Holly Jimison at Consumer Centric Health, Models for Change '11

Consumer-Centric HealthModels for Change ‘11

Scalable Technology to Support

Sustainable Health Behavior Change

Holly Jimison, PhDDepartment of Medical

Informatics, OHSU

Scalable Approach to Delivering Interventions to the Home

Chronic conditions require sustained and dynamically tailored interventions

Remote, just-in-time, continuous care Incorporate principles of health behavior change Optimal use of lower cost personnel Integrate family & informal caregivers into the

health care team (untapped resource) Platform for testing sustained interventions in the

home

ORCATECH• Oregon Health & Science Univ

– Neurology– Biomedical Engineering– Medical Informatics– Point of Care Laboratory– Aging & Alzheimer's Disease

Center• Academic Partners

– Oregon State University– Portland State University– University of Oregon

• Industry PartnersIntel Spry Learning Co.

• Service PartnersEliteCare, IncPacific Retirement Services

• Other PartnersAARPOregon State GovernmentCAST

Oregon Center for Aging & Technology

Home Monitoring Data

Continuous Unobtrusive Monitoring

Fusion

Platform to Deliver a Scalable Coaching Intervention to the Home

System to facilitate a single coach in managing a large number of clients

Semi-automated tailored messaging based on home monitoring and self-report data

User assessment user model tailored data sharing, action plan, coaching messages

Multiple modules – not single condition or approach

Modular Software for Multiple Protocols

Cognitive Exercise (computer game format) Novelty exercise Physical Exercise Sleep Management Socialization Medication Management Mood Management

Health Coaching Platform Architecture

Participant Home Page

Participant home page• Messages from coach• Featured story• Weekly goals

– Activities– Surveys

• Access modules– Physical Activity– Sleep– Socialization– Novelty Mental Exercises– Cognitive Games

• Coaching Process• Participant Materials

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Cognitive Computer Games- embedded monitoring algorithms

Socialization Protocols for Cognitive Health

Web cams and Skype software given to participants and their remote family partner

Frequent spontaneous use among participants

Physical Activity Module

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Sleep Module

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Coach Interface

• All participant tasks assigned through this interface.

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Health Coaching Platform Architecture

Family Interface• Safety monitoring

• Soft alerts• Team-based care

• Socialization

ORCATECH 18

In-Home Cognitive Health Coaching Studies

Needs Assessment Foundational Studies

Adaptive Cognitive Games – 30 subjects Activity Home Monitoring – 250 subjects

Coach Messaging Study Ongoing Usability Testing Feedback on Cognitive Games and Novelty Exercise Current Coaching Study

20 participants in the ORCATECH Living Lab 20 additional participants from larger monitoring study Average age 78.3 ± 7.8 years 70% female

Lessons Learned: Important Software Issues

User centered design – ease of use

Inference algorithms for assessing patient state and

context

Sophisticated User Models

Privacy / Security – tailored privacy models for

the sharing of home monitoring data

User models for tailoring interventions and

coaching messages

• Intelligent Interoperability

Summary: Benefits of Technology for Remote Coaching

Scalable approach to delivering interventions to the home Extends the reach of lower cost professionals Community-based culturally-specific coach Timely and continuous Aim to keep people independent ( QoL & costs)

Integrates untapped resource of family and informal caregivers into the care team

Tailors interventions to individuals Integrates health and wellness interventions

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Questions?

Suggestions?

Contact:Holly Jimison

jimisonh@ohsu.edu

Thank You