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Title: Millora de l'alta hospitalària i les transicions a domicili en pacients crònics complexes a través d'una aplicació mòbil per l'adaptació de l'entorn
Author: Llarch Pinell, Eva
Tutor: Sarrias Ramis, Ernest
Keywords: intervention design
mobile applications
complex chronic patient
occupational therapy
home adaptation
Issue Date: Mar-2022
Publisher: Universitat Oberta de Catalunya (UOC)
Abstract: In chronic care, there is a lack of models for home care, with a lack of continuity in home assistance, as well as deficits in coordination between health and social services. On discharge from the intermediate care center, complex chronic patients receive advice to prepare the return home, with the limitation, of professionals, not knowing the real environment, furthermore the difficulty in forecasting and monitoring on discharge. Digital tools can contribute to solving this problem by improving the care of users with chronic diseases. Objective. Describe an intervention design to improve transitions to home for complex chronic patients, with the creation and use of a mobile health app, in order to know better the home environment at the Occupational Therapy Unit. Methodology. An initial version of the application is designed with the essential functionalities and a previous co-creation process to detect user's needs. Evaluation plan. For the evaluation, technical domains and application metrics are addressed and, a quasi-experimental transversal research is proposed with pre-post design, in order to compare the usual intervention with the mobile app treatment. Applicability. The digital tool has a remarkable potential as it can improve the hospital processes of users, favoring a safe return home, maintaining the autonomy and offering a post-discharge follow-up. Higher quality is provided in the treatment, overcoming the limitations detected in the common face-to-face interventions. The results could confirm the clinical applicability and the efficiency-effectiveness of the application as well as its economic viability. Conclusions. The use of a mobile application in Occupational Therapy treatment, can improve the discharge preparation of complex chronic patients.
Language: Catalan
Appears in Collections:Trabajos finales de carrera, trabajos de investigación, etc.

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