Digital tools

数字工具
  • 文章类型: Journal Article
    This document provides a dataset transcription and translation of unpublished texts in the P\'urhépecha language. The preserved texts are of a religious nature, reflecting the evangelizing efforts of missionaries during the 17th to 19th centuries, with a specific emphasis on the initiatives undertaken by the Gilberti Project at the Center for the Study of Traditions of El Colegio de Michoacán. The investigation introduces innovative digital tools and editable resources, opening new avenues for the study and preservation of the P\'urhépecha language, ensuring its relevance and accessibility for future generations. The Gilberti Project has been active for over two decades, dedicating itself to the analysis of P\'urhépecha texts. Beyond its academic role, the project significantly contributes to the conservation and promotion of the p\'urhépecha language in several indigenous communities in the state of Michoacán, Mexico, where the language is still alive.
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  • 文章类型: Journal Article
    自我护理技术可以通过对各种健康指标进行自我监测来支持多发性硬化症(MS)患者的日常疾病管理,如症状水平和身体活动水平。这项研究的目的是评估通过数字自我跟踪工具在六周内对MS患者(PwMS)进行自我选择的MS和健康相关措施的有用性。
    最初的开发阶段是为期六周的测试阶段,有58名测试参与者。评估阶段遵循一个顺序,探索性混合方法设计,包括在测试阶段与测试参与者的14次访谈,随后在测试阶段后对所有参与者进行调查,以确认并详细说明访谈结果。访谈数据通过五步主题分析进行分析,并对调查数据进行描述性分析。
    混合方法研究的结果可以总结为以下发现:(1)使用自我跟踪工具帮助用户澄清有关其症状的模式,身体活动,睡眠质量和情绪健康。(2)跟踪身体活动和,在某种程度上,睡眠对参与者的活动增加和/或习惯改变有激励作用.(3)数据质量/准确性构成了考虑自跟踪工具相关的重要标准。(4)自我跟踪工具可以支持患者和医疗保健专业人员之间的对话,和/或它可能潜在地在对等支持中发挥作用。
    本研究的结果表明,症状的自我追踪,睡眠,体力活动和其他措施可能对PwMS的日常自我管理有积极作用。应考虑在解释数据和对数据采取行动方面提供专业支持。
    UNASSIGNED: Self-care technologies may support patients with multiple sclerosis (MS) in their everyday disease management by enabling self-monitoring of various health indicators, such as symptom levels and physical activity levels. The aim of this study was to assess the usefulness of tracking self-selected MS- and health-related measures via a digital self-tracking tool for people with MS (PwMS) over a period of six weeks.
    UNASSIGNED: An initial development phase was followed by a six-week testing phase with 58 test participants. The evaluation phase followed a sequential, exploratory mixed-methods design, consisting of 14 interviews with test participants during the testing phase, followed by a survey of all participants after the testing phase to confirm and elaborate on the interview findings. The interview data were analyzed through a five-step thematic analysis, and the survey data were analyzed descriptively.
    UNASSIGNED: The results of the mixed-methods study can be summarized in the following findings: (1) Use of the self-tracking tool assisted users in clarifying patterns regarding their symptoms, physical activity, sleep quality and emotional well-being. (2) Tracking physical activity and, to some extent, sleep had a motivational effect on participants in relation to increasing activity and/or changing habits. (3) Data quality/accuracy constitutes an important criterion for considering the self-tracking tool relevant. (4) The self-tracking tool may support dialogue between patients and healthcare professionals, and/or it may potentially play a role in peer-to-peer support.
    UNASSIGNED: The results of the present study indicate that the self-tracking of symptoms, sleep, physical activity and other measures may contribute positively to everyday self-management among PwMS. Professional support in interpreting and acting upon the data should be considered.
