Development and Evaluation of a Sensor-based System for Remote Monitoring and Treatment of Chronic DiseasesThe Continuous Care & Coaching Platform

Harm op den Akker, Monique Tabak, Mihai Marin-Perianu, Rianne Huis in 't Veld, Valerie M. Jones, Dennis Hofs, Thijs M. Tönis, Boris W. van Schooten, Miriam Vollenbroek, H. J. Hermens

Abstract

The steep increase in the number of people with chronic diseases in the Western world is a long recognised problem which forces us to look for less labour intensive and more cost effective methods to deliver healthcare. Wider use of telemedicine services seems to be a solution that can contribute substantially to reduction of costs and maintenance of health service quality at a high level, but its implementation in regular healthcare practice often fails. This is no surprise since designing, building and implementing a successful telemedicine application is no trivial task. The reasons for failure are many, and include technical problems and low usability, however there are also organisational factors such as the often disruptive effect the introduction of new technologies can have on existing healthcare processes. This paper presents the experience gathered when building our system: the Continuous Care & Coaching Platform (C3PO). This platform was designed to monitor patients with chronic diseases during daily life and provide them with the support they need to develop and maintain an active lifestyle in order to improve quality of life and offset deterioration of health condition. In this paper we share the lessons learned and present results of evaluation studies using earlier versions of the platform. Innovations in the field of wireless sensor technology as well as changing demands from the users led us to redesign and develop a new version of the platform. This process is described, starting with the gathering of requirements using a user-centred design approach and derivation of specifications. The components of the platform are described as well as results of recent evaluation studies. Our evaluations and experience with working with patients and healthcare professionals indicate that there is currently a great need to add intelligence to the platform. The augmentation of the platform with of a smart autonomous health- and lifestyle coach is the current focus of our research which, we believe, will be a crucial next step towards the future of intelligent telemedicine applications.

References

  1. Benyon, D. and Macaulay, C. (2002). Scenarios and the HCI-SE design problem. Interacting with Computers, 14(4):397-405.
  2. Berg, M. (1999). Patient care information systems and health care work: a sociotechnical approach. International Journal of Medical Informatics, 55(2):87-101.
  3. Broens, T. H., Huis In't Veld, R. M., Vollenbroek-Hutten, M. M., Hermens, H. J., Van Halteren, A. T., and Nieuwenhuis, L. J. (2007). Determinants of successful telemedicine implementations: a literature study. Journal of Telemedicine and Telecare, 13(6):303-309.
  4. Burkow, T. M., Vognild, L. K., Krogstad, T., Borch, N. l., Ostengen, G., Bratvold, A., and Risberg, M. J. (2008). An easy to use and affordable home-based personal eHealth system for chronic disease management based on free open source software. Studies In Health Technology And Informatics, 136:83-88.
  5. Carroll, J. (2000). Five reasons for scenario-based design. Interacting with Computers, 13(1):43-60.
  6. Chen, G., Yan, B., Shin, M., Kotz, D., and Berke, E. (2009). MPCS: Mobile-phone based patient compliance system for chronic illness care. Mobile and Ubiquitous Systems Networking Services MobiQuitous 2009 MobiQuitous 09 6th Annual International, pages 1-7.
  7. Czabke, A., Loeschke, J., and Lueth, T. C. (2011). Concept and modular telemedicine platform for measuring of vital signs, ADL and behavioral patterns of elderly in home settings. Architecture, pages 3164-3167.
  8. Effing, T., Kerstjens, H., van der Valk, P., Zielhuis, G., and van der Palen, J. (2009). (Cost)-effectiveness of selftreatment of exacerbations on the severity of exacerbations in patients with COPD: the COPE II study. Thorax, 64(11):956-962.
  9. Ekeland, A. G., Bowes, A., and Flottorp, S. (2010). Effectiveness of telemedicine: a systematic review of reviews. International Journal of Medical Informatics, 79(11):736-771.
  10. Hermens, H. J. and Vollenbroek-Hutten, M. M. (2008). Towards remote monitoring and remotely supervised training. Journal of Electromyography and Kinesiology, 18(6):908-19.
  11. Laplante, C. and Peng, W. (2011). A Systematic Review of e-Health Interventions for Physical Activity: An Analysis of Study Design, Intervention Characteristics, and Outcomes. Telemedicine and ehealth: the official journal of the American Telemedicine Association, 17(7):509-523.
  12. Lewis, B., Williams, D., Dunsiger, S., Sciamanna, C., Whiteley, J., Napolitano, M., Bock, B., Jakicic, J., Getz, M., and Marcus, B. (2008). User attitudes towards physical activity websites in a randomized controlled trial. Preventive Medicine, 47(5):508-513.
  13. op den Akker, H., Jones, V. M., and Hermens, H. J. (2010). Predicting Feedback Compliance in a Teletreatment Application. In Proceedings of ISABEL 2010: the 3rd International Symposium on Applied Sciences in Biomedical and Communication Technologies, Rome, Italy.
  14. Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., Palmer, K., and Scott, R. E. (2010). Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. Journal of Telemedicine and Telecare, 16(3):120-127.
  15. Sta°hl, O., Gambäck, B., Hansen, P., Turunen, M., and Hakulinen, J. (2008). A Mobile Fitness Companion. Science And Technology.
  16. United Nations, Department of Economic and Social Affairs, Population Division (2002). World Population Ageing 1950-2050. United Nations Publications, New York, USA.
  17. Van Weering, M. G., Vollenbroek-Hutten, M. M., Tönis, T. M., and Hermens, H. J. (2009). Daily physical activities in chronic lower back pain patients assessed with accelerometry. European Journal of Pain, 13(6):649-654.
  18. Wieringa, W., op den Akker, H., Jones, V. M., op den Akker, R., and Hermens, H. J. (2011). Ontology-Based Generation of Dynamic Feedback on Physical Activity. In Proceedings of the 13th Conference on Artificial Intelligence in Medicine (AIME), pages 55-59, Bled, Slovenia. Springer.
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Paper Citation


