开发RightWheel手动轮椅轮子滚动阻力临床决策支持系统通过代临床医生采访
Holly Wilson-Jene1, Rachel E Cowan2, Zachary Roy1
1Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, USA.
概括
手动轮椅使用者现在可以获得个性化的滚动阻力 (RR) 估计,以减少上肢 (UL) 应变. 一个新的临床决策支持系统 (CDSS) 帮助临床医生和用户选择设备,以尽量减少受伤风险.
科学领域:
- 康复工程 康复工程 康复工程
- 辅助技术 辅助技术 辅助技术
- 生物力学 生物力学
背景情况:
- 手动轮椅使用者 (MWU) 经常由于重复的压力而遭受上肢 (UL) 损伤.
- 降低滚动阻力 (RR) 是临床实践指南 (CPG) 中的一个关键建议,以减轻这种风险.
- 目前关于降低RR的CPG建议是一般性的,缺乏针对客户的具体指导.
研究的目的:
- 开发一个临床决策支持系统 (CDSS),用于预测客户特定的RR.
- 为了使有关轮椅设置的知情决策能够最大限度地减少重复应变和UL受伤风险.
主要方法:
- 采用了一种代的,以用户为中心的设计过程.
- 获得ATP认证的治疗师为修改,可用性评估以及识别客户使用案例和选择标准做出了贡献.
- 使用混合方法来招募和收集临床医生的反.
主要成果:
- 六位临床医生提供了100多个修改.
- 该系统表现出可接受的可用性 (SUS = 83.8) 和感知到的有用性 (TAQ = 4.7).
- 成功确定了客户端使用案例和选择标准.
结论:
- 右轮在线CDSS提供用户定制的RR估计在一个可访问的格式.
- 该系统已经准备好进行试点启动,准备帮助临床医生和MWU在设备选择方面.
- 该工具解决了减少RR和预防UL损伤的具体指导的需要.
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