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      Acceptance and Potential Impact of the eWALL Platform for Health Monitoring and Promotion in Persons with a Chronic Disease or Age-Related Impairment

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          Abstract

          Pervasive health technologies can increase the effectiveness of personal health monitoring and training, but more user studies are necessary to understand the interest for these technologies, and how they should be designed and implemented. In the present study, we evaluated eWALL, a user-centered pervasive health technology consisting of a platform that monitors users’ physical and cognitive behavior, providing feedback and motivation via an easy-to-use, touch-based user interface. The eWALL was placed for one month in the home of 48 subjects with a chronic condition (chronic obstructive pulmonary disease—COPD or mild cognitive impairment—MCI) or with an age-related impairment. User acceptance, platform use, and potential clinical effects were evaluated using surveys, data logs, and clinical scales. Although some features of the platform need to be improved before reaching technical maturity and making a difference in patients’ lives, the real-life evaluation of eWALL has shown how some features may influence patients’ intention to use this promising technology. Furthermore, this study made it clear how the free use of different health apps is modulated by the real needs of the patient and by their usefulness in the context of the patient’s clinical status.

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          Most cited references37

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          Psychometrika, 16(3), 297-334
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            Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology

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              The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.

              A 36-item short-form (SF-36) was constructed to survey health status in the Medical Outcomes Study. The SF-36 was designed for use in clinical practice and research, health policy evaluations, and general population surveys. The SF-36 includes one multi-item scale that assesses eight health concepts: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health (psychological distress and well-being); 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The survey was constructed for self-administration by persons 14 years of age and older, and for administration by a trained interviewer in person or by telephone. The history of the development of the SF-36, the origin of specific items, and the logic underlying their selection are summarized. The content and features of the SF-36 are compared with the 20-item Medical Outcomes Study short-form.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                28 October 2020
                November 2020
                : 17
                : 21
                : 7893
                Affiliations
                [1 ]IRCCS San Raffaele Pisana, 00166 Rome, Italy; francesco.infarinato@ 123456sanraffaele.it (F.I.); laboratoriocognitivoroma@ 123456gmail.com (F.R.); marco.ottaviani@ 123456sanraffaele.it (M.O.); stefano.bonassi@ 123456sanraffaele.it (S.B.)
                [2 ]Roessingh Research and Development, 7522 AH Enschede, The Netherlands; s.jansen@ 123456rrd.nl (S.J.-K.); L.vanVelsen@ 123456rrd.nl (L.v.V.); H.opdenAkker@ 123456rrd.nl (H.o.d.A.); H.Hermens@ 123456rrd.nl (H.J.H.)
                [3 ]Department of Business Development and Technology, BTECH, Aarhus University, 7400 Herning, Denmark; sofoklis@ 123456btech.au.dk
                [4 ]Innovation Sprint, 1200 Brussels, Belgium
                [5 ]AIT Austrian Institute of Technology GmbH, 1210 Wien, Austria; Beatrix.Wais-Zechmann@ 123456ait.ac.at (B.W.-Z.); Markus.Garschall@ 123456ait.ac.at (M.G.)
                [6 ]Department of Human Sciences and Quality of Life Promotion, San Raffaele University, 00163 Rome, Italy
                Author notes
                [* ]Correspondence: paola.romano@ 123456sanraffaele.it ; Tel.: +39-06-52253788
                Author information
                https://orcid.org/0000-0002-2095-7104
                https://orcid.org/0000-0003-2441-135X
                https://orcid.org/0000-0003-0599-8706
                https://orcid.org/0000-0001-6312-6063
                https://orcid.org/0000-0002-6037-2960
                https://orcid.org/0000-0002-8841-6558
                https://orcid.org/0000-0003-3833-6717
                Article
                ijerph-17-07893
                10.3390/ijerph17217893
                7662387
                33126506
                d2b7331c-ae8c-4e76-83a4-17ef53714b26
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 28 September 2020
                : 24 October 2020
                Categories
                Article

                Public health
                ehealth,telemonitoring,telerehabilitation,ict platform,acceptance of technology,user experience,mci,copd,chronicity,frailty,patient empowerment,pervasive healthcare,health apps

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