scholarly journals Development of a Web-Based Monitoring System for Power Tilt-in-Space Wheelchairs: Formative Evaluation

10.2196/13560 ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. e13560 ◽  
Author(s):  
Charles Campeau-Vallerand ◽  
François Michaud ◽  
François Routhier ◽  
Philippe S Archambault ◽  
Dominic Létourneau ◽  
...  
Keyword(s):  
Monitoring System ◽  
Formative Evaluation ◽  
Age Groups ◽  
Feedback System ◽  
Evaluation Framework ◽  
Web Interface ◽  
Web Based ◽  
Wheelchair Users ◽  
The Web

Background In order to prevent pressure ulcers, wheelchair users are advised to regularly change position to redistribute or eliminate pressure between the buttocks region and the seat of the wheelchair. A power tilt-in-space wheelchair (allowing simultaneous pivoting of the seat and the backrest of the wheelchair toward the back or front) meets many clinical purposes, including pressure management, increased postural control, and pain management. However, there is a significant gap between the use of tilt as recommended by clinicians and its actual usage. A Web-based electronic health (eHealth) intervention, including a goal setting, monitoring, reminder, and feedback system of the use of power tilt-in-space wheelchairs was developed. The intervention incorporates behavior change principles to promote optimal use of tilt and to improve clinical postprocurement follow-up. Objective This study aimed to conduct a formative evaluation of the intervention prototype to pinpoint the functionalities needed by end users, namely, power wheelchair users and clinicians. Methods On the basis of an evaluation framework for Web-based eHealth interventions, semistructured interviews were conducted with power wheelchair users and clinicians. A content analysis was performed with a mix of emerging and a priori concepts. Results A total of 5 users of power tilt-in-space wheelchairs and 5 clinicians who had experience in the field of mobility aids aged 23 to 55 years were recruited. Participants found the Web interface and the physical components easy to use. They also appreciated the reminder feature that encourages the use of the tilt-in-space and the customization of performance goals. Participants requested improvements to the visual design and learnability of the Web interface, the customization of reminders, feedback about specific tilt parameters, and the bidirectionality of the interaction between the user and the clinician. They thought the current version of the intervention prototype could promote optimal use of the tilt and improve clinical postprocurement follow-up. Conclusions On the basis of the needs identified by power wheelchair users and clinicians regarding the prototype of a power tilt-in-space wheelchair monitoring system, 3 main directions were defined for future development of the intervention. Further research with new wheelchair users, manual tilt-in-space wheelchairs, various age groups, and family caregivers is recommended to continue the formative evaluation of the prototype.

scholarly journals Development of a Web-Based Monitoring System for Power Tilt-in-Space Wheelchairs: Formative Evaluation (Preprint)

2019 ◽  
Author(s):  
Charles Campeau-Vallerand ◽  
François Michaud ◽  
François Routhier ◽  
Philippe S Archambault ◽  
Dominic Létourneau ◽  
...  
Keyword(s):  
Monitoring System ◽  
Formative Evaluation ◽  
Age Groups ◽  
Feedback System ◽  
Evaluation Framework ◽  
Web Interface ◽  
Web Based ◽  
Wheelchair Users ◽  
The Web

BACKGROUND A power tilt-in-space wheelchair meets many clinical purposes, including pressure management, increased postural control, and pain management. However, there is a significant gap between the use of tilt as recommended by clinicians and its actual usage. A Web-based electronic health (eHealth) intervention, including a goal setting, monitoring, reminder, and feedback system of the use of power tilt-in-space wheelchairs was developed. The intervention incorporates behavior change principles to promote optimal use of tilt and to improve clinical postprocurement follow-up. OBJECTIVE This study aimed to conduct a formative evaluation of the intervention prototype to pinpoint the functionalities needed by end users, namely, power wheelchair users and clinicians. METHODS On the basis of an evaluation framework for Web-based eHealth interventions, semistructured interviews were conducted with power wheelchair users and clinicians. A content analysis was performed with a mix of emerging and a priori concepts. RESULTS A total of 5 users of power tilt-in-space wheelchairs and 5 clinicians who had experience in the field of mobility aids aged 23 to 55 years were recruited. Participants found the Web interface and the physical components easy to use. They also appreciated the reminder feature that encourages the use of the tilt-in-space and the customization of performance goals. Participants requested improvements to the visual design and learnability of the Web interface, the customization of reminders, feedback about specific tilt parameters, and the bidirectionality of the interaction between the user and the clinician. They thought the current version of the intervention prototype could promote optimal use of the tilt and improve clinical postprocurement follow-up. CONCLUSIONS On the basis of the needs identified by power wheelchair users and clinicians regarding the prototype of a power tilt-in-space wheelchair monitoring system, 3 main directions were defined for future development of the intervention. Further research with new wheelchair users, manual tilt-in-space wheelchairs, various age groups, and family caregivers is recommended to continue the formative evaluation of the prototype.

