Ideating Mobile Health Behavioral Support for Compliance to Therapy for Patients with Chronic Disease: A Case Study of Atrial Fibrillation Management
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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.
KeywordsPatient engagement Atrial fibrillation Mobile health Trans-theoretical model
We thank the anonymous patients and Dr. LeGal from the Ottawa Hospital for assessing the MPA prototype for the AF domain. We thank Ofer Ben-Shachar, founder of healthoutcome.org, and Dr. Joel Lanir, head of the Human-computer Interactions Lab at the University of Haifa, for providing comments and suggestions for the design of the reporting and summary screens of the MPA prototype. We thank the students in our research groups for providing comments on the clarity of the earlier versions of the prototype and on the patient scenario questionnaire.
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