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Chen SC, Cheng HL, Wang DD, Wang S, Yin YH, Suen LKP, Yeung WF. Experience of parents in delivering pediatric tuina to children with symptoms of attention deficit hyperactivity disorder during the COVID-19 pandemic: qualitative findings from focus group interviews. BMC Complement Med Ther 2023; 23:53. [PMID: 36804041 PMCID: PMC9938352 DOI: 10.1186/s12906-023-03891-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 02/15/2023] [Indexed: 02/19/2023] Open
Abstract
BACKGROUND Evidence suggests that pediatric tuina, a modality of traditional Chinese medicine (TCM), might have beneficial effects on the symptoms of attention deficit hyperactivity disorder (ADHD), such as overall improvements in concentration, flexibility, mood, sleep quality, and social functioning. This study was conducted to understand the facilitators and barriers in the delivery of pediatric tuina by parents to children with ADHD symptoms. METHODS This is a focus group interview embedded in a pilot randomized controlled trial on parent-administered pediatric tuina for ADHD in preschool children. Purposive sampling was employed to invite 15 parents who attended our pediatric tuina training program to participate voluntarily in three focus group interviews. The interviews were audio-recorded and transcribed verbatim. The data were analyzed through template analysis. RESULTS Two themes were identified: (1) facilitators of intervention implementation and (2) barriers to intervention implementation. The theme of the facilitators of intervention implementation included the subthemes of (a) perceived benefits to children and parents, (b) acceptability to children and parents, (c) professional support, and (d) parental expectations of the long-term effects of the intervention. The theme of barriers to intervention implementation included the subthemes of (a) limited benefits for children's inattention symptoms, (b) manipulation management difficulties, and (c) limitations of TCM pattern identification. CONCLUSION Perceived beneficial effects on the children's sleep quality and appetite and parent-child relationships, as well as timely and professional support, mainly facilitated the implementation of parent-administered pediatric tuina. Slow improvements in the children's inattention symptoms and the possible inaccuracies of online diagnosis were the dominant barriers of the intervention. Parents have high expectations for the provision of long-term professional support during their practice of pediatric tuina. The intervention presented here can be feasibly used by parents.
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Affiliation(s)
- Shu-Cheng Chen
- grid.16890.360000 0004 1764 6123School of Nursing, the Hong Kong Polytechnic University, HKSAR, China
| | - Hui-Lin Cheng
- grid.16890.360000 0004 1764 6123School of Nursing, the Hong Kong Polytechnic University, HKSAR, China
| | - Dong-Dong Wang
- Yantai Aviation Medical Room, Shandong Airlines, Yantai, China
| | - Shanshan Wang
- grid.16890.360000 0004 1764 6123School of Nursing, the Hong Kong Polytechnic University, HKSAR, China
| | - Yue-Heng Yin
- grid.16890.360000 0004 1764 6123School of Nursing, the Hong Kong Polytechnic University, HKSAR, China
| | - Lorna Kwai-Ping Suen
- grid.462932.80000 0004 1776 2650School of Nursing, Tung Wah College, HKSAR, China
| | - Wing-Fai Yeung
- School of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
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Grosjean S, Ciocca JL, Gauthier-Beaupré A, Poitras E, Grimes D, Mestre T. Co-designing a digital companion with people living with Parkinson's to support self-care in a personalized way: The eCARE-PD Study. Digit Health 2022; 8:20552076221081695. [PMID: 35251682 PMCID: PMC8891888 DOI: 10.1177/20552076221081695] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 01/30/2022] [Indexed: 12/24/2022] Open
Abstract
eHealth technologies play a role in the development of integrated care models for people living with Parkinson disease by improving communication with their health care teams and support self-care practices in a personalized way. This article presents a co-design approach to designing an eHealth technology, the eCARE-PD platform, that addresses the needs and expectations of people living with Parkinson disease, generates tailored care tips, and recommends actions for managing care priorities at home. We use a co-design approach involving four main iterative phases: (1) preparation, (2) mapping, (3) testing and using, and (4) co-producing solutions and requirements. This approach uses several methods to engage people directly to design this technology. The study allowed us to identify design principles to be integrated in the development of the eCARE-PD platform. These principles incorporate the expectations of future users, which were expressed during the iterative phases of the co-design process: (a) six key design features based on users’ needs and expectations, (b) six main issues users raised during a test at home and key features for improving the design of the eCARE-PD platform, and (c) collective solutions to design an interactive, meaningful, tailored, empathic, and socially acceptable technology. The results of the successive phases of the co-design process allow us to underline the progressive constitution of a technology defined over successive iterations as a digital companion supporting the self-care process at home and having the capacity to generate tailored digital health communication.