scholarly journals A Suite of Mobile Conversational Agents for Daily Stress Management (Popbots): Mixed Methods Exploratory Study (Preprint)

2020 ◽  
Author(s):  
Matthew Louis Mauriello ◽  
Nantanick Tantivasadakarn ◽  
Marco Antonio Mora-Mendoza ◽  
Emmanuel Thierry Lincoln ◽  
Grace Hon ◽  
...  
Keyword(s):  
Stress Management ◽  
Design Guidelines ◽  
Coping Resources ◽  
Rank Test ◽  
Depression Symptoms ◽  
Conversational Agents ◽  
Daily Stress ◽  
Web Based ◽  
The Web

BACKGROUND Approximately 60%-80% of the primary care visits have a psychological stress component, but only 3% of patients receive stress management advice during these visits. Given recent advances in natural language processing, there is renewed interest in mental health chatbots. Conversational agents that can understand a user’s problems and deliver advice that mitigates the effects of daily stress could be an effective public health tool. However, such systems are complex to build and costly to develop. OBJECTIVE To address these challenges, our aim is to develop and evaluate a fully automated mobile suite of shallow chatbots—we call them Popbots—that may serve as a new species of chatbots and further complement human assistance in an ecosystem of stress management support. METHODS After conducting an exploratory Wizard of Oz study (N=14) to evaluate the feasibility of a suite of multiple chatbots, we conducted a web-based study (N=47) to evaluate the implementation of our prototype. Each participant was randomly assigned to a different chatbot designed on the basis of a proven cognitive or behavioral intervention method. To measure the effectiveness of the chatbots, the participants’ stress levels were determined using self-reported psychometric evaluations (eg, web-based daily surveys and Patient Health Questionnaire-4). The participants in these studies were recruited through email and enrolled on the web, and some of them participated in follow-up interviews that were conducted in person or on the web (as necessary). RESULTS Of the 47 participants, 31 (66%) completed the main study. The findings suggest that the users viewed the conversations with our chatbots as helpful or at least neutral and came away with increasingly positive sentiment toward the use of chatbots for proactive stress management. Moreover, those users who used the system more often (ie, they had more than or equal to the median number of conversations) noted a decrease in depression symptoms compared with those who used the system less often based on a Wilcoxon signed-rank test (W=91.50; Z=−2.54; <i>P</i>=.01; <i>r</i>=0.47). The follow-up interviews with a subset of the participants indicated that half of the common daily stressors could be discussed with chatbots, potentially reducing the burden on human coping resources. CONCLUSIONS Our work suggests that suites of shallow chatbots may offer benefits for both users and designers. As a result, this study’s contributions include the design and evaluation of a novel suite of shallow chatbots for daily stress management, a summary of benefits and challenges associated with random delivery of multiple conversational interventions, and design guidelines and directions for future research into similar systems, including authoring chatbot systems and artificial intelligence–enabled recommendation algorithms.

scholarly journals Lessons learnt during the implementation of a web-based triage tool for Dutch intensive care follow-up clinics

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021249 ◽  
Author(s):  
Ilse van Beusekom ◽  
Ferishta Bakhshi-Raiez ◽  
Nicolette F de Keizer ◽  
Dave A Dongelmans ◽  
Marike van der Schaaf
Keyword(s):  
Intensive Care ◽  
Health Professionals ◽  
Web Based ◽  
Quality Registry ◽  
Email Address ◽  
National Quality ◽  
The Web ◽  
Screening Software ◽  
National Quality Registry

ObjectivesScreening for symptoms of postintensive care syndrome is based on a long list of questionnaires, filled out by the intensive care unit (ICU) survivor and manually reviewed by the health professional. This is an inefficient and time-consuming process. The aim of this study was to evaluate the feasibility of a web-based triage tool and to compare the outcomes from web-based questionnaires to those from paper-based questionnaires.DesignA mixed-methods study.SettingNine Dutch ICU follow-up clinics.Participants221 ICU survivors and 14 health professionals.InterventionsA web-based triage tool was implemented by nine ICU follow-up clinics. End users, that is, health professionals were interviewed in order to evaluate the feasibility of the triage tool. ICU survivors were invited to fill out web-based questionnaires 3 months after hospital discharge.Primary outcomesOutcomes of the questionnaires were merged with clinical data from a national quality registry to assess the differences in outcomes between paper-based and web-based questionnaires.Results221 ICU survivors received an invitation to fill out questionnaires, 93 (42.1%) survivors did not respond to the invitation. Respondents to the web-based questionnaires (n=54) were significantly younger and had a significantly longer ICU stay than those who preferred the paper-based questionnaires (n=74). The prevalence of mental, physical and nutritional problems was high, although comparable between the groups. Health professionals’ interviews revealed that the software was complex to use (n=8) and although emailing survivors is very convenient, not all survivors have an email address (n=7).ConclusionsWeb-based screening software has major benefits compared with paper-based screening. However, implementation has shown to be rather difficult and there are important barriers to consider. Although different in age, the health status is comparable between the users of the web-based questionnaire and paper-based questionnaire.

