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Could technology enable individuals with schizophrenia to access health care? The case of Ecuador 技术能使精神分裂症患者获得医疗保健吗?厄瓜多尔的情况
IF 2.2 Q2 Medicine Pub Date : 2021-05-19 DOI: 10.1108/JET-01-2021-0002
V. Castro
PurposeThe purpose of this paper is to fill in the gaps in the literature regarding health-care access for individuals with schizophrenia, with a focus on Ecuador, and how technology can enable health-care access during the pandemic.Design/methodology/approachTo achieve this aim, the author reviewed peer-reviewed articles in English and Spanish (using, among other sources, Medline and ProQuest), the Ecuadorian Constitution, law projects on mental health and suicide and government reports.FindingsThe consensus seems to be that the Ecuadorian health-care system has failed in its constitutional mandate to provide essential care for mentally ill patients, such as those suffering from schizophrenia. The data supporting the use of the internet and smartphone technology for delivering health services during the pandemic are extremely clear, but substantive governmental responses have been lacking.Research limitations/implicationsThe major limitation of this study is the lack of data on schizophrenia in Ecuador and the use of technology.Originality/valueThis evaluation of the current literature on the effect of the pandemic on access to health care for patients suffering from mental illness is much-needed and should provide a welcome data source for research, practice and policymaking.
本文的目的是填补文献中关于精神分裂症患者获得医疗保健的空白,重点是厄瓜多尔,以及技术如何在大流行期间实现医疗保健。设计/方法/方法为实现这一目标,提交人查阅了英文和西班牙文的同行评议文章(除其他来源外,使用了Medline和ProQuest)、厄瓜多尔宪法、关于心理健康和自杀的法律项目以及政府报告。研究结果人们似乎一致认为,厄瓜多尔的医疗保健系统未能履行宪法赋予的为精神疾病患者(如精神分裂症患者)提供基本护理的职责。支持在大流行期间利用互联网和智能手机技术提供卫生服务的数据非常明确,但政府缺乏实质性的应对措施。研究局限性/意义本研究的主要局限性是缺乏厄瓜多尔精神分裂症的数据和技术的使用。独创性/价值对当前关于大流行对精神疾病患者获得卫生保健的影响的文献进行评估是非常必要的,应该为研究、实践和决策提供一个受欢迎的数据来源。
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引用次数: 0
Electromyography biofeedback system with visual and vibratory feedbacks designed for lower limb rehabilitation 用于下肢康复的视觉和振动反馈肌电图生物反馈系统
IF 2.2 Q2 Medicine Pub Date : 2021-03-06 DOI: 10.1108/jet-05-2022-0039
João Vitor da Silva Moreira, K. Rodrigues, Daniel J. L. L. Pinheiro, Thaís Cardoso, João Vieira, E. Cavalheiro, J. Faber
PurposeOne of the main causes of long-term prosthetic abandonment is the lack of ownership over the prosthesis, which was caused mainly by the absence of sensory information regarding the lost limb. The period where the patient learns how to interact with a prosthetic device is critical in rehabilitation. This ideally happens within the first months after amputation, which is also a period associated with the consolidation of brain changes. Different studies have shown that the introduction of feedback mechanisms can be crucial to bypass the lack of sensorial information. To develop a biofeedback system for the rehabilitation of transfemoral amputees – controlled via electromyographic (EMG) activity from the leg muscles – that can provide real-time visual and/or vibratory feedback for the user.Design/methodology/approachThe system uses surface EMG to control two feedback mechanisms, which are the knee joint of a prosthetic leg of a humanoid avatar in a virtual reality (VR) environment (visual feedback) and a matrix of 16 vibrotactile actuators placed in the back of the user (vibratory feedback). Data acquisition was inside a Faraday Cage using an OpenEphys® acquisition board for the surface EMG recordings. The tasks were performed on able-bodied participants, with no amputation, and for this, the dominant leg of the user was immobilized using an orthopedic boot fixed on the chair, allowing only isometric contractions of target muscles, according