针对移位辅助装置 Raymex™ 的模拟真实世界可行性和反馈会议:一项混合方法描述性研究。

IF 1.3 Q3 REHABILITATION Frontiers in rehabilitation sciences Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI:10.3389/fresc.2024.1455384
Michael Kalu, Andrew Chaston, Niousha Alizadehsaravi, Mirella Veras, Caitlin McArthur
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引用次数: 0

摘要

背景:跌倒的风险和发生率随着年龄的增长而增加,给个人及其护理提供者带来了巨大的身心负担。移位辅助设备在多个医疗保健设施中使用,但一般不便于携带,也不能自行操作,这限制了它们在医疗监护之外的使用。Raymex™ 移位机是一种新型的移位辅助设备,装在滚轮车中,以解决这些局限性。我们的目标是收集以用户为中心的关于 Raymex™ 移位机的反馈意见,制定说明和安全协议以提高可行性和可用性,并探索其作为跌倒恢复或预防设备的潜在可用性:四名老年人、两名非正式护理人员和 16 名正式护理人员(临床医生和持续护理助理)参加了一个焦点小组。参与者在观看演示和使用设备后对 Raymex™ 移位机提供了反馈意见。分别使用主题分析和描述性分析对定性和定量数据进行了分析:参与者强调了三大主题:(1)需要改进的设计特点;(2)积极反馈和优化 Raymex™ 移位机的建议;(3)定价与社会效用。参与者建议加宽座椅、改变制动按钮布局和降低设备重量,以提高可用性。参与者认为设备的主要功能是跌倒恢复,并通过减少救护车到访家庭的需要对社会效用产生影响。价位问题则让人担心老年人是否负担得起:获得的反馈意见将推动 Raymex™ 移位机的开发,并可能为其他开发商提供具有成本效益的设计选择,以开发相关的老龄化辅助技术。
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Simulated real-world feasibility and feedback session for a lift assistance device, Raymex™: a mixed-method descriptive study.

Background: Fall risk and incidence increase with age, creating significant physical and mental burden for the individual and their care provider. Lift assistive devices are used in multiple healthcare facilities, but are generally not portable nor self-operational, limiting their use outside of medical supervision. The Raymex™ lift is a novel lift assistance device within a rollator to address these limitations. We aim to gather user-centered feedback on the Raymex™ lift, set up instructions, safety protocols to improve feasibility and usability, and explore the potential usability as a fall recovery or prevention device.

Methods: Four older adults, two informal caregivers and 16 formal caregivers (clinicians and continuing care assistants) participated in a focus group. Participants provided feedback on the Raymex™ lift after viewing a demonstration and using the device. Qualitative and quantitative data were analysized using thematic and descriptive analysis respectively.

Results: Participants highlighted three major themes: (1) Design features requiring improvement, (2) Positive feedback and suggestions to optimize the Raymex™ lift and (3) Pricing vs. social utility. Participants suggested widening the seat, changing the braking button layout, and lowering the device weight to improve usability. Participants believed the main device feature was fall recovery and had implications for social utility by reducing the need for ambulance visits to the home. Price point led to a concern on affordability for older adults.

Conclusion: The feedback gained will advance the development of the Raymex™ lift and may highlight cost-effective design choices for other developers creating related aging assistive technologies.

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