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Fitria N, Karisa P, Prabowo T, Ramadhan AK, Al Fajar MG, Setiawan, Ibrahim K, Salya A, Susanti RD. The Effect of Anthropometric Shoes on Lactic Acid Reduction in Nurses: A Mixed-Methods Study from Indonesia. J Multidiscip Healthc 2023; 16:4227-4238. [PMID: 38162413 PMCID: PMC10757786 DOI: 10.2147/jmdh.s437177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 12/12/2023] [Indexed: 01/03/2024] Open
Abstract
Background The mobilization characteristics of nurses' work, such as standing, walking, and transferring patients for a long time, can increase the risk of musculoskeletal disorders. Repetitive activities nurses perform can cause foot problems such as discomfort and insecurity, characterized by increased lactic acid levels. Anthropometric shoes are specifically designed to reduce complaints on nurses' feet. Purpose This study aimed to determine the effect of individual anthropometric shoes on lactic acid levels in nurses at the hospital. Methods This study used a mixed-method study design. This study involved 71 nurses in the quantitative study and 15 nurses in the qualitative study. Nurses in Emergency Room, Central Surgical Installation, Inpatient Room, Intensive Care Unit, and Outpatient Installation were randomly selected using a stratified random sampling technique. The instruments used were the Accutrend Lactacyd tool, demographic questionnaire and interview questionnaire. Bivariate data analysis was using Statistical Package for Social Sciences (SPSS) and qualitative data analysis using thematic analysis. Results This mixed-method study shows that anthropometric shoes can reduce nurses' lactic acid levels. In the quantitative study; there was a significant difference in lactic acid levels of nurses before and after using anthropometric shoes with the average results of measuring lactic acid levels, namely pre-test (22.48 mg/dL) and post-test (16.27 mg/dL), with a p-value (0.000). The qualitative study data revealed positive results related to increased nurse knowledge, positive views on the effect of shoes on nurse performance, and the impact of using anthropometric shoes in providing comfort and safety, such as decreased muscle fatigue and pain. Conclusion The findings of this study highlight the effect of individualized anthropometric shoes on lactic acid levels in nurses in Indonesian hospitals. It is essential to conduct further research and evaluate the results in a broader setting to ensure that anthropometric shoes can directly affect lactic acid levels.
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Affiliation(s)
- Nita Fitria
- Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia
| | - Putri Karisa
- Professional Nursing Student, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia
| | - Tertianto Prabowo
- Department of Physical Medicine & Rehabilitation, Hasan Sadikin General Hospital, Bandung, West Java, Indonesia
| | - Ahmad Kharisma Ramadhan
- Department of Design Product, Faculty of Art and Design, Bandung Institute of Technology, Bandung, West Java, Indonesia
| | - Muhamad Gustaf Al Fajar
- Professional Nursing Student, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia
| | - Setiawan
- Department of Basic Medical Science, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, 40132, Indonesia
| | - Kusman Ibrahim
- Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia
| | - Aditya Salya
- Department of Management, Faculty of Economic and Business, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia
| | - Raini Diah Susanti
- Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia
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Cajamarca G, Herskovic V, Rossel PO. Enabling Older Adults' Health Self-Management through Self-Report and Visualization-A Systematic Literature Review. SENSORS (BASEL, SWITZERLAND) 2020; 20:E4348. [PMID: 32759801 PMCID: PMC7436010 DOI: 10.3390/s20154348] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 07/25/2020] [Accepted: 07/26/2020] [Indexed: 12/15/2022]
Abstract
Aging is associated with a progressive decline in health, resulting in increased medical care and costs. Mobile technology may facilitate health self-management, thus increasing the quality of care and reducing costs. Although the development of technology offers opportunities in monitoring the health of older adults, it is not clear whether these technologies allow older adults to manage their health data themselves. This paper presents a review of the literature on mobile health technologies for older adults, focusing on whether these technologies enable the visualization of monitored data and the self-reporting of additional information by the older adults. The systematic search considered studies published between 2009 and 2019 in five online databases. We screened 609 articles and identified 95 that met our inclusion and exclusion criteria. Smartphones and tablets are the most frequently reported technology for older adults to enter additional data to the one that is monitored automatically. The recorded information is displayed on the monitoring device and screens of external devices such as computers. Future designs of mobile health technology should allow older users to enter additional information and visualize data; this could enable them to understand their own data as well as improve their experience with technology.
