Long-Term Home-Monitoring Sensor Technology in Patients with Parkinson's Disease-Acceptance and Adherence
Long-Term Home-Monitoring Sensor Technology in Patients with Parkinson's Disease-Acceptance and Adherence
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DOI：
10.3390/s19235169
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发表时间：
2019-12-01
期刊：
影响因子：
3.9
通讯作者：
Nef, Tobias
中科院分区：
文献类型：
--
作者：
Botros, Angela;Schutz, Narayan;Nef, Tobias
帕金森病（PD）的特点是高度个人化的疾病概况以及波动的症状。因此，现实环境中的24小时家庭监控将是精确症状诊断的理想解决方案。近年来，有助于客观、可靠地分析运动症状的小型轻量传感器吸引了很多关注。虽然技术进步很重要，但患者接受这种新系统对于提高长期依从性同样至关重要。到目前为止，缺乏对PD患者传感器依从性和接受度的长期评价。在PD患者（N = 4）的初步研究中，在4周的时间跨度内评价了多部件传感器组的依从性（佩戴时间）和接受度（问卷调查）。评价的传感器组包括3个身体佩戴传感器和7个在家安装的环境传感器。经过一个月的连续监测，整体系统可用性量表（SUS）-问卷评分为71.5%，其中佩戴式传感器的平均接受度为87%，环境传感器的平均接受度为100%。传感器平均每天佩戴15小时4分钟。所有患者都报告了对传感器设置的强烈偏好，而不是手动自我报告方法。我们的研究结果与类似短期研究的高依从性和接受率相吻合，并将其扩展到长期监测。
Parkinson's disease (PD) is characterized by a highly individual disease-profile as well as fluctuating symptoms. Consequently, 24-h home monitoring in a real-world environment would be an ideal solution for precise symptom diagnostics. In recent years, small lightweight sensors which have assisted in objective, reliable analysis of motor symptoms have attracted a lot of attention. While technical advances are important, patient acceptance of such new systems is just as crucial to increase long-term adherence. So far, there has been a lack of long-term evaluations of PD-patient sensor adherence and acceptance. In a pilot study of PD patients (N = 4), adherence (wearing time) and acceptance (questionnaires) of a multi-part sensor set was evaluated over a 4-week timespan. The evaluated sensor set consisted of 3 body-worn sensors and 7 at-home installed ambient sensors. After one month of continuous monitoring, the overall system usability scale (SUS)-questionnaire score was 71.5%, with an average acceptance score of 87% for the body-worn sensors and 100% for the ambient sensors. On average, sensors were worn 15 h and 4 min per day. All patients reported strong preferences of the sensor set over manual self-reporting methods. Our results coincide with measured high adherence and acceptance rate of similar short-term studies and extend them to long-term monitoring.