Mental health problems impose significant economic costs through increased healthcare spending and lost productivity. Depression, one of the most common mental disorders, is often underdiagnosed or diagnosed with delay. While effective treatments exist, like medication and cognitive behavioral therapy, many people do not receive adequate care due to lack of resources and access to specialists. Personal health systems using wearable devices, advanced analytics, and mobile technologies have the potential to improve early diagnosis of mental health issues and increase access to treatments like computerized cognitive behavioral therapy. A study in Finland tested the impact of personal health tools combined with psychological interventions on stress and mild depression over 12 months, finding benefits like increased exercise and better stress management for participants. Personal health systems show promise but
The document discusses key concepts of effective self-management, including being proactive, setting goals, prioritizing tasks, and reducing distractions. It defines proactivity as anticipating situations and taking control rather than just reacting. Effective goals are specific, measurable, attainable, realistic and timed. Progress is secured through continuous improvement using the PDCA cycle. Prioritization involves focusing on important urgent tasks using the Eisenhower matrix and addressing the vital 20% of causes using the Pareto principle. Organization involves automating routines, delegating recurring tasks, and reducing internal and external distractors to the main focus.
The document outlines a randomized controlled trial evaluating the effects of a facilitated small group curriculum on physician well-being and job satisfaction. The intervention provided 90 minutes of protected time every other week for 9 months. Compared to a control group, physicians in the intervention arm reported increased meaning in their work and reduced burnout, emotional exhaustion, and depersonalization. The intervention also led to improved quality of life, stress levels, and mental well-being. The results suggest that dedicating a small amount of protected time to discussing well-being can meaningfully impact physician satisfaction and distress.
Harriet just enoughcomputerusersfamilyhckingmtuedu
This study examined differences in motivation style and proficiency with unfamiliar computer tasks between intrinsically and extrinsically motivated proficient daily computer users. The researchers hypothesized that extrinsically motivated users would have more difficulty with unfamiliar tasks compared to intrinsically motivated users. They designed a study where participants completed a motivation questionnaire and were then observed performing unfamiliar tasks on a computer system. The observations found that extrinsically motivated users exhibited significantly more stumbles, falls, persistence and quitting behaviors compared to intrinsically motivated users. The study provides evidence that motivation style, rather than age, digital experience or perceived competence, impacts one's ability to adapt to unfamiliar computer tasks.
“Talk to me”: A Self-applied Telepsychology Programme for Treatment of Fear of Public Speaking. Botella C. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The document discusses measuring patient preferences in health outcomes research and healthcare decision making. It describes how past research has focused more on measurement than understanding what factors are important to patients. Two case studies from Germany examined schizophrenia treatment and identified patient-relevant outcomes through qualitative focus groups and ranking exercises. The document argues that healthcare evaluation needs to become more patient-centered by better identifying and valuing the outcomes that matter most to patients using scientific preference measurement methods. This will empower patients and drive innovation.
Issus with the definition of Unconscious Thought in Unconscious Thought TheorySumitava Mukherjee
This document discusses issues with the definition of "unconscious thought" in Unconscious Thought Theory (UTT). It examines the core assumptions of UTT, including that the unconscious has unlimited capacity and optimally weights information. However, research suggests the unconscious may instead use a sub-sampling heuristic to arrive at decent decisions without full processing. It also argues that defining unconscious thought based on the absence of attention is problematic given attention is not a unitary mechanism and its scope and load can influence unconscious processes. The document calls for re-examining the treatment of attention and unconscious thought in UTT.
Diane Bartoli discusses how analytics can drive effective product development. She outlines several tools that can be used including ethnographic research, workflow mapping, and quantitative surveys to understand user needs and pain points. Case studies of Elsevier Evergreen show how these tools were used at different stages of development to gather feedback and measure results. While there is a lot of available data, asking the right questions is key. Analytics should be integrated throughout the product development process from alpha to beta testing to ensure products truly meet user needs.
The document discusses key concepts of effective self-management, including being proactive, setting goals, prioritizing tasks, and reducing distractions. It defines proactivity as anticipating situations and taking control rather than just reacting. Effective goals are specific, measurable, attainable, realistic and timed. Progress is secured through continuous improvement using the PDCA cycle. Prioritization involves focusing on important urgent tasks using the Eisenhower matrix and addressing the vital 20% of causes using the Pareto principle. Organization involves automating routines, delegating recurring tasks, and reducing internal and external distractors to the main focus.