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Affiliation(s)
- Gabriela Cajamarca
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
| | - Valeria Herskovic
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
| | - Pedro O. Rossel
- Department of Computer Science, Universidad Católica de la Santísima Concepción, Concepción 4090541, Chile;
- Centro de Investigación en Biodiversidad y Ambientes Sustentables (CIBAS), Universidad Católica de la Santísima Concepción, Concepción 4090541, Chile
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Chen SCI, Liu C. Factors Influencing the Application of Connected Health in Remote Areas, Taiwan: A Qualitative Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1282. [PMID: 32079241 PMCID: PMC7068356 DOI: 10.3390/ijerph17041282] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 02/10/2020] [Accepted: 02/12/2020] [Indexed: 11/16/2022]
Abstract
This pilot study investigated factors influencing the application of connected health (CH) in Taiwanese remote areas. These factors cover issues of cost, infrastructure, technology, business sustainability, business model, collaboration, and communication. It aimed to explore the significance and to assess the feasibility of researching CH in Taiwan. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 18). The majority were healthcare providers as most of them are the CH end users. Their feedback was essential in reflecting the effectiveness of CH products and services. Therefore, understanding their views is significant in the design of a successful and user-friendly interactive system. A theoretical framework on the introduction of innovations in healthcare was employed to guide data collection and thematic analysis. Additionally, stakeholders proposed strategies for enhancing the implementation of CH in remote areas. This pilot study also contributed to identifying future directions and information for conducting the multi-stage interviews for collecting the data more effectively. Although the results reveal that the study of CH is meaningful, there is an issue of business sustainability which is obscured by some barriers that need to be addressed. These barriers will be further investigated in the first-stage interview and second-stage interview in future research. The research findings also suggest that strategies and sustainability for CH implementation should be included from the planning phase to benefit all the stakeholders in the CH ecosystem.
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Affiliation(s)
- Sonia Chien-I. Chen
- School of Economics and Finance, Huaqiao University, Quanzhou 362021, China;
| | - Chenglian Liu
- School of Computing, Neusoft Institute of Guangdong, Foshan 528225, China
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Hein Willius A, Torres Hidalgo M, Arroyo Zuñiga P, Quezada Venegas M, Arriagada Díaz C, Valenzuela Abarca E, San Martín Gutierrez E, Bedregal P. An Acceptability Study Of A Personal Portable Device Storing Critical Health Information To Ensure Treatment Continuity Of Home-Dwelling Older Adults In Case Of A Disaster. Patient Prefer Adherence 2019; 13:1941-1949. [PMID: 31806942 PMCID: PMC6850675 DOI: 10.2147/ppa.s218232] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 09/13/2019] [Indexed: 11/23/2022] Open
Abstract
AIMS DEPPAS ("Dispositivo Electrónico Personal y Portable en Salud" or Personal, Portable Electronic Health Device in English) is a portable device in form of a bracelet that allows storing electronic health records of older adults experiencing chronic illnesses. The device seeks to support the vital sustainability of older adults by storing critical health information when electronic or paper records have been lost as a consequence of a disaster. Older adults are particularly vulnerable to experience negative consequences in this context. The present study explores the end-user acceptability of DEPPAS in order to inform the next design stages of the device. METHODS Twenty home-dwelling urban male and female older adults enrolled in a chronic health management program were invited to participate in two focus groups. A prototype of DEPPAS was presented and reactions to health service disruption scenarios were explored. Focus groups were transcribed. Content analysis based on the Technology Acceptance Model was conducted. RESULTS Older adults are acutely aware of their vulnerable health status. Participants report overall positive reactions to DEPPAS. The device was associated with feelings of relief and an increased sense of control over their health management. DEPPAS is perceived as useful, usable, and safe. Even though concerns regarding confidentiality were raised, benefits are perceived as more relevant than potential risks. Participants agree that its usefulness could be extended beyond disaster situations to everyday health care management. Implications for future development and limitations are discussed. CONCLUSION The conceptual design DEPPAS shows a high level of acceptability by this end user and a high potential to be integrated with other complementary technologies (e.g. GPS, medication reminders) that could significantly contribute to improving health management in disaster situations.
