Using Context Awareness for Self-Management in Pervasive Service Middleware

2011 ◽  
pp. 248-271 ◽  
Author(s):  
Weishan Zhang ◽  
Klaus Marius Hansen
Keyword(s):  
Context Awareness ◽  
Ambient Intelligence ◽  
The Self ◽  
Self Management ◽  
Management Approach ◽  
Context Modeling ◽  
Management Actions ◽  
Pervasive Service ◽  
High Level ◽  
Management Capabilities

Context-awareness is an important feature in Ambient Intelligence environments including in pervasive middleware. In addition, there is a growing trend and demand on self-management capabilities for a pervasive middleware in order to provide high-level dependability for services. In this chapter, we propose to make use of context-awareness features to facilitate self-management. To achieve self-management, dynamic contexts for example device and service statuses, are critical to take self-management actions. Therefore, we consider dynamic contexts in context modeling, specifically as a set of OWL/SWRL ontologies, called the Self-Management for Pervasive Services (SeMaPS) ontologies. Self-management rules can be developed based on the SeMaPS ontologies to achieve self-management goals. Our approach is demonstrated within the LinkSmart pervasive middleware. Finally, our experiments with performance, extensibility, and scalability in the context of LinkSmart show that the SeMaPS-based self-management approach is effective.

scholarly journals The self-management abilities test (SMAT): a tool to identify the self-management abilities of adults with bronchiectasis

2022 ◽  
Vol 32 (1) ◽  
Author(s):  
Katelyn R. Smalley ◽  
Lisa Aufegger ◽  
Kelsey Flott ◽  
Erik K. Mayer ◽  
Ara Darzi
Keyword(s):  
Health Knowledge ◽  
Assessment Tool ◽  
Healthcare Providers ◽  
Chronic Respiratory Disease ◽  
The Self ◽  
Self Management ◽  
Knowledge And Skills ◽  
Qualitative Feedback ◽  
Building Process ◽  
High Level

AbstractBronchiectasis is an increasingly common chronic respiratory disease which requires a high level of patient engagement in self-management. Whilst the need for self-management has been recognised, the knowledge and skills needed to do so— and the extent to which patients possess these—has not been well-specified. On one hand, understanding the gaps in people’s knowledge and skills can enable better targeting of self-management supports. On the other, clarity about what they do know can increase patients’ confidence to self-manage. This study aims to develop an assessment of patients’ ability to self-manage effectively, through a consensus-building process with patients, clinicians and policymakers. The study employs a modified, online three-round Delphi to solicit the opinions of patients, clinicians, and policymakers (N = 30) with experience of bronchiectasis. The first round seeks consensus on the content domains for an assessment of bronchiectasis self-management ability. Subsequent rounds propose and refine multiple-choice assessment items to address the agreed domains. A group of ten clinicians, ten patients and ten policymakers provide both qualitative and quantitative feedback. Consensus is determined using content validity ratios. Qualitative feedback is analysed using the summative content analysis method. Overarching domains are General Health Knowledge, Bronchiectasis-Specific Knowledge, Symptom Management, Communication, and Addressing Deterioration, each with two sub-domains. A final assessment tool of 20 items contains two items addressing each sub-domain. This study establishes that there is broad consensus about the knowledge and skills required to self-manage bronchiectasis effectively, across stakeholder groups. The output of the study is an assessment tool that can be used by patients and their healthcare providers to guide the provision of self-management education, opportunities, and support.

scholarly journals Users’ Experiences of a Mobile Health Self-Management Approach for the Treatment of Cystic Fibrosis: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Jacqueline Floch ◽  
Thomas Vilarinho ◽  
Annabel Zettl ◽  
Gema Ibanez-Sanchez ◽  
Joaquim Calvo-Lerma ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cystic Fibrosis ◽  
Mixed Methods ◽  
Chronic Diseases ◽  
Self Efficacy ◽  
The Self ◽  
Self Management ◽  
Management Approach