The document outlines a randomized controlled trial evaluating the effects of a facilitated small group curriculum on physician well-being and job satisfaction. The intervention provided 90 minutes of protected time every other week for 9 months. Compared to a control group, physicians in the intervention arm reported increased meaning in their work and reduced burnout, emotional exhaustion, and depersonalization. The intervention also led to improved quality of life, stress levels, and mental well-being. The results suggest that dedicating a small amount of protected time to discussing well-being can meaningfully impact physician satisfaction and distress.
Harriet just enoughcomputerusersfamilyhckingmtuedu
This study examined differences in motivation style and proficiency with unfamiliar computer tasks between intrinsically and extrinsically motivated proficient daily computer users. The researchers hypothesized that extrinsically motivated users would have more difficulty with unfamiliar tasks compared to intrinsically motivated users. They designed a study where participants completed a motivation questionnaire and were then observed performing unfamiliar tasks on a computer system. The observations found that extrinsically motivated users exhibited significantly more stumbles, falls, persistence and quitting behaviors compared to intrinsically motivated users. The study provides evidence that motivation style, rather than age, digital experience or perceived competence, impacts one's ability to adapt to unfamiliar computer tasks.
“Talk to me”: A Self-applied Telepsychology Programme for Treatment of Fear of Public Speaking. Botella C. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The document discusses measuring patient preferences in health outcomes research and healthcare decision making. It describes how past research has focused more on measurement than understanding what factors are important to patients. Two case studies from Germany examined schizophrenia treatment and identified patient-relevant outcomes through qualitative focus groups and ranking exercises. The document argues that healthcare evaluation needs to become more patient-centered by better identifying and valuing the outcomes that matter most to patients using scientific preference measurement methods. This will empower patients and drive innovation.
Issus with the definition of Unconscious Thought in Unconscious Thought TheorySumitava Mukherjee
This document discusses issues with the definition of "unconscious thought" in Unconscious Thought Theory (UTT). It examines the core assumptions of UTT, including that the unconscious has unlimited capacity and optimally weights information. However, research suggests the unconscious may instead use a sub-sampling heuristic to arrive at decent decisions without full processing. It also argues that defining unconscious thought based on the absence of attention is problematic given attention is not a unitary mechanism and its scope and load can influence unconscious processes. The document calls for re-examining the treatment of attention and unconscious thought in UTT.
Diane Bartoli discusses how analytics can drive effective product development. She outlines several tools that can be used including ethnographic research, workflow mapping, and quantitative surveys to understand user needs and pain points. Case studies of Elsevier Evergreen show how these tools were used at different stages of development to gather feedback and measure results. While there is a lot of available data, asking the right questions is key. Analytics should be integrated throughout the product development process from alpha to beta testing to ensure products truly meet user needs.
The document discusses interior design for healing environments. It focuses on customized facilities that foster independence, competence and mobility for residents. The design aims to empower residents, maintain comfort and dignity, and support informed environments through evidence-based design principles. It also recognizes the challenges of late life diseases and aims to provide a sense of control through interior design.
The document discusses NeuroTracker, a cognitive training technology that improves fundamental visual and attention skills in athletes. It notes that elite athletes leverage mental prowess and finding ways to condition cognition has been challenging. NeuroTracker is described as a proven science-based technology that provides rapid gains in skills and unlocks new performance data. Studies show NeuroTracker increases the ability to process complex motion and reduces response times. Four professional sports teams saw gains after NeuroTracker training.
This individual report was prepared for William G. Bew on January 13, 2012. Based on his areas of interest scores, Mr. Bew is most interested in mechanical work (90th percentile), scientific fields (71st percentile), and literature (62nd percentile). He has lower interests in clerical work (11th percentile) and social services (24th percentile). The report also indicates Mr. Bew's usual, needs, and stress behaviors in areas like relating to individuals, relating to groups, structure, and change.
