PDF(Pubmed)
Abstract：
UNASSIGNED: Assistive technologies (ATs) have the potential to promote the quality of life and independent living of older adults and, further, to relieve the burden of formal and informal caregivers and relatives. Technological developments over the last decades have led to a boost of available ATs. However, evidence on the benefits and satisfaction with ATs in real-world applications remains scarce.
UNASSIGNED: This prospective, real-world, pilot study tested the perceived benefit and satisfaction with different ATs in the real-world environment.
UNASSIGNED: Community-dwelling adults aged ≥65 and their relatives tested a tablet computer with a simplified interface or a smartwatch with programmable emergency contacts for 8 weeks in their everyday life. Perceived benefits and satisfaction with ATs were assessed by all older adults and their relatives using different assessment tools before and after the intervention. Outcome measures included the Technology Usage Inventory, Quebec User Evaluation of Satisfaction with Assistive Technology 2.0, and Canadian Occupational Performance Measure.
UNASSIGNED: A total of 17 older adults (tablet computer: n=8, 47% and smartwatch: n=9, 53%) and 16 relatives (tablet computer: n=7, 44% and smartwatch: n=9, 56%) were included in the study. The number of participants that were frail (according to the Clinical Frailty Scale) and received care was higher in the smartwatch group than in the tablet computer group. Older adults of the smartwatch group reported higher technology acceptance (Technology Usage Inventory) and satisfaction (Quebec User Evaluation of Satisfaction with Assistive Technology 2.0) scores than those of the tablet computer group, although the differences were not significant (all P>.05). In the tablet computer group, relatives had significantly higher ratings on the item intention to use than older adults (t12.3=3.3, P=.006). Identified everyday issues with the Canadian Occupational Performance Measure included contact/communication and entertainment/information for the tablet computer, safety and getting help in emergency situations for the smartwatch, and the usability of the AT for both devices. While the performance (t8=3.5, P=.008) and satisfaction (t8=3.2, P=.01) in these domains significantly improved in the smartwatch group, changes in the tablet computer group were inconsistent (all P>.05).
UNASSIGNED: This study highlights the remaining obstacles for the widespread and effective application of ATs in the everyday life of older adults and their relatives. While the results do not provide evidence for a positive effect regarding communication deficits, perceived benefits could be shown for the area of safety. Future research and technical developments need to consider not only the preferences, problems, and goals of older adults but also their relatives and caregivers to improve the acceptability and effectiveness of ATs.
UNASSIGNED: This prospective, real-world, pilot study tested the perceived benefit and satisfaction with different ATs in the real-world environment.
UNASSIGNED: Community-dwelling adults aged ≥65 and their relatives tested a tablet computer with a simplified interface or a smartwatch with programmable emergency contacts for 8 weeks in their everyday life. Perceived benefits and satisfaction with ATs were assessed by all older adults and their relatives using different assessment tools before and after the intervention. Outcome measures included the Technology Usage Inventory, Quebec User Evaluation of Satisfaction with Assistive Technology 2.0, and Canadian Occupational Performance Measure.
UNASSIGNED: A total of 17 older adults (tablet computer: n=8, 47% and smartwatch: n=9, 53%) and 16 relatives (tablet computer: n=7, 44% and smartwatch: n=9, 56%) were included in the study. The number of participants that were frail (according to the Clinical Frailty Scale) and received care was higher in the smartwatch group than in the tablet computer group. Older adults of the smartwatch group reported higher technology acceptance (Technology Usage Inventory) and satisfaction (Quebec User Evaluation of Satisfaction with Assistive Technology 2.0) scores than those of the tablet computer group, although the differences were not significant (all P>.05). In the tablet computer group, relatives had significantly higher ratings on the item intention to use than older adults (t12.3=3.3, P=.006). Identified everyday issues with the Canadian Occupational Performance Measure included contact/communication and entertainment/information for the tablet computer, safety and getting help in emergency situations for the smartwatch, and the usability of the AT for both devices. While the performance (t8=3.5, P=.008) and satisfaction (t8=3.2, P=.01) in these domains significantly improved in the smartwatch group, changes in the tablet computer group were inconsistent (all P>.05).