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Affiliation(s)
| | | | | | - Emely Poitras
- Department of Communication, University of Ottawa, Canada
| | - David Grimes
- Parkinson's Disease and Movement Disorders Clinic, Division of Neurology, Department of Medicine, The Ottawa Hospital Research Institute, The University of Ottawa Brain and Mind Research Institute, Ottawa, Canada
| | - Tiago Mestre
- Parkinson's Disease and Movement Disorders Clinic, Division of Neurology, Department of Medicine, The Ottawa Hospital Research Institute, The University of Ottawa Brain and Mind Research Institute, Ottawa, Canada
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Barrachina-Fernández M, Maitín AM, Sánchez-Ávila C, Romero JP. Wearable Technology to Detect Motor Fluctuations in Parkinson's Disease Patients: Current State and Challenges. SENSORS (BASEL, SWITZERLAND) 2021; 21:4188. [PMID: 34207198 PMCID: PMC8234127 DOI: 10.3390/s21124188] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 06/07/2021] [Accepted: 06/16/2021] [Indexed: 01/30/2023]
Abstract
Monitoring of motor symptom fluctuations in Parkinson's disease (PD) patients is currently performed through the subjective self-assessment of patients. Clinicians require reliable information about a fluctuation's occurrence to enable a precise treatment rescheduling and dosing adjustment. In this review, we analyzed the utilization of sensors for identifying motor fluctuations in PD patients and the application of machine learning techniques to detect fluctuations. The review process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Ten studies were included between January 2010 and March 2021, and their main characteristics and results were assessed and documented. Five studies utilized daily activities to collect the data, four used concrete scenarios executing specific activities to gather the data, and only one utilized a combination of both situations. The accuracy for classification was 83.56-96.77%. In the studies evaluated, it was not possible to find a standard cleaning protocol for the signal captured, and there is significant heterogeneity in the models utilized and in the different features introduced in the models (using spatiotemporal characteristics, frequential characteristics, or both). The two most influential factors in the good performance of the classification problem are the type of features utilized and the type of model.
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Affiliation(s)
- Mercedes Barrachina-Fernández
- Programa en Ingeniería Biomédica (PhD), ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM), Avenida Complutense, 30, 28040 Madrid, Spain;
| | - Ana María Maitín
- Centro de Estudios e Innovación en Gestión del Conocimiento (CEIEC), Universidad Francisco de Vitoria, 28223 Pozuelo de Alarcón, Spain;
| | - Carmen Sánchez-Ávila
- Department de Matemática Aplicada a las TICs, ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM), Avenida Complutense, 30, 28040 Madrid, Spain
| | - Juan Pablo Romero
- Facultad de Ciencias Experimentales, Universidad Francisco de Vitoria, 28223 Pozuelo de Alarcón, Spain
- Brain Damage Unit, Hospital Beata María Ana, 28007 Madrid, Spain
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Moore K, O'Shea E, Kenny L, Barton J, Tedesco S, Sica M, Crowe C, Alamäki A, Condell J, Nordström A, Timmons S. Older Adults' Experiences With Using Wearable Devices: Qualitative Systematic Review and Meta-synthesis. JMIR Mhealth Uhealth 2021; 9:e23832. [PMID: 34081020 PMCID: PMC8212622 DOI: 10.2196/23832] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 01/19/2021] [Accepted: 03/26/2021] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Older adults may use wearable devices for various reasons, ranging from monitoring clinically relevant health metrics or detecting falls to monitoring physical activity. Little is known about how this population engages with wearable devices, and no qualitative synthesis exists to describe their shared experiences with long-term use. OBJECTIVE This study aims to synthesize qualitative studies of user experience after a multi-day trial with a wearable device to understand user experience and the factors that contribute to the acceptance and use of wearable devices. METHODS We conducted a systematic search in CINAHL, APA PsycINFO, PubMed, and Embase (2015-2020; English) with fixed search terms relating to older adults and wearable devices. A meta-synthesis methodology was used. We extracted themes from primary studies, identified key concepts, and applied reciprocal and refutational translation techniques; findings were synthesized into third-order interpretations, and finally, a "line-of-argument" was developed. Our overall goal was theory development, higher-level abstraction, and generalizability for making this group of qualitative findings more accessible. RESULTS In total, we reviewed 20 papers; 2 evaluated fall detection devices, 1 tested an ankle-worn step counter, and the remaining 17 tested activity trackers. The duration of wearing ranged from 3 days to 24 months. The views of 349 participants (age: range 51-94 years) were synthesized. Four key concepts were identified and outlined: motivation for device use, user characteristics (openness to engage and functional ability), integration into daily life, and device features. Motivation for device use is intrinsic and extrinsic, encompassing many aspects of the user experience, and appears to be as, if not more, important than the actual device features. To overcome usability barriers, an older adult must be motivated by the useful purpose of the device. A device that serves its intended purpose adds value to the user's life. The user's needs and the support structure around the device-aspects that are often overlooked-seem to play a crucial role in long-term adoption. Our "line-of-argument" model describes how motivation, ease of use, and device purpose determine whether a device is perceived to add value to the user's life, which subsequently predicts whether the device will be integrated into the user's life. CONCLUSIONS The added value of a wearable device is the resulting balance of motivators (or lack thereof), device features (and their accuracy), ease of use, device purpose, and user experience. The added value contributes to the successful integration of the device into the daily life of the user. Useful device features alone do not lead to continued use. A support structure should be placed around the user to foster motivation, encourage peer engagement, and adapt to the user's preferences.