Executive functions refer to higher cognitive processes that control planning, attention, problem solving, and behavior. The study evaluated 15 patients with acquired brain injury using the Addenbrooke's Cognitive Assessment to assess cognition and executive functions. Key findings were that verbal fluency and attention were most impaired. Memory and concentration were also affected. These executive dysfunctions had implications for learning, task performance, and decision making. Most patients required support services after discharge such as monitoring or community support.
The document outlines topics from a personality theories workshop including Freudian, Adlerian, and behavioral theories. It discusses concepts like the id, ego, and superego from psychoanalytic theory as well as techniques from cognitive behavioral therapy. The document also notes contributions and limitations of the different theories.
This document discusses outcome measures and their use in occupational therapy (OT). It defines outcome measures as any measurement of a patient's health status that can change over time, with treatment, or due to disease. Outcome measures should be standardized, published, and have established reliability and validity. The document provides examples of commonly used outcome measures for assessing activities of daily living and hand function. It also discusses how to formulate a well-structured clinical question using the PICO format and search for relevant outcome measures and their psychometric properties.
Este documento presenta información sobre OneCoin, una nueva criptomoneda. Resume las preguntas frecuentes sobre OneCoin, incluyendo qué es OneCoin, quién está detrás de ella, si es legal y real. También describe cómo funciona el algoritmo de minería de OneCoin, su historia corporativa y estructura, así como los paquetes educativos y de compensación disponibles a través de OneAcademy.
Google Analytics is a popular web analytics service used by nearly half of the top million websites and over half of the most popular 10,000 sites, allowing up to 50 profiles per site. It provides advantages like free basic tracking and insights but also has drawbacks like not supporting some older browsers and requiring cookies to be enabled.
De Ketchum Pleon Academy organiseert jaarlijks zo'n 60 - 70 studiedagen, trainingen en workshops. Veel van deze trainingen zijn speciaal op maat gemaakt voor onze opdrachtgevers en worden in-huis gegeven. De trainingprogramma's worden altijd in overleg met u samengesteld en kunnen bestaan uit meerdere onderdelen van verschillende trainingen. Meestal starten we met een aantal intake-gesprekken zodat we de behoefte van de cursisten nog beter kunnen bepalen. De Ketchum Pleon Academy is er voor en door professionals in management, bestuur, communicatie, public affairs en marketing.
Virtual reality uses computer technology and headsets to create realistic 3D environments that users can interact with, by mixing virtual images and sounds with real sensations. It differs from augmented reality, which modifies real images with virtual elements rather than creating entirely virtual worlds. VR has many potential applications, including education, gaming, design, therapy, and media, offering immersive experiences beyond what is possible in the physical world.
Este documento presenta OneCoin, una nueva criptomoneda creada después del éxito de Bitcoin. Describe que OneCoin será intercambiada en un mercado público y ofrece un plan de compensación lucrativo para los miembros que crean este mercado y minan la moneda. También resume brevemente algunas secciones clave de la presentación de OneCoin como el perfil de la fundadora, cómo aumenta el valor de OneCoin, y las estrategias a corto y largo plazo.
Presentation at "Impact Evaluation for Financial Inclusion" (January 2013)
CGAP and the UK Department for International Development (DFID) convened over 70 funders, practitioners, and researchers for a workshop on impact evaluation for financial inclusion in January 2013. Co-hosted by DFID in London, the workshop was an opportunity for participants to engage with leading researchers on the latest research methods of impact evaluation and to discuss other areas on the impact evaluation agenda.
The document discusses a project to develop a software system called Psyche to help improve the quality of life for people with acute depression. The system would use data from a user's digital diary, questionnaire responses and sensors to try to anticipate depressive periods and alleviate symptoms. An initial configuration table is presented outlining the project vision, key elements, components, scenarios and features. Reviews find that while anticipation works, detection and alleviation measures are inadequate and need improvement to better fit the user's individual context.
The document describes a controlled experiment that evaluated the effects of mindfulness training on the quality and performance of conceptual models developed by software engineering students. The experiment involved assigning students to either a mindfulness training group or a public speaking group, and measuring variables related to effectiveness and efficiency both before and after the assigned exercises. Results showed that students who received mindfulness training obtained similar quality results in less time compared to students who received public speaking training. The study concluded that mindfulness training showed potential benefits for software engineering students and could be further explored through additional experiments.