to the Surface EMG for Non-Invasive Assessment of Muscles (SENIAM) standard. The authors test the effectiveness of combining vibratory and visual feedback and how task difficulty affects overall performance.FindingsThe authors' results show no negative interference combining both feedback modalities and that performance peaked at the intermediate difficulty. These results provide powerful insights of what can be accomplished with the population of amputee people. By using this biofeedback system, the authors expect to engage another sensory modality in the process of spatial representation of a virtual leg, bypassing the lack of information associated with the disruption of afferent pathways following amputation.Research limitations/implicationsThe authors developed a showcase with a new protocol and feedback mechanisms showing the protocol's safety, efficiency and reliability. However, since this system is designed for patients with leg amputation, the full extent of the effects of the biofeedback training can only be assessed after the evaluation with the amputees, and the results obtained so far establish a safe and operational protocol to accomplish this.Practical implicationsIn this study, the authors proposed a new biofeedback device intended to be used in the preprosthetic rehabilitation phase for people with transfemoral amputation. With this new system, the authors propose a mechanism to bypass the lack of sensory information from a virtual prosthesis and help to assimilate visual and vibrotactil
目的长期放弃假肢的主要原因之一是缺乏对假肢的所有权,这主要是由于缺乏关于失去肢体的感觉信息造成的。在康复过程中,患者学习如何与假肢互动的时间段至关重要。理想情况下,这种情况发生在截肢后的头几个月内,这也是一个与大脑变化巩固相关的时期。不同的研究表明,引入反馈机制对于绕过感官信息的缺乏至关重要。开发一种用于经股截肢者康复的生物反馈系统,该系统通过腿部肌肉的肌电图(EMG)活动进行控制,可以为用户提供实时视觉和/或振动反馈。设计/方法/方法该系统使用表面肌电来控制两个反馈机制,这两个机制是虚拟现实(VR)环境中人形化身假肢的膝关节(视觉反馈)和放置在用户背部的16个振动触觉致动器的矩阵(振动反馈)。数据采集是在法拉第笼内使用OpenEphys®采集板进行表面肌电记录。这些任务是在身体健全的参与者身上完成的,没有截肢,为此,根据肌肉无创评估表面肌电(SENIAM)标准,使用固定在椅子上的矫形靴固定用户的主要腿,只允许目标肌肉等长收缩。作者测试了振动和视觉反馈相结合的有效性,以及任务难度如何影响整体表现。结果作者的研究结果显示,结合两种反馈模式没有负面干扰,并且在中等难度时表现达到峰值。这些结果为截肢者群体可以实现的目标提供了强有力的见解。通过使用这种生物反馈系统,作者希望在虚拟腿的空间表示过程中采用另一种感觉模式,绕过与截肢后传入通路中断相关的信息缺乏。研究局限性/含义作者开发了一个新协议和反馈机制的展示,展示了协议的安全性、有效性和可靠性。然而,由于该系统是为截肢患者设计的,只有在对截肢者进行评估后,才能评估生物反馈训练的全部效果,迄今为止获得的结果为实现这一目标建立了一个安全可行的方案。实际意义在这项研究中,作者提出了一种新的生物反馈设备,用于经股截肢患者的假肢前康复阶段。有了这个新系统,作者提出了一种机制来绕过虚拟假肢缺乏感官信息的问题,并帮助吸收视觉和振动触觉刺激作为运动表征的线索。社会含义有了这个新系统,作者提出了一种机制来绕过虚拟假肢缺乏感官信息的问题,并帮助吸收视觉和振动触觉刺激作为运动表征的线索。原创性/价值作者的研究结果表明,所有用户都能够识别两种反馈模式,无论是单独的还是组合的,并能够在整个任务中做出相应的反应。作者还表明,对于单会话协议,最后一个难度级别对大多数用户来说是一个更大的挑战,原因是忽略了反馈模式,性能显著下降。最后,作者认为,这种范式可以为假肢装置的实施提供更好的过程,满足用户缺乏感官信息的问题。
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引用次数: 3
Editorial 编辑
IF 2.2 Q2 Medicine Pub Date : 2020-11-25 DOI: 10.1108/jet-09-2020-077
N. Newbutt
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引用次数: 0
The possibility and importance of immersive technologies during COVID-19 for autistic people 新冠肺炎期间沉浸式技术对自闭症患者的可能性和重要性
IF 2.2 Q2 Medicine Pub Date : 2020-11-02 DOI: 10.1108/jet-07-2020-0028
N. Newbutt, Matthew Schmidt, G. Riva, Carla Schmidt
PurposeThe purpose of this paper is to identify three key areas where autistic people may find themselves impacted through COVID-19, namely, education; employment; and anxiety.Design/methodology/approachThis paper provides some views based on the extensive experience of using immersive technologies for the utilisation and application with autistic groups during COVID-19.FindingsThis paper offers some examples of immersive technology application that might be helpful for practitioners, services and others to consider in overcoming possible challenges faced by people with autism.Originality/valueThis opinion piece offers expert insights to the role immersive technologies and virtual reality might play during COVID-19 in the lives of autistic groups.
