Developing of a web-based application to facilitate patient treatment adherence in individuals with sleep apnea treated with Continuous Positive Airway Pressure (CPAP) devices [5 Aud 1330 Dickerson]

Dickerson, S. et al.: Developing of a web-based application to facilitate patient treatment adherence in individuals with sleep apnea treated with Continuous Positive Airway Pressure (CPAP) devices

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Developing a web- application to facilitate patient treatment adherence . Suzanne S. Dickerson DNS RN Associate Professor Grace Dean PhD RN Assistant Professor

Defining the Need

Evidence Based Literature review

Research to define specific needs

Experiential patient narratives

Develop problem statement

Determine appropriate behavioral strategies to promote adherence and timeline for effectiveness

Choose theory

Gathering the team

Facilitate patient's adherence to CPAP treatment

Team members:

Software engineer as principle engineer

Clinical Sleep medicine expert

Psy D for cognitive behavioral intervention component

Software design and development

It support staff

Conceptualize the problem

brainstorming with Software systems engineer and PIs

Visualize the flow of the idea

Understand how theory is

operationalized

I.e. Self Efficacy

Motivators

Vicarious learning

Support

Visualizing the problem

Defining expected outcomes

Motivational program that is web based, interactive, uses patient self management strategies.

Capture data by collecting self report CPAP use survey data and store on HIPPA approved server

Track patient progress over time for use by patient and provider

Provide automated motivators based on answers to questions and patient progress data

Use motivation enhancers

Provide resource library with motivational success stories for vicarious learning.

50,000 foot view of topics

User data capture

User progress tracking by

Investigators

Peers

Users themselves ( homepage)

Motivators

automated or managed by investigators

Resource library ( user contributions?)

Rolling news blog for investigators.

The Application

Codify the Protocols

Easy capture and easy storage

Interactions:

What is displayed, when, how,

When are things available to use?

UI page designs (User Interaction)

UI page flows ( graphic designers or interaction designers)

The application cont.

Store the data

Analyze data for next steps in the intervention protocol

Technology requirements/restrictions

Web application

Runtime/deployment environment (server)

Runtime framework (server software, webapp, infrastructure, libraries

Data storage

Development environment

Software development

Requirements

Protocols

Tech restrictions

Design –user centric

UI interactions

Use case

Design – tech centric

Components , techniques

Build

Test and repair

Deploy and active

Follow up

Timeline Initial 4 months Secure developmental server Protocols Base use cases Technology platform selection Network Admini-strator PIs Principal engineer Set up developmental Server and test security Software development: Finalized protocols Write software initial requirements Month 1–4 milestone Team member Task Timeline

Next 2 months Prototype users scenarios (personas) Interaction task scenarios UI screen designs Data type and flow definitions PIs Principal engineer Graphic designer Interaction and interface design Data model design Month 4-6 milestone Team member Task Timeline

Time line 6-8 months Model-View-Controller software design Implementation Plan Principal engineer Graphic designer Programmer Design tech-centric components techniques Month 6-8 milestone Team member Task Timeline

Timeline 8-10 months Completion of initial implementation plan System test all functionality Complete fixes for high priority defects; Finalize setup of the production environment Release final deploy package PI Principal engineer Programmer Build and test Month 8-10 milestone Team member Task Timeline

Final months Publish the application to the production environment Production test to verify installation Ready for feasibility study PIs Principal engineer Programmer Deploy and activate Months 10-12 milestone Team member Task Timeline

Evaluation