Emilie Robert realist review on free care in Africa 2012Emilie Robert
This presentation was given at the 2nd global symposium on health systems research, in a panel on realist synthesis chaired by Geoff Wong. The symposium took place in Beijing (China) in November 2012.
JPI Conference Dublin - Edvard Beem - Evaluation and Monitoring Frameworkjpndresearch
The document discusses the Joint Programme - Neurodegenerative Diseases Research (JPND), which aims to increase coordinated investment in neurodegenerative disease research across Europe. It outlines JPND's goals of finding disease causes, developing cures, and improving care. A monitoring and evaluation framework was developed using logical framework analysis to track JPND's impact on research funding, policy, and the scientific and societal benefits of funded projects. Key performance indicators focus on outputs like collaborative studies and outcomes like policy influence. Challenges include developing and aligning the framework with JPND's evolving strategy.
In Chuck Norris we trust - A3 thinking introHanno Jarvet
How to get rid of assumptions, egos and opinions and base your change initiatives on data instead. A3 thinking allows you to craft strategies for change and improvement. Here is a short overview of how to do it.
The document provides an overview of the Journey Into Well-Being chronic disease self-management program. It discusses the importance of self-management skills in chronic disease management compared to more traditional acute disease education approaches where the professional directs care. The program teaches problem-solving, action planning, and other self-management skills to increase patients' self-efficacy and ability to independently manage their conditions. It is a 6-week group program based on the Stanford model and has been shown to reduce healthcare utilization while improving health outcomes. The document also notes opportunities to integrate this program into community health centers.
The document outlines the key steps in an analytical problem solving process: 1) clarify the problem, 2) investigate causes, 3) identify decision criteria, 4) identify solutions, 5) evaluate solutions, 6) implement a solution, and 7) follow up and measure. It emphasizes that clarifying the problem is the most important first step, and provides tools like the 5 Ws, 5 Whys, and SWOT analysis to help define and understand the problem. The document also provides a real-world example of using the 5 Whys technique to uncover the root cause of late product shipments.
The document discusses interior design for healing environments. It focuses on customized facilities that foster independence, competence and mobility for residents. The design aims to empower residents, maintain comfort and dignity, and support informed environments through evidence-based design principles. It also recognizes the challenges of late life diseases and aims to provide a sense of control through interior design.
The document discusses NeuroTracker, a cognitive training technology that improves fundamental visual and attention skills in athletes. It notes that elite athletes leverage mental prowess and finding ways to condition cognition has been challenging. NeuroTracker is described as a proven science-based technology that provides rapid gains in skills and unlocks new performance data. Studies show NeuroTracker increases the ability to process complex motion and reduces response times. Four professional sports teams saw gains after NeuroTracker training.
This individual report was prepared for William G. Bew on January 13, 2012. Based on his areas of interest scores, Mr. Bew is most interested in mechanical work (90th percentile), scientific fields (71st percentile), and literature (62nd percentile). He has lower interests in clerical work (11th percentile) and social services (24th percentile). The report also indicates Mr. Bew's usual, needs, and stress behaviors in areas like relating to individuals, relating to groups, structure, and change.
Executive functions refer to higher cognitive processes that control planning, attention, problem solving, and behavior. The study evaluated 15 patients with acquired brain injury using the Addenbrooke's Cognitive Assessment to assess cognition and executive functions. Key findings were that verbal fluency and attention were most impaired. Memory and concentration were also affected. These executive dysfunctions had implications for learning, task performance, and decision making. Most patients required support services after discharge such as monitoring or community support.
The document outlines topics from a personality theories workshop including Freudian, Adlerian, and behavioral theories. It discusses concepts like the id, ego, and superego from psychoanalytic theory as well as techniques from cognitive behavioral therapy. The document also notes contributions and limitations of the different theories.
This document discusses outcome measures and their use in occupational therapy (OT). It defines outcome measures as any measurement of a patient's health status that can change over time, with treatment, or due to disease. Outcome measures should be standardized, published, and have established reliability and validity. The document provides examples of commonly used outcome measures for assessing activities of daily living and hand function. It also discusses how to formulate a well-structured clinical question using the PICO format and search for relevant outcome measures and their psychometric properties.
