对比测量可穿戴设备对自闭症患者身体活动监测的坚持度的方法:一项前性观察队列研究
Melissa M Tovin1, Sheila B Madden2, Kaiwen Wu1
1Department of Physical Therapy, University of Miami Miller School of Medicine Miami, FL, USA.
Physiotherapy theory and practice
|January 24, 2026
概括
在自闭症谱系障碍 (ASD) 中,用于监测身体活动的可穿戴设备的坚持更好地通过步骤来测量,而不是心率. 基于步骤的指标为这种神经多样性人口提供了更具包容性的方法.
科学领域:
- 临床研究 临床研究
- 自闭症谱系障碍 (ASD) 是一种
- 可穿戴技术可穿戴技术
背景情况:
- 与神经典型个体相比,患有自闭症的个体表现出更高的肥胖率和久坐不动的行为.
- 可穿戴设备 (WD) 越来越多地用于促进自闭症患者的身体活动 (PA).
- 在ASD中评估WD坚持性的标准化方法是有限的.
研究的目的:
- 为了比较两种方法来确定在青少年和成年人与自闭症的PA监测WD坚持.
- 评估心率 (HR) 与基于步骤的指标之间的适用性,以评估ASD中的WD坚持.
主要方法:
- 一项前性观察队列研究,涉及27名ASD青少年和成年人在8周的远程医疗PA计划中.
- Fitbit Inspire 3 WD用于通过FITABASE跟踪步骤活动和人力资源数据.
- 方法A:依从性定义为每天≥10小时的磨损时间 (基于HR);方法B:依从性定义为≥5000步/天.
主要成果:
- 使用方法B (步骤/天) 计算时,与方法A (基于HR的磨损时间) 相比,WD粘附率显著更高.
- 方法B的坚持平均为40天 (5.4周),而方法A的坚持平均为24天 (2.8周) (p < .001).
- 观察数据表明,与残疾相关的行为对基于HR的遵守产生了负面影响 (方法A).
结论:
- 基于HR的坚持措施可能会低估ASD患者的WD使用,可能会设置不切实际的期望.
- 基于步骤的指标提供了一个更具包容性和务实的方法来评估ASD人群中的WD坚持.
- 根据神经多样性个体的行为和感官特征来定制WD坚持定义对于干预设计至关重要.
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