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  • 文章类型: Journal Article
    背景:设置,激活,临床试验的交付对于医学科学的进步至关重要,作为验证新的治疗干预措施用于临床的主要机制。尽管发挥了关键作用,这些审判的执行往往受到众多挑战的阻碍。西北伦敦临床试验联盟(联盟)的成立是为了解决这些复杂性。它旨在通过医疗保健和研究实体之间的战略合作,弥合新兴科学研究与其临床应用之间的差距。从而增强临床试验的区域生态系统。
    方法:本评论旨在阐明联盟背后的基本见解,全面了解其运营结构和生态系统,以优化临床试验交付和创收。联盟采用的战略侧重于在广泛的利益攸关方之间建立战略伙伴关系。这种方法解决了临床试验管理中的关键操作挑战,促进发展的改进,设置,激活,招聘阶段。值得注意的是,联盟已将启动试验的平均时间缩短至19天,与伦敦西北部商业设置通常观察到的标准75天相比。联盟框架的有效性在COVID-19大流行期间得到了显著证明,特别是在CharingCross医院进行的JanssenCOVID-19疫苗研究中的快速招募表现。此实例强调了联盟在保持研究队列多样性的同时迅速达到并超过招募目标的能力。此外,该联盟有效地利用了数字技术和基础设施,增强其对商业资助研究的吸引力,并说明临床试验融资和执行的可持续模式。
    结论:西北伦敦临床试验联盟代表了对临床试验管理中面临的常规挑战的战略回应,强调跨部门合作和资源优化的重要性。其努力,特别突出的是它对COVID-19大流行的反应,提供一个案例研究,以提高试验交付和效率,对区域和全球临床试验研究界都有重大影响。
    BACKGROUND: The set-up, activation, and delivery of clinical trials is pivotal for the advancement of medical science, serving as the primary mechanism through which new therapeutic interventions are validated for clinical use. Despite their critical role, the execution of these trials is often encumbered by a multitude of challenges. The North West London Clinical Trials Alliance (The Alliance) was established to address these complexities. It aims to bridge the gap between emerging scientific research and its clinical application through strategic collaborations among healthcare and research entities, thereby enhancing the regional ecosystem for clinical trials.
    METHODS: This commentary aims to offer clarity on the fundamental insights that underlie The Alliance, providing a comprehensive understanding of its operational structure and the ecosystem it has fostered to optimise clinical trial delivery and revenue generation. The strategy employed by The Alliance centres on the cultivation of strategic partnerships across a broad spectrum of stakeholders. This approach addresses key operational challenges in clinical trial management, facilitating improvements in the development, setup, activation, and recruitment stages. Notably, The Alliance has reduced the average time to initiate trials to 19 days, compared to the standard 75 days typically observed for commercial setups in North West London. The effectiveness of The Alliance\'s framework was notably demonstrated during the COVID-19 pandemic, particularly with the expedited recruitment performance in the Janssen COVID-19 vaccine study conducted at Charing Cross Hospital. This instance highlighted the Alliance\'s capability to meet and exceed recruitment targets promptly while maintaining diversity within study cohorts. Additionally, The Alliance has effectively harnessed digital technology and infrastructure, enhancing its attractiveness to commercially funded studies and illustrating a sustainable model for clinical trial financing and execution.
    CONCLUSIONS: The North West London Clinical Trials Alliance represents a strategic response to the conventional challenges faced in clinical trial management, emphasising the importance of cross-sectoral collaboration and resource optimisation. Its efforts, particularly highlighted by its response to the COVID-19 pandemic, provide a case study in enhancing trial delivery and efficiency with significant implications for both regional and global clinical trials research communities.