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Affiliation(s)
- Kevin Moore
- Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland
| | - Emma O'Shea
- Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland
| | - Lorna Kenny
- Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland
| | | | | | | | | | - Antti Alamäki
- Research, Development and Innovation Activities & Physiotherapy Education, Karelia University of Applied Sciences, Karelia, Finland
| | - Joan Condell
- School of Computing, Engineering and Intelligent Systems, Faculty of Computing, Engineering and the Built Environment, Ulster University, Coleraine, United Kingdom
| | - Anna Nordström
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
- School of Sport Sciences, The Arctic University of Norway, Tromsø, Norway
| | - Suzanne Timmons
- Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland
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Choukou MA, Shortly T, Leclerc N, Freier D, Lessard G, Demers L, Auger C. Evaluating the acceptance of ambient assisted living technology (AALT) in rehabilitation: A scoping review. Int J Med Inform 2021; 150:104461. [PMID: 33892446 DOI: 10.1016/j.ijmedinf.2021.104461] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 03/05/2021] [Accepted: 04/06/2021] [Indexed: 02/04/2023]
Abstract
OBJECTIVES Ambient assisted living technologies (AALTs) are being used to help community-dwelling older adults (OAs) age in place. Although many AALT are available, their acceptance (perceived usefulness, ease of use, intention to use and actual usage) is needed to improve their design and impact. This study aims to 1) identify AALTs that underwent an acceptance evaluation in rehabilitation contexts, 2) identify methodological tools and approaches to measure acceptance in ambient assisted living (AAL) in rehabilitation research, and 3) summarize AALT acceptance results in existing rehabilitation literature with a focus on peer-reviewed scientific articles. METHODS A scoping review was conducted in the following databases: Medline, Embase, Cinahl, and PsycInfo, following the Arksey and O'Malley framework (2009). Four acceptance attributes were extracted: 'user acceptance', 'perceived usefulness', 'ease of use', and 'intention to use'. Data regarding AALT, participants, acceptance evaluation methods and results were extracted. RESULTS A total of 21 articles were included among 634 studies retrieved from the literature. We identified 51 AALTs dedicated to various rehabilitation contexts, most of which focused on monitoring OAs' activities and environmental changes. Acceptance of AALT was evaluated using interviews, questionnaires, focus groups, informal feedback, observation, card sort tasks, and surveys. Although OAs intend to use - or can perceive the usefulness of - AALTs, they are hesitant to accept the technology and have concerns about its adoption. DISCUSSION AND CONCLUSIONS The assessment of AALT acceptance in contexts of rehabilitation requires more comprehensive and standardized methodologies. The use of mixed-methods research is encouraged to cover the needs of particular studies. The timing of acceptance assessment should be considered throughout technology development phases to maximize AALT implementation.
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Affiliation(s)
- Mohamed-Amine Choukou
- Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada; Centre on Aging, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada.