Este documento presenta información sobre OneCoin, una nueva criptomoneda. Resume las preguntas frecuentes sobre OneCoin, incluyendo qué es OneCoin, quién está detrás de ella, si es legal y real. También describe cómo funciona el algoritmo de minería de OneCoin, su historia corporativa y estructura, así como los paquetes educativos y de compensación disponibles a través de OneAcademy.
Google Analytics is a popular web analytics service used by nearly half of the top million websites and over half of the most popular 10,000 sites, allowing up to 50 profiles per site. It provides advantages like free basic tracking and insights but also has drawbacks like not supporting some older browsers and requiring cookies to be enabled.
De Ketchum Pleon Academy organiseert jaarlijks zo'n 60 - 70 studiedagen, trainingen en workshops. Veel van deze trainingen zijn speciaal op maat gemaakt voor onze opdrachtgevers en worden in-huis gegeven. De trainingprogramma's worden altijd in overleg met u samengesteld en kunnen bestaan uit meerdere onderdelen van verschillende trainingen. Meestal starten we met een aantal intake-gesprekken zodat we de behoefte van de cursisten nog beter kunnen bepalen. De Ketchum Pleon Academy is er voor en door professionals in management, bestuur, communicatie, public affairs en marketing.
Virtual reality uses computer technology and headsets to create realistic 3D environments that users can interact with, by mixing virtual images and sounds with real sensations. It differs from augmented reality, which modifies real images with virtual elements rather than creating entirely virtual worlds. VR has many potential applications, including education, gaming, design, therapy, and media, offering immersive experiences beyond what is possible in the physical world.
Este documento presenta OneCoin, una nueva criptomoneda creada después del éxito de Bitcoin. Describe que OneCoin será intercambiada en un mercado público y ofrece un plan de compensación lucrativo para los miembros que crean este mercado y minan la moneda. También resume brevemente algunas secciones clave de la presentación de OneCoin como el perfil de la fundadora, cómo aumenta el valor de OneCoin, y las estrategias a corto y largo plazo.
Presentation at "Impact Evaluation for Financial Inclusion" (January 2013)
CGAP and the UK Department for International Development (DFID) convened over 70 funders, practitioners, and researchers for a workshop on impact evaluation for financial inclusion in January 2013. Co-hosted by DFID in London, the workshop was an opportunity for participants to engage with leading researchers on the latest research methods of impact evaluation and to discuss other areas on the impact evaluation agenda.
The document discusses a project to develop a software system called Psyche to help improve the quality of life for people with acute depression. The system would use data from a user's digital diary, questionnaire responses and sensors to try to anticipate depressive periods and alleviate symptoms. An initial configuration table is presented outlining the project vision, key elements, components, scenarios and features. Reviews find that while anticipation works, detection and alleviation measures are inadequate and need improvement to better fit the user's individual context.
The document describes a controlled experiment that evaluated the effects of mindfulness training on the quality and performance of conceptual models developed by software engineering students. The experiment involved assigning students to either a mindfulness training group or a public speaking group, and measuring variables related to effectiveness and efficiency both before and after the assigned exercises. Results showed that students who received mindfulness training obtained similar quality results in less time compared to students who received public speaking training. The study concluded that mindfulness training showed potential benefits for software engineering students and could be further explored through additional experiments.
Emilie Robert realist review on free care in Africa 2012Emilie Robert
This presentation was given at the 2nd global symposium on health systems research, in a panel on realist synthesis chaired by Geoff Wong. The symposium took place in Beijing (China) in November 2012.
JPI Conference Dublin - Edvard Beem - Evaluation and Monitoring Frameworkjpndresearch
The document discusses the Joint Programme - Neurodegenerative Diseases Research (JPND), which aims to increase coordinated investment in neurodegenerative disease research across Europe. It outlines JPND's goals of finding disease causes, developing cures, and improving care. A monitoring and evaluation framework was developed using logical framework analysis to track JPND's impact on research funding, policy, and the scientific and societal benefits of funded projects. Key performance indicators focus on outputs like collaborative studies and outcomes like policy influence. Challenges include developing and aligning the framework with JPND's evolving strategy.
In Chuck Norris we trust - A3 thinking introHanno Jarvet
How to get rid of assumptions, egos and opinions and base your change initiatives on data instead. A3 thinking allows you to craft strategies for change and improvement. Here is a short overview of how to do it.