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  • 文章类型: Journal Article
    背景:鉴于当前学习环境的变化,卫生专业人员正面临着随着迅速增长的临床和科学知识基础跟上当前和更新信息的重大挑战。能够识别相关的,高质量的文章,适应或采用新的学习策略与已经紧张的工作量只是几个主要的挑战。自我指导学习是有能力的卫生专业人员的一项关键技能,并描述了个人评估其学习需求的过程。目标和学习所需的资源,然而,对于实践SDL的专业人员来说,新出现的问题是多方面的。
    方法:定性,使用基于四个研究问题的探索性方法来了解熟练的神经外科医生如何保持和更新其专业知识。伯尔尼大学医院的26名神经外科医生完成了半结构化访谈。
    结果:主要发现之一涉及神经外科医生在他们采用的SDL策略方面的差异,这与他们的经验水平更加复杂。所有参与者都认识到,新的或替代的学习方法对于管理学习环境是必要的,对于许多人来说,这涉及他们对学习数字工具的使用。许多,然而,不确定如何改变他们当前的行为。
    结论:结果强调,影响SDL在工作场所的积极因素包括学习领导和支持确定新的或替代的战略,致力于学习的内部文化以及数字学习工具和网络。所有这些对于管理不断发展的学习环境至关重要。
    BACKGROUND: Given the changes in the current learning environment health professionals are facing major challenges to keep up with current and updated information with the rapidly growing clinical and scientific knowledge base. Being able to identify relevant, high-quality articles, adapt or adopt to new learning strategies with an already intense workload are just a few of the main challenges. Self-directed learning is a key skill of competent health professionals and describes the process by which individuals evaluate their learning needs, goals and the resources needed for learning, however the emerging problems for professionals practicing SDL are manifold.
    METHODS: A qualitative, exploratory approach based on four research questions was used to understand how skilled neurosurgeons maintain and update their professional knowledge. Twenty-six neurosurgeons within the University Hospital of Bern completed a semi-structured interview.
    RESULTS: One of the main findings concerns the differences between neurosurgeons regarding the SDL strategies they employ, which is compounded by their level of experience. All participants recognized that new or alternative learning approaches are necessary to manage the learning landscape, and for many this concerned their use of learning digital tools. Many, however, were unsure how to change their current behavior.
    CONCLUSIONS: The results highlight that positive factors influencing SDL in the workplace include learning leadership and support in identifying new or alternative strategies, an internal culture committed to learning as well as digital learning tools and networks. All are vital in managing the continuously evolving learning environment.
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  • 文章类型: Journal Article
    背景:数字工具正在逐步重塑医院医疗保健专业人员(HCP)的日常工作。虽然这种转变有很大的希望,这会导致令人沮丧的经历,引起人们对对临床医生福祉的负面影响的担忧。
    目的:本研究的目的是全面探索HCP在日常生活中使用数字工具的生活体验。
    方法:对瑞士14家医院的24个医学专业的52个HCPs进行了定性深入访谈。
    结果:归纳主题分析揭示了4个主要主题:数字工具使用,工作流和流程,HCPs护理交付经验,以及数字化转型和管理变革。在这些主题中,出现了6个有趣的悖论,我们假设这些悖论可能部分解释了医院数字化面临的挑战的持续存在:效率的承诺和效率低下的现实,从面对面到界面的转变,杂耍挫折和奉献,信息获取和信任的幻觉,工作流程和护理路径的复杂性和交叉点,以及影子IT的机遇和挑战。
    结论:我们的研究强调了承认和考虑HCP的经验以支持医疗保健技术的转变并避免或减轻数字化可能带来的任何潜在负面经验的核心重要性。HCP的观点增加了对医疗保健中长期存在的信息学问题的相关见解,并可能提出应对未来挑战时要遵循的新策略。
    BACKGROUND: Digital tools are progressively reshaping the daily work of health care professionals (HCPs) in hospitals. While this transformation holds substantial promise, it leads to frustrating experiences, raising concerns about negative impacts on clinicians\' well-being.
    OBJECTIVE: The goal of this study was to comprehensively explore the lived experiences of HCPs navigating digital tools throughout their daily routines.
    METHODS: Qualitative in-depth interviews with 52 HCPs representing 24 medical specialties across 14 hospitals in Switzerland were performed.