| | - Taylor Shortly
- Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada
| | - Nicole Leclerc
- Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada
| | - Derek Freier
- Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada
| | - Genevieve Lessard
- Centre for Interdisciplinary Research in Rehabilitation of the Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), 6363 Hudson Road, Montreal, Quebec, H3S 1M9, Canada
| | - Louise Demers
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, Québec, H3C 3J7, Canada; Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Centre Intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, 4565 Queen Mary Road, Montreal, Quebec, H3W 1W5, Canada
| | - Claudine Auger
- Centre for Interdisciplinary Research in Rehabilitation of the Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), 6363 Hudson Road, Montreal, Quebec, H3S 1M9, Canada; School of Rehabilitation, Faculty of Medicine, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, Québec, H3C 3J7, Canada
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Nguyen DC, Nguyen KD, Pathirana PN. A Mobile Cloud based IoMT Framework for Automated Health Assessment and Management. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2019:6517-6520. [PMID: 31947334 DOI: 10.1109/embc.2019.8856631] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In recent years, there has been growing interest in the use of mobile cloud and Internet of Medical Things (IoMT) in automated diagnosis and health monitoring. These applications play a significant role in providing smart medical services in modern healthcare systems. In this paper, we deploy a mobile cloud-based IoMT scheme to monitor the progression of a neurological disorder using a test of motor coordination. The computing and storage capabilities of cloud server is employed to facilitate the estimation of the severity levels given by an established quantitative assessment. An Android application is used for data acquisition and communication with the cloud. Further, we integrate the proposed system with a data sharing framework in a blockchain network as an innovative solution that allows reliable data exchange among healthcare users. The experimental results show the feasibility of implementing the proposed system in a wide range of healthcare applications.
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Channa A, Popescu N, Ciobanu V. Wearable Solutions for Patients with Parkinson's Disease and Neurocognitive Disorder: A Systematic Review. SENSORS 2020; 20:s20092713. [PMID: 32397516 PMCID: PMC7249148 DOI: 10.3390/s20092713] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 05/05/2020] [Accepted: 05/06/2020] [Indexed: 01/01/2023]
Abstract
Prevalence of neurocognitive diseases in adult patients demands the use of wearable devices to transform the future of mental health. Recent development in wearable technology proclaimed its use in diagnosis, rehabilitation, assessment, and monitoring. This systematic review presents the state of the art of wearables used by Parkinson’s disease (PD) patients or the patients who are going through a neurocognitive disorder. This article is based on PRISMA guidelines, and the literature is searched between January 2009 to January 2020 analyzing four databases: PubMed, IEEE Xplorer, Elsevier, and ISI Web of Science. For further validity of articles, a new PEDro-inspired technique is implemented. In PEDro, five statistical indicators were set to classify relevant articles and later the citations were also considered to make strong assessment of relevant articles. This led to 46 articles that met inclusion criteria. Based on them, this systematic review examines different types of wearable devices, essential in improving early diagnose and monitoring, emphasizing their role in improving the quality of life, differentiating the various fitness and gait wearable-based exercises and their impact on the regression of disease and on the motor diagnosis tests and finally addressing the available wearable insoles and their role in rehabilitation. The research findings proved that sensor based wearable devices, and specially instrumented insoles, help not only in monitoring and diagnosis but also in tracking numerous exercises and their positive impact towards the improvement of quality of life among different Parkinson and neurocognitive patients.
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Godoi BB, Amorim GD, Quiroga DG, Holanda VM, Júlio T, Tournier MB. Parkinson's disease and wearable devices, new perspectives for a public health issue: an integrative literature review. ACTA ACUST UNITED AC 2020; 65:1413-1420. [PMID: 31800906 DOI: 10.1590/1806-9282.65.11.1413] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Accepted: 03/31/2019] [Indexed: 11/22/2022]
Abstract
Parkinson's disease is the second most common neurodegenerative disease, with an estimated prevalence of 41/100,000 individuals affected aged between 40 and 49 years old and 1,900/100,000 aged 80 and over. Based on the essentiality of ascertaining which wearable devices have clinical literary evidence and with the purpose of analyzing the information revealed by such technologies, we conducted this scientific article of integrative review. It is an integrative review, whose main objective is to carry out a summary of the state of the art of wearable devices used in patients with Parkinson's disease. After the review, we retrieved 8 papers. Of the selected articles, only 3 were not systematic reviews; one was a series of cases and two prospective longitudinal studies. These technologies have a very rich field of application; however, research is still necessary to make such evaluations reliable and crucial to the well-being of these patients.
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Affiliation(s)
- Bruno Bastos Godoi
- Universidade Federal dos Vales do Jequitinhonha e Mucuri; Diamantina, MG, Brasil
| | - Gabriel Donato Amorim
- Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória, ES. Brasil
| | | | - Vanessa Milanesi Holanda
- Centro de Neurologia e Neurocirurgia Associados (NeuroCenna), BP - A Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil
| | - Thiago Júlio
- Dasa - Diagnósticos da América, Barueri, SP, Brasil
| | - Marcelo Benedet Tournier
- Hult International Business School. Campus & Enrollment Office. Hult International Business School, Cambridge, MA, USA
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