面部神经康复的创新移动应用程序解决方案:可用性分析。

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1471426
Kathrin Machetanz, Mario Lins, Constantin Roder, Georgios Naros, Marcos Tatagiba, Helene Hurth
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引用次数: 0

摘要

背景:前庭分裂瘤手术后的面瘫在很多情况下是暂时的,但会严重影响患者的生活质量。最初由患者指导、随后由患者自己进行的物理训练对面神经功能的恢复至关重要。医疗应用软件(Apps)的引入可维持患者日常家庭训练的动力,并监测患者的康复进展,从而改善治疗效果:我们开发了一款名为 "FACEsemper "的手机应用程序,用于家庭面神经康复。该应用可指导患者完成由六种不同练习组成的日常训练计划,每种练习重复进行三次。该应用程序允许用户针对不同的面部区域定制运动强度,并包含每日训练提醒功能。其他功能还包括照片记录、日历功能、生成训练报告以及与主治医生直接交流的可能性。在为期两周的时间里,对 27 名受试者(包括 8 名医生、9 名面瘫患者和 10 名健康受试者)进行了应用程序可用性的前瞻性调查。使用各种自评问卷(即移动医疗应用程序可用性问卷,MAUQ;系统可用性量表,SUS;应用程序视觉美感量表,VisAAI)对可用性进行评估,并比较各组的得分:参与者平均使用智能手机 12.19 年,在研究期间平均完成了 290 ± 163 次面部运动。患者使用应用程序的频率明显高于其他两组(p = 0.017)。调查问卷的平均总分为MAUQ 5.67/7,SUS 89.6/100,VisAAI 5.88/7,具体评分 6.13/7。其中,应用程序的易用性和制作工艺得到了很高的评价。各组之间的可用性评分没有明显差异。发现的一个主要局限是某些安卓版本的每日提醒功能失灵:这项可用性研究表明,FACEsemper 应用程序具有积极的用户体验和出色的可用性。然而,也发现了一些局限性和需要改进的地方。下一步,应在大量面瘫患者中对该应用程序进行评估,以确定与传统训练方法相比,该应用程序对面部康复的潜在医疗益处。
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Innovative mobile app solution for facial nerve rehabilitation: a usability analysis.

Background: Facial palsy after vestibular schwannoma surgery is temporary in many cases but can significantly affect patients' quality of life. Physical training-initially guided and subsequently performed by the patient-is of paramount importance for recovery of facial nerve function. The introduction of medical application software (apps) might improve therapy by maintaining motivation for daily home-based training and surveilling patients' rehabilitation progress.

Methods: We developed a mobile app, "FACEsemper", for home-based facial nerve rehabilitation. This app guides patients through a daily training program comprising six variable exercises, each performed in three repetitions. The app allows the user to customize the exercise intensity for different facial areas and includes a reminder function for daily training. Additional features include photo documentation, a calendar function, training report generation, and the possibility of direct communication with the attending physician. The app's usability was prospectively investigated with 27 subjects, including 8 physicians, 9 patients with facial palsy and 10 healthy subjects, over a two-week period. Usability was assessed using various self-rating questionnaires (i.e., mHealth App Usability Questionnaire, MAUQ; System Usability Scale, SUS; Visual Aesthetics of Apps Inventory, VisAAI) and scores were compared across the groups.

Results: The participants reported an average smartphone use of 12.19 years and completed a mean number of 290 ± 163 facial exercises during the study period. Patients used the app significantly more frequently than the other two groups (p = 0.017). The average total scores of the questionnaires were: MAUQ 5.67/7, SUS 89.6/100, VisAAI 5.88/7 and specific rating 6.13/7. In particular, the simplicity of use and craftsmanship of the app were rated very highly. Usability scores did not significantly differ between groups. A primary limitation identified was malfunction of the daily reminder feature in some Android versions.

Conclusion: This usability study demonstrated a positive user experience and excellent usability of the FACEsemper app. However, some limitations and areas for improvement were identified. As a next step, the app should be evaluated in a large patient cohort with facial palsy to determine its potential medical benefits for facial rehabilitation compared to traditional training methods.

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