    RESULTS: Inductive thematic analysis revealed 4 main themes: digital tool use, workflow and processes, HCPs\' experience of care delivery, and digital transformation and management of change. Within these themes, 6 intriguing paradoxes emerged, and we hypothesized that these paradoxes might partly explain the persistence of the challenges facing hospital digitalization: the promise of efficiency and the reality of inefficiency, the shift from face to face to interface, juggling frustration and dedication, the illusion of information access and trust, the complexity and intersection of workflows and care paths, and the opportunities and challenges of shadow IT.
    CONCLUSIONS: Our study highlights the central importance of acknowledging and considering the experiences of HCPs to support the transformation of health care technology and to avoid or mitigate any potential negative experiences that might arise from digitalization. The viewpoints of HCPs add relevant insights into long-standing informatics problems in health care and may suggest new strategies to follow when tackling future challenges.
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  • 文章类型: Journal Article
    背景:随着技术的不断进步,了解基于网站的工具如何支持质量改进是很重要的。基于网站的工具是指用户可以通过专用网站自主访问和使用的工具包等资源。这篇综述研究了基于网站的工具如何为医疗保健专业人员提供质量改进,包括用于开发工具的最佳过程和有效工具的要素。
    方法:对7个数据库进行了系统搜索,包括2012年1月至2024年1月发表的文章。如果文章经过同行评审,则包括在内,用英语写的,基于健康环境,并报告了为专业人员开发或评估基于网站的质量改进工具。使用NVivo进行叙述性合成。使用混合方法评估工具评估偏倚风险。所有论文均由两位作者使用Braun和Clarke的六阶段概念框架进行独立筛选和编码。
    结果:18项研究符合纳入标准。确定的主题是工具开发过程,质量改进机制和障碍,以及工具使用的促进者。数字化现有质量改进流程(n=7),确定实践中的差距(n=6),促进专业发展(n=3)是共同的质量改进目标。工具与报告的临床任务准确性和效率的提高有关,提高对指导方针的遵守程度,促进反思性实践,并为持续质量改进提供量身定制的反馈。共同的特点是教育资源(n=7),并协助用户根据标准/建议评估当前的做法(n=6),支持专业人员实现更好的临床结果,在各种设置中提高了专业满意度和简化的工作流程。研究报告促进者使用工具,包括与实践的相关性,无障碍和促进多学科行动,使这些工具在医疗保健方面实用且省时。然而,诸如耗时等障碍,与实践无关,据报道,难以使用和缺乏组织参与。几乎所有工具都是与利益相关者共同开发的。共同设计的方法各不相同,反映不同程度的利益相关者参与和采用共同设计方法。值得注意的是,纳入研究的质量很低。
    结论:这些发现为医疗保健领域基于网站的质量改进工具的未来发展提供了有价值的见解。建议包括确保与医疗保健专业人员共同开发工具,专注于实际可用性和解决常见障碍,以提高参与度和提高医疗质量的有效性。随机对照试验有必要提供工具疗效的客观证据。
    背景:这项工作得到了预防研究支持计划的支持,由新南威尔士州卫生部资助,澳大利亚。
    背景:此评论已在PROSPERO注册,不。CRD42023451346。
    As technology continues to advance, it is important to understand how website-based tools can support quality improvement. Website-based tools refer to resources such as toolkits that users can access and use autonomously through a dedicated website. This review examined how website-based tools can support healthcare professionals with quality improvement, including the optimal processes used to develop tools and the elements of an effective tool. A systematic search of seven databases was conducted to include articles published between January 2012 and January 2024. Articles were included if they were peer reviewed, written in English, based in health settings, and reported the development or evaluation of a quality improvement website-based tool for professionals. A narrative synthesis was conducted using NVivo. Risk of bias was assessed using the Mixed Methods Appraisal Tool. All papers were independently screened and coded by two authors using a six-phase conceptual framework by Braun and Clarke. Eighteen studies met the inclusion criteria. Themes identified were tool development processes, quality improvement mechanisms and barriers and facilitators to tool usage. Digitalizing existing quality improvement processes (n = 7), identifying gaps in practice (n = 6), and contributing to professional development (n = 3) were common quality improvement aims. Tools were associated with the reported enhancement of accuracy and efficiency in clinical tasks, improvement in adherence to guidelines, facilitation of reflective practice, and provision of tailored