Abstract：
:With decreasing inpatient lengths of stay following spinal cord injury (SCI), newly injured patients may be discharged into the community without the self-management skills needed to prevent secondary conditions. A mobile app was developed to facilitate self-management skills following SCI in the inpatient rehabilitation and early community settings. The objective of this study was to explore patients' perspectives on the usability of this self-management app. A mixed-methods study design was implemented. The app was trialed at a local rehabilitation centre with 20 inpatient participants who experienced a SCI. They received mobile app training sessions throughout their inpatient rehabilitation. A thematic analysis was performed on qualitative data from post-discharge exit questionnaires and researchers' field notes. Quantitative data (in the form of participants' tool usage data and self-reported system usability scale scores) were collected at discharge and 3 months post-discharge. Three main themes emerged from the qualitative analysis: (1) being accessible to users (i.e., being easy to adopt and compatible with assistive technologies), (2) being intuitive to navigate (i.e., incorporating a simple app layout and a system of alert notifications), and (3) offering users flexibility (i.e., providing users with control over their data). The mobile app received above average mean system usability scale scores, both at discharge (78.1/100) and 3 months post-discharge (71.6/100). Given that participants found the app acceptable for use in inpatient rehabilitation and following discharge into the community, further testing is warranted to explore its efficacy in preventing secondary complications.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Singh G,MacGillivray M,Mills P,Adams J,Sawatzky B,Mortenson WBdoi
10.1007/s10916-019-1487-ysubject
Has Abstractpub_date
2019-12-11 00:00:00pages
26issue
1eissn
0148-5598issn
1573-689Xpii
10.1007/s10916-019-1487-yjournal_volume
44pub_type
杂志文章abstract：:Medical cyber-physical systems (MCPS) are healthcare critical integration of a network of medical devices. These systems are progressively used in hospitals to achieve a continuous high-quality healthcare. The MCPS design faces numerous challenges, including inoperability, security/privacy, and high assurance in the s...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/s10916-018-0921-x
更新日期：2018-03-10 00:00:00
abstract：:To achieve confidentiality, authentication, integrity of medical data, and support fine-grained access control, we propose a secure electronic health record (EHR) system based on attribute-based cryptosystem and blockchain technology. In our system, we use attribute-based encryption (ABE) and identity-based encryption...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0994-6
更新日期：2018-07-05 00:00:00
abstract：:The diagnosis of metabolic syndrome (MetS) has a leading role in the early prevention of chronic disease, such as cardiovascular disease, type 2 diabetes, cancers and chronic kidney disease. It would be very greatful that MetS diagnosis can be predicted in everyday clinical practice. This paper presents artificial neu...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-016-0601-7
更新日期：2016-12-01 00:00:00
abstract：:Computer-assisted instruction holds promise for individualizing continuing education programs. This article describes how staff nurse educators are taught how to use the principles of instructional design to write clinical nursing simulations. At the conclusion of a 15-hour workshop participants have written, programm...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00993120
更新日期：1986-04-01 00:00:00
abstract：:This paper describes a high-speed digital lightbox. The current status of film in the medical imaging department sets the stage for this next generation of image display/management systems. Digital imaging devices are proliferating because of their diagnostic speed and accuracy, and their ease of use. However, the res...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02224503
更新日期：1984-06-01 00:00:00
abstract：:The application of multivariate statistical technics to laboratory data analysis is a recent development in clinical pathology. The proliferation in number and type of diagnostic tests requires a simple method to extract predictors of clinical states from data generated by existing laboratory procedures, as well as a ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02222466
更新日期：1980-01-01 00:00:00
abstract：:Breast tissue classification is an important and effective way for computer aided diagnosis of breast cancer. We present Semi-supervised Locality Discriminant Projections with Kernels for breast cancer classification. The contributions of this work lie in: 1) Semi-supervised learning is used into Locality Preserving P...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9754-6
更新日期：2012-10-01 00:00:00
abstract：:Hospital beds are a scarce resource and always in need. The beds are often organized by clinical specialties for better patient care. When the Accident & Emergency Department (A&E) admits a patient, there may not be an available bed that matches the requested specialty. The patient may be thus asked to wait at the A&E...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9646-1
更新日期：2012-06-01 00:00:00
abstract：:Cardiovascular disease is the leading cause of death in the world, and its early detection is a key to improving long-term health outcomes. The auscultation of the heart is still an important method in the medical process because it is very simple and cheap. To detect possible heart anomalies at an early stage, an aut...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1286-5
更新日期：2019-05-06 00:00:00
abstract：:Telecare Medical Information System (TMIS) makes an efficient and convenient connection between patient(s)/user(s) at home and doctor(s) at a clinical center. To ensure secure connection between the two entities (patient(s)/user(s), doctor(s)), user authentication is enormously important for the medical server. In thi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0217-3
更新日期：2015-03-01 00:00:00
abstract：:The objective of this paper is to demonstrate the utility of artificial neural networks, in combination with wavelet transforms for the detection of mammogram masses as malign or benign. A total of 45 patients who had breast masses in their mammography were enrolled in the study. The neural network was trained on the ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9326-1
更新日期：2010-12-01 00:00:00
abstract：:The purpose of this study is to develop an abnormal gait detection algorithm and a vibratory stimulation system on a lower limb to improve gait stability and prevent falls. The system consists of a gait measurement module, an abnormal gait detection module, and a vibratory stimulation module. The gait measurement modu...