Physicians’ Choice in Using Internet and Fax for Patient Recruitment and Follow-up in a Randomized Controlled Trial

2004 ◽  
Vol 43 (03) ◽  
pp. 268-272 ◽  
Author(s):  
S. Morita ◽  
T. Fukui ◽  
J. Sakamoto ◽  
M. Rahman
Keyword(s):  
Randomized Controlled Trial ◽  
Odds Ratio ◽  
Controlled Trial ◽  
Data Entry ◽  
Regression Analyses ◽  
Multivariate Logistic Regression ◽  
Web Based ◽  
Randomized Controlled ◽  
The Web

Summary Objective: To examine the physicians’ preference between Web and fax-based remote data entry (RDE) system for an ongoing randomized controlled trial (RCT) in Japan. Methods: We conducted a survey among all the collaborating physicians (n = 512) of the CASE-J (Candesartan Antihypertensive Survival Evaluation in Japan) trial, who have been recruiting patients and sending follow-up data using the Web or a fax-based RDE system. The survey instrument assessed physicians’ choice between Web and fax-based RDE systems, their practice pattern, and attitudes towards these two modalities. Results: A total of 448 (87.5%) responses were received. The proportions of physicians who used Web, fax, and the combination of these two were 45.9%, 33.3% and 20.8%, respectively. Multivariate logistic regression analyses revealed that physicians 55 years or younger [odds ratio (OR) = 1.9, 95% confidence interval (CI) = 1.1-3.3] and regular users of computers (OR = 4.2, 95% CI = 2.1-8.2) were more likely to use the Web-based RDE system. Conclusions: This information would be useful in designing an RCT with a Web-based RDE system in Japan and abroad.

scholarly journals Cyclist Monitoring System using NI myRIO-1900

2018 ◽  
Vol 150 ◽  
pp. 01006
Author(s):  
Wong Siong Kwong ◽  
Aizan Ubin ◽  
Mohd Zarar Mohd Jenu
Keyword(s):  
Heart Rate ◽  
Monitoring System ◽  
The State ◽  
Magnetic Sensor ◽  
Training Condition ◽  
Web Interface ◽  
Dangerous Situation ◽  
Rate Sensor ◽  
Distance Travel ◽  
The Web

This paper presents cyclist monitoring system that tracks cyclist path and shows the cyclist training condition. Cyclist monitoring system is using NI myRIO-1900 that integrates the sensors and modules and then monitors the cyclist data using Ubidots web interface. In this system, heart rate sensor, magnetic sensor, GPS module and GSM module are connected to NI myRIO-1900. Heart rate sensor was used to calculate the heart rate of cyclist from time to time. Magnetic sensor was attached to the frame of bicycle to calculate the speed of bicycle. GPS module was used to track location of cyclist. GSM modules was used to send SOS message if there has an accident happened on cyclist. At the first, NI myRIO-1900 initialized the state of the GPS signal. After initializing, NI myRIO-1900 received the signal from magnetic sensor and heart rate sensor. After receiving all of the signals from those sensors, the data was uploaded to the GUI in LabVIEW and the web interface that run by Ubidots. The parameters such as speed, heart rate, distance travel and power were displayed on the GUI and Ubidots for cyclist to monitor their condition of body during cycling. The S.O.S button was installed on the bicycle. If the cyclist is in dangerous situation, cyclist can press this button to send the emergency signal to police or the person that is important to them.

scholarly journals Features of clinical course and treatment principles of endodontic-periodontal lesions

2018 ◽  
Vol 99 (3) ◽  
pp. 362-368 ◽  
Author(s):  
P I Moroz ◽  
A K Iordanishvili ◽  
V A Prohodnaya ◽  
S Yu Maxyukov ◽  
A V Safronenko ◽  
...  
Keyword(s):  
Monitoring System ◽  
Clinical Course ◽  
Combined Treatment ◽  
Age Groups ◽  
Periodontal Treatment ◽  
Clinical Group ◽  
Periodontal Tissues ◽  
Infection Focus ◽  
Group 2

