diary study
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BACKGROUND: Wearable computing has long been described as the solution to many health challenges. However, the use of this technology as a diabetes patient self-management tool has not been fully explored. A promising platform for this use is the smartwatch-a wrist-worn device that not only tells time but also provides internet connection and ability to communicate information to and from a mobile phone. METHOD: Over 9 months, the design of a diabetes diary application for a smartwatch was completed using agile development methods. The system, including a two-way communication between the applications on the smartwatch and mobile phone, was tested with 6 people with type 1 diabetes. A small number of participants was deliberately chosen due to ensure an efficient use of resources on a novel system. RESULTS: The designed smartwatch system displays the time, day, date, and remaining battery time. It also allows for the entry of carbohydrates, insulin, and blood glucose (BG), with the option to view previously recorded data. Users were able to record specific physical activities, program reminders, and automatically record and transfer data, including step counts, to the mobile phone version of the diabetes diary. The smartwatch system can also be used as a stand-alone tool. Users reported usefulness, responded positively toward its functionalities, and also provided specific suggestions for further development. Suggestions were implemented after the feasibility study. CONCLUSIONS: The presented system and study demonstrate that smartwatches have opened up new possibilities within the diabetes self-management field by providing easier ways of monitoring BG, insulin injections, physical activity and dietary information directly from the wrist.
- MeSH
- ambulantní monitorování krevního tlaku MeSH
- chytrý telefon * MeSH
- diabetes mellitus 1. typu farmakoterapie MeSH
- dietní sacharidy MeSH
- dietní záznamy * MeSH
- dospělí MeSH
- hypoglykemika aplikace a dávkování terapeutické užití MeSH
- inzulin aplikace a dávkování terapeutické užití MeSH
- krevní glukóza MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mobilní aplikace MeSH
- péče o sebe MeSH
- průzkumy a dotazníky MeSH
- studie proveditelnosti MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: Grounded in self-determination theory, the present study aimed to investigate whether daily changes in employee motivation depend on whether employees receive appreciation from various sources at work, using a 7-day diary design. Beyond general knowledge about the effects of appreciation as an important source of motivation, there is still a lack of knowledge about the intrapersonal effect of appreciation on different types of regulation/motivation in terms of self-determination theory over time. PARTICIPANTS AND PROCEDURE: The sample consisted of 104 employees in full-time employment. More than half were women (72%) and the mean age was 43.25 years (SD = 10.53). They completed trait-level measures and then daily records, in which they reported their motivation and whether they received appreciation. Sources of appreciation were leaders, followers, and clients. RESULTS: Multilevel random coefficient modeling showed that employees reported higher levels of motivation on days when they received appreciation from different sources, independent of gender, trait-level motivation, and the Big Five. Furthermore, introjected regulation moderated the positive association between daily motivation and daily appreciation by the client, and appreciation did not have a lagged effect for subsequent days. CONCLUSIONS: The current study has both practical and theoretical implications. The results show that employee motivation can be supported through simple but effective steps through appreciation regardless of the source, although appreciation may be more important for employees with introjected regulation than for others.
- Publikační typ
- časopisecké články MeSH
Background: Collecting data on the localization of users is a key issue for the MASK (Mobile Airways Sentinel networK: the Allergy Diary) App. Data anonymization is a method of sanitization for privacy. The European Commission's Article 29 Working Party stated that geolocation information is personal data.To assess geolocation using the MASK method and to compare two anonymization methods in the MASK database to find an optimal privacy method. Methods: Geolocation was studied for all people who used the Allergy Diary App from December 2015 to November 2017 and who reported medical outcomes. Two different anonymization methods have been evaluated: Noise addition (randomization) and k-anonymity (generalization). Results: Ninety-three thousand one hundred and sixteen days of VAS were collected from 8535 users and 54,500 (58.5%) were geolocalized, corresponding to 5428 users. Noise addition was found to be less accurate than k-anonymity using MASK data to protect the users' life privacy. Discussion: k-anonymity is an acceptable method for the anonymization of MASK data and results can be used for other databases.