The document provides an overview of the Journey Into Well-Being chronic disease self-management program. It discusses the importance of self-management skills in chronic disease management compared to more traditional acute disease education approaches where the professional directs care. The program teaches problem-solving, action planning, and other self-management skills to increase patients' self-efficacy and ability to independently manage their conditions. It is a 6-week group program based on the Stanford model and has been shown to reduce healthcare utilization while improving health outcomes. The document also notes opportunities to integrate this program into community health centers.
The document outlines the key steps in an analytical problem solving process: 1) clarify the problem, 2) investigate causes, 3) identify decision criteria, 4) identify solutions, 5) evaluate solutions, 6) implement a solution, and 7) follow up and measure. It emphasizes that clarifying the problem is the most important first step, and provides tools like the 5 Ws, 5 Whys, and SWOT analysis to help define and understand the problem. The document also provides a real-world example of using the 5 Whys technique to uncover the root cause of late product shipments.
TRIZ is a theory of inventive problem solving developed by Genrich Altshuller based on an analysis of patents. It involves systematically analyzing problems to find underlying contradictions, and provides tools like the contradiction matrix and separation principles to resolve those contradictions and generate innovative solutions. The goal of TRIZ is to make the inventive process more structured and less reliant on trial and error.
Creativity and generating business ideas, 8th august 2010 by rajiv tandonthenetworkcampus
Ideation and generating business ideas involves coming up with new ideas through various logical and intuitive methods. The document discusses innovation as implementing ideas to create change. It outlines sources of new ideas such as users, improvements, trends, and technology. Both logical and intuitive ideation methods are presented, including brainstorming, role playing, analogies, and different worlds. The key is to generate many ideas initially without criticism before selecting the most promising "key ideas" to evaluate and potentially implement.
This document discusses the intersection of mental health and technology. It notes that mental health exists on a continuum and that people with diagnoses are just people. Stigma surrounding mental health comes from problems of knowledge, attitudes, and behaviors. New technologies like online cognitive behavioral therapy and mindfulness courses can help reduce stress, anxiety, and depression while saving money. However, using technology also raises challenges regarding understanding triggers, feeling in control, access, safety, confidentiality, peer support, and addressing inequalities. The document advocates designing technologies to empower users and ensure quality, effectiveness, and cost-efficiency.
This document outlines the four-step problem solving process in public relations: 1) defining the problem, 2) planning and programming, 3) taking action and communicating, and 4) evaluating the program. It emphasizes that research is crucial to properly define the problem by understanding stakeholder knowledge, opinions, attitudes, and behaviors. A proper problem statement is specific, measurable, and answers who, what, where, when, how, and why. A situational analysis provides further internal and external context. The four steps then inform strategy, implementation, and evaluation.
Assessing quality: Learner analytics, or human intuition?Brandon Muramatsu
Bror Saxberg's presentation at Conversations on Quality: A Symposium on K-12 Online Learning hosted by MIT and the Bill and Melinda Gates Foundation, January 24-25, 2012, Cambridge, MA.
Facilitating adoption of telemedicine disrupting habits and organizational ro...Samantha Haas
Habits and organizational routines influence the usage or non-usage of telemedicine in nursing homes. The study examines how habit disruption interventions and developing new organizational routines can encourage telemedicine use. Preliminary evidence shows action slips where physicians intend to use telemedicine but don't due to routine habits. Interference and distraction techniques can disrupt habits. Developing new routines requires repetition in a stable context to become habitual. Successful routines provide satisfaction and benefits, while failed routines lack these factors.
This document discusses principles of research and the research process. It defines research as not something to fear, but rather an opportunity to explore, understand, and improve healthcare. Research is described as a continuous process that determines current and future practices. The key steps outlined are selecting a topic, defining the problem and research question, conducting a literature review to refine the question, designing a methodology, collecting and analyzing data, interpreting results, and disseminating findings. Examples of experimental, clinical, descriptive, and laboratory research are provided. The importance of asking questions to refine the problem and developing a specific, answerable research question is emphasized.
Problem Solving in Everyday Life Following Brain Injury: Current Research cbirtpresent
This document summarizes Dr. Laurie Powell's presentation about problem solving interventions following brain injury. Some key points:
1. Dr. Powell directs the Center on Brain Injury Research and Training (CBIRT) at the University of Oregon, which conducts research and training to help those with traumatic brain injury (TBI).
