Alejandro Gonzalez - An iPhone-based application for promoting type 2 diabetic patients...
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Transcript of Alejandro Gonzalez - An iPhone-based application for promoting type 2 diabetic patients...
International Workshop TSB 2011
Authors
Alejandro González Patón Giuseppe Fico
María Teresa Arredondo Waldmeyer Alessio Fioravanti
An iPhone-based application for promoting type 2 diabetic patients self-management towards healthy lifestyle habits
Content
2 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
1. Introduction 2. Methodology 3. Objectives 4. METABO Project 5. Results 6. Conclusion 7. Next Steps
Definition
3
Diabetes mellitus is defined as a set of syndromes which have a
blood hypoglycaemia as a common factor, caused by the
absence or decrease of the insulin. It is a chronic disease with
no cure nowadays
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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Types
4
• T1DM: (5-10%), difficulties in the production of insulin
• T2DM: (90-95%), resistance to the action of the insulin
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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Complications
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• Hypoglycaemia & Hyperglycaemia • Cardiovascular diseases • Retinopathy • Nerves Damage • Nephropathy • Osteoporosis • Alzheimer’s • Hearing problems
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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Diabetes type 2
6 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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Diabetes World Prevalence
7 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Source IDF Atlas Diabetes 2009
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Diabetes World Prevalence
8 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Source IDF Atlas Diabetes 2009
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Stratategies
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•Nutrition •Physical Activity •Self-Management •Education •Motivation
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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G-OD Methodology
10 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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METABO PERSONA
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George Age: 68 Weight: 90kg Height: 164 cm Type: T2DM Onset: 5 years ago Main characteristics: Co-morbidities, lack of motivation, IT illiterate
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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Objectives
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• High usability, user-friendliness and intuitiveness
• Drive-system application • High level satisfaction • Communication • Continuous monitoring
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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METABO
13 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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METABO
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WSDL
Control Panel
Server iPhone
METABO DB SQLite
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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Results
15 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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George – Doctor Module
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Patient and clinician are connected and are able to exchange messages related to the treatment
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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George – Messages Module
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can see all messages generated by METABO platform classified by priority
Clinician can see all messages that METABO platform has generated to each patient
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George – Medication Module (I)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Clinician can prescribe drug treatment remotely
Clinician can monitoring patient adherence to the treatment
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George – Medication Module (II)
Patient can see next drug prescription as well as the week prescription
Patient can estimate the number of drugs to carry with him in case of travel
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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George – Measurements Module (I)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Clinician can monitoring patient adherence to the treatment and see all measurements inserted by the patient
Clinician can prescribe glycaemic measurements remotely
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George – Measurements Module (II)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can see glycaemic measurement prescription
Patient can insert measurements and see his evolution
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George – Food Intake Module (I)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Clinician can monitoring patient adherence to the treatment and see all meals inserted by the patient
Clinician can suggest meals remotely
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George – Food Intake Module (II)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can insert his daily meals and see the kcal associated
Patient can insert measurements and see his evolution
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George – Physical Activity Module (I)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Clinician can monitoring patient adherence to the treatment and see all exercises inserted by the patient
Clinician can prescribe physical activity remotely
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George – Physical Activity Module (II)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can see next physical activity as well as week prescription
Patient can insert his physical activity and see his evolution
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George – Learning Module
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Clinician can monitoring patient adherence to the treatment and see all quizzes performed by the patient
Clinician can prescribe educational contents remotely
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George – Learning Module
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can see educational content prescribed by his physician
Patient can perform different quizzes and check his knowledge
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George – Goal Quest Module (I)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Clinician can prescribe two different goals 1. Lose Weight 2. Improve education knowledge
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George – Goal Quest Module (II)
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can see his current goals prescribed as well as the achievement ones
Patient can see his evolution
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George – Feedback Module
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
Patient can decide which kind of feedback he wants to receive
Feedback generated in the iPhone (Warnings) or in the METABO platform (Reminders and Tips)
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George – Security Module
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
It is needed to insert METABO credentials in order to register the application
Personal PIN
HTTPS communication
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Conclusions
Holistic Interaction Model for people living with a chronic disease | Elena Villalba Mora @2008 32
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• Based on a solid scientific background • Changing lifestyle through healthy diet and
physical activity • Useful tool for T2DM patients • Remote follow up • Bi-directional communication • Reducing health care system
Next steps
33
Madrid
Paris
Parma Modena
Prague
LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón
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International Workshop TSB 2011
Authors
Alejandro González Patón Giuseppe Fico
María Teresa Arredondo Waldmeyer Alessio Fioravanti
An iPhone-based application for promoting type 2 diabetic patients self-management towards healthy lifestyle habits