A Personal Health System for Self-Management of Congestive Heart Failure (HeartMan)
| Autor: | Erik Dovgan, Mitja Luštrek, Karin Slegers, Aljoša Vodopija, Marko Bohanec, Els Clays, Paolo Emilio Puddu, Carlos Cavero Barca, Miha Mlakar, Jan Derboven, Flavia Marino, Jakob Valič, Gennaro Tartarisco, Juan Mario Rodríguez, Giovanni Pioggia, Amos Adeyemo Dawodu, Jure Lampe, Gašper Slapničar, Michele Schiariti, Maria Costanza Ciancarelli, Delphine De Smedt |
|---|---|
| Přispěvatelé: | Language, Communication and Cognition |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Decision support system Technology and Engineering Remote patient monitoring Computer applications to medicine. Medical informatics R858-859.7 Health Informatics human centered design 030204 cardiovascular system & hematology Unified theory of acceptance and use of technology law.invention 03 medical and health sciences 0302 clinical medicine Health Information Management Randomized controlled trial law medicine Medicine and Health Sciences wearable electronic devices Original Paper mobile phone Self-management decision support techniques business.industry mobile application 030227 psychiatry Clinical trial personal health system Blood pressure congestive heart failure Physical therapy Anxiety medicine.symptom business psychological support |
| Zdroj: | JMIR. Journal of medical internet research 9 (2021): e24501. doi:10.2196/24501 info:cnr-pdr/source/autori:Mitja Lustrek; Marko Bohanec; Carlos Cavero Barca; Maria Costanza Ciancarelli; Els Clays; Amos Adeyemo Dawodu; Jan Derboven; Delphine De Smedt; Erik Dovgan; Jure Lampe; Flavia Marino; Miha Mlakar; Giovanni Pioggia; Paolo Emilio Puddu; Juan Mario Rodríguez; Michele Schiariti; Gasper Slapnikar; Karin Slegers; Gennaro Tartarisco; Jakob Valic; Aljosa Vodopija/titolo:A Personal Health System for Self-Management of Congestive Heart Failure (HeartMan): Development, Technical Evaluation, and Proof-of-Concept Randomized Controlled Trial/doi:10.2196%2F24501/rivista:JMIR. Journal of medical internet research/anno:2021/pagina_da:e24501/pagina_a:/intervallo_pagine:e24501/volume:9 JMIR MEDICAL INFORMATICS JMIR Medical Informatics, 9(3):e24501. JMIR PUBLICATIONS, INC JMIR Medical Informatics, Vol 9, Iss 3, p e24501 (2021) JMIR Medical Informatics |
| ISSN: | 2291-9694 |
| Popis: | BackgroundCongestive heart failure (CHF) is a disease that requires complex management involving multiple medications, exercise, and lifestyle changes. It mainly affects older patients with depression and anxiety, who commonly find management difficult. Existing mobile apps supporting the self-management of CHF have limited features and are inadequately validated.ObjectiveThe HeartMan project aims to develop a personal health system that would comprehensively address CHF self-management by using sensing devices and artificial intelligence methods. This paper presents the design of the system and reports on the accuracy of its patient-monitoring methods, overall effectiveness, and patient perceptions.MethodsA mobile app was developed as the core of the HeartMan system, and the app was connected to a custom wristband and cloud services. The system features machine learning methods for patient monitoring: continuous blood pressure (BP) estimation, physical activity monitoring, and psychological profile recognition. These methods feed a decision support system that provides recommendations on physical health and psychological support. The system was designed using a human-centered methodology involving the patients throughout development. It was evaluated in a proof-of-concept trial with 56 patients.ResultsFairly high accuracy of the patient-monitoring methods was observed. The mean absolute error of BP estimation was 9.0 mm Hg for systolic BP and 7.0 mm Hg for diastolic BP. The accuracy of psychological profile detection was 88.6%. The F-measure for physical activity recognition was 71%. The proof-of-concept clinical trial in 56 patients showed that the HeartMan system significantly improved self-care behavior (P=.02), whereas depression and anxiety rates were significantly reduced (PConclusionsThe HeartMan project combined a range of advanced technologies with human-centered design to develop a complex system that was shown to help patients with CHF. More psychological than physical benefits were observed.Trial RegistrationClinicalTrials.gov NCT03497871; https://clinicaltrials.gov/ct2/history/NCT03497871.International Registered Report Identifier (IRRID)RR2-10.1186/s12872-018-0921-2 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|