feedback for continuous quality improvement. Common features were educational resources (n = 7) and assisting the user to assess current practices against standards/recommendations (n = 6), which supported professionals in achieving better clinical outcomes, increased professional satisfaction and streamlined workflow in various settings. Studies reported facilitators to tool usage including relevance to practice, accessibility, and facilitating multidisciplinary action, making these tools practical and time-efficient for healthcare. However, barriers such as being time consuming, irrelevant to practice, difficult to use, and lack of organizational engagement were reported. Almost all tools were co-developed with stakeholders. The co-design approaches varied, reflecting different levels of stakeholder engagement and adoption of co-design methodologies. It is noted that the quality of included studies was low. These findings offer valuable insights for future development of quality improvement website-based tools in healthcare. Recommendations include ensuring tools are co-developed with healthcare professionals, focusing on practical usability and addressing common barriers to enhance engagement and effectiveness in improving healthcare quality. Randomized controlled trials are warranted to provide objective evidence of tool efficacy.
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  • 文章类型: Journal Article
    由于在卫生系统的主要组成部分(如基础设施、立法,培训,和文化多样性。作为主要研究的一部分,希腊的营养师在实施NCP方面接受了足够的培训;但是,NCP模式的认知和采用水平仍然相当低,关于潜在障碍的信息有限。这项研究的主要目的是更深入地了解希腊营养师对NCP的看法和数字工具的使用。通过“SurveyMonkey版本4.1.1”平台创建并分发了在线调查。根据经过验证的NCP/NCPTINIS工具对问卷的整体结构进行建模。本研究共纳入279名受试者,192人知道NCP工具。实施NCP的最重要挑战包括与其他医疗保健专业人员的沟通(68.2%),提供适当护理(33.9%),继续接受教育的机会不足(29.2%)。在知道NCP的192名参与者中,81.3%报告使用数字应用程序收集和评估健康数据,而18.8%的人表示他们没有使用这些工具。没有发现营养师使用数字应用程序之间的关系,NCP知识,和人口特征。我们的发现强调了有针对性的教育干预措施以及希腊营养师在日常实践中适当应用标准化协议的必要性。国家饮食协会应就数字工具的利用提供足够的指导,以促进患者数据管理和加强NCP实施。
    The level of NCP implementation varies across countries due to differences identified in major components of health systems such as infrastructures, legislation, training, and cultural diversities. Dietitians in Greece receive sufficient training in the implementation of the NCP as part of their main studies; however, the level of awareness and adoption of the NCP model is still quite low, with limited information on the potential barriers. The primary aim of this study was to gain a deeper understanding of the perspectives of Greek dietitians on the NCP and the use of digital tools. An online survey was created and distributed through the platform \"SurveyMonkey version 4.1.1\". The overall structure of the questionnaire was modeled according to the validated NCP/NCPT INIS Tool. A total of 279 subjects were included in this study, and 192 were aware of the NCP tool. The most important challenges for the implementation of the NCP included communication with other healthcare professionals (68.2%), provision of appropriate care (33.9%), and insufficient access to continuous education (29.2%). Of the 192 participants who knew the NCP, 81.3% reported using digital applications for the collection and assessment of health data, while 18.8% indicated that they did not utilize such tools. No relationship was found between the use of digital applications by dietitians, NCP knowledge, and demographic characteristics. Our findings highlight the need for targeted educational interventions and appropriate application of standardized protocols by Greek dietitians in daily practice. National Dietetic Associations should provide sufficient guidance on digital tool utilization in facilitating patient data management and enhancing NCP implementation.