journal_title：Journal of medical systems
pub_type： 临床试验,杂志文章
doi：10.1007/s10916-009-9293-6
更新日期：2010-10-01 00:00:00
abstract：:In this work, prediction of forced expiratory volume in pulmonary function test, carried out using spirometry and neural networks is presented. The pulmonary function data were recorded from volunteers using commercial available flow volume spirometer in standard acquisition protocol. The Radial Basis Function neural ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9196-y
更新日期：2009-10-01 00:00:00
abstract：:A new fuzzy adaptive median filter is presented for the noise reduction of magnetic resonance images corrupted with heavy impulse (salt and pepper) noise. In this paper, we have proposed a Fuzzy Adaptive Median Filter with Adaptive Membership Parameters (FAMFAMP) for removing highly corrupted salt and pepper noise, wi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9127-y
更新日期：2008-06-01 00:00:00
abstract：:The main aim of this paper is to classify mental functions by the Wechsler Adult Intelligence Scale-Revised tests with a mixed method based on wavelets and partial correlation. The Wechsler Adult Intelligence Scale-Revised is a widely used test designed and applied for the classification of the adults cognitive skills...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-016-0606-2
更新日期：2017-01-01 00:00:00
abstract：:This study evaluates trends in efficiency among American hospital markets. A total of 6010 hospitals were identified for use in the analysis from the American Hospital Association's Annual Surveys for 1989 and 1993. Using data envelopment analysis (DEA), a longitudinal study of hospital efficiency was conducted on all...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1020585118381
更新日期：1999-04-01 00:00:00
abstract：:The efficiency of a smart cabinet with RFID technology to improve the information about inventory management for cardiothoracic surgery as well as for time savings, was assessed in a large reference hospital. In a 6-month study, the implemented operational RFID process (StocKey® Smart Cabinet) consisted of: i) product...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1269-6
更新日期：2019-05-10 00:00:00
abstract：:The health care reform initiative led by the Hong Kong government's Food and Health Bureau has started the implementation of an electronic sharing platform to provide an information infrastructure that enables public hospitals and private clinics to share their electronic medical records (EMRs) for improved access to ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0971-0
更新日期：2018-05-29 00:00:00
abstract：:Blood leucocytes segmentation in medical images is viewed as difficult process due to the variability of blood cells concerning their shape and size and the difficulty towards determining location of Blood Leucocytes. Physical analysis of blood tests to recognize leukocytes is tedious, time-consuming and liable to err...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0912-y
更新日期：2018-02-17 00:00:00
abstract：:Undergraduate and postgraduate medical education in general practice is complex as a wide medical spectrum needs to be covered. Modern guidelines demand students to be able to recall immense amounts of information relating to the diagnosis and management of clinical problems. With the intent of making a medical textbo...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0125-y
更新日期：2014-10-01 00:00:00
abstract：:MDA-Image, a project of The University of Texas M. D. Anderson Cancer Center, is an environment of networked desktop computers for teleradiology/pathology. Radiographic film is digitized with a film scanner and histopathologic slides are digitized using a red, green, and blue (RGB) video camera connected to a microsco...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00992703
更新日期：1991-04-01 00:00:00
abstract：:In our attempt to develop an "Essential Data Set" for a computer based information system to support Maternal & Child Health Care services an analysis of Swedish maternal care services was undertaken. The present study analyses the information system in the domain of maternal and child health care at the primary healt...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996602
更新日期：1994-10-01 00:00:00
abstract：:In healthcare organizations, clinical workflows are executed by interdisciplinary healthcare teams (IHTs) that operate in ways that are difficult to manage. Responding to a need to support such teams, we designed and developed the MET4 multi-agent system that allows IHTs to manage patients according to presentation-sp...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0375-3
更新日期：2016-02-01 00:00:00
abstract：:An experiment is described in which a significant part of the INTERNIST knowledge base for diagnosis in internal medicine is translated into an EXPERT model. INTERNIST employs the largest and broadest knowledge base of all the medical consultation systems that have been developed in recent years. EXPERT is a general s...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00994119
更新日期：1982-02-01 00:00:00
abstract：:The increasingly large databases available to researchers necessitate high-quality metadata that is not always available. We describe a method for generating this metadata independently. Cluster analysis and expectation-maximization were used to separate days into holidays/weekends and regular workdays using anesthesi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0232-4
更新日期：2015-05-01 00:00:00
abstract：:Disasters are fortunately rare occurrences. However, accurate and timely information and communication are vital to adequately prepare individual health organizations for such events. The current article investigates the health related communication and information systems for emergency management in Iran. A mixed qua...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9396-0
更新日期：2011-08-01 00:00:00
abstract：:Given the ongoing concerns about the quality of care in nursing homes, a theoretical framework to guide a systems approach to quality is important. Existing frameworks either do not model causality, or do so in a linear fashion in which the actual linkages between components of quality may not be well specified. Throu...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1023/b:joms.0000023302.80118.74
更新日期：2004-04-01 00:00:00
abstract：:The low birth rate has led to an aging society; the burgeoning number of elderly patients may affect the medical quality and result in negative medical incidents. There are many factors that lead to medical errors, such as similar medication names, erroneous labels and packaging, as well as staff shortages, fatigue an...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9763-5
更新日期：2012-10-01 00:00:00
abstract：:Computer simulation has been employed to evaluate proposed changes in the delivery of health care. However, little is known about the utility of simulation approaches for analysis of changes in the delivery of surgical care. We searched eight bibliographic databases for this comprehensive review of the literature publ...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/s10916-009-9336-z
更新日期：2011-02-01 00:00:00
abstract：:The newly drafted IEEE 802.15.6 standard for Wireless Body Area Networks (WBAN) has been concentrating on a numerous medical and non-medical applications. Such short range wireless communication standard offers ultra-low power consumption with variable data rates from few Kbps to Mbps in, on or around the proximity of...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-016-0638-7
更新日期：2016-12-01 00:00:00