2. CBIRT's research focuses on systematic instruction techniques and meta-cognitive strategy instruction to support improved problem solving following TBI.
3. Their current project involves developing an integrated web-based and mobile app intervention called "ProSolv" to help individuals with TBI generalize problem solving strategies to everyday life.
Understand important planning considerations for successfully implementing the Inclusive Just-in-Time Training model, used in emergency response operations.
1) The document discusses the importance of establishing construct validity in serious games by ensuring the game measures what it intends to measure both theoretically and conceptually.
2) It provides examples of methods that can be used to establish construct validity such as cognitive ethnography, multi-trait multi-method analysis, and nomological networks.
3) The key is to design the game around testable hypotheses and use mixed methods like surveys, observations and institutional data both before and after playing to analyze outcomes and provide evidence of the game's impact.
1. Personal health systems for
mental health management,
early intervention and
treatment
Ilkka Korhonen
Technology Manager
VTT Technical Research Centre of Finland
2. Mental health - costs
• Mental health problems costs 3-4% GDP in
OECD countries (ILO 2000)
• Finland: 49% of all disability pensions, 30% of
absenteism, 13% direct healthcare costs (2007)
• Germany: 74% increase from 1995 to 2002 in long-
term sick-leaves due to mental health problems
(Knapp et al 2007)
• Depression 6% of all DALYs (WHO 2005) –
most common mental disorder
• Prevalence ~6-7%, ~20% of all people at some point
of ther life
3. Depression - challenges
• Depression is under-diagnosed or diagnosed with a delay
• Treatmens more effective when applied in time
Tools to improve early diagnosis needed
• Efficient treatments of depression exist (medication + therapy) but:
• In Europe, 90% of people with mental health problems said they had
received no care in the previous 12 months, and only 2.5% of them
had seen a therapist (Knapp et al 2007)
• Only 1/3 of people with anxiety and depressive disorders have mental
health treatment, of which half occurs in primary care and lacks expert
consultation (Katon 2003)
• Main reason: access block = lack of resources for treatment (esp.
scarcity of therapists/experts)
• Also, fear of stigma, lack of expertise and tools in primary care
Tools for efficient treatment needed
4. Computerised Cognitive Behavioral
Therapy (CCBT)
• Treatment of affective disorders:
medication + therapy (esp. CBT)
• CCBT = “generic term for
delivering CBT via an interactive
computer interface delivered by a
personal computer, internet or
interactive voice response system"
• CCBT has been shown to be
effective
• Outcomes comparable to
traditional care
• Up to 75% less therapist time
needed
Opportunity to ease the access
block!
• Current CCBT tools
• Based on simple technologies
• Not widely deployed
5. Personal Health Systems
New wearable devices Advanced analysis tools
- easy, affordable, accurate and psychophysiological models
- from data to information and feedbac
Computing and connectivity + New service models
- pervasive + New delivery and business models
+ New peer and social networks
Easy, available, affordable, efficient,
personalised, trusted, standard-based,
interoperable, citizen-driven
8. Matching of intervention and PHS
Theme Structure Technology
NUADU I NUADU II
•Goal of Interventions •Healt binder •Scale
1. Analysis of good
•Analysis of Good life •Self observation •Pedometer
life and actions to •Self awereness exercise form •Wellness Diary
promote it •Home assignments •Scale •Nuadu-portal
ACT
•Self Observations
•Nuadu-portal
2. Analysis of •Analysis of health- and wellbeing
•Self observation -Wellness Diary
health- and •Self awereness and observer
form -Nutritioncode
wellbeing exercise
(food diary)
