@Article{info:doi/10.2196/20215,作者=“Lussier, Maxime and Aboujaoud{\'e}, Aline and Couture, M{\'e}lanie and Moreau, Maxim and Lalibert{\'e}, Catherine and Giroux, Sylvain and Pigot, H{\'e} ne and Gaboury, S{\'e}bastien and Bouchard, K{\'e}vin and Belchior, Patricia and Bottari, Carolina and Par{\'e}, Guy and Consel, Charles and Bier, Nathalie”,标题=“使用环境辅助生活监测老年痴呆症:单例研究验证监测报告”,期刊=“JMIR Med Inform”,年=“2020”,月=“11”,日=“13”,卷=“8”,号=“11”,页=“e20215”,关键词=“日常生活活动;老化;阿尔茨海默病;环境辅助生活;卫生保健;技术评估;健康;遥感技术",摘要="背景:许多老年人选择尽可能长时间地在家中独立生活,尽管社会心理和医疗条件损害了他们在日常生活和安全方面的独立性。面对前所未有的资源分配挑战,家庭护理管理者越来越倾向于使用环境辅助生活(AAL)监测技术来更好地支持护理对象。 To be effective, these technologies should be able to report clinically relevant changes to support decision making at an individual level. Objective: The aim of this study is to examine the concurrent validity of AAL monitoring reports and information gathered by care professionals using triangulation. Methods: This longitudinal single-case study spans over 490 days of monitoring a 90-year-old woman with Alzheimer disease receiving support from local health care services. A clinical nurse in charge of her health and social care was interviewed 3 times during the project. Linear mixed models for repeated measures were used to analyze each daily activity (ie, sleep, outing activities, periods of low mobility, cooking-related activities, hygiene-related activities). Significant changes observed in data from monitoring reports were compared with information gathered by the care professional to explore concurrent validity. Results: Over time, the monitoring reports showed evolving trends in the care recipient's daily activities. Significant activity changes occurred over time regarding sleep, outings, cooking, mobility, and hygiene-related activities. Although the nurse observed some trends, the monitoring reports highlighted information that the nurse had not yet identified. Most trends detected in the monitoring reports were consistent with the clinical information gathered by the nurse. In addition, the AAL system detected changes in daily trends following an intervention specific to meal preparation. Conclusions: Overall, trends identified by AAL monitoring are consistent with clinical reports. They help answer the nurse's questions and help the nurse develop interventions to maintain the care recipient at home. These findings suggest the vast potential of AAL technologies to support health care services and aging in place by providing valid and clinically relevant information over time regarding activities of daily living. Such data are essential when other sources yield incomplete information for decision making. ", issn="2291-9694", doi="10.2196/20215", url="https://medinform.www.mybigtv.com/2020/11/e20215", url="https://doi.org/10.2196/20215", url="http://www.ncbi.nlm.nih.gov/pubmed/33185555" }
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