Title
Ideating Mobile Health Behavioral Support for Compliance to Therapy for Patients with Chronic Disease: A Case Study of Atrial Fibrillation Management.
Abstract
Poor patient compliance to therapy results in a worsening condition that often increases healthcare costs. In the MobiGuide project, we developed an evidence-based clinical decision-support system that delivered personalized reminders and recommendations to patients, helping to achieve higher therapy compliance. Yet compliance could still be improved and therefore building on the MobiGuide project experience, we designed a new component called the Motivational Patient Assistant (MPA) that is integrated within the MobiGuide architecture to further improve compliance. This component draws from psychological theories to provide behavioral support to improve patient engagement and thereby increasing patients' compliance. Behavior modification interventions are delivered via mobile technology at patients' home environments. Our approach was inspired by the IDEAS (Integrate, Design, Assess, and Share) framework for developing effective digital interventions to change health behavior; it goes beyond this approach by extending the Ideation phase' concepts into concrete backend architectural components and graphical user-interface designs that implement behavioral interventions. We describe in detail our ideation approach and how it was applied to design the user interface of MPA for anticoagulation therapy for the atrial fibrillation patients. We report results of a preliminary evaluation involving patients and care providers that shows the potential usefulness of the MPA for improving compliance to anticoagulation therapy.
Year
DOI
Venue
2018
10.1007/s10916-018-1077-4
J. Medical Systems
Keywords
Field
DocType
Atrial fibrillation,Mobile health,Patient engagement,Trans-theoretical model
Mobile technology,Health care,Atrial fibrillation,Psychological intervention,Computer security,Medical emergency,Patient engagement,Therapy compliance,Chronic disease,User interface,Medicine
Journal
Volume
Issue
ISSN
42
11
0148-5598
Citations 
PageRank 
References 
0
0.34
4
Authors
9
Name
Order
Citations
PageRank
Mor Peleg11135110.07
Wojtek Michalowski226641.48
Szymon Wilk346140.94
Enea Parimbelli4175.16
Silvia Bonaccio500.34
Dympna O'Sullivan64511.29
Martin Michalowski715515.03
S Quaglini848871.94
Marc Carrier9122.68