title: Measuring functional recovery in older patients discharged from intensive care units: is advanced technology an option?
abstract: The purpose of this descriptive study was to determine if older patients discharged from intensive care units (ICU) would be willing to use mobile phone and sensor technology (aka "mobile monitoring") to measure their functional recovery in the posthospitalization period. Semistructured interviews were conducted with 22 older ICU patients and/or their surrogates 24 to 48 hr prior to hospital discharge. While 11 respondents reported they would agree to participate in a future study involving mobile monitoring, an equal number reported they would not participate. Numerous contextual factors were found to affect older adults' willingness to participate including the belief the research would ultimately benefit themselves or other older adults, concerns about loss of privacy, perception that the research is feasible and valuable, and lack of skills using the technology. Future studies using the mobile monitoring technique with older survivors of a serious illness will require substantial recruitment and educational efforts.
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA mbalas@unmc.edu.
authors.forename: Michele C
authors.initials: MC
authors.lastname: Balas
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Bonasera
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Marlene Z
authors.initials: MZ
authors.lastname: Cohen
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Melody
authors.initials: M
authors.lastname: Hertzog
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Sisson
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Jane F
authors.initials: JF
authors.lastname: Potter
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Abby
authors.initials: A
authors.lastname: Fitch
authors.affiliation: University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: William J
authors.initials: WJ
authors.lastname: Burke
mesh_terms: D000368:Aged; D001294:Attitude to Health; D040421:Cell Phone; D006801:Humans; D007362:Intensive Care Units; D007407:Interviews as Topic; D010351:Patient Discharge; D020127:Recovery of Function; D058998:Remote Sensing Technology / Q000295:instrumentation* / Q000379:methods; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods
keywords: intensive care; mobile monitoring; technology