UNASSIGNED: This study highlights the remaining obstacles for the widespread and effective application of ATs in the everyday life of older adults and their relatives. While the results do not provide evidence for a positive effect regarding communication deficits, perceived benefits could be shown for the area of safety. Future research and technical developments need to consider not only the preferences, problems, and goals of older adults but also their relatives and caregivers to improve the acceptability and effectiveness of ATs.
摘要：
■辅助技术（AT）有可能提高老年人的生活质量和独立生活，进一步,减轻正式和非正式照顾者和亲属的负担。过去几十年的技术发展导致了可用AT的增加。然而,关于在现实世界中应用ATs的好处和满意度的证据仍然很少。
■这个前景，真实世界,试点研究测试了在现实环境中对不同ATS的感知效益和满意度。
■居住在社区的65岁以上的成年人及其亲属在日常生活中对具有简化界面的平板电脑或具有可编程紧急联系人的智能手表进行了8周的测试。所有老年人及其亲属在干预前后使用不同的评估工具评估对ATs的感知益处和满意度。成果衡量标准包括技术使用情况清单，魁北克用户对辅助技术2.0和加拿大职业绩效评估的满意度。
■共有17名老年人（平板电脑：n=8，47％和智能手表：n=9，53％）和16名亲属（平板电脑：n=7，44％和智能手表：n=9，56％）被纳入研究。在智能手表组中，虚弱（根据临床虚弱量表）和接受护理的参与者人数高于平板电脑组。智能手表组的老年人报告的技术接受度（技术使用清单）和满意度（魁北克用户对辅助技术的满意度评估2.0）得分高于平板电脑组，虽然差异不显著（P>0.05）。在平板电脑组中，亲属对使用项目意向的评分明显高于老年人(t12.3=3.3,P=.006).与加拿大职业绩效措施有关的日常问题包括平板电脑的联系/沟通和娱乐/信息，在紧急情况下为智能手表提供安全和帮助，以及两种设备的AT的可用性。虽然这些领域的性能（t8=3.5，P=.008）和满意度（t8=3.2，P=.01）在智能手表组中得到了显着改善，平板电脑组的变化不一致(均P>.05).
■这项研究强调了在老年人及其亲属的日常生活中广泛有效地应用ATs的剩余障碍。虽然结果没有提供关于沟通缺陷的积极影响的证据，感知到的好处可以显示在安全领域。未来的研究和技术发展不仅需要考虑偏好，问题,以及老年人及其亲属和护理人员的目标，以提高AT的可接受性和有效性。
■这个前景，真实世界,试点研究测试了在现实环境中对不同ATS的感知效益和满意度。
■居住在社区的65岁以上的成年人及其亲属在日常生活中对具有简化界面的平板电脑或具有可编程紧急联系人的智能手表进行了8周的测试。所有老年人及其亲属在干预前后使用不同的评估工具评估对ATs的感知益处和满意度。成果衡量标准包括技术使用情况清单，魁北克用户对辅助技术2.0和加拿大职业绩效评估的满意度。
■共有17名老年人（平板电脑：n=8，47％和智能手表：n=9，53％）和16名亲属（平板电脑：n=7，44％和智能手表：n=9，56％）被纳入研究。在智能手表组中，虚弱（根据临床虚弱量表）和接受护理的参与者人数高于平板电脑组。智能手表组的老年人报告的技术接受度（技术使用清单）和满意度（魁北克用户对辅助技术的满意度评估2.0）得分高于平板电脑组，虽然差异不显著（P>0.05）。在平板电脑组中，亲属对使用项目意向的评分明显高于老年人(t12.3=3.3,P=.006).与加拿大职业绩效措施有关的日常问题包括平板电脑的联系/沟通和娱乐/信息，在紧急情况下为智能手表提供安全和帮助，以及两种设备的AT的可用性。虽然这些领域的性能（t8=3.5，P=.008）和满意度（t8=3.2，P=.01）在智能手表组中得到了显着改善，平板电脑组的变化不一致(均P>.05).
■这项研究强调了在老年人及其亲属的日常生活中广泛有效地应用ATs的剩余障碍。虽然结果没有提供关于沟通缺陷的积极影响的证据，感知到的好处可以显示在安全领域。未来的研究和技术发展不仅需要考虑偏好，问题,以及老年人及其亲属和护理人员的目标，以提高AT的可接受性和有效性。
