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Closing the Loop for Patients with Chronic Diseases - from Problems to a Solution Architecture


Färber, Andri; de Spindler, Alexandre; Moser, Andrina; Schwabe, Gerhard (2023). Closing the Loop for Patients with Chronic Diseases - from Problems to a Solution Architecture. In: The 11th IEEE International Conference on Healthcare Informatics, Houston, Texas, 26 June 2023 - 29 June 2023, 1-11.

Abstract

There is growing evidence that mobile health (mHealth) applications can assist patients with chronic conditions. However, most mHealth apps are isolated from healthcare professional (HCP) workflows and IT infrastructure. The resulting fragmentation of digital support in healthcare calls for integrating architectures. They would benefit patients, HCPs, product managers, and software developers. Our analysis of existing architectures has revealed valuable architectural elements, but none of the analyzed architectures provided sufficient integration for the chronically ill. Therefore, we propose an architecture for integrated mHealth solutions. We followed a design science research approach and performed all activities of the DSRM Process Model. By forming a closed control loop and engaging HCPs, the architecture is designed to improve patient adherence to treatment, health literacy, and recall of recommendations and information. The resulting Closing-the-Loop Architecture (LoopArt) deploys three software agents: a Health Literacy Agent, an Adherence Agent, and a Conversational Agent. For demonstration purposes, the Health Literacy Agent was implemented for obese patients as an integrated system consisting of a mHealth app and a collaboration tool as part of the electronic medical record (EMR).

Abstract

There is growing evidence that mobile health (mHealth) applications can assist patients with chronic conditions. However, most mHealth apps are isolated from healthcare professional (HCP) workflows and IT infrastructure. The resulting fragmentation of digital support in healthcare calls for integrating architectures. They would benefit patients, HCPs, product managers, and software developers. Our analysis of existing architectures has revealed valuable architectural elements, but none of the analyzed architectures provided sufficient integration for the chronically ill. Therefore, we propose an architecture for integrated mHealth solutions. We followed a design science research approach and performed all activities of the DSRM Process Model. By forming a closed control loop and engaging HCPs, the architecture is designed to improve patient adherence to treatment, health literacy, and recall of recommendations and information. The resulting Closing-the-Loop Architecture (LoopArt) deploys three software agents: a Health Literacy Agent, an Adherence Agent, and a Conversational Agent. For demonstration purposes, the Health Literacy Agent was implemented for obese patients as an integrated system consisting of a mHealth app and a collaboration tool as part of the electronic medical record (EMR).

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Additional indexing

Item Type:Conference or Workshop Item (Paper), not_refereed, original work
Communities & Collections:03 Faculty of Economics > Department of Informatics
Dewey Decimal Classification:000 Computer science, knowledge & systems
Scope:Discipline-based scholarship (basic research)
Language:English
Event End Date:29 June 2023
Deposited On:29 Nov 2023 13:31
Last Modified:06 Mar 2024 14:40
OA Status:Green
Other Identification Number:merlin-id:24172
  • Content: Published Version
  • Language: English