本文的目的是确定自闭症患者可能发现自己受到COVID-19影响的三个关键领域,即教育;就业;和焦虑。设计/方法/方法基于在COVID-19期间使用沉浸式技术对自闭症群体的利用和应用的广泛经验,本文提供了一些观点。本文提供了一些沉浸式技术应用的例子,可能有助于从业者,服务机构和其他人考虑克服自闭症患者可能面临的挑战。原创性/价值这篇观点文章为沉浸式技术和虚拟现实在2019冠状病毒病期间可能在自闭症群体生活中发挥的作用提供了专家见解。
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引用次数: 11
Determinants of information communication and smart home automation technology adoption for aging-in-place. 居家养老采用信息通信和智能家居自动化技术的决定因素。
IF 2.2 Q2 Medicine Pub Date : 2020-07-21 Epub Date: 2020-05-01 DOI: 10.1108/jet-11-2019-0050
Sajay Arthanat, Hong Chang, John Wilcox

Purpose –: Smart home (SH) internet of things can promote home safety, health monitoring and independence of older adults to age-in-place. Despite its commercial growth, low adoption rates of the technology among aging consumers remain a major barrier. The purpose of this study is to examine SH technology ownership of older adults and its causal pathways with demographics, health and functioning, home safety and information communication technology (ICT) use.

Design/methodology/approach –: A survey on technology-mediated aging-in-place was completed by 447 respondents, 65 years and older. Structural equation modeling was used to underscore the causal pathways among demographics, health, independence and home safety, ICT and home automation technology adoption.

Findings –: The study found that ICT usability, home security and independence have a significant direct effect on SH ownership. Demographics had no significant direct effect, but its influence was mediated through ICT usability. With home safety as mediator, physical impairment, falls and accidents and independence had a significant association with SH ownership. Similarly, increased social support (mediated through home security) decreased the probability of SH automation ownership.

Originality/value –: The findings signify the perceived usefulness of SH automation as theorized in technology acceptance models.

目的智能家居(SH)物联网可促进家庭安全、健康监测和老年人居家养老的独立性。尽管该技术在商业上得到了发展,但在老年消费者中的低采用率仍然是一个主要障碍。本研究旨在调查老年人对 SH 技术的拥有情况及其与人口统计学、健康和功能、家庭安全和信息通信技术(ICT)使用之间的因果关系:447 名 65 岁及以上的受访者完成了一项以技术为媒介的就地养老调查。采用结构方程模型来强调人口统计学、健康、独立性和家庭安全、信息和通信技术以及家庭自动化技术采用之间的因果关系:研究发现,信息和通信技术的可用性、家庭安全性和独立性对拥有住房有显著的直接影响。人口统计学没有明显的直接影响,但其影响通过信息和通信技术的可用性得到了调节。以家庭安全为中介,身体损伤、跌倒和事故以及独立性与拥有住房有明显的关联。同样,社会支持的增加(通过家庭安全作为中介)降低了拥有 SH 自动化的概率:研究结果表明,正如技术接受模型所推测的那样,人们认为 SH 自动化非常有用。
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引用次数: 0
Technology and social care in a digital world: challenges and opportunities in the UK 数字世界中的技术和社会护理:英国的挑战和机遇
IF 2.2 Q2 Medicine Pub Date : 2020-06-29 DOI: 10.1108/jet-11-2019-0052
K. Hamblin
PurposeTechnology enabled care (TEC) equipment has been a part of adult social care (ASC) in most areas of the UK for decades. More recently, commissioners have been exploring mainstream technologies’ potential to support older people living in the community. The purpose of this paper is to examine the challenges and opportunities presented by the growing application of mainstream technologies in ASC against the backdrop of the planned UK-wide switchover from analogue to digital telecommunications by 2025.Design/methodology/approachThis general review uses research evidence, literature, industry standards and policy documents to address the challenges presented by the UK’s digital switchover and the potential role of mainstream technologies such as “smart speakers” in ASC.FindingsThe use of digital TEC and mainstream devices in ASC brings challenges related to access to reliable internet connections in parts of the UK; the need to update TEC safety standards; the ethics, privacy and data security measures that ensure digital products and services safeguard the interests of users; and evidence and commissioning practice.Originality/valueThis general review explores emerging areas of policy and research related to the planned UK digital switchover and the use of mainstream technologies in ASC. It offers a conceptual approach and suggests ways forward for research, regulatory and commissioning agendas.
