Self-Monitoring Support Application for Adults with Diabetes and Hypertension

成人糖尿病和高血压患者的自我监测支持应用程序

• 批准号: 10458045
• 负责人: HYUNKYOUNG OH
• 金额: $ 24.61万
• 依托单位: UNIVERSITY OF WISCONSIN MILWAUKEE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-28 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10458045
• 关键词: Adherence; Adopted; Adult; Alzheimer' s Disease; Alzheimer' s disease risk; American; Behavior; Biological Markers; Blood Pressure; Cardiovascular Diseases; Cause of Death; Chronic; Clinical; Collaborations; Data; Data Reporting; Decision Making; Development; Diabetes Mellitus; Disease; Disease Management; Economics; Evaluation; Focus Groups; Glucose; Goals; Growth; Health; Health Personnel; Health Services Accessibility; Health Status; Health behavior; Health behavior change; Home; Hypertension; Individual; Infrastructure; Intelligence; Intervention; Interview; Kidney Diseases; Lead; Life Style; Link; Medical; Medical Care Costs; Mobile Health Application; Monitor; Morbidity - disease rate; Motivation; Ontology; Outcome; Output; Patient-Focused Outcomes; Patients; Pattern; Phase; Preventive; Problem Solving; Process; Productivity; Provider; Randomized; Research; Self Efficacy; Self Management; Speech; Surveys; Symptoms; Technology; Telephone; Terminology; Testing; Translations; Unified Medical Language System; Visual; Visualization; Vocabulary; Voice; Work; Workers' Compensation; base; clinical decision support; clinical efficacy; comorbidity; design; evidence base; experience; health data; health literacy; impression; improved; innovation; knowledge base; mHealth; mHealth self-management; mortality; patient-clinician communication; personalized care; personalized medicine; phrases; pilot test; preference; prevent; racial disparity; recruit; satisfaction; shared decision making; socioeconomic disparity; synergism; theories; treatment planning; usability

PROJECT SUMMARY/ABSTRACT The purpose of this project is to develop a theory-drien, voice-activated, scalable, mHealth intervention to promote self-management and patient-provider communication in patients with coexisting diabetes (DM) and hypertension (HTN). Among the 30 million Americans who have DM, more than 20 million also have HTN. Self- management of chronic conditions is a promising strategy for preventing the development of additional co- occurring diseases and resulting in reduced morbidity and mortality. Self-monitoring health indicators (e.g., blood pressure [BP], glucose) is a key component of successful self-management. Through self-monitoring, patients can recognize patterns in their health indicators, obtain more health information, and change health behaviors. To meet the self-management needs of individuals with comorbid DM and HTN, we propose to develop a voice-activated self-monitoring (VoiS) support application on a smart speaker platform that includes three types of fearues 1) self-monitoring features, including voice-activated data entry (i.e., glucose and BP), smart notes to record lifestyle-related episodes that could result in unusual values of biomarkers, and smart speech reminders; 2) clinical decision support features, including an evidence-based knowledge base with AI engine for DM and for HTN, and 3) shared decision-making features, including visualization of patient data on multiple platforms and an audio briefing of patient data on a smart speaker. We hypothesize that patients with coexisting DM and HTN will use the convenient VoiS app for routine self-monitoring of biomarkers and for recording lifestyle-related episodes. Other hypotheses are: (1) the synthesized patient data produced by the VoiS app will help patients better understand the status of their conditions; and (2) patient-generated data-sharing via the VoiS app will help patients and providers effectively communicate with each other, set shared goals, and choose personalized care plans to promote adherence to treatment. Before we can verify the clinical efficacy of this theory-based mHealth self-management intervention, we first need to develop the VoiS. Therefore, aims of this study are to 1) develop the VoiS app including the three features; and 2) test acceptability and usability of the VoiS app in the lab and in the field by patients with coexisting DM and HTN. Findings from this project will enhance our understanding of user-perceived acceptance, usability, and satisfaction with the VoiS app. Additionally, findings will be used to generate another R21 application to move this research forward through pilot testing to determine preliminary clinical efficacy using a randomized design. We anticipate that this project will contribute to reduce racial and socioeconomic disparities in self-monitoring and outcomes for patients with DM and HTN that are indicated by delayed access to care; and inform the replication of this work for other coexisting metabolilc chronic conditions.

