背景:骨科关节置换患者的最佳康复计划可确保更快地恢复功能,早些时候出院,提高患者满意度。数字健康干预措施有望成为重新启用的支持工具。
目的:这项混合方法研究的主要目标是从患者和临床医生的角度检查AIMS平台的可用性。这项研究的目的是评估我们开发的重新启用平台,该平台使用整体系统方法来解决住院患者中发生的禁用问题。老年人口风险最大。积极和独立管理系统(AIMS)平台有望通过教育和跟踪医院和出院后康复进展的能力,改善患者对康复和自我管理的参与。
方法:使用了两种众所周知的工具来测量可用性:系统可用性量表(SUS),包含10个项目和,为了更精细的粒度,包含26个项目的用户体验问卷(UEQ)。总之,26名物理治疗师和医疗保健专业人员评估了AIMS临床门户;44名住院患者进行了全膝关节置换术,全髋关节置换术,或动态髋螺钉植入物评估AIMS应用程序。
结果:对于AIMS临床门户,获得的平均SUS评分为82.88(SD13.07,中位数86.25),根据经过验证的形容词评定量表,这将被认为是良好/优秀的。对于UEQ,归一化分数的平均值(范围-3到+3)如下:吸引力=2.683(SD0.100),敏锐度=2.775(SD0.150),效率=2.775(SD0.130),可靠性=2.300(SD0.080),刺激=1.950(SD0.120),新颖性=1.625(标准差0.090)。因此,所有尺寸都被归类为优于基准,确认SUS问卷的结果。对于AIMS应用程序,获得的平均SUS评分为74.41(SD10.26),中位数为77.50,根据上述形容词评定量表,这将被认为是好的。对于UEQ,归一化分数的平均值如下:吸引力=2.733(SD0.070),敏锐度=2.900(SD0.060),效率=2.800(SD0.090),可靠性=2.425(SD0.060),刺激=2.200(SD0.010),新颖性=1.450(0.260)。因此,所有维度都被归类为优于基准(除了新颖性,被归类为好),提供比SUS问卷略好的结果。
结论:该研究表明,AIMS临床门户和AIMS应用程序都具有良好到出色的可用性得分,该平台为下一阶段的研究奠定了坚实的基础,这将涉及评估该平台在改善全膝关节置换术后患者预后方面的有效性,全髋关节置换术,或动态髋螺钉。
BACKGROUND: Optimal rehabilitation programs for orthopedic joint replacement patients ensure faster return to function, earlier discharge from hospital, and improved patient satisfaction. Digital health interventions show promise as a supporting tool for re-enablement.
OBJECTIVE: The main goal of this mixed methods study was to examine the usability of the AIMS platform from the perspectives of both patients and clinicians. The aim of this study was to evaluate a re-enablement platform that we have developed that uses a holistic systems approach to address the de-enablement that occurs in hospitalized inpatients, with the older adult population most at risk. The Active and Independent Management System (AIMS) platform is anticipated to deliver improved patient participation in recovery and self-management through education and the ability to track rehabilitation progression in hospital and after patient discharge.
METHODS: Two well-known instruments were used to measure usability: the System Usability Scale (SUS) with 10 items and, for finer granularity, the User Experience Questionnaire (UEQ) with 26 items. In all, 26 physiotherapists and health care professionals evaluated the AIMS clinical portal; and 44 patients in hospital for total knee replacement, total hip replacement, or dynamic hip screw implant evaluated the AIMS app.
RESULTS: For the AIMS clinical portal, the mean SUS score obtained was 82.88 (SD 13.07, median 86.25), which would be considered good/excellent according to a validated adjective rating scale. For the UEQ, the means of the normalized scores (range -3 to +3) were as follows: attractiveness=2.683 (SD 0.100), perspicuity=2.775 (SD 0.150), efficiency=2.775 (SD 0.130), dependability=2.300 (SD 0.080), stimulation=1.950 (SD 0.120), and novelty=1.625 (SD 0.090). All dimensions were thus classed as excellent against the benchmarks, confirming the results from the SUS questionnaire. For the AIMS app, the mean SUS score obtained was 74.41 (SD 10.26), with a median of 77.50, which would be considered good according to the aforementioned adjective rating scale. For the UEQ, the means of the normalized scores were as follows: attractiveness=2.733 (SD 0.070), perspicuity=2.900 (SD 0.060), efficiency=2.800 (SD 0.090), dependability=2.425 (SD 0.060), stimulation=2.200 (SD 0.010), and novelty=1.450 (0.260). All dimensions were thus classed as excellent against the benchmarks (with the exception of novelty, which was classed as good), providing slightly better results than the SUS questionnaire.
CONCLUSIONS: The study has shown that both the AIMS clinical portal and the AIMS app have good to excellent usability scores, and the platform provides a solid foundation for the next phase of research, which will involve evaluating the effectiveness of the platform in improving patient outcomes after total knee replacement, total hip replacement, or dynamic hip screw.