Codevelopment and Deployment of a System for the Telemonitoring of Activities of Daily Living Among Older Adults Receiving Home Care Services: Protocol for an Action Design Research Study.

Autor:	Lussier M; Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Université de Montréal, Montreal, QC, Canada.; École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, Canada., Couture M; Centre for Research and Expertise in Social Gerontology, Integrated Health and Social Services University Network for West-Central Montreal, Côte- Saint-Luc, QC, Canada.; School of Social Work, Université de Sherbrooke, Sherbrooke, QC, Canada., Giroux S; Computer Science Department, Faculty of Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada., Aboujaoudé A; Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Université de Montréal, Montreal, QC, Canada.; École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, Canada., Ngankam HK; Computer Science Department, Faculty of Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada., Pigot H; Computer Science Department, Faculty of Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada., Gaboury S; Department of Mathematics and Computer Science, Université du Québec à Chicoutimi, Chicoutimi, QC, Canada., Bouchard K; Department of Mathematics and Computer Science, Université du Québec à Chicoutimi, Chicoutimi, QC, Canada., Bottari C; École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, Canada., Belchior P; Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Université de Montréal, Montreal, QC, Canada.; School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Paré G; Research Chair in Digital Health, HEC Montréal, Montréal, QC, Canada., Bier N; Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Université de Montréal, Montreal, QC, Canada.; École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, Canada.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2024 Feb 29; Vol. 13, pp. e52284. Date of Electronic Publication: 2024 Feb 29.
DOI:	10.2196/52284
Abstrakt:	Background: Telemonitoring of activities of daily living (ADLs) offers significant potential for gaining a deeper insight into the home care needs of older adults experiencing cognitive decline, particularly those living alone. In 2016, our team and a health care institution in Montreal, Quebec, Canada, sought to test this technology to enhance the support provided by home care clinical teams for older adults residing alone and facing cognitive deficits. The Support for Seniors' Autonomy program (SAPA [Soutien à l'autonomie des personnes âgées]) project was initiated within this context, embracing an innovative research approach that combines action research and design science. Objective: This paper presents the research protocol for the SAPA project, with the aim of facilitating the replication of similar initiatives in the future. The primary objectives of the SAPA project were to (1) codevelop an ADL telemonitoring system aligned with the requirements of key stakeholders, (2) deploy the system in a real clinical environment to identify specific use cases, and (3) identify factors conducive to its sustained use in a real-world setting. Given the context of the SAPA project, the adoption of an action design research (ADR) approach was deemed crucial. ADR is a framework for crafting practical solutions to intricate problems encountered in a specific organizational context. Methods: This project consisted of 2 cycles of development (alpha and beta) that involved cyclical repetitions of stages 2 and 3 to develop a telemonitoring system for ADLs. Stakeholders, such as health care managers, clinicians, older adults, and their families, were included in each codevelopment cycle. Qualitative and quantitative data were collected throughout this project. Results: The first iterative cycle, the alpha cycle, took place from early 2016 to mid 2018. The first prototype of an ADL telemonitoring system was deployed in the homes of 4 individuals receiving home care services through a public health institution. The prototype was used to collect data about care recipients' ADL routines. Clinicians used the data to support their home care intervention plan, and the results are presented here. The prototype was successfully deployed and perceived as useful, although obstacles were encountered. Similarly, a second codevelopment cycle (beta cycle) took place in 3 public health institutions from late 2018 to late 2022. The telemonitoring system was installed in 31 care recipients' homes, and detailed results will be presented in future papers. Conclusions: To our knowledge, this is the first reported ADR project in ADL telemonitoring research that includes 2 iterative cycles of codevelopment and deployment embedded in the real-world clinical settings of a public health system. We discuss the artifacts, generalization of learning, and dissemination generated by this protocol in the hope of providing a concrete and replicable example of research partnerships in the field of digital health in cognitive aging. International Registered Report Identifier (irrid): RR1-10.2196/52284. (©Maxime Lussier, Mélanie Couture, Sylvain Giroux, Aline Aboujaoudé, Hubert Kenfack Ngankam, Hélène Pigot, Sébastien Gaboury, Kevin Bouchard, Carolina Bottari, Patricia Belchior, Guy Paré, Nathalie Bier. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 29.02.2024.)
Databáze:	MEDLINE
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