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Affiliation(s)
- Andreas Hein Willius
- Project DEPPAS-FONDEF (ID17AM0038), Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
| | - Marisa Torres Hidalgo
- Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
| | - Pablo Arroyo Zuñiga
- Project DEPPAS-FONDEF (ID17AM0038), Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
| | - Margarita Quezada Venegas
- Project DEPPAS-FONDEF (ID17AM0038), Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
| | | | - Eduardo Valenzuela Abarca
- Department of Internal Medicine, Geriatric Program, Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
| | - Ernesto San Martín Gutierrez
- Interdisciplinary Laboratory for Social Statistics, Faculty of Mathematics, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
| | - Paula Bedregal
- Department of Public Health, Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Región Metropolitana, Chile
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Karampela M, Isomursu M, Porat T, Maramis C, Mountford N, Giunti G, Chouvarda I, Lehocki F. The Extent and Coverage of Current Knowledge of Connected Health: Systematic Mapping Study. J Med Internet Res 2019; 21:e14394. [PMID: 31573915 PMCID: PMC6785722 DOI: 10.2196/14394] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 07/27/2019] [Accepted: 08/18/2019] [Indexed: 01/09/2023] Open
Abstract
Background This study examines the development of the connected health (CH) research landscape with a view to providing an overview of the existing CH research. The research field of CH has experienced rapid growth coinciding with increasing pressure on health care systems to become more proactive and patient centered. Objective This study aimed to assess the extent and coverage of the current body of knowledge in CH. In doing so, we sought to identify specific topics that have drawn the attention of CH researchers and to identify research gaps, in particular those offering opportunities for further interdisciplinary research. Methods A systematic mapping study that combined scientific contributions from research in the disciplines of medicine, business, computer science, and engineering was used. Overall, seven classification criteria were used to analyze the papers, including publication source, publication year, research type, empirical type, contribution type, research topic, and the medical condition studied. Results The search resulted in 208 papers that were analyzed by a multidisciplinary group of researchers. The results indicated a slow start for CH research but showed a more recent steady upswing since 2013. The majority of papers proposed health care solutions (77/208, 37.0%) or evaluated CH approaches (49/208, 23.5%). Case studies (59/208, 28.3%) and experiments (55/208, 26.4%) were the most popular forms of scientific validation used. Diabetes, cancer, multiple sclerosis, and heart conditions were among the most prevalent medical conditions studied. Conclusions We conclude that CH research has become an established field of research that has grown over the last five years. The results of this study indicate a focus on technology-driven research with a strong contribution from medicine, whereas the business aspects of CH have received less research attention.
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Affiliation(s)
| | | | - Talya Porat
- Imperial College London, London, United Kingdom
| | | | | | | | | | - Fedor Lehocki
- Slovak University of Technology, Bratislava, Slovakia
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A Theoretical Framework and Conceptual Design for Engaging Children in Therapy at Home-The Design of a Wearable Breathing Trainer. J Pers Med 2019; 9:jpm9020027. [PMID: 31137523 PMCID: PMC6617157 DOI: 10.3390/jpm9020027] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Revised: 05/09/2019] [Accepted: 05/16/2019] [Indexed: 11/20/2022] Open
Abstract
Wearable technologies are being implemented in the health and medical context with increasing frequency. Such technologies offer valuable opportunities to stimulate self-management in these domains. In this context, engagement plays a crucial role. An engaged patient is a patient who is emotionally involved and committed to the therapy or care process. Particularly for children who have to follow some sort of therapy, engagement is important to ensure a successful outcome of the therapy. To design for engagement, a framework based on theories of motivation in child therapy was developed. This framework was applied to the design of a wearable breathing trainer for children with asthma and dysfunctional breathing. As such, the present paper provides knowledge about the implementation of theory on engagement and motivation in design. Expert and first user evaluations found that the resulting prototype is appealing, perceived as useful, and may engage children in breathing training and stimulate self-management.
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Does culture affect usability? A trans-European usability and user experience assessment of a falls-risk connected health system following a user-centred design methodology carried out in a single European country. Maturitas 2018; 114:22-26. [DOI: 10.1016/j.maturitas.2018.05.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 04/30/2018] [Accepted: 05/08/2018] [Indexed: 11/20/2022]
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Di Rosa M, Hausdorff JM, Stara V, Rossi L, Glynn L, Casey M, Burkard S, Cherubini A. Concurrent validation of an index to estimate fall risk in community dwelling seniors through a wireless sensor insole system: A pilot study. Gait Posture 2017; 55:6-11. [PMID: 28407507 DOI: 10.1016/j.gaitpost.2017.03.037] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Revised: 03/10/2017] [Accepted: 03/31/2017] [Indexed: 02/02/2023]
Abstract
Falls are a major health problem for older adults with immediate effects, such as fractures and head injuries, and longer term effects including fear of falling, loss of independence, and disability. The goals of the WIISEL project were to develop an unobtrusive, self-learning and wearable system aimed at assessing gait impairments and fall risk of older adults in the home setting; assessing activity and mobility in daily living conditions; identifying decline in mobility performance and detecting falls in the home setting. The WIISEL system was based on a pair of electronic insoles, able to transfer data to a commercially available smartphone, which was used to wirelessly collect data in real time from the insoles and transfer it to a backend computer server via mobile internet connection and then onwards to a gait analysis tool. Risk of falls was calculated by the system using a novel Fall Risk Index (FRI) based on multiple gait parameters and gait pattern recognition. The system was tested by twenty-nine older users and data collected by the insoles were compared with standardized functional tests with a concurrent validity approach. The results showed that the FRI captures the risk of falls with accuracy that is similar to that of conventional performance-based tests of fall risk. These preliminary findings support the idea that theWIISEL system can be a useful research tool and may have clinical utility for long-term monitoring of fall risk at home and in the community setting.
