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A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach

In this study, a design science research methodology was used aiming at designing, implementing and evaluating a digital health service to complement the provision of healthcare for elderly people with balance disorders and risk of falling. An explanatory sequential mixed methods study allowed to id...

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Detalles Bibliográficos
Autores principales: Gaspar, Andréa Gomes Martins, Lapão, Luís Velez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835704/
https://www.ncbi.nlm.nih.gov/pubmed/35162877
http://dx.doi.org/10.3390/ijerph19031855
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author Gaspar, Andréa Gomes Martins
Lapão, Luís Velez
author_facet Gaspar, Andréa Gomes Martins
Lapão, Luís Velez
author_sort Gaspar, Andréa Gomes Martins
collection PubMed
description In this study, a design science research methodology was used aiming at designing, implementing and evaluating a digital health service to complement the provision of healthcare for elderly people with balance disorders and risk of falling. An explanatory sequential mixed methods study allowed to identify and explore the dissatisfaction with electronic medical records and the opportunity for using digital health solutions. The suggested recommendations helped to elaborate and develop “BALANCE”, a digital service implemented on the METHIS platform, which was recently validated for remote monitoring of chronic patients in primary healthcare. “BALANCE” provides clinical and interactive data, questionnaire pre and post-balance rehabilitation, tutorial videos with balance exercises and patient-recorded videos of the exercises. This digital service was demonstrated, including five elderly patients with clinical recommendations for balance rehabilitation at home. Finally, the authors conducted two focus groups with the participants and their caregivers as well as with physicians. The focus groups aimed at exploring their satisfaction level, needs of adjustment in the “BALANCE” service and strategies for applicability. The digital healthcare service evaluation revealed a significant potential for clinical applicability of this digital solution for elderly people with balance disorders and risk of falling.
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spelling pubmed-88357042022-02-12 A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach Gaspar, Andréa Gomes Martins Lapão, Luís Velez Int J Environ Res Public Health Article In this study, a design science research methodology was used aiming at designing, implementing and evaluating a digital health service to complement the provision of healthcare for elderly people with balance disorders and risk of falling. An explanatory sequential mixed methods study allowed to identify and explore the dissatisfaction with electronic medical records and the opportunity for using digital health solutions. The suggested recommendations helped to elaborate and develop “BALANCE”, a digital service implemented on the METHIS platform, which was recently validated for remote monitoring of chronic patients in primary healthcare. “BALANCE” provides clinical and interactive data, questionnaire pre and post-balance rehabilitation, tutorial videos with balance exercises and patient-recorded videos of the exercises. This digital service was demonstrated, including five elderly patients with clinical recommendations for balance rehabilitation at home. Finally, the authors conducted two focus groups with the participants and their caregivers as well as with physicians. The focus groups aimed at exploring their satisfaction level, needs of adjustment in the “BALANCE” service and strategies for applicability. The digital healthcare service evaluation revealed a significant potential for clinical applicability of this digital solution for elderly people with balance disorders and risk of falling. MDPI 2022-02-07 /pmc/articles/PMC8835704/ /pubmed/35162877 http://dx.doi.org/10.3390/ijerph19031855 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gaspar, Andréa Gomes Martins
Lapão, Luís Velez
A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach
title A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach
title_full A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach
title_fullStr A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach
title_full_unstemmed A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach
title_short A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach
title_sort digital health service for elderly people with balance disorders and risk of falling: a design science approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835704/
https://www.ncbi.nlm.nih.gov/pubmed/35162877
http://dx.doi.org/10.3390/ijerph19031855
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