Abstract
Home-based healthcare provides a viable and cost-effective method of delivery for resource- and labour-intensive therapies, such as rehabilitation therapies, including anorectal biofeedback. However, existing systems for home anorectal biofeedback are not able to monitor patient compliance or assess the quality of exercises performed, and as a result have yet to see wide spread clinical adoption. In this paper, we propose a new Internet of Medical Things (IoMT) system to provide home-based biofeedback therapy, facilitating remote monitoring by the physician. We discuss our user-centric design process and the proposed architecture, including a new sensing probe, mobile app, and cloud-based web application. A case study involving biofeedback training exercises was performed. Data from the IoMT was compared against the clinical standard, high-definition anorectal manometry. We demonstrated the feasibility of our proposed IoMT in providing anorectal pressure profiles equivalent to clinical manometry and its application for home-based anorectal biofeedback therapy.
Highlights
Home healthcare has become the fastest growing sector in the healthcare industry [1,2].Its global market is valued at USD 303.6 billion in 2020, having grown at a compound annual rate of 8.1% since 2014 [3]
The anorectal BF manoeuvre values obtained from the new Internet of Medical Things (IoMT) and HD-ARM
This paper presents the development of a new IoMT for home-based BF therapy
Summary
Home healthcare has become the fastest growing sector in the healthcare industry [1,2].Its global market is valued at USD 303.6 billion in 2020, having grown at a compound annual rate of 8.1% since 2014 [3]. Home healthcare coincided with the emerging trend in patient-centred care, coined by the Picker/Commonwealth Program in 1988. This model focuses on patients’ individual healthcare needs though active patient participation and partnership with health providers [4]. Despite its benefits, home healthcare has seen slow adoption into clinical practice due to provider concerns over patient compliance and optimal performance of therapies at home. In order to truly integrate clinics with patients in patient-centred care, there is an opportunity to leverage emerging technologies such, as Internet of Things (IoT) [5], to address these barriers for adoption.
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