Telemed J E Health - Metrics for assessing the reliability of a telemedicine remote monitoring system.

Tópicos

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Resumo

JECTIVE: The goal of this study was to assess using new metrics the reliability of a real-time health monitoring system in homes of older adults.MATERIALS AND METHODS: The "MobileCare Monitor" system was installed into the homes of nine older adults >75 years of age for a 2-week period. The system consisted of a wireless wristwatch-based monitoring system containing sensors for location, temperature, and impacts and a "panic" button that was connected through a mesh network to third-party wireless devices (blood pressure cuff, pulse oximeter, weight scale, and a survey-administering device). To assess system reliability, daily phone calls instructed participants to conduct system tests and reminded them to fill out surveys and daily diaries. Phone reports and participant diary entries were checked against data received at a secure server.RESULTS: Reliability metrics assessed overall system reliability, data concurrence, study effectiveness, and system usability. Except for the pulse oximeter, system reliability metrics varied between 73% and 92%. Data concurrence for proximal and distal readings exceeded 88%. System usability following the pulse oximeter firmware update varied between 82% and 97%. An estimate of watch-wearing adherence within the home was quite high, about 80%, although given the inability to assess watch-wearing when a participant left the house, adherence likely exceeded the 10h/day requested time. In total, 3,436 of 3,906 potential measurements were obtained, indicating a study effectiveness of 88%.CONCLUSIONS: The system was quite effective in providing accurate remote health data. The different system reliability measures identify important error sources in remote monitoring systems.

Resumo Limpo

jectiv goal studi assess use new metric reliabl realtim health monitor system home older adultsmateri method mobilecar monitor system instal home nine older adult year age week period system consist wireless wristwatchbas monitor system contain sensor locat temperatur impact panic button connect mesh network thirdparti wireless devic blood pressur cuff puls oximet weight scale surveyadminist devic assess system reliabl daili phone call instruct particip conduct system test remind fill survey daili diari phone report particip diari entri check data receiv secur serverresult reliabl metric assess overal system reliabl data concurr studi effect system usabl except puls oximet system reliabl metric vari data concurr proxim distal read exceed system usabl follow puls oximet firmwar updat vari estim watchwear adher within home quit high although given inabl assess watchwear particip left hous adher like exceed hday request time total potenti measur obtain indic studi effect conclus system quit effect provid accur remot health data differ system reliabl measur identifi import error sourc remot monitor system

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