- Publikační typ
- časopisecké články MeSH
Cíl: Cílem longitudinální studie bude zjistit rozdíly v 24hodinovém pohybovém chování (24hMB) (tj. spánku, sedavém chování (SB) a pohybové aktivitě (PA)) u českých dětí po jejich přestupu z mateřské do základní školy (ZŠ) (resp. z první/druhé třídy ZŠ do vyšších ročníků ZŠ) s ohledem na socioekonomické zázemí rodin, výskyt nadměrné tělesné hmotnosti účastníků či účasti v organizované PA. Metodika: 24hMB bude monitorováno po dobu 7 dnů pomocí akcelerometrů ActiGraph u rodin z městských a venkovských obcí z regionů Čech, Moravy a Slezska, jejichž členové dokončili první etapu výzkumu v období března 2022 až května 2023. Celkem 260 rodin, které dokončily první etapu výzkumu, poskytlo v rodinném deníku kontaktní údaje a nevyloučilo možnost pokračovat ve výzkumu ve druhé etapě v roce 2025/2026. Rodinný deník bude kromě informací o každodenním času uléhání/vstávání, době trávené před obrazovkou/monitorem/displejem obsahovat i informace o účasti v organizované PA, antropometrická data a údaje o rodinném zázemí. Výsledky: Z první etapy výzkumu vyplynulo, že celkem 25,9 % dívek a 26,7 % chlapců splnilo všechna tři doporučení ke spánku, PA a SB současně a dalších 44,7 % dívek a 46,1 % chlapců dosáhlo alespoň kombinaci dvou z těchto tří doporučení, bez rozdílů mezi pohlavím, věkovou kategorií nebo úrovní tělesné hmotnosti dětí. Nadměrná tělesná hmotnost matek významně (p < 0,05) snížila šanci dětí dosáhnout alespoň dvou ze tří doporučení, zatímco vysokoškolské vzdělání rodičů a dodržování alespoň dvou ze tří doporučení matkami významně (p < 0,05) zvýšilo pravděpodobnost, že také děti doporučení dodrží. Účast dětí v organizované PA významně (p < 0,05) zvyšuje jejich šanci na dosažení alespoň dvou ze tří doporučení k 24hMB. Závěry: První etapa longitudinálního výzkumu poukázala na stěžejní rodinné faktory (úroveň vzdělání rodičů, matčina úroveň tělesné hmotnosti a míra dosažení doporučení k 24hMB, podpora aktivní účasti dětí v organizované PA) zvyšující šanci dětí ke splnění zdravotních doporučení pro 24hMB.
Objective: The aim of this longitudinal study will be to investigate the differences in 24-hour movement behaviour (24hMB) (i.e., sleep, sedentary behaviour (SB) and physical activity (PA)) in Czech children after their transition from kindergarten to primary school (or from first/second grade to upper grades of primary school) with respect to the socioeconomic background of families, the prevalence of overweight participants or participation in organised PA. Methods: 24hMB will be monitored for seven days using ActiGraph accelerometers in families from urban and rural areas in the Bohemia, Moravia and Silesia regions, whose members completed the first phase of the study between March 2022 and May 2023. The 260 families who finished the first phase of the research provided their contact details in the family diary and have not ruled out the possibility of participating in the second phase in 2025/2026. The family diary will include information on daily bedtime and wake-up times, screen time, and participation in organised PA, as well as anthropometric data and family background information. Results: The findings from the first phase of the research showed that a total of 25.9% of girls and 26.7% of boys met all three guidelines on sleep, PA and SB simultaneously, and 44.7% of girls and 46.1% of boys achieved at least a combination of two of the three guidelines. No differences were observed between gender, age, or body weight levels of the children. Maternal excess body weight significantly (p < 0.05) decreased the odds of children achieving at least two of the three guidelines, whereas parental higher education and maternal adherence to at least two of the three guidelines significantly (p < 0.05) increased the odds that children also complied with the guidelines. Children’s participation in organised PA significantly (p < 0.05) increased their chances of achieving at least two of the three 24hMB guidelines. Conclusions: The first phase of the longitudinal research highlighted key family factors (parental education level, mother’s body weight, adherence to 24hMB guidelines, and support for children’s active participation in organised PA) that increase children’s chances of meeting guidelines for 24hMB.
