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
Consumer-Centric HealthModels for Change ‘11
Scalable Technology to Support Sustainable Health Behavior Change Holly Jimison, PhDDepartment of Medical Informatics, OHSU
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
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
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
Coach Interface• All participant tasks assigned through this interface. 16
Health Coaching Platform Architecture Family Interface• Safety monitoring • Soft alerts •Team-based care • Socialization
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
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
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
Thank You Questions?Suggestions? Contact: Holly Jimisonjimisonh@ohsu.edu 21