A Survey of Preferences for Sensing Technologies in People with Severe Mental Illness Admitted to an Acute Psychiatric Unit

IF 5.4 2区 医学 Q3 ENGINEERING, BIOMEDICAL
Alvaro Barrera, Ana Ghenciulescu, Niamh Owens, Ariana Cortez, Riccardo De Giorgi, Phil Cowen, Jeroen Bergmann
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Abstract

Purpose

This study presents the views of patients admitted to an adult acute mental health unit due to an acute episode of severe mental illness, mainly of a psychotic nature, regarding sensing technology.

Methods

One hundred and twenty five adult inpatients were approached; 31 patients declined to participate whilst eleven patients were missed due to having been discharged from hospital or transferred to a different unit. Eighty three patients consented to participate and were administered a survey, previously validated in people with arthritis and other physical health conditions, about their preferences regarding sensing technology. The participants’ clinical presentation was characterised using standard clinical instruments.

Results

Ninety percent of participants were on antipsychotic medication and 78% were detained in hospital under the Mental Health Act 1983 of England and Wales. 67.9% exhibited elevated levels of ideas of reference and 61.7% presented a clinical level of persecutory delusions. Patients’ views about wearable digital technology were broadly positive and similar to those previously provided by people with arthritis and physical health conditions, with some specific differences. For example, they agreed to wear a device that is visible to others but less so to wearing one that is concealed in their clothing or implanted or for 24 h monitoring with the data being sent away, analysed or stored.

Conclusion

This study shows that those who are in the middle of an acute and severe episode of mental ill health are open to using sensing technology, with some specific requirements that would increase the uptake within this patient population. This research shows that this currently underserved patient population has a positive view with regards to sensing technology for healthcare purposes. These findings can inform the design of new wearable systems, which can address the unmet needs in this clinical domain.

急性精神科收治的严重精神疾病患者对传感技术的偏好调查。
目的:本研究介绍了因严重精神疾病(主要是精神病性质)急性发作而入院的成人急性精神卫生单位患者对传感技术的看法。方法:对125例成人住院患者进行调查;31名患者拒绝参与,而11名患者因出院或转到其他单位而错过。83名患者同意参与并接受了一项关于他们对传感技术的偏好的调查,该调查先前在患有关节炎和其他身体健康状况的人中得到了验证。参与者的临床表现是用标准的临床仪器描述的。结果:90%的参与者服用抗精神病药物,78%的参与者根据英格兰和威尔士1983年精神卫生法被拘留在医院,67.9%的参与者表现出较高的参考观念水平,61.7%的参与者表现出临床水平的迫害妄想。患者对可穿戴数字技术的看法总体上是积极的,与以前患有关节炎和身体健康状况的人的看法相似,但有一些具体的差异。例如,他们同意佩戴他人可见的设备,但不太同意佩戴隐藏在衣服里或植入的设备,或者24小时监控数据,并将其发送、分析或存储。结论:这项研究表明,那些处于急性和严重精神疾病发作中期的人对使用传感技术持开放态度,但有一些特定的要求,可以增加这类患者群体的吸收。这项研究表明,目前服务不足的患者群体对用于医疗保健目的的传感技术持积极态度。这些发现可以为新的可穿戴系统的设计提供信息,从而解决该临床领域未满足的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Biomedical Engineering
Annals of Biomedical Engineering 工程技术-工程:生物医学
CiteScore
7.50
自引率
15.80%
发文量
212
审稿时长
3 months
期刊介绍: Annals of Biomedical Engineering is an official journal of the Biomedical Engineering Society, publishing original articles in the major fields of bioengineering and biomedical engineering. The Annals is an interdisciplinary and international journal with the aim to highlight integrated approaches to the solutions of biological and biomedical problems.
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