- Klíčová slova
- studie FAMIPASS,
- MeSH
- akcelerometrie MeSH
- dítě MeSH
- lidé MeSH
- longitudinální studie MeSH
- mladiství MeSH
- pohybová aktivita * MeSH
- předškolní dítě MeSH
- sedavý životní styl * MeSH
- spánek MeSH
- vztahy mezi rodiči a dětmi MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Background: The COVID-19 pandemic disrupted traditional qualitative research methods, necessitating innovative approaches to data collection that avoided physical contact. Aim: To introduce and reflect upon audio diaries as a novel qualitative technique for capturing healthcare workers' lived experiences in crisis contexts. Methods: Healthcare professionals in Barcelona, Spain, recorded their thoughts, reflections, and concerns using WhatsApp audio notes. The study was conducted in two phases: the first during the initial pandemic wave (March-July 2020) and the second during a less restrictive period. Results: In the first phase, seven healthcare professionals provided 147 audio entries (2-10 minutes each). In the second phase, five professionals submitted 12 entries (26 seconds to 23 minutes). Audio diaries demonstrated several strengths, including efficiency, authenticity promotion, establishment of an informal therapeutic space, and the capturing of emotional content through voice tonality. Conclusion: Audio diaries offer a valuable alternative for collecting rich, transferable data in situations where traditional face-to-face techniques are not feasible, particularly in crisis contexts. This methodological innovation has implications for future qualitative research, especially in challenging or restricted environments.
BACKGROUND AND PURPOSE: Guided self-rehabilitation contracts (GSCs) are a diary-based rehabilitation strategy, wherein specific muscles are identified for prescription of high-load, home self-stretching techniques. We assessed the effect of GSCs combined with simultaneous upper limb (UL) and lower limb (LL) abobotulinumtoxinA injections on composite active range of motion (CXA) in adults with chronic spastic paresis. METHODS: This was an international, prospective, single-arm, open-label study (ENGAGE, NCT02969356). Personalized GSCs were monitored by phone every other week, alongside 2 consecutive abobotulinumtoxinA injections (1500 U) across UL and LL, over 6 to 9 months. Primary outcomes were responder rates (CXA improvement ≥35° [UL] or ≥5° [LL]) at week 6 cycle 2. Secondary outcomes were active function (UL: Modified Frenchay Scale [MFS]; LL: 10-m barefoot maximal walking speed [WS]) and quality of life (12-item Short Form Health Survey, SF-12). RESULTS: Of the 153 treated participants, 136 had primary endpoint data; 72.1% (95% confidence interval [CI], 64.0-78.9) were responders. Mean (SD) CXA changes from baseline to last study visit were +49.3° (63.4) for UL and +20.1° (27.6) for LL. Mean (95% CI) changes from baseline to week 12 cycle 2 were +0.55 (0.43-0.66) in MFS, +0.12 m/s (0.09-0.15) for WS, and +4.0 (2.8-5.2) for SF-12 physical scores. In the safety population (n = 157), 49.7% of participants reported treatment-emergent adverse events (AEs); 12.1% reported 25 serious AEs. DISCUSSION AND CONCLUSIONS: GSC combined with simultaneous UL and LL abobotulinumtoxinA injections led to improvements in CXA and function in both limbs, and quality-of-life physical scores. These results suggest the beneficial effect of combined GSC and abobotulinumtoxinA therapy in the management of spastic paresis.Video Abstract available for more insight from the authors (see the Supplementary Video, available at: http://links.lww.com/JNPT/A346).
