PDF(Pubmed)
Abstract：
UNASSIGNED: Forensic psychiatric patients receive treatment to address their violent and aggressive behavior with the aim of facilitating their safe reintegration into society. On average, these treatments are effective, but the magnitude of effect sizes tends to be small, even when considering more recent advancements in digital mental health innovations. Recent research indicates that wearable technology has positive effects on the physical and mental health of the general population, and may thus also be of use in forensic psychiatry, both for patients and staff members. Several applications and use cases of wearable technology hold promise, particularly for patients with mild intellectual disability or borderline intellectual functioning, as these devices are thought to be user-friendly and provide continuous daily feedback.
UNASSIGNED: In the current randomized crossover trial, we addressed several limitations from previous research and compared the (continuous) usability and acceptance of four selected wearable devices. Each device was worn for one week by staff members and patients, amounting to a total of four weeks. Two of the devices were general purpose fitness trackers, while the other two devices used custom made applications designed for bio-cueing and for providing insights into physiological reactivity to daily stressors and events.
UNASSIGNED: Our findings indicated significant differences in usability, acceptance and continuous use between devices. The highest usability scores were obtained for the two fitness trackers (Fitbit and Garmin) compared to the two devices employing custom made applications (Sense-IT and E4 dashboard). The results showed similar outcomes for patients and staff members.
UNASSIGNED: None of the devices obtained usability scores that would justify recommendation for future use considering international standards; a finding that raises concerns about the adaptation and uptake of wearable technology in the context of forensic psychiatry. We suggest that improvements in gamification and motivational aspects of wearable technology might be helpful to tackle several challenges related to wearable technology.
UNASSIGNED: In the current randomized crossover trial, we addressed several limitations from previous research and compared the (continuous) usability and acceptance of four selected wearable devices. Each device was worn for one week by staff members and patients, amounting to a total of four weeks. Two of the devices were general purpose fitness trackers, while the other two devices used custom made applications designed for bio-cueing and for providing insights into physiological reactivity to daily stressors and events.
UNASSIGNED: Our findings indicated significant differences in usability, acceptance and continuous use between devices. The highest usability scores were obtained for the two fitness trackers (Fitbit and Garmin) compared to the two devices employing custom made applications (Sense-IT and E4 dashboard). The results showed similar outcomes for patients and staff members.
UNASSIGNED: None of the devices obtained usability scores that would justify recommendation for future use considering international standards; a finding that raises concerns about the adaptation and uptake of wearable technology in the context of forensic psychiatry. We suggest that improvements in gamification and motivational aspects of wearable technology might be helpful to tackle several challenges related to wearable technology.
摘要：
■法医精神病患者接受治疗，以解决他们的暴力和侵略行为，目的是促进他们安全地重新融入社会。平均而言,这些治疗是有效的，但是效果大小的大小往往很小，即使考虑到数字心理健康创新的最新进展。最近的研究表明，可穿戴技术对普通人群的身心健康有积极影响，因此也可能用于法医精神病学，患者和工作人员。可穿戴技术的几个应用和用例充满希望，特别是对于轻度智力障碍或临界智力功能的患者，因为这些设备被认为是用户友好的，并提供连续的日常反馈。
■在当前的随机交叉试验中，我们解决了之前研究的几个局限性,并比较了4种选定可穿戴设备的(连续)可用性和接受度.每个设备由工作人员和患者佩戴一周，总共四个星期。其中两个设备是通用健身追踪器，而其他两种设备使用定制的应用程序，设计用于生物提示和提供对日常压力源和事件的生理反应性的见解。
■我们的研究结果表明可用性存在显著差异，设备之间的验收和连续使用。与使用定制应用程序（Sense-IT和E4仪表板）的两个设备相比，两个健身追踪器（Fitbit和Garmin）的可用性得分最高。结果显示患者和工作人员的结果相似。
■没有一个设备获得的可用性得分可以证明推荐未来使用，考虑到国际标准；这一发现引起了人们对可穿戴技术在法医精神病学背景下的适应和采用的担忧。我们建议，可穿戴技术的游戏化和动机方面的改进可能有助于解决与可穿戴技术相关的几个挑战。
■在当前的随机交叉试验中，我们解决了之前研究的几个局限性,并比较了4种选定可穿戴设备的(连续)可用性和接受度.每个设备由工作人员和患者佩戴一周，总共四个星期。其中两个设备是通用健身追踪器，而其他两种设备使用定制的应用程序，设计用于生物提示和提供对日常压力源和事件的生理反应性的见解。
■我们的研究结果表明可用性存在显著差异，设备之间的验收和连续使用。与使用定制应用程序（Sense-IT和E4仪表板）的两个设备相比，两个健身追踪器（Fitbit和Garmin）的可用性得分最高。结果显示患者和工作人员的结果相似。
■没有一个设备获得的可用性得分可以证明推荐未来使用，考虑到国际标准；这一发现引起了人们对可穿戴技术在法医精神病学背景下的适应和采用的担忧。我们建议，可穿戴技术的游戏化和动机方面的改进可能有助于解决与可穿戴技术相关的几个挑战。
