Patient Self Monitoring to Transfer Physical Therapy Exercise from Clinic to Home

患者自我监控将物理治疗练习从诊所转移到家中

• 批准号: 8420163
• 负责人: FLORENCE SHEEHAN
• 金额: $ 29.88万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8420163
• 关键词: Patient; Self; Monitoring; Transfer; Physical

DESCRIPTION (provided by applicant): Our objective is to develop an image-based electronic health record (IBEHR) to help patients to transfer and reproduce at home the exercises they were prescribed by their physical therapist (PT) in clinic. More than 17 million (M) patients are diagnosed with conditions that may benefit from PT in the U.S. each year. Adherence to home exercise is the most important factor in functional recovery, and feedback from the exercise prescriber is the most important factor in achieving patient adherence. However in current practice the patient only gets feedback at clinic visits which may be weeks apart. The proposed IBEHR will give patients visual feedback in real time comparing their performance at each repetition at home with a recording of themselves performing the exercise correctly in the clinic under the PT's supervision. The visual graphics show the patient how to better position his/her body and extremities. Such feedback is likely to improve adherence with the treatment regimen in terms of frequency, duration, and correctness of exercise, and thus facilitates transition of care between clinic and home. The IBEHR is also a telemedicine tool because the patient can transmit recordings of home exercise to the PT for rapid review and feedback. A third benefit of the IBEHR is to improve health care decision making by the PT. In current medical practice, it is difficult for a PT to determine why a patient fails to recover as expected. By recording the exercise performed at home, the IBEHR provides monitoring data that informs the PT whether the patient adhered poorly to prescribed exercise frequency or duration, the patient performed the exercise incorrectly, or the PT prescribed the wrong exercise. Our Specific Aims are to 1) develop the IBEHR software, 2) perform alpha testing of device accuracy and beta testing of user interface ease of use, and 3) perform preliminary evaluation of the efficacy of the IBEHR to improve adherence. The HEALTH CARE BENEFITS of the IBEHR for patient self monitoring are: improved transfer of physical therapy exercise from clinic to home, increased adherence to the exercise prescription, and recording home exercise to assist PT decision making. PUBLIC HEALTH RELEVANCE: Our objective is to develop an image-based electronic health record (IBEHR) to show patients how to reproduce at home the exercises prescribed by their physical therapist in clinic. The IBEHR can also record home exercise sessions for review by and feedback from the PT. The HEALTH CARE BENEFITS of the IBEHR for patient self monitoring are: improved transfer of physical therapy exercise from clinic to home, increased adherence to the exercise prescription, and recording home exercise to assist PT decision making.

描述（由申请人提供）：我们的目标是开发基于图像的电子健康记录（IBEHR），以帮助患者在家中转移和复制物理治疗师（PT）在诊所规定的锻炼。在美国，每年有超过 1700 万 (M) 患者被诊断患有可能受益于 PT 的疾病。坚持家庭锻炼是功能恢复的最重要因素，运动处方者的反馈是实现患者坚持的最重要因素。然而，在目前的实践中，患者只能在相隔数周的门诊就诊时获得反馈。拟议的 IBEHR 将为患者提供实时视觉反馈，将他们在家中每次重复的表现与他们在 PT 监督下在诊所正确执行锻炼的记录进行比较。视觉图形向患者展示如何更好地定位他/她的身体和四肢。此类反馈可能会在运动频率、持续时间和正确性方面提高对治疗方案的依从性，从而促进诊所和家庭之间护理的过渡。 IBEHR 也是一种远程医疗工具，因为患者可以将家庭锻炼的记录传输到 PT 进行快速查看和反馈。 IBEHR 的第三个好处是改善 PT 的医疗保健决策。在当前的医疗实践中，物理治疗师很难确定患者未能按预期康复的原因。通过记录在家进行的锻炼，IBEHR 提供监测数据，通知 PT 患者是否未能很好地遵守规定的锻炼频率或持续时间、患者是否错误地进行了锻炼，或者 PT 规定了错误的锻炼。我们的具体目标是 1) 开发 IBEHR 软件，2) 对设备准确性进行 alpha 测试，对用户界面易用性进行 beta 测试，以及 3) 对 IBEHR 的功效进行初步评估，以提高依从性。 IBEHR 对于患者自我监测的医疗保健优势包括：改善物理治疗练习从诊所到家庭的转移、提高对运动处方的遵守程度以及记录家庭运动以协助 PT 决策。 公共健康相关性：我们的目标是开发基于图像的电子健康记录 (IBEHR)，向患者展示如何在家中重复物理治疗师在诊所规定的锻炼。 IBEHR 还可以记录家庭锻炼课程，以供 PT 审核和反馈。 IBEHR 对于患者自我监测的医疗保健优势包括：改善物理治疗练习从诊所到家庭的转移、提高对运动处方的遵守程度以及记录家庭运动以协助 PT 决策。