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BACKGROUND: Stress and anxiety are psychophysiological responses commonly experienced by patients during the perioperative process that can increase presurgical and postsurgical complications to a comprehensive and positive recovery. Preventing and intervening in stress and anxiety can help patients achieve positive health and well-being outcomes. Similarly, the provision of education about surgery can be a crucial component and is inversely correlated with preoperative anxiety levels. However, few patients receive stress and anxiety relief support before surgery, and resource constraints make face-to-face education sessions untenable. Digital health interventions can be helpful in empowering patients and enhancing a more positive experience. Digital health interventions have been shown to help patients feel informed about the possible benefits and risks of available treatment options. However, they currently focus only on providing informative content, neglecting the importance of personalization and patient empowerment. OBJECTIVE: This study aimed to explore the feasibility of a digital health intervention called the Adhera CARINAE Digital Health Program, designed to provide evidence-based, personalized stress- and anxiety-management methods enabled by a comprehensive digital ecosystem that incorporates wearable, mobile, and virtual reality technologies. The intervention program includes the use of advanced data-driven techniques for tailored patient education and lifestyle support. METHODS: The trial will include 5 hospitals across 3 European countries and will use a randomized controlled design including 30 intervention participants and 30 control group participants. The involved surgeries are cardiopulmonary and coronary artery bypass surgeries, cardiac valve replacement, prostate or bladder cancer surgeries, hip and knee replacement, maxillofacial surgery, or scoliosis. The control group will receive standard care, and the intervention group will additionally be exposed to the digital health intervention program. RESULTS: The recruitment process started in January 2022 and has been completed. The primary impact analysis is currently ongoing. The expected results will be published in early 2023. CONCLUSIONS: This manuscript details a comprehensive protocol for a study that will provide valuable information about the intervention program, such as the measurement of comparative intervention effects on stress; anxiety and pain management; and usability by patients, caregivers, and health care professionals. This will contribute to the evidence planning process for the future adoption of diverse digital health solutions in the field of surgery. TRIAL REGISTRATION: ClinicalTrials.gov NCT05184725; https://www.clinicaltrials.gov/ct2/show/NCT05184725. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/38536.
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Background: Augmented reality (AR) and artificial intelligence (AI) are highly disruptive technologies that have revolutionised practices in a wide range of domains, including the security sector. Several law enforcement agencies (LEAs) employ AI in their daily operations for forensics and surveillance. AR is also gaining traction in security, particularly with the advent of affordable wearable devices. Equipping police officers with the tools to facilitate an elevated situational awareness (SA) in patrolling and tactical scenarios is expected to improve LEAs' safety and capacity to deliver crucial blows against terrorist and/or criminal threats. Methods: In this paper we present DARLENE, an ecosystem incorporating novel AI techniques for activity recognition and pose estimation tasks, combined with a wearable AR framework for visualization of the inferenced results via dynamic content adaptation according to the wearer's stress level and operational context. The concept has been validated with end-users through co-creation workshops, while the decision-making mechanism for enhancing LEAs' SA has been assessed with experts. Regarding computer vision components, preliminary tests of the instance segmentation method for humans' and objects' detection have been conducted on a subset of videos from the RWF-2000 dataset for violence detection, which have also been used to test a human pose estimation method that has so far exhibited impressive results, constituting the basis of further developments in DARLENE. Results: Evaluation results highlight that target users are positive towards the adoption of the proposed solution in field operations, and that the SA decision-making mechanism produces highly acceptable outcomes. Evaluation of the computer vision components yielded promising results and identified opportunities for improvement. Conclusions: This work provides the context of the DARLENE ecosystem and presents the DARLENE architecture, analyses its individual technologies, and demonstrates preliminary results, which are positive both in terms of technological achievements and user acceptance of the proposed solution.
