Assignment 1 Impact of Alzheimer’s Disease on The Caregivers
Identify Relevant CHI In Assignment 1, you identified what general types of consumer health informatics tools might be useful and engaging to your target subpopulation. Build on your Assignment 1 work by conducting a scan of existing specific CHI technologies addressing your subpopulation’s needs (where technology may help). Consider the following types of tools in your search: • CHI web sites • CHI blogs • CHI social media (monitored on line support groups, Twitter, Facebook) • CHI phone and texting tools • CHI apps • CHI sensors (wearables) • Shared decision-making tools • Patient reported outcome tools • Smart house sensors • CHI devices (e.g., diabetes blood testing) • Patient on-demand telemedicine services • Other At a minimum, you should find at least six existing technologies, and cover at least four types of CHI tools from the above list could be helpful to your subpopulation. Ideally, you should try to find at least one existing technology of each type from the bullet list above to really broaden your perspective and horizon regarding possibilities for your target group. What you identify does not already have to be tailored or customized to only target your group. For example, a calming app may be useful for various conditions as well as general wellness. You may locate these technologies via Internet search, contacting vendors, contacting professional associations, asking people you may know, application stores for iOS, Google Play, Blackberry, Windows or Windows Phone, Amazon, or other sources. Review and Assess CHI Found (5-7pages) Assess the CHI technologies you found using the following criteria as a general guide and complete based on what is appropriate for the technology and what you have access to (realize that you may not be able to access (or access all of) the CHI technology. Please add additional criteria from your study of CHI to date or concerns of your sub-population that may help in deciding on the suitability to your problem space. You may provide this assessment in a table format (one table for each technology) or outline format (one outline for each technology. Provide the following descriptive information for each technology you found, as well your assessment of the technology. You may present as an outline or table. You could even show your description as an outline and the assessment as a table (see Appendix A) You must cover all of the following points represented by the tables below: CHI Technology 1: ________ Type of Technology (e.g., web site)- Name of CHI Technology 1 (web site name) Description Area Description Goal - What is the technology’s goal for the health consumer? Examples include specifying the types of decision support, health education, symptom tracking, making a behavioral change (e.g., eat better, exercise, stop smoking), etc. Key Features - Summarize the features of the application and its basic content. If at all possible, provide a few key images of the technology Data - Include a description of any data the technology collects from the health care consumer. A high-level bullet list or table is fine here as long as what is stated is clear and understandable. Access - Describe the technological platform (e.g., web, iPhone) that the application uses, and platform features employed by the application (e.g., sensing, texting, cameras, Internet access). Also, regarding access, indicate how users obtain access (e.g., free, sign up, referred by provider, etc.) Fit with healthcare continuum – How does this technology align with the healthcare continuum? Where does it fit in the sub-populations total care protocol/ How does it align or augment care from a provider? (a diagram may be useful to support the description) Is any information shared with the provider? Other type of caregiver (e.g., in the home)? Provide screenshots in the Appendix and label the screenshots with captions (CHI technology and nature of the image, e.g., home page) Appendix XX… See Figure XX labeled XX Criteria: Overall Assessment of Criteria (e.g., Strong, Moderate, Weak) Justification for Assessment Disclosure – Informs who should use, why/ purpose, limitations to use Credibility of the developer/endorsement - Any indications of endorsement? Evidence-based – Does it appear that this product is built on solid testing and evidence? What are the indicators of evidence? Any evidence of unbiased evaluation? Testing? Implied theoretical or research-based foundation? Is it developed by credible developer? Sponsored by a recognized health organization? Content (web sites, apps, etc.)– Does it appear to be accurate? Up to date? Complete information (no obvious gaps)? Safe - Does it appear to be safe? Any information on safety? Interactivity – Is the feedback and/or means of exchanging information is suited to the target audience? Considers target audience – Is it tailored to meet the characteristics of the target audience (e.g., age-appropriate, if target audience is of a certain age group)? Readability – content and support materials (questions) are easy to read? Understandability – easy for your target sub-population to understand how to use; provides instructions or some form of training. PLEASE DO NOT STATE USER FRIENDLY. THIS IS A FLUFF PHRASE. WHAT SPECIFICALLY (DESIGN OR FUNCTION) IS EASY AND WHY? Design – Visualizations, and icons are well suited to your sub-population; screens are organized; ergonomic Perspective on hitting the mark - Do you think this tool can actually support the desired goal for your subpopulation? Under what circumstances? Other Criteria: Note (can add many rows, if needed) Bottom line