BACKGROUND Despite a large number of clinical trials aiming at evaluating the digital self-management of chronic diseases, there is little discussion about users’ experiences with digital approaches. However, a good user experience is a critical factor for technology adoption. Understanding users’ experiences can inform the design of approaches toward increased motivation for digital self-management. OBJECTIVE This study aimed to evaluate the self-management of cystic fibrosis (CF) with a focus on gastrointestinal concerns and the care of young patients. Following a user-centered design approach, we developed a self-management app for patients and parents and a web tool for health care professionals (HCPs). To evaluate the proposed solutions, a 6-month clinical trial was conducted in 6 European CF competence centers. This paper analyzes the user acceptance of the technology and the benefits and disadvantages perceived by the trial participants. METHODS A mixed methods approach was applied. Data were collected through 41 semistructured qualitative interviews of patients, parents, and HCPs involved in the clinical trial. In addition, data were collected through questionnaires embedded in the self-management app. RESULTS Support for enzyme dose calculation and nutrition management was found to be particularly useful. Patients and parents rapidly strengthened their knowledge about the treatment and increased their self-efficacy. Reported benefits include reduced occurrence of symptoms and enhanced quality of life. Patients and parents had different skills, requiring follow-up by HCPs in an introductory phase. HCPs valued obtaining precise information about the patients, allowing for more personalized advice. However, the tight follow-up of several patients led to an increased workload. Over time, as patient self-efficacy increased, patient motivation for using the app decreased and the quality of the reported data was reduced. CONCLUSIONS Self-management enfolds a collaboration between patients and HCPs. To be successful, a self-management approach should be accepted by both parties. Through understanding behaviors and experiences, this study defines recommendations for a complex case—the demanding treatment of CF. We identify target patient groups and situations for which the app is most beneficial and suggest focusing on these rather than motivating for regular app usage over a long time. We also advise the personalized supervision of patients during the introduction of the approach. Finally, we propose to develop guidance for HCPs to facilitate changes in practice. As personalization and technology literacy are factors found to influence the acceptance of digital self-management of other chronic diseases, it is relevant to consider the proposed recommendations beyond the case of CF.

Self-Management of Addictive Behaviors

2017 ◽  
pp. 147-170
Author(s):  
Vanja Radoncic ◽  
Betty Marcoux ◽  
Denise Hien
Keyword(s):  
Behavioral Therapy ◽  
Psychosocial Treatment ◽  
The Self ◽  
Self Management ◽  
Treatment Modalities ◽  
Management Approach ◽  
Evidence Based ◽  
Addictive Behaviors ◽  
Thought Processes ◽  
Evidence Based Practices

In the past couple of decades, a number of evidence-based psychosocial treatment approaches to treat people with addiction problems has significantly increased. Evidence-based practices of interventions that improve health outcomes incorporate different treatment modalities including psychosocial and cognitive behavioral therapy treatments for addiction. These treatments promote changes in individual’s behaviors, thought processes, emotion regulation, and social functioning. An increased capacity to better understand factors contributing to addictive behaviors facilitates the self-management approach. This approach considers addiction in the context of chronic impairment and encourages individuals to be active in creating their own goals and determining the type of intervention that is most appropriate for them.

Self-management support? Listening to people with complex co-morbidities

2018 ◽  
Vol 16 (3) ◽  
pp. 161-172 ◽  
Author(s):  
Helen Francis ◽  
Jenny Carryer ◽  
Jill Wilkinson
Keyword(s):  
New Zealand ◽  
Early Stage ◽  
The Self ◽  
Self Management ◽  
Management Approach ◽  
Management Support ◽  
Long Term Conditions ◽  
Early Stage Disease ◽  
The Face

Objectives The study aimed to explore how people with complex, established co-morbidities experience long-term condition care in New Zealand. Despite the original conception as appropriate for people with early stage disease, in New Zealand the self-management approach dominates the care provided to people at all stages of diagnosis with long-term conditions, something reinforced through particular funding mechanisms. Methods A multiple case study followed the lives of 16 people with several long-term conditions. Data collection comprised two interviews, four weekly contacts with patients over an 18-month period and an interview with their primary health care clinicians. Results This paper reveals a cohort of tired, distracted patients struggling to manage their lives in the face of multiple conflicting challenges, with insufficient energy for the level of personal agency required to deal with the self-management approach. Discussion Participants described aspects of care received, which does meet their needs but sit outside the self-management approach, that resonate with the ideas behind current approaches to palliative care. The potential of an approach to care built upon these ideas is explored as a more compassionate, effective way of meeting the needs of people with advanced, multiple long-term conditions. Further research is warranted to explore the acceptability of such an approach.

The Self-Management Approach to ADHD Treatment: Creating a Surrogate Self-Manager

2009 ◽  
Vol 17 (1) ◽  
pp. 6-9
Author(s):  
W. Walker Peacock ◽  
Myah Gittelson ◽  
Jay D. Tarnow
Keyword(s):  
The Self ◽  
Self Management ◽  
Management Approach ◽  
Adhd Treatment

Study on Self-Сonfiguration Model and Environment Awareness Algorithm for Mission-Critical Systems

2014 ◽  
Vol 981 ◽  
pp. 240-243
Author(s):  
Jian Wang ◽  
Guo Sheng Zhao
Keyword(s):  
The Self ◽  
Self Management ◽  
Configuration Model ◽  
Context Modeling ◽  
Critical Systems ◽  
Modeling Technology ◽  
Management Ability ◽  
Mission Critical ◽  
Software Bug ◽  
Environment Awareness

