Abstract

Comprehensive measurements are needed in older populations to detect physical changes, initiate prompt interventions, and prevent functional decline. While established instruments such as the Timed Up and Go (TUG) and 5 Times Chair Rise Test (5CRT) require trained clinicians to assess corresponding functional parameters, the unsupervised screening system (USS), developed in a two-stage participatory design process, has since been introduced to community-dwelling older adults. In a previous article, we investigated the USS’s measurement of the TUG and 5CRT in comparison to conventional stop-watch methods and found a high sensitivity with significant correlations and coefficients ranging from 0.73 to 0.89. This article reports insights into the design process and evaluates the usability of the USS interface. Our analysis showed high acceptance with qualitative and quantitative methods. From participant discussions, suggestions for improvement and functions for further development could be derived and discussed. The evaluated prototype offers a high potential for early detection of functional limitations in elderly people and should be tested with other target groups in other locations.

Highlights

  • Assistance Systems and Medical Device Technology, Carl von Ossietzky University Oldenburg, Institute of Medical Informatics, University of Luebeck, 23538 Luebeck, Germany

  • Individual participants emphasized that they did not need the instructional videos because they found the operation to be very intuitive

  • This article presents the user interfaces of the unsupervised screening system (USS), which performs an unsupervised assessment of Timed Up and Go (TUG) and 5 Times Chair Rise Test (5CRT) in older adults for early detection of functional decline

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Summary

Introduction

Comprehensive measurements are needed in older populations to detect physical changes, initiate prompt interventions, and prevent functional decline. While established instruments such as the Timed Up and Go (TUG) and 5 Times Chair Rise Test (5CRT) require trained clinicians to assess corresponding functional parameters, the unsupervised screening system (USS), developed in a two-stage participatory design process, has since been introduced to community-dwelling older adults. Rise Test (5CRT) [14] are commonly used to assess corresponding functional parameters in geriatric care. Both have sensitive predictors for disability [15] and recurrent falls [16].

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