- MeSH
- botulotoxiny typu A MeSH
- dospělí MeSH
- kvalita života * MeSH
- lidé MeSH
- paréza MeSH
- prospektivní studie MeSH
- svalová spasticita * farmakoterapie MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- audiovizuální média MeSH
- časopisecké články MeSH
- práce podpořená grantem MeSH
1. elektronické vydání 1 online zdroj (298 stran)
AIMS: Stuttering is a serious health and social problem that can distinctively affect not only the mental development of an individual but also his life possibilities, including social fulfilment and his general life prospects. The etiology of stuttering is however unknown and that is why it is not possible to treat it causally. This pilot study takes into account the hypothesis of bronchial constriction as a negative factor in stuttering and investigates the effect of the long-acting bronchodilator formoterol fumarate on stuttering in 42 patients. METHODS: Patients were divided in 2 groups - A (school children and juveniles) and B (adults 18-25 resistant to other treatment). The medicine was administered once a day in the morning in a dose of 12 microg for the total period of 6 months. The prime outcome parameter - severity of stuttering - was evaluated using the ordinary scale (McGill Pain Questionnaire). The evaluation was done by an examining physician during visits to the centres and by the patients themselves (in cases of the youngest with the assistance of a parent) in a daily diary. RESULTS: A non-parametric pair test (Wilcoxon signed rank test) was used to compare the average marks in the whole set of patients. During the six moth period of administration of Foradil the speech fluency improved. The average number of dysfluent words decreased from 10.5 +/- 1.3 to 6.6 +/-0.97. CONCLUSION: The average mark of speech fluency evaluated by the physicians between the period of non use of Foradil and the six month period after the use of Foradil improved from 2.95 +/- 0.76 to 1.95 +/- 0.56 (as proved by the chi-square test, p<0.0001). The evaluation of speech fluency of balbuties uses the logopedic practices. Other clinical evaluations of speech fluency are not known.
- MeSH
- bronchodilatancia aplikace a dávkování MeSH
- dítě MeSH
- dospělí MeSH
- ethanolaminy aplikace a dávkování MeSH
- financování organizované MeSH
- koktavost farmakoterapie patofyziologie MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- pilotní projekty MeSH
- řeč účinky léků MeSH
- rozvrh dávkování léků MeSH
- stupeň závažnosti nemoci MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
STUDY DESIGN: This was a multicentre, prospective, randomised study. OBJECTIVES: To compare the outcomes of intradetrusor and suburothelial onabotulinumtoxinA injections in patients with spinal cord injury and refractory neurogenic detrusor overactivity (NDO). SETTING: Urology departments of two tertiary hospitals in the Czech Republic. METHODS: A total of 32 spinal cord injury patients with severe NDO refractory to the standard anticholinergic treatment were randomised to receive either intradetrusor or suburothelial 300 IU onabotulinumtoxinA injections. Subjective satisfaction, bladder diary data and urodynamic data were compared in both groups before treatment and at 3 months post treatment. RESULTS: In all, 64.3% patients in the intradetrusor group and 88.8% patients in the suburothelial group were subjectively satisfied with the treatment. There was a significant post-treatment improvement in both groups regarding the number of catheterisations over 24 h, number of incontinence episodes over 24 h, catheterised volume, cystometric capacity, volume at first involuntary detrusor contraction, maximal detrusor pressure during filling and detrusor compliance. No significant differences between the groups were observed, with the exception of improvement of detrusor compliance, which was better in the intradetrusor group. There was one adverse effect comprising transient muscle weakness that was reported by one patient in the intradetrusor group. CONCLUSION: Results in both groups were comparable. The authors favour suburothelial onabotulinumtoxinA injection because this method allows more precise toxin localisation.