Moderate Key points based on assessment Appendix A. Examples of Some Report Components Identify Relevant CHI PillDrill Technology Review and Assessment PillDrill Goal - PillDrill is an EPD/medication tracking system that reminds users when it is time to take medications, tracks and verifies medication(s) has been taken, and notifies caregivers/loved ones. This device assists unintentional non-persistence in the elderly and aims to reduce medication errors and ensure users adhere to medication regimens prescribed. PillDrill Users – The general public, but - Deaf users may not hear alerts. - Perceived stigma and social pressures may discourage use. - Device/internet service cost may deter lower income users. - Users who are not technologically inclined may find the hub and mobile app too difficult to use PillDrill Key Features - Reminds users when medications are due - Clear audio/visual alerts assist physical impairments - Tracks each medication taken and creates a log - Tracks user’s mood and notifies caregivers via mobile app - Mobile app notifies loved ones and caregivers when medications are taken in real-time - Mobile app allows users, loved ones, and caregivers to create/edit medication schedules, receive reminders, and log doses while away from home. PillDrill Data Collected - Medication details - Mood cubes contain faces that users scan depending on their mood. Each side has an RFID scannable face (i.e., Great, Good, OK, Bad, & Awful). PillDrill Access - The PillDrill kit uses a smartphone app, hub, weekly pill strips, scanning tags, tag holders, and a mood cube. - The app is downloadable via a smartphone by users and loved ones. While the app is not required for use, it is beneficial in creating medication scheduling, logging doses, tracking moods and symptoms, and notifying loved ones when medication(s) is taken. - The hub is the main component of the system and requires a reliable electrical source and Wi-Fi connection. It has a large screen with buttons to navigate the user interface and alerts users to take their pills. The screen displays the name and time of the medication due. An activity log is created as medications are scanned. - Weekly pill strips organize up to 10 pills per day in daily pods containing built-in RFID sensors that users scan via the hub. - Alternative scanning tags can be used should users prefer scanning medication bottles over the pill strips. The tags use built-in RFID sensors and are labeled A-Z to be directly attached to each bottle. - Tag holders allow tying of RFID scanning tags to inhalers, injections, eye drops, & other non-bottled medications. - The hub and mobile app require Internet access. PillDrill Fit with Healthcare Continuum – Medication non-adherence in the elderly can lead to frequent physician visits and higher health care costs (Frances Yap, Thirumoorthy, & Heng Kwan, 2016). Setting reminders and scanning medications ensure proper dosages can benefit patients’ health over time. PillDrill mobile app creates a log of scanned medications and user moods that can be shared with health care providers to determine the efficacy of prescribed medications. Review and Assess (just completed a few cells for example) Type of Technology- Device PillDrill Criteria Overall Assessment Assessment Justification Disclosure – Informs who should use, why/ purpose, limitations to use Credibility of the developer/endorsement - Any indications of endorsement? Strong PillDrill has many innovation awards and accolades: 2017 CES Innovation Award Honoree, 2017 AARP 50+ Live Pitch Finalist, 2016 Medication Management Leadership Award, and 2016 ECRM Best New Home Health Product. Evidence based – Does it appear that this product is built on solid testing and evidence? What are the indicators of evidence? Any evidence of unbiased evaluation? Testing? Implied theoretical or research-based foundation? Is it developed by credible developer? Sponsored by a recognized health organization? Weak Besides positive internet reviews, not enough evidence and testing to conclude its efficacy. Content (web sites, apps, etc.)– Does it appear to be accurate? Up to date? Complete information (no obvious gaps)? Safe - Does it appear to be safe? Any information on safety? Interactivity – Is the feedback and/or means of exchanging information is suited to the target audience? Moderate Most data are scanned in, which should be easy for our target population - Considers target audience – Is it tailored to meet the characteristics of the target audience (e.g., age-appropriate, if target audience is of a certain age group)? Weak - Wi-Fi is needed to use the device. - The hub is intended for users who are predominantly home and may not be suitable for people’ on-the-go’. - Users may forget to scan the medications, especially people with Alzheimer’s and Dementia. Readability – content and support materials (questions) are easy to read? Understandability – easy for your target sub-population to understand how to use; provides instructions or some form of training. Design – Visualizations, and icons are well suited to your sub-population; screens are organized; ergonomic Perspective on hitting the mark - Do you think this tool can actually support the desired goal for your subpopulation? Under what circumstances? Moderate PillDrill has received positive reviews from users. Data obtained via the hub helps care providers notice patterns and adjust medications accordingly. Notifications received from the mobile app offers peace of mind to loved ones. The act of scanning medications empowers users and encourages positive behaviors, which promotes patient engagement. Other Criteria: Bottom line Moderate