Towards a Toolkit for the Analysis and Design of Systems with Self-Management Capabilities

BACKGROUND Adequate self-management skills are of great importance for patients with chronic obstructive pulmonary disease (COPD) to reduce the impact of COPD exacerbations. Using mobile health (mHealth) to support exacerbation-related self-management could be promising in engaging patients in their own health and changing health behaviors. However, there is limited knowledge on how to design mHealth interventions that are effective, meet the needs of end users, and are perceived as useful. By following an iterative user-centered design (UCD) process, an evidence-driven and usable mHealth intervention was developed to enhance exacerbation-related self-management in patients with COPD. OBJECTIVE This study aimed to describe in detail the full UCD and development process of an evidence-driven and usable mHealth intervention to enhance exacerbation-related self-management in patients with COPD. METHODS The UCD process consisted of four iterative phases: (1) background analysis and design conceptualization, (2) alpha usability testing, (3) iterative software development, and (4) field usability testing. Patients with COPD, health care providers, COPD experts, designers, software developers, and a behavioral scientist were involved throughout the design and development process. The intervention was developed using the behavior change wheel (BCW), a theoretically based approach for designing behavior change interventions, and logic modeling was used to map out the potential working mechanism of the intervention. Furthermore, the principles of design thinking were used for the creative design of the intervention. Qualitative and quantitative research methods were used throughout the design and development process. RESULTS The background analysis and design conceptualization phase resulted in final guiding principles for the intervention, a logic model to underpin the working mechanism of the intervention, and design requirements. Usability requirements were obtained from the usability testing phases. The iterative software development resulted in an evidence-driven and usable mHealth intervention—Copilot, a mobile app consisting of a symptom-monitoring module, and a personalized COPD action plan. CONCLUSIONS By following a UCD process, an mHealth intervention was developed that meets the needs and preferences of patients with COPD, is likely to be used by patients with COPD, and has a high potential to be effective in reducing exacerbation impact. This extensive report of the intervention development process contributes to more transparency in the development of complex interventions in health care and can be used by researchers and designers as guidance for the development of future mHealth interventions.

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Catalyzing Self-Management Capabilities: A Post-Newtonian Perspective

Human Systems Management ◽

10.3233/hsm-1994-13303 ◽

1994 ◽

Vol 13 (3) ◽

pp. 171-181 ◽

Cited By ~ 2

Author(s):

Norman Uphoff

Keyword(s):

Self Management ◽

Management Capabilities

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P2519Multiprofessional intervention for fostering self management capabilities for patients with chronic heart disease - development of a common curriculum (MIFeSCH)

European Heart Journal ◽

10.1093/eurheartj/ehz748.0848 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

B Berger ◽

B Friedrichsen ◽

M Kreye ◽

J Gruber ◽

A Fried ◽

...

Keyword(s):

Cardiovascular Disease ◽

Pilot Study ◽

Patient Education ◽

Phase 1 ◽

Management Program ◽

Self Management ◽

Self Awareness ◽

Education Programs ◽

Lifestyle Management ◽

Management Capabilities

Abstract Background Chronic cardiovascular disease (CAD) still is the leading cause of death in industrialized countries in spite of substantial progress in diagnostics and therapy. Programs of lifestyle management are effective but insufficiently established in usual patient care. The authors provide multi professional educational courses to strengthen self management capabilities for cardiovascular patients in five different institutions in Europe since up to 20 years in modification of the program of Dr. Dean Ornish. Physicians, psychologists, dietitians and artistic and movement therapists work together in courses lasting from half a year to one year. To implement their programs in daily care, an association of these five institutions will evaluate a common lifestyle management program in four phases: 1. development of a common curriculum, 2. pilot study, 3. interventional study, 4. implementation study. Phase 1 is now completed. The evaluation will show, whether this lifestyle management program leads to improvement of health in patients and in the therapeutic team. Purpose of phase 1: development of a common curriculum by the five active members of the association. Methods The five existing educational programs were assessed and differences between the programs themselves and other existing programs of patient education were defined. Distinctive and common features of the different institutions were recorded. Structured interviews with members of all institutions acquired content, methods and eductional goals of the interventions according to predefined criteria for patient education programs in the respective countries. The results were discussed, reflected and a common curriculum was consented. Results The consented multi professional curriculum, comprising the activities of five active heart education programs defines five different levels of competence which are key of their patient education goals: (1) reflective self-awareness (I-competence), (2) artistic competence, (3) competence of ensouled movement, (4) nutritional competence and (5) social competence. The main difference between the already existing programs for patients with CAD and the newly developed curriculum is the emphasis on training the participants' self awareness and social competence, for example by biography work in an interdisciplinary approach. Levels of competence Conclusion The process of generating a common curriculum of competence levels, educational goals and necessary methods comprising the work of five different but associated institutions was successful. A pilot study will now be performed to show the effects of this program on cardiovascular health and quality of live of study participants and the therapeutic team as well to show, whether this intervention reduces the risk of burn out for the therapists. By this the authors hope to implement their education program according to the curriculum as an improvement of standard therapy for patients with cardiovascular disease. Acknowledgement/Funding Universität Witten-Herdecke

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Research on Design of Authentication and Charging System in Mechanical Devices

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.251.75 ◽

2012 ◽

Vol 251 ◽

pp. 75-78

Author(s):

Yan Li ◽

Yao Chen

Keyword(s):

Management System ◽

Self Management ◽

Charging System ◽

Bandwidth Control ◽

Mechanical Devices ◽

Management Functions ◽

Management Capabilities ◽

Generation Management

It was presented how to design a management system under FreeBSD. The system can be used in Mechanical devices to authenticate and charge the client through PPPoE based on RADIUS.And the built-in batch card generation, management functions can help in the number of user connections and bandwidth control,thus to achieve powerful management capabilities and user self-management capabilities.

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