- MeSH
- botulotoxiny typu A aplikace a dávkování škodlivé účinky terapeutické užití MeSH
- dospělí MeSH
- injekce MeSH
- inkontinence moči farmakoterapie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- močový měchýř MeSH
- nervosvalové látky aplikace a dávkování škodlivé účinky terapeutické užití MeSH
- neurogenní močový měchýř farmakoterapie etiologie MeSH
- pilotní projekty MeSH
- poranění míchy komplikace MeSH
- prospektivní studie MeSH
- spokojenost pacientů MeSH
- urodynamika fyziologie MeSH
- urotel MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
Úvod: Psaní je komplexní funkční činnost, která zahrnuje motorické, senzorické a kognitivní dovednosti. Je důležitou součástí různých denních aktivit člověka. Poruchy v kvalitativních a kvantitativních parametrech psaní jsou časté u pacientů po cévní mozkové příhodě (CMP). V praxi chybí evidencí podložené terapeutické postupy a programy pro reedukaci psaní a trénink grafomotoriky u pacientů s hemiparézou. Cíl: Cílem pilotní studie bylo zjistit proveditelnost 4týdenního terapeutického programu funkce ruky a grafomotoriky a jeho přijatelnost pro pacienty po CMP v ambulantním programu ergoterapie. Metody: Pro pilotní studii byl zvolen deskriptivní design. Byl navržen a proveden 4týdenní intenzivní terapeutický program se zaměřením na funkci ruky a grafomotoriku. Celkem 4týdenní intervence zahrnovala celkem 20 hod – 30min sezení vedená ergoterapeutem a další 30minutová cvičení v domácím prostředí. Terapie obsahovala repetitivní trénink s prvky metody CIMT (constraint--induced movement therapy), na úkol zaměřenou terapii (funkční psaní) a trénink grafomotoriky. Průběh domácího programu byl zaznamenáván pacientem do deníku. Do pilotního programu bylo zařazeno celkem sedm dospělých osob s CMP. Na začátku a po ukončení programu bylo provedeno vyšetření rozsahu pohybů na horních končetinách pomocí goniometrie, funkce ruky byla hodnocena pomocí Frenchayského testu paže (FAT – Frenchay arm test) a Jebsen-Taylorova testu funkčního úkolu ruky (JTHFT – Jebsen-Taylor hand function test), grafomotorika pomocí testu Hodnocení grafomotoriky pro dospělé. Výsledky: Získané výsledky ve skóre FAT a JTHFT ukazují na pozitivní vliv provedené terapie na funkci ruky u všech pacientů. V oblasti psaní bylo prokázáno zlepšení v čitelnosti psaní. Pacienti byli spokojeni s intenzitou, obsahem a úrovní obtížnosti úkolů v terapeutickém programu. Závěr: Navržený program funkce ruky a grafomotoriky je dle nastavených podmínek a kritérií proveditelný a přijatelný pro pacienty po CMP. Může sloužit jako návrh pro trénink jemné motoriky u pacientů s poruchou psaní.
Introduction: Writing is a complex functional activity that involves motor, sensory and cognitive skills. It is an important part of a person‘s daily occupations. Impairments in qualitative and quantitative parameters of writing are common in patients after stroke. There is a lack of evidence-based therapeutic procedures and programmes for writing re-education and graphomotor training in patients with hemiparesis. Aim: The aim of the pilot study was to determine the feasibility of a 4-week therapeutic program of hand function and handwriting skills and its acceptability for patients after stroke in an outpatient occupational therapy program. Methods: A descriptive design was chosen for the pilot study. A 4-week intensive therapeutic program focusing on hand function and handwriting skills was designed and implemented. The 4-week intervention included a total of 20 hours of 30-minute sessions led by an occupational therapist and an additional 30 minutes of home-based exercise. The therapy included repetitive training with elements of the CIMT (constraint-induced movement therapy) method, task-oriented training (functional writing) and handwriting training. The progress of the home program was recorded by the patient in a diary. A total of seven adults with stroke were enrolled in the pilot program. The upper extremity range of motion was assessed by goniometry at the beginning and at the end of the programme, hand function was assessed by the Frenchay Arm Test (FAT) and the Jebsen-Taylor Hand Function Test (JTHFT). Handwriting skills were assessed using the Handwriting Assessment Battery for Adults. Results: The results obtained in FAT and JTHFT scores indicate a positive effect of the therapy on hand function in all patients. In the area of writing, an improvement in writing legibility was demonstrated. Patients were satisfied with the intensity, content and level of difficulty of the tasks in the therapy program. Conclusion: The proposed therapeutic program of hand function and handwriting skills is feasible and acceptable for stroke patients according to the set conditions and criteria. It can serve as a recommendation for training fine motor skills in patients with writing disorders.