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  • 文章类型: Journal Article
    这是对使用数字工具评估巴西食品消费情况的范围审查。在九个电子数据库中进行了搜索(Medline,丁香花,Scopus,Embase,WebofScience,科学直接,奥维德,免费医学杂志和Crossref)选择2020年10月至2023年12月发表的研究。这篇评论在分析的94种出版物中确定了48种数字工具,最常见的是基于网络的技术(60%)和移动设备(40%)。在这些研究中,55%(n=52)采用了基于人群的方法,45%(n=42)关注特定区域。观察到的主要研究设计是横截面(n=63)。观察到的一个显著趋势是近年来验证研究的频率增加。尽管近年来在巴西食品消费评估中使用数字工具的情况有所增加,研究没有描述创建和验证工具的过程,这将有助于提高数据质量。允许扩大互联网和移动设备使用的投资;提高数字素养;以及开发开放获取工具,尤其是在北部和东北地区,是需要共同努力提供平等机会的挑战,促进鼓励,并在与巴西食品消费有关的研究中更深入地研究数字工具的潜力。
    This is a scoping review on mapping the use of digital tools to assess food consumption in Brazil. Searches were carried out in nine electronic databases (Medline, Lilacs, Scopus, Embase, Web of Science, Science Direct, Ovid, Free Medical Journal and Crossref) to select studies published from October 2020 to December 2023. This review identified forty-eight digital tools in the 94 publications analyzed, the most frequent being web-based technologies (60%) and mobile devices (40%). Among these studies, 55% (n = 52) adopted a population-based approach, while 45% (n = 42) focused on specific regions. The predominant study design observed was cross-sectional (n = 63). A notable trend observed was the increasing frequency of validation studies in recent years. Although the use of digital tools in the assessment of food consumption in Brazil has grown in recent years, studies did not describe the process of creating and validating the tools, which would contribute to the improvement of data quality. Investments that allow the expansion of the use of the internet and mobile devices; the improvement of digital literacy; and the development of open-access tools, especially in the North and Northeast regions, are challenges that require a concerted effort towards providing equal opportunities, fostering encouragement, and delving deeper into the potential of digital tools within studies pertaining to food consumption in Brazil.
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  • 文章类型: Journal Article
    有效的医疗保健目前包含以患者为中心的系统和用于患者自我管理的可访问技术。这项研究旨在开发和验证一种名为“糖尿病数字工具使用问卷”(DTUQ-D)的新问卷-一种识别类型的筛查工具,number,以及2型糖尿病(T2DM)患者在HMO内使用的数字工具的频率,在线,通过应用程序。
    问卷是针对两个种族和两个性别的。使用了混合方法方法。在定性阶段,问卷是通过对29名T2DM患者的电话调查开发的,两位内分泌学家和两位技术专家.在定量阶段,涉及367名参与者,收敛有效性,构造效度,和可靠性进行了检查。
    研究结果表明DTUQ-D是有效和可靠的,成功识别T2DM患者使用的数字工具,尽管种族群体之间的要素结构有所不同。这份问卷为未来的研究奠定了基础,提供一种标准化的方法来评估数字工具的使用情况。
    这项研究增强了对数字工具在医疗保健中的作用的理解,尤其是T2DM的自我管理。通过调整说明和某些项目的措辞,它也可以很容易地适应评估数字工具对其他疾病的使用。
    Effective healthcare currently incorporates a patient-centric system and accessible technology for patient self-management. This study aimed to develop and validate a novel questionnaire titled the Digital Tool Use Questionnaire for Diabetes (DTUQ-D) - a screening tool identifying the type, number, and frequency of digital tools used by Type 2 Diabetes Mellitus (T2DM) patients with within HMOs, online, and via applications.
    The questionnaire was administered to two ethnic groups and both genders. A mixed-methods approach was used. In the qualitative phase, the questionnaire was developed through phone surveys of 29 T2DM patients, two endocrinologists and two technology experts. In the quantitative phase, involving 367 participants, convergent validity, construct validity, and reliability were examined.
