TY - JOUR AU - Latulippe, Karine AU - Giroux, Dominique AU - Guay, Manon AU - Kairy, Dahlia AU - Vincent, Claude AU - Boivin, Katia AU - Morales, Ernesto AU - Obradovic, Natasa AU - Provencher, Véronique PY - 2022 DA - 2022/7/5 TI -职业治疗师在出院前评估患者家庭环境的移动视频会议:混合方法可行性和比较研究JO - JMIR老化SP - e24376 VL - 5 IS - 3kw -护理人员KW -可行性KW -混合方法KW -移动视频会议KW -移动电话KW -职业治疗KW -出院规划KW -家庭评估AB -背景:在医院工作的职业治疗师需要评估病人的家庭环境，为病人出院做准备，以便提供建议(如技术援助)，以支持他们的独立性和安全性。家访可以提高日常活动的表现，降低跌倒的风险;然而，在一些国家，由于涉及费用和时间，很少在出院前进行家访。在大多数情况下，职业治疗师依靠与患者或护理人员的面谈来评估家庭。使用视频会议来评估患者的家庭环境可能是一种创新的解决方案，可以提供更好、更合适的建议。目的:本研究的目的是(1)探索使用移动视频会议与仅使用标准程序相比的附加价值;(2)记录使用移动视频会议评估患者家庭环境的临床可行性。方法:职业治疗师首先使用标准程序(访谈)评估家庭环境，然后使用视频会议(在位于患者家中的家庭护理人员的帮助下，使用电子平板电脑)。我们采用了并行混合方法设计。 The occupational therapist's responsiveness to telehealth, time spent on assessment, patient’s occupational performance and satisfaction, and major events influencing the variables were collected as quantitative data. The perceptions of occupational therapists and family caregivers regarding the added value of using this method and the nature of changes made to recommendations as a result of the videoconference (if any) were collected as qualitative data, using questionnaires and semistructured interviews. Results: Eight triads (6 occupational therapists, 8 patients, and 8 caregivers) participated. The use of mobile videoconferencing generally led occupational therapists to modify the initial intervention plan (produced after the standard interview). Occupational therapists and caregivers perceived benefits in using mobile videoconferencing (eg, the ability to provide real-time comments or feedback), and they also perceived disadvantages (eg, videoconferencing requires additional time and greater availability of caregivers). Some occupational therapists believed that mobile videoconferencing added value to assessments, while others did not. Conclusions: The use of mobile videoconferencing in the context of hospital discharge planning has raised questions of clinical feasibility. Although mobile videoconferencing provides multiple benefits to hospital discharge, including more appropriate occupational therapist recommendations, time constraints made it more difficult to perceive the added value. However, with smartphone use, interdisciplinary team involvement, and patient participation in the videoconference visit, mobile videoconferencing can become an asset to hospital discharge planning. International Registered Report Identifier (IRRID): RR2-10.2196/11674 SN - 2561-7605 UR - https://aging.www.mybigtv.com/2022/3/e24376 UR - https://doi.org/10.2196/24376 UR - http://www.ncbi.nlm.nih.gov/pubmed/35787486 DO - 10.2196/24376 ID - info:doi/10.2196/24376 ER -