目的技术支持护理(TEC)设备几十年来一直是英国大多数地区成人社会护理(ASC)的一部分。最近,委员们一直在探索主流技术支持社区老年人的潜力。本文的目的是在英国计划到2025年从模拟电信向数字电信转型的背景下,研究ASC主流技术日益应用所带来的挑战和机遇。设计/方法/方法这篇综述使用了研究证据、文献、,行业标准和政策文件,以应对英国数字转换带来的挑战,以及主流技术(如“智能扬声器”)在ASC中的潜在作用。发现ASC中数字TEC和主流设备的使用给英国部分地区的可靠互联网连接带来了挑战;需要更新TEC安全标准;确保数字产品和服务保障用户利益的道德、隐私和数据安全措施;以及证据和委托实践。原创性/价值本综述探讨了与计划中的英国数字转换和ASC主流技术使用相关的政策和研究的新兴领域。它提供了一种概念方法,并为研究、监管和委托议程提出了前进的道路。
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引用次数: 11
Engaging ignored stakeholders of higher education accessibility practice: analysing the experiences of an international network of practitioners and researchers 参与高等教育无障碍实践中被忽视的利益相关者:分析国际实践者和研究人员网络的经验
IF 2.2 Q2 Medicine Pub Date : 2020-04-21 DOI: 10.1108/jet-08-2019-0040
J. Seale, Laura King, M. Jorgensen, Alice Havel, J. Asuncion, C. Fichten
PurposeThe purpose of this paper is to examine and critique current approaches of higher education (HE) community concerning stakeholder engagement in the development of information and communications technology (ICT) related accessibility practice.Design/methodology/approachThe approach taken to this examination is to draw on presentations, panel discussions and World Café reflections from an international symposium held in Montreal where researchers and practitioners debated two key questions as follows: have all the relevant stakeholders really been identified? Are there some stakeholders that the HE community has ignored? And what factors influence successfully distributed ownership of the accessibility mission within HE institutions?FindingsA number of “new” internal and external stakeholders are identified and it is argued that if they are to be successfully engaged, effort needs to be invested in addressing power imbalances and developing opportunities for successful strategic silo-crossing.Originality/valueThe value of this paper is in critiquing the argument that all stakeholders in the development of accessible ICT in HE need to be involved, identifying a gap in the argument with respect to whether all relevant stakeholders have actually been engaged and offering insights into this omission might be rectified.
本文的目的是研究和批判高等教育(HE)社区目前关于利益相关者参与信息和通信技术(ICT)相关无障碍实践发展的方法。设计/方法/方法本研究采用的方法是利用在蒙特利尔举行的国际研讨会上的演讲、小组讨论和世界咖啡的反思,研究人员和从业者在研讨会上讨论了以下两个关键问题:是否所有相关的利益相关者都真的被确定了?是否有一些利益相关者被高等教育社区所忽视?哪些因素影响了高等教育机构内无障碍使命的成功分布式所有权?发现了一些“新的”内部和外部利益相关者,并认为,如果要成功地吸引他们,就需要努力解决权力不平衡问题,并为成功的战略跨越筒仓创造机会。原创性/价值本文的价值在于批评了下述观点,即在高等教育中无障碍信息通信技术的发展中所有利益相关者都需要参与进来,确定了关于是否所有利益相关者都实际参与进来的论点中的差距,并提供了对这一遗漏可能被纠正的见解。
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引用次数: 2
Elderly and care personnel’s user experiences of a robotic shower 老年人和护理人员对机器人淋浴的用户体验
IF 2.2 Q2 Medicine Pub Date : 2020-01-22 DOI: 10.1108/jet-07-2019-0033
Charlotte Bäccman, L. Bergkvist, P. Kristensson
PurposeThe purpose of this study is to explore the expectations and experiences regarding a robotic shower, from a dual user perspective.Design/methodology/approachThis was an explorative qualitative study in which elderly and personnel were interviewed before the robotic shower was installed and again after four or five months of usage.FindingsThe elderly participants found the robotic shower empowering. The personnel’s experiences encompassed their own work conditions, as well as the user value for the elderly. A shared experience for both user groups was a more independent shower situation for the elderly.Research limitations/implicationsLow user frequency among the elderly may have affected the results; more frequent use may lead to different user experiences. Understanding whether and to what extent long-term use affects user experience is important for future adoption and implementation.Practical implicationsImplementation of digital assistive technology (DAT) should focus on the user value of the DAT for all possible user groups, as the different users may experience different values over time. In addition, approaching adoption and acceptance issues of DAT from a learned helplessness perspective may help users find value in the DAT and the independence these aim to provide, helping users maintain or increase quality of life.Originality/valueThis study presents a dual user experience of a DAT in an intimate care situation and shows the importance of including both elderly and personnel to fully understand the value of DATs.
