发展关于远程评估和管理老年人身体功能 (RAMP) 的消费者共识:国际修改的德尔菲过程.
Elsa Dent1, Christopher Hurst2,3, Jack Dalla Via4,5
1Division of Health, University of Waikato, Hamilton, New Zealand.
JMIR aging
|February 6, 2026
概括
老年人优先考虑身体功能,并希望根据他们的需求量身定制的远程健康干预措施. 这些发现强调了可访问的数字健康解决方案对于维持和改善老年人的身体健康的重要性.
科学领域:
- 老年学是一门学科.
- 数字健康数字健康
- 康复科学科学 康复科学
背景情况:
- 远程医疗保健和数字干预越来越多地用于身体功能评估和管理.
- 然而,这些干预措施的设计往往忽视了老年人的特定需求和偏好.
研究的目的:
- 建立消费者对老年人身体功能远程评估和管理偏好的共识.
- 利用修改后的Delphi过程收集和分析消费者输入.
主要方法:
- 60岁及以上的成年人接受了两轮的Delphi在线调查.
- 声明由工作组制定并根据参与者同意水平 (共识≥70%) 进行细化.
- 国际参与者 (第1轮654人) 对23个陈述提供了反.
主要成果:
- 在第1轮的23个陈述中,有13个达到了共识,在身体功能对生活质量的重要性上有强烈的共识.
- 关于隐私问题和无法在家进行评估的声明被拒绝.
- 第二轮 (n=526) 改进了剩余的陈述,在7个陈述中接受了5个,突出了自我与临床医生主导干预的偏好,练习格式和资源的可用性.
结论:
- 18个声明达到了共识,形成了7个关于远程物理功能干预的建议.
- 老年人将身体功能视为健康优先事项,并对数字健康解决方案持开放态度.
- 干预措施必须是可访问的,并与个人消费者偏好保持一致,以获得成功的实施.
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