Wagner, Stefan Rahr5; Toftegaard, Thomas Skjødeberg6; Bertelsen, Olav W.7
1 Aarhus University School of Engineering - Embedded Systems, Aarhus University School of Engineering, Science and Technology, Aarhus University2 Department of Engineering, Science and Technology, Aarhus University3 Department of Computer Science, Science and Technology, Aarhus University4 Department of Engineering - Embedded Systems, Department of Engineering, Science and Technology, Aarhus University5 Department of Engineering - Embedded Systems, Department of Engineering, Science and Technology, Aarhus University6 Department of Engineering, Science and Technology, Aarhus University7 Department of Computer Science, Science and Technology, Aarhus University
Support for Developing Technology-based Self-care Solutions
Background: Patients performing self-care in the unsupervised setting do not always adhere to the instructions they were initially provided with. As a consequence, a patient’s ability to successfully comply with the treatment plan cannot be verified by the treating healthcare professional, possibly resulting in reduced data quality and suboptimal treatment. Objectives: The aim of this paper is to introduce the Adherence Strategy Engineering Framework (ASEF) as a method for developing novel technology-based adherence strategies to assess and improve patient adherence levels in the unsupervised setting. Methods: Key concepts related to self-care and adherence were defined, discussed, and implemented as part of the ASEF framework. ASEF was applied to seven self-care case studies, and the perceived usefulness and feasibility of ASEF was evaluated in a questionnaire study by the case study participants. Finally, we reviewed the individual case studies usage of ASEF. Results: A range of central self-care concepts were defined and the ASEF methodological framework was introduced. ASEF was successfully used in seven case studies with a total of 25 participants. Of these, 16 provided answers in the questionnaire study reporting ASEF as useful and feasible. Case study reviews illustrated the potential of using context-aware technologies to support self-care in the unsupervised setting as well as ASEF’s ability to support this. Conclusion: Challenges associated with moving healthcare to the unsupervised setting can be overcome by applying novel context-aware technology using the ASEF method. This could lead to better treatment outcomes and reduce healthcare expenditures.
Methods of Information in Medicine, 2013, Vol 52, Issue 3, p. 220-230