Consumer-Centric HealthModels for Change ‘11
Scalable Technology to Support  Sustainable Health Behavior Change         Holly Jimison, PhDDepartment of Medical Informa...
Scalable Approach to Delivering           Interventions to the HomeChronic conditions require sustained and  dynamically t...
Oregon Center for Aging & Technology                            ORCATECH• Oregon Health & Science Univ       • Industry Pa...
Home Monitoring Data
Continuous Unobtrusive Monitoring                       Fusion
Platform to Deliver a Scalable   Coaching Intervention to the Home System to facilitate a single coach in  managing a lar...
Modular Software for Multiple Protocols Cognitive Exercise (computer game format) Novelty exercise Physical Exercise S...
Health Coaching Platform Architecture
Participant Home PageParticipant home page• Messages from coach• Featured story• Weekly goals   – Activities   – Surveys• ...
Cognitive Computer Games - embedded monitoring algorithms
Socialization Protocols for Cognitive Health    Web cams and Skype software given to     participants and their remote fa...
Physical Activity Module         14
Sleep Module     15
Coach Interface• All participant tasks assigned through this interface.                                    16
Health Coaching Platform Architecture  Family Interface• Safety monitoring     • Soft alerts •Team-based care   • Socializ...
In-Home Cognitive Health Coaching Studies Needs Assessment Foundational Studies    Adaptive Cognitive Games – 30 subjec...
Lessons Learned: Important Software Issues  User centered design – ease of use  Inference algorithms for assessing patie...
Summary:   Benefits of Technology for Remote Coaching Scalable approach to delivering interventions to the  home    Exte...
Thank You Questions?Suggestions?      Contact:   Holly Jimisonjimisonh@ohsu.edu         21
Holly Jimison at Consumer Centric Health, Models for Change '11
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Holly Jimison at Consumer Centric Health, Models for Change '11

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Scalable Technology to Support Sustainable Health Behavior Change . Department of Medical Informatics, OHSU

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  • Access safety information, videos, self-report activities, progress, maps of walking routes! User interface. Monitors and records progress. Modules all start with a survey and then move into customized/tailored program based on that information. Coach and participant work together.
  • Modules all start with a survey and then move into customized/tailored program based on that information. Coach and participant work together.
  • Coach interface—all goals/modules/messaging through this system. Coach can see progress/data on current goals.
  • Holly Jimison at Consumer Centric Health, Models for Change '11

    1. 1. Consumer-Centric HealthModels for Change ‘11
    2. 2. Scalable Technology to Support Sustainable Health Behavior Change Holly Jimison, PhDDepartment of Medical Informatics, OHSU
    3. 3. Scalable Approach to Delivering Interventions to the HomeChronic conditions require sustained and dynamically tailored interventions Remote, just-in-time, continuous care Incorporate principles of health behavior change Optimal use of lower cost personnel Integrate family & informal caregivers into the health care team (untapped resource) Platform for testing sustained interventions in the home
    4. 4. Oregon Center for Aging & Technology ORCATECH• Oregon Health & Science Univ • Industry Partners – Neurology Intel – Biomedical Engineering Spry Learning Co. – Medical Informatics • Service Partners EliteCare, Inc – Point of Care Laboratory Pacific Retirement Services – Aging & Alzheimers Disease Center • Other Partners• Academic Partners AARP – Oregon State University Oregon State Government – Portland State University CAST – University of Oregon
    5. 5. Home Monitoring Data
    6. 6. Continuous Unobtrusive Monitoring Fusion
    7. 7. Platform to Deliver a Scalable Coaching Intervention to the Home System to facilitate a single coach in managing a large number of clients Semi-automated tailored messaging based on home monitoring and self-report data User assessment  user model  tailored data sharing, action plan, coaching messages Multiple modules – not single condition or approach
    8. 8. Modular Software for Multiple Protocols Cognitive Exercise (computer game format) Novelty exercise Physical Exercise Sleep Management Socialization Medication Management Mood Management
    9. 9. Health Coaching Platform Architecture
    10. 10. Participant Home PageParticipant home page• Messages from coach• Featured story• Weekly goals – Activities – Surveys• Access modules – Physical Activity – Sleep – Socialization – Novelty Mental Exercises – Cognitive Games• Coaching Process• Participant Materials 11
    11. 11. Cognitive Computer Games - embedded monitoring algorithms
    12. 12. Socialization Protocols for Cognitive Health  Web cams and Skype software given to participants and their remote family partner  Frequent spontaneous use among participants
    13. 13. Physical Activity Module 14
    14. 14. Sleep Module 15
    15. 15. Coach Interface• All participant tasks assigned through this interface. 16
    16. 16. Health Coaching Platform Architecture Family Interface• Safety monitoring • Soft alerts •Team-based care • Socialization
    17. 17. In-Home Cognitive Health Coaching Studies Needs Assessment Foundational Studies  Adaptive Cognitive Games – 30 subjects  Activity Home Monitoring – 250 subjects Coach Messaging Study Ongoing Usability Testing Feedback on Cognitive Games and Novelty Exercise Current Coaching Study  20 participants in the ORCATECH Living Lab  20 additional participants from larger monitoring study  Average age 78.3 7.8 years  70% femaleORCATECH 18
    18. 18. Lessons Learned: Important Software Issues  User centered design – ease of use  Inference algorithms for assessing patient state and context  Sophisticated User Models  Privacy / Security – tailored privacy models for the sharing of home monitoring data  User models for tailoring interventions and coaching messages • Intelligent Interoperability
    19. 19. Summary: Benefits of Technology for Remote Coaching Scalable approach to delivering interventions to the home  Extends the reach of lower cost professionals  Community-based culturally-specific coach  Timely and continuous  Aim to keep people independent ( QoL &  costs) Integrates untapped resource of family and informal caregivers into the care team Tailors interventions to individuals Integrates health and wellness interventions
    20. 20. Thank You Questions?Suggestions? Contact: Holly Jimisonjimisonh@ohsu.edu 21

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