    Findings indicated that the DTUQ-D is valid and reliable, successfully identifying digital tools utilized by T2DM patients, notwithstanding variations in factor structures between ethnic groups. This questionnaire provides a foundation for future research, offering a standardized approach to evaluating digital tool usage.
    The study enhances understanding of the role of digital tools in healthcare, especially for T2DM self-management. It also can be easily adapted to assess digital tool use for other illnesses by adjusting instructions and the wording of certain items.
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  • 文章类型: Multicenter Study
    背景:记忆临床专业人员和患者都看到了数字工具的价值,然而,这些几乎没有找到他们的方式到临床实践。我们探索了数字工具的可用性,以支持日常记忆临床实践中的诊断工作。我们评估了整合多模态患者数据的四个模块(1.认知测验;cCOG,和2。MRI定量;cMRI)为临床医生提供有用的诊断信息(3。cDSI)以及患者可理解和个性化的信息(4。患者报告)。
    方法:我们在荷兰的五个记忆诊所进行了一项混合方法研究。14名临床医生(11名老年病专家/住院医师,两位神经科医生,邀请一名执业护士)将该工具整合到43名新的记忆门诊患者的常规护理中。我们通过问卷调查的定量数据评估了可用性和用户体验(患者,护理伙伴,临床医生),丰富了来自访谈(临床医生)的主题分析定性数据。
    结果:我们观察到临床医生使用工具的差异很大。我们的核心发现是临床医生:1)对患者报告主要是积极的,因为它有助于以患者为中心和个性化的沟通。这得到了患者和护理伙伴的认可,他指出病人报告是有用的和可以理解的,并帮助他们更好地理解他们的诊断,2)认为除了自己的临床能力之外,该工具还可以接受,3)表明该工具的有用性取决于患者人群和诊断过程的目的,4)解决的促进者(易用性,实践使完美)和障碍(高工作量,缺乏经验,数据不可用)。
    结论:这项多中心可用性研究表明,愿意采用数字工具来支持记忆诊所的诊断过程。临床医生,病人,和护理合作伙伴赞赏个性化的诊断报告。需要更多地关注临床医生的教育和培训,以利用该工具的全部功能并促进实际日常实践的实施。这些发现为在记忆临床实践中持久采用数字工具提供了重要的一步。
    Both memory clinic professionals and patients see value in digital tools, yet these hardly find their way to clinical practice. We explored the usability of a digital tool to support the diagnostic work-up in daily memory clinic practice. We evaluated four modules that integrate multi-modal patient data (1.cognitive test; cCOG, and 2. MRI quantification; cMRI) into useful diagnostic information for clinicians (3. cDSI) and understandable and personalized information for patients (4. patient report).
    We conducted a mixed-methods study in five Dutch memory clinics. Fourteen clinicians (11 geriatric specialists/residents, two neurologists, one nurse practitioner) were invited to integrate the tool into routine care with 43 new memory clinic patients. We evaluated usability and user experiences through quantitative data from questionnaires (patients, care partners, clinicians), enriched with thematically analyzed qualitative data from interviews (clinicians).
    We observed wide variation in tool use among clinicians. Our core findings were that clinicians: 1) were mainly positive about the patient report, since it contributes to patient-centered and personalized communication. This was endorsed by patients and care partners, who indicated that the patient report was useful and understandable and helped them to better understand their diagnosis, 2) considered the tool acceptable in addition to their own clinical competence, 3) indicated that the usefulness of the tool depended on the patient population and purpose of the diagnostic process, 4) addressed facilitators (ease of use, practice makes perfect) and barriers (high workload, lack of experience, data unavailability).
    This multicenter usability study revealed a willingness to adopt a digital tool to support the diagnostic process in memory clinics. Clinicians, patients, and care partners appreciated the personalized diagnostic report. More attention to education and training of clinicians is needed to utilize the full functionality of the tool and foster implementation in actual daily practice. These findings provide an important step towards a lasting adoption of digital tools in memory clinic practice.
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