目的本研究的目的是从双用户的角度探讨对机器人淋浴的期望和体验。设计/方法/方法这是一项探索性的定性研究,在安装机器人淋浴器之前和使用四五个月后再次采访老年人和工作人员。发现老年参与者发现机器人淋浴很有力量。工作人员的体验包括他们自己的工作条件,以及对老年人的用户价值。两个用户群体的共同体验是为老年人提供更独立的淋浴环境。研究局限性/含义老年人使用频率低可能影响了研究结果;更频繁的使用可能导致不同的用户体验。了解长期使用是否以及在多大程度上影响用户体验对未来的采用和实施至关重要。实际含义数字辅助技术(DAT)的实施应关注DAT对所有可能的用户群体的用户价值,因为随着时间的推移,不同的用户可能会体验到不同的价值。此外,从习得性无助的角度来处理DAT的采用和接受问题,可以帮助用户在DAT中找到价值,以及这些目标所提供的独立性,帮助用户保持或提高生活质量。独创性/价值这项研究展示了DAT在亲密护理环境中的双重用户体验,并表明了包括老年人和工作人员在内充分理解DAT价值的重要性。
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引用次数: 5
Serious Games in Physical Rehabilitation 物理康复中的严肃游戏
IF 2.2 Q2 Medicine Pub Date : 2019-12-09 DOI: 10.1108/jet-12-2019-076
Benoît Bossavit
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引用次数: 1
SiLearn: an intelligent sign vocabulary learning tool SiLearn:智能标识词汇学习工具
IF 2.2 Q2 Medicine Pub Date : 2019-09-16 DOI: 10.1108/jet-03-2019-0014
Jestin Joy, K. Balakrishnan, S. M.
PurposeVocabulary learning is a difficult task for children without hearing ability. Absence of enough learning centers and effective learning tools aggravate the problem. Modern technology can be utilized fruitfully to find solutions to the learning difficulties experienced by the deaf. The purpose of this paper is to present SiLearn – a novel technology based tool for teaching/learning sign vocabulary.Design/methodology/approachThe proposed mobile application can act as a visual dictionary for deaf people. SiLearn is equipped with features that can automatically detect both text and physical objects and convert them to their corresponding signs. For testing the effectiveness of the proposed mobile application quantitative analyses were done. Quantitative analysis is based on testing a class of 28 students belonging to St Clare Oral School for the Deaf, Kerala, India. This group consisted of 17 boys and 11 girls. Analysis was also done through questionnaire. Questionnaires were given to teachers, parents of deaf students learning sign language and other sign language learners.FindingsResults indicate that as SiLearn is very effective in sign vocabulary development. It can enhance vocabulary learning rate considerably.Originality/valueThis is the first time that artificial intelligence (AI) based techniques are used for early stage sign language learning. SiLearn can equally be used by children, parents and teachers for learning sign language.
目的对于没有听力能力的孩子来说,词汇学习是一项艰巨的任务。缺乏足够的学习中心和有效的学习工具加剧了这个问题。可以卓有成效地利用现代技术来寻找解决聋人学习困难的方法。本文的目的是介绍SiLearn——一种新的基于技术的手语教学工具。设计/方法论/方法所提出的移动应用程序可以作为聋人的视觉词典。SiLearn配备了可以自动检测文本和实物并将其转换为相应符号的功能。为了测试所提出的移动应用程序的有效性,进行了定量分析。定量分析是基于对印度喀拉拉邦圣克莱尔聋人口语学校28名学生的测试。这个小组由17名男孩和11名女孩组成。还通过问卷调查进行了分析。向教师、学习手语的聋哑学生的家长和其他手语学习者发放了问卷。研究结果表明,SiLearn在手语词汇发展方面非常有效。它可以大大提高词汇学习率。独创性/价值这是基于人工智能的技术首次用于早期手语学习。SiLearn同样可以被孩子、家长和老师用于学习手语。
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引用次数: 5
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Journal of Enabling Technologies
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