It is becoming more and more difficult to manage, maintain and keep the key services of mission-critical systems by manual because of hardware problems, software bug, misoperation and malicious attacks. In order to solve the above problems, a self-configuration model was proposed, and awareness algorithm was discussed. The heartbeat mechanism was utilized to realize internal environment awareness, and then the context-modeling technology was introduced to describe user activities and system resources formally, which can obtain the external environment awareness. The self-configuration model has interactivity among modules during operations, and able to improve the self-management ability of mission-critical systems effectively.

scholarly journals Users’ Experiences of a Mobile Health Self-Management Approach for the Treatment of Cystic Fibrosis: Mixed Methods Study

10.2196/15896 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e15896 ◽  
Author(s):  
Jacqueline Floch ◽  
Thomas Vilarinho ◽  
Annabel Zettl ◽  
Gema Ibanez-Sanchez ◽  
Joaquim Calvo-Lerma ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cystic Fibrosis ◽  
Mixed Methods ◽  
Chronic Diseases ◽  
Self Efficacy ◽  
The Self ◽  
Self Management ◽  
Management Approach

Background Despite a large number of clinical trials aiming at evaluating the digital self-management of chronic diseases, there is little discussion about users’ experiences with digital approaches. However, a good user experience is a critical factor for technology adoption. Understanding users’ experiences can inform the design of approaches toward increased motivation for digital self-management. Objective This study aimed to evaluate the self-management of cystic fibrosis (CF) with a focus on gastrointestinal concerns and the care of young patients. Following a user-centered design approach, we developed a self-management app for patients and parents and a web tool for health care professionals (HCPs). To evaluate the proposed solutions, a 6-month clinical trial was conducted in 6 European CF competence centers. This paper analyzes the user acceptance of the technology and the benefits and disadvantages perceived by the trial participants. Methods A mixed methods approach was applied. Data were collected through 41 semistructured qualitative interviews of patients, parents, and HCPs involved in the clinical trial. In addition, data were collected through questionnaires embedded in the self-management app. Results Support for enzyme dose calculation and nutrition management was found to be particularly useful. Patients and parents rapidly strengthened their knowledge about the treatment and increased their self-efficacy. Reported benefits include reduced occurrence of symptoms and enhanced quality of life. Patients and parents had different skills, requiring follow-up by HCPs in an introductory phase. HCPs valued obtaining precise information about the patients, allowing for more personalized advice. However, the tight follow-up of several patients led to an increased workload. Over time, as patient self-efficacy increased, patient motivation for using the app decreased and the quality of the reported data was reduced. Conclusions Self-management enfolds a collaboration between patients and HCPs. To be successful, a self-management approach should be accepted by both parties. Through understanding behaviors and experiences, this study defines recommendations for a complex case—the demanding treatment of CF. We identify target patient groups and situations for which the app is most beneficial and suggest focusing on these rather than motivating for regular app usage over a long time. We also advise the personalized supervision of patients during the introduction of the approach. Finally, we propose to develop guidance for HCPs to facilitate changes in practice. As personalization and technology literacy are factors found to influence the acceptance of digital self-management of other chronic diseases, it is relevant to consider the proposed recommendations beyond the case of CF.

Patient expertise: Contested territory in the realm of long-term condition care

2018 ◽  
Vol 15 (3) ◽  
pp. 197-209 ◽  
Author(s):  
Helen Francis ◽  
Jenny Carryer ◽  
Jill Wilkinson
Keyword(s):  
The Self ◽  
Self Management ◽  
Management Approach ◽  
Long Term Conditions ◽  
Expert Patient ◽  
Patient Expertise ◽  
Primary Care Clinicians ◽  
Management Approaches ◽  
Cross Case Analysis

Objectives The aim of this study was to describe the experience of people with multiple long-term conditions with particular reference to the notion of the ‘expert patient’ in the context of self-management. Methods A multiple case study of 16 people with several long-term conditions, included interviews and contacts over an 18-month period and an interview with their primary care clinicians. Analysis included both case-by-case and some cross-case analysis. Results The findings reveal the patient participants had little capacity to exercise the agency necessary be an expert patient as premised. Weariness, shame, expertise, issues of compliance and control and collaboration are contested areas underpinning clinician encounters. Discussion Patient expertise is at the heart of self-management approaches but the findings surfaced several inherent contradictions between the idealised expert patient and their position within a health care system that is entrenched in biomedicine. Conclusion There is a mismatch between how the self-management approach has been operationalised and what the participants who have multiple LTCs reveal as what they want and need. The research concludes that the self-management approach is inappropriate for people with multiple LTCs and that other ways of offering care should be considered.

Sign in / Sign up

Export Citation Format

Share Document