项目概要/摘要 该项目的目的是开发一种理论驱动的、声控的、可扩展的移动医疗干预措施，以 促进共存糖尿病 (DM) 患者的自我管理和医患沟通 高血压（HTN）。在 3000 万患有 DM 的美国人中，超过 2000 万还患有高血压。自己- 慢性病的管理是一项很有前途的战略，可以防止出现更多的慢性病 发生疾病，从而降低发病率和死亡率。自我监测健康指标（例如，血液 血压[BP]、血糖）是成功自我管理的关键组成部分。通过自我监测，患者 可以识别健康指标的模式，获取更多健康信息并改变健康行为。 为了满足糖尿病和高血压合并症患者的自我管理需求，我们建议开发 智能扬声器平台上的声控自我监控 (VoiS) 支持应用程序，包括三种类型 1) 自我监控功能，包括语音激活数据输入（即血糖和血压）、智能笔记 记录可能导致生物标志物值异常的生活方式相关事件，以及智能语音提醒； 2) 临床决策支持功能，包括基于证据的知识库，带有针对 DM 和 HTN，3) 共享决策功能，包括多个平台上患者数据的可视化和 通过智能扬声器对患者数据进行音频简报。 我们假设同时存在 DM 和 HTN 的患者将使用方便的 VoiS 应用程序进行日常活动 自我监测生物标志物并记录与生活方式相关的事件。其他假设有： (1) VoiS 应用程序生成的综合患者数据将帮助患者更好地了解其身体状况 状况; (2) 通过 VoiS 应用程序共享患者生成的数据将有效帮助患者和提供者 相互沟通，设定共同目标，并选择个性化护理计划以促进遵守 治疗。 在我们验证这种基于理论的移动健康自我管理干预措施的临床疗效之前，我们 首先需要开发VoiS。因此，本研究的目的是 1）开发 VoiS 应用程序，包括三个 特征; 2) 在实验室和现场测试患有以下疾病的患者对 VoiS 应用程序的可接受性和可用性 DM 和 HTN 共存。该项目的调查结果将增强我们对用户感知接受度的理解， VoiS 应用程序的可用性和满意度。此外，研究结果将用于生成另一个 R21 申请通过试点测试推进这项研究，以确定初步的临床疗效 随机设计。我们预计该项目将有助于减少种族和社会经济差异 对以延迟获得护理为标志的糖尿病和高血压患者进行自我监测和结果；和 为其他共存的代谢性慢性疾病复制这项工作提供信息。

项目成果

A Survey of Conversational Agents and Their Applications for Self-Management of Chronic Conditions.

对话代理及其在慢性病自我管理中的应用的调查。

• 发表时间: 2023-06
• 作者: Park, Min Sook;Upama, Paramita Basak;Anik, Adib Ahmed;Ahamed, Sheikh Iqbal;Luo, Jake;Tian, Shiyu;Rabbani, Masud;Oh, Hyungkyoung
• 通讯作者: Oh, Hyungkyoung

Towards Developing a Voice-activated Self-monitoring Application (VoiS) for Adults with Diabetes and Hypertension.

为成人糖尿病和高血压患者开发声控自我监测应用程序 (VoiS)。

• 发表时间: 2022
• 作者: Rabbani, Masud;Tian, Shiyu;Anik, Adib Ahmed;Luo, Jake;Park, Min Sook;Whittle, Jeff;Ahamed, Sheikh Iqbal;Oh, Hyunkyoung
• 通讯作者: Oh, Hyunkyoung