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Affiliation(s)
- Mirko Di Rosa
- Scientific Direction, National Institute of Health and Science on Aging - I.N.R.C.A., Ancona, Italy.
| | - Jeff M Hausdorff
- Center for Study of Movement, Cognition and Mobility, Department of Neurology, Tel Aviv Sourasky Medical Center; Rush Alzheimer's Disease Center and Department of Orthopaedic Surgery, Rush University Medical Center; Sagol School of Neuroscience and Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University.
| | - Vera Stara
- Scientific Direction, National Institute of Health and Science on Aging - I.N.R.C.A., Ancona, Italy.
| | - Lorena Rossi
- Scientific Direction, National Institute of Health and Science on Aging - I.N.R.C.A., Ancona, Italy.
| | - Liam Glynn
- General Practice, School of Medicine, N.U.I. Galway, Galway, Ireland.
| | - Monica Casey
- General Practice, School of Medicine, N.U.I. Galway, Galway, Ireland.
| | | | - Antonio Cherubini
- Geriatrics and Geriatric Emergency Care, National Institute of Health and Science on Aging - I.N.R.C.A., Ancona, Italy.
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Harte R, Glynn L, Rodríguez-Molinero A, Baker PM, Scharf T, Quinlan LR, ÓLaighin G. A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology. JMIR Hum Factors 2017; 4:e8. [PMID: 28302594 PMCID: PMC5374275 DOI: 10.2196/humanfactors.5443] [Citation(s) in RCA: 109] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Revised: 10/31/2016] [Accepted: 01/12/2017] [Indexed: 11/13/2022] Open
Abstract
Background Design processes such as human-centered design, which involve the end user throughout the product development and testing process, can be crucial in ensuring that the product meets the needs and capabilities of the user, particularly in terms of safety and user experience. The structured and iterative nature of human-centered design can often present a challenge when design teams are faced with the necessary, rapid, product development life cycles associated with the competitive connected health industry. Objective We wanted to derive a structured methodology that followed the principles of human-centered design that would allow designers and developers to ensure that the needs of the user are taken into account throughout the design process, while maintaining a rapid pace of development. In this paper, we present the methodology and its rationale before outlining how it was applied to assess and enhance the usability, human factors, and user experience of a connected health system known as the Wireless Insole for Independent and Safe Elderly Living (WIISEL) system, a system designed to continuously assess fall risk by measuring gait and balance parameters associated with fall risk. Methods We derived a three-phase methodology. In Phase 1 we emphasized the construction of a use case document. This document can be used to detail the context of use of the system by utilizing storyboarding, paper prototypes, and mock-ups in conjunction with user interviews to gather insightful user feedback on different proposed concepts. In Phase 2 we emphasized the use of expert usability inspections such as heuristic evaluations and cognitive walkthroughs with small multidisciplinary groups to review the prototypes born out of the Phase 1 feedback. Finally, in Phase 3 we emphasized classical user testing with target end users, using various metrics to measure the user experience and improve the final prototypes. Results We report a successful implementation of the methodology for the design and development of a system for detecting and predicting falls in older adults. We describe in detail what testing and evaluation activities we carried out to effectively test the system and overcome usability and human factors problems. Conclusions We feel this methodology can be applied to a wide variety of connected health devices and systems. We consider this a methodology that can be scaled to different-sized projects accordingly.
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Affiliation(s)
- Richard Harte
- Electrical & Electronic Engineering, School of Engineering & Informatics, National University of Ireland Galway, Galway, Ireland.,HUMAN MOVEMENT LABORATORY CÚRAM SFI Centre for Research in Medical Devices, NUI Galway, Galway, Ireland
| | - Liam Glynn
- General Practice, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - Alejandro Rodríguez-Molinero
- Electrical & Electronic Engineering, School of Engineering & Informatics, National University of Ireland Galway, Galway, Ireland
| | - Paul Ma Baker
- Georgia Institute of Technology, Center for Advanced Communications Policy (CACP), Atlanta, GA, United States
| | - Thomas Scharf
- Irish Centre for Social Gerontology, National University of Ireland Galway, Galway, Ireland
| | - Leo R Quinlan
- HUMAN MOVEMENT LABORATORY CÚRAM SFI Centre for Research in Medical Devices, NUI Galway, Galway, Ireland.,Physiology, School of Medicine, NUI Galway, Galway, Ireland
| | - Gearóid ÓLaighin
- Electrical & Electronic Engineering, School of Engineering & Informatics, National University of Ireland Galway, Galway, Ireland.,HUMAN MOVEMENT LABORATORY CÚRAM SFI Centre for Research in Medical Devices, NUI Galway, Galway, Ireland
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