in Harvard Style

Marin-Perianu M., Vollenbroek M., Hermens H., Tönis T., van Schooten B., den Akker H., Huis in 't Veld R., Hofs D., Tabak M. and Jones V. (2012). Development and Evaluation of a Sensor-based System for Remote Monitoring and Treatment of Chronic DiseasesThe Continuous Care & Coaching Platform . In Proceedings of the Sixth International Symposium on e-Health Services and Technologies and the Third International Conference on Green IT Solutions - Volume 1: EHST, ISBN 978-989-8565-27-3, pages 19-27. DOI: 10.5220/0004474700190027


in Bibtex Style

@conference{ehst12,
author={Mihai Marin-Perianu and Miriam Vollenbroek and H. J. Hermens and Thijs M. Tönis and Boris W. van Schooten and Harm op den Akker and Rianne Huis in 't Veld and Dennis Hofs and Monique Tabak and Valerie M. Jones},
title={Development and Evaluation of a Sensor-based System for Remote Monitoring and Treatment of Chronic DiseasesThe Continuous Care & Coaching Platform},
booktitle={Proceedings of the Sixth International Symposium on e-Health Services and Technologies and the Third International Conference on Green IT Solutions - Volume 1: EHST,},
year={2012},
pages={19-27},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004474700190027},
isbn={978-989-8565-27-3},
}


in EndNote Style

TY - CONF
JO - Proceedings of the Sixth International Symposium on e-Health Services and Technologies and the Third International Conference on Green IT Solutions - Volume 1: EHST,
TI - Development and Evaluation of a Sensor-based System for Remote Monitoring and Treatment of Chronic DiseasesThe Continuous Care & Coaching Platform
SN - 978-989-8565-27-3
AU - Marin-Perianu M.
AU - Vollenbroek M.
AU - Hermens H.
AU - Tönis T.
AU - van Schooten B.
AU - den Akker H.
AU - Huis in 't Veld R.
AU - Hofs D.
AU - Tabak M.
AU - Jones V.
PY - 2012
SP - 19
EP - 27
DO - 10.5220/0004474700190027