防性的参与率很低。在本研究中，我们使用新颖的独立Apple Watch平台重新设计了现有的prehab智能手机应用程序（BeFitMe™），以增加弱势患者的可访问性和可用性。设计科学研究方法论用于(1)开发使用独立Apple Watch进行临床研究的方法，(2)为Apple Watch平台重新设计BeFitMe™，以及(3)将用户反馈纳入应用程序设计。在第三阶段，测试人员和用户测试人员通过后续电话提供反馈。测试后从手表中提取运动数据。描述性统计用于总结可访问性和可用性。BeFitMe™是为Apple Watch重新设计的，具有完整的功能，无需患者拥有iPhone或互联网连接，并且能够在没有患者互动的情况下被动收集运动数据。三名研究人员参与了为期三周的beta测试。六名随机选择的胸外科患者参加了为期12周的用户测试。通过更新软件（1.0-1.10版本）、改进界面和通知方案以及开发注册期间使用的教育材料，解决了来自beta版和用户测试者的反馈。大多数用户（5/ 6,83%）通过响应至少一个通知参与，并且能够收集到用户拥有手表的54/82（68%）天的数据。BeFitMe™Watch应用程序收集的数据量从第一次患者测试的2/11（16%）天增加到最后一次患者测试的13/13（100%）天。BeFitMe™手表应用程序是可访问和可用的。BeFitMe™Watch应用程序可以帮助老年患者，特别是那些来自弱势背景，资源较少的患者，在手术前参与预训练。
Increasing the physical activity of frail, older patients before surgery through prehabilitation (prehab) can hasten return to autonomy and reduce complications postoperatively. However, prehab participation is low in the clinical setting. In this study, we re-design an existing prehab smartphone application (BeFitMe™) using a novel standalone Apple Watch platform to increase accessibility and usability for vulnerable patients. Design Science Research Methodology was used to (1) develop an approach to clinical research using standalone Apple Watches, (2) re-design BeFitMe™ for the Apple Watch platform, and (3) incorporate user feedback into app design. In phase 3, beta and user testers gave feedback via a follow-up phone call. Exercise data was extracted from the watch after testing. Descriptive statistics were used to summarize accessibility and usability. BeFitMe™ was redesigned for the Apple Watch with full functionality without requiring patients to have an iPhone or internet connectivity and the ability to passively collect exercise data without patient interaction. Three study staff participated in beta testing over 3 weeks. Six randomly chosen thoracic surgery patients participated in user testing over 12 weeks. Feedback from beta and user testers was addressed with updated software (versions 1.0–1.10), improved interface and notification schemes, and the development of educational materials used during enrollment. The majority of users (5/6, 83%) participated by responding to at least one notification and data was able to be collected for 54/82 (68%) of the days users had the watches. The amount of data collected in BeFitMe™ Watch app increased from 2/11 (16%) days with the first patient tester to 13/13 (100%) days with the final patient tester. The BeFitMe™ Watch app is accessible and usable. The BeFitMe™ Watch app may help older patients, particularly those from vulnerable backgrounds with fewer resources, participate in prehab prior to surgery.
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影响因子：
6.2
作者：
Williams, Grant R.;Al-Obaidi, Mustafa;Harmon, Christian;Dai, Chen;Outlaw, Darryl;Gbolahan, Olumide;Khushman, Moh'd;Nyrop, Kirsten A.;Gilmore, Nikesha;Bhatia, Smita;Giri, Smith
通讯作者：
Giri, Smith
影响因子：
15.2
作者：
通讯作者：
--
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
2.1
作者：
Finley DJ;Fay KA;Batsis JA;Stevens CJ;Sacks OA;Darabos C;Cook SB;Lyons KD
通讯作者：
Lyons KD
影响因子：
7.7
作者：
Peffers, Ken;Tuunanen, Tuure;Chatterjee, Samir
通讯作者：
Chatterjee, Samir