•Home assignments
•Self Observations
3. Own work ability •Rapatti-learning game •Self observation
•Mobile Coach
and lifestyle •Problem solving method form
•Home assigments
4. Solutions to •Speed relaxation
RaPatti
•Feedback from Rapatti-learning
problematic •Self observation
game •SelfRelax
situations •Finding solutions to problematic
form
situations
•Stages of change •Firstbeat
5. Plans for the •Experiences from problem solving •Self observation HEALTH +
future •Plans for the future form borrowing HR-
•Feedback from interventions belt
9. RCT – impact of PHS?
Health Questionnaire
City of Espoo Employees
Replied n=4134
(n ~10 900)
(38%), willing to
participate
Fulfilled Inclusion criteria (n=782) n= 3401 (31%)
Randomization
Subjects (n=352)
Intervention Group 1 Intervention Group 2 + technology
Control Group (n= 116)
(n= 118) (n= 118)
BASELINE: Measurements, NUADU-Questionnaire and personal feedback (n=352)
Drop-out: other reasons
Intervention I Intervention II (n=3)
Results from measurements Results from measurements
Personal health goal Personal health goal
Health binder Health binder
Self-observation equipment Group meetings
Group meetings (5 x 1.5h) (5 x 1.5h + 30min)
ICT-tools
Drop-out: other reasons (n=1)
Non-compliance (n=1) Non-compliance (n=4)
Drop-out: other reasons
(n=1)
Personal support (n=117, Personal support, ICT, borrowing
99%) HR-belt (n=114, 97%)
6 MONTHS: NUADU-Questionnaire (n=347, 99%)
Drop-out: other reasons Drop-out: other reasons Drop-out: other reasons
(n=3), health (n=3) (n=3), health (n=1) (n=4)
Intervention Group 1 Intervention Group 2
Control Group (n= 112, 97%)
(n=111, 94%) (n=110, 93%)
12 MONTHS: NUADU-Questionnaire (n=318, 90%), Measurements (n=317, 90%) and personal
feedback (n=333, 95%)
10. Preliminary results
• PHS usage
• At the beginning, >80% at least tried some PHS
• Usage dropped during study – after 12mths, ~30% active users
• Different PHS had different users and each PHS gained an active and
committed group of users
• Benefits (own assessment)
• Increased exercising
• Better understanding of own health
• Better understanding of own fitness
• Improved motivation towards better lifestyle
• Improved stress management
• Feedback more positive after the end of the study (experiences) than
prior to study (expectations)
• Note: analysis of true health benefits not completed
11. Cardiac rehabilitation, QLD,
Australia
Personal devices at home Service Provider
Web-portal access Web portal Other Health
PC via internet Information
Measurement Health Systems
Diary data
data Reports
Data display for
self management Educational Discussion,
material messaging
Diary, data & photo Server Health
Database Health
Database
Motivational
synchronisation Records Records
SMS & Video
Server
Relaxation audio via 3G
Internet
Measurement Bluetooth and
manual entry Treatment & Community Care Team
Devices Health
mentoring
feedback via Information
Mobile
Phone phone
3G
Data to server:
• Diary entries
• Measurement data
• Photos
Movement activity Feedback Tools:
Heart Rate • Videoconference
Blood Pressure • Teleconference
Weight Web portal GUI
• Multimedia & SMS
In collaboration with AEHRC, CSIRO
12. Home-based rehabilitation
programme
Home Program Overview
Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7->
Getting Activity Anxiety Smoking Medications Sleep
Themes started Relaxation Panic Overweight Cholesterol Family
Motivation Worries Phobias Diet High blood Sex
Heart Attack Emotions Low mood pressure
Angina Stress Depression Diabetes
Tele & Video-
conference (Mentor)
Goals & Plan
WellnessDiary Entries twice/day
StepCounter Continuous use
SMS (text messages) 2/day
Video clips 2/week
Relaxation Audio Every day
13. P4Well: Technology Toolkit for
Supported Self-Management of Stress
and Mild Depression
• PHS toolkit +
psychological intervention
programme
• 3 group intervention
meetings
cost-efficiency of a
group intervention
• PHS to empower self-
management
personalisation through
use of PHS and
eConsultation
15. PHS and mental health
• Main challenge in mental health problems is to provide treatments to all in
need – especially depression
• Early access – empowerment – efficient use of expert’s time
• PHS may significantly improve CCBT
• Better access
• Continuous monitoring
• Contextuality – treatment opportunity
• Our experiences
• PHS are accepted and used (~30-90% active users in long-term) when applied
in combination with a proper intervention model (support / service)
• Mobility is the ”killer application”
• Toolkit approach seems to work
• PHS and intervention programme need to be designed in parallel
• PHS alone will not work
• PHS glued on top of existing treatment models will not work
• Stepped care models