Aim. To study the characteristic differences in the clinical course of chronic generalized periodontitis in the presence of periapical infection focus and the principles of combined treatment of endodontium and periodontium. Methods. A clinical and X-ray examination of 1525 patients of different age groups was performed. As a result, a clinical group of 68 patients with chronic generalized moderate and severe periodontitis was formed, who were divided into two groups depending on the presence or absence of periapical destruction. In group 1, 32 patients with the presence of chronic generalized periodontitis and signs of chronic apical periodontitis were united. Group 2 included 36 patients with chronic generalized periodontitis and no periapical infection and damage. The index estimation of the periodontal tissues state in the dynamics of combined endodontic and periodontal treatment was performed. Results. The initial task of treating endodontic periodontal lesions, regardless of the localization of the primary lesion focus, is the elimination or reversal of chronic periapical inflammatory processes of the teeth. The proposed monitoring system in the course of treatment and dynamic follow-up for 18 months for patients suffering from endodontic periodontal lesions using clinical and radiological methods of examination involves: (1) interim epicrisis or conclusion about negative or positive compliance 1-2 months after the completion of endodontic treatment and hygiene procedures; (2) periodontal treatment (according to indications) with the assessment of clinical efficacy 6 and 12 months after the start of treatment; (3) epicrisis after 18 months. Conclusion. The use of proposed concept of complex treatment of endodontic-periodontal lesions, monitoring system in the course of dental therapeutic and preventive measures and dynamic follow-up for 18 months allows achieving positive compliance in 85% of patients according to the clinical examination and in 80% of patients according to radiologic examination.

scholarly journals Sistem Pemantauan Ruangan Laboratorium Dengan Raspberry Pi Camera

ELECTRICES ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. 11-16
Author(s):  
Donalson Libertin
Keyword(s):  
Video Streaming ◽  
Monitoring System ◽  
Electrical Engineering ◽  
Raspberry Pi ◽  
Actual Situation ◽  
Web Based ◽  
Google Drive ◽  
The Web

In the Electrical Engineering Laboratory 2nd Floor room, there is a variety of equipment, but the equipment is often lost. So the room needed a monitoring system to see the activity in the room to minimize theft. The purpose of this study is to design a monitoring system using Raspberry Pi Zero W as a link between the Raspberry Pi Camera and the admin. Room conditions can be monitored online and in realtime on the Web. Based on the results of testing video streaming displayed on the Web, there is a delay of 3-4 seconds so that the image moves slower than the actual situation. This device can send a notification of the condition of the room and pictures at 12: 00-13: 00 when there is movement or someone doing activities in the room. Data is sent via email and google drive @sctolipnj.

scholarly journals Adherence to Physiotherapy-Guided Web-Based Exercise for Persons with Moderate-to-Severe Multiple Sclerosis

2020 ◽  
Vol 22 (5) ◽  
pp. 208-214
Author(s):  
Sarah J. Donkers ◽  
Darren Nickel ◽  
Lorna Paul ◽  
Shyane R. Wiegers ◽  
Katherine B. Knox
Keyword(s):  
Multiple Sclerosis ◽  
Adverse Events ◽  
Exercise Program ◽  
Effect Sizes ◽  
Home Exercise ◽  
Web Based ◽  
Home Exercise Program ◽  
Wheelchair Users ◽  
Secondary Outcomes ◽  
The Web

Abstract Background: Options to support adherence to physical activity in moderate-to-severe multiple sclerosis (MS) are needed. The primary aim was to evaluate adherence to a Web-based, individualized exercise program in moderate-to-severe MS. Secondary aims explored changes in 29-item Multiple Sclerosis Impact Scale, Hospital Anxiety and Depression Scale (HADS), grip strength, Timed 25-Foot Walk test, and Timed Up and Go (TUG) results. Methods: Participants were randomized (2:1) to a physiotherapist-guided Web-based home exercise program or a physiotherapist-prescribed written home exercise program. The primary outcome was adherence (number of exercise sessions over 26 weeks). Secondary outcomes were described in terms of means and effect sizes. Results: There were 48 participants: mean ± SD age, 54.3 ± 11.9 years; disease duration, 19.5 ± 11.0 years; and Patient-Determined Disease Steps scale score, 4.4 ± 1.6. There was no significant difference in mean ± SD adherence in the Web-based group (38.9 ± 28.1) versus the comparator group (34.6 ± 40.8; U = 198.5, P = .208, Hedges’ g = 0.13). Nearly 50% of participants (23 of 48) exercised at least twice per week for at least 13 of the 26 weeks. Adherence was highest in the Web-based subgroup of wheelchair users. Medium effect sizes were found for the HADS anxiety subscale and in ambulatory participants for TUG. There were no adverse events. Conclusions: There was no difference in exercise adherence between the Web-based and active comparator groups. There was no worsening of secondary outcomes or adverse events, supporting the safety of Web-based physiotherapy. More research is needed to determine whether wheelchair users might be most likely to benefit from Web-based physiotherapy.

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