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Design and Development of a Mobile Medical Application for the Management of Chronic Diseases: Methods of Improved Data Input for Older People

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Part of the book series: Lecture Notes in Computer Science ((LNPSE,volume 4799))

Abstract

The application of already widely available mobile phones would provide medical professionals with an additional possibility of outpatient care, which may reduce medical cost at the same time as providing support to elderly people suffering from chronic diseases, such as diabetes and hypertension. To facilitate this, it is essential to apply user centered development methodologies to counteract opposition due to the technological inexperience of the elderly. In this paper, we describe the design and development of a mobile medical application to help deal with chronic diseases in a home environment. The application is called MyMobileDoc and includes a graphical user interface for patients to enter medical data including blood pressure; blood glucose levels; etc. Although we are aware that sensor devices are being marketed to measure this data, subjective data, for example, pain intensity and contentment level must be manually input. We included 15 patients aged from 36 to 84 (mean age 65) and 4 nurses aged from 20 to 33 (mean age 26) in several of our user centered development cycles. We concentrated on three different possibilities for number input. We demonstrate the function of this interface, its applicability and the importance of patient education. Our aim is to stimulate incidental learning, enhance motivation, increase comprehension and thus acceptance.

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References

  1. Grundy, E., Tomassini, C., Festy, P.: Demographic change and the care of older people: introduction. European Journal of Population-Revue Europeenne De Demographie 22(3), 215–218 (2006)

    Article  Google Scholar 

  2. Liebl, A., Spannheimer, A., Reitberger, U., Gortz, A.: Costs of long-term complications in type 2 diabetes patients in Germany. Results of the CODE-2 (R) study. Medizinische Klinik 97(12), 713–719 (2002)

    Article  Google Scholar 

  3. Liebl, A., Neiss, A., Spannheimer, A., Reitberger, U., Wieseler, B., Stammer, H., Goertz, A.: Complications co-morbidity, and blood glucose control in type 2 diabetes mellitus patients in Germany - results from the CODE-2 (TM) study. Experimental and Clinical Endocrinology & Diabetes 110(1), 10–16 (2002)

    Article  Google Scholar 

  4. Roberts, R.L., Small, R.E.: Cost of treating hypertension in the elderly. Current Hypertension Reports 4(6), 420–423 (2002)

    Article  Google Scholar 

  5. Silberbauer, K.: Hypertonie - die Lawine rollt. Oesterreichische Aerztezeitung 59(12), 40–43 (2004)

    Google Scholar 

  6. Kleinberger, T., Becker, M., Ras, E., Holzinger, A., Müller, P.: Ambient Intelligence in Assisted Living: Enable Elderly People to Handle Future Interfaces. In: Universal Access to Ambient Interaction. LNCS, vol. 4555, pp. 103–112 (2007)

    Google Scholar 

  7. Visser, A.: Health and patient education for the elderly. Patient Education and Counseling 34(1), 1–3 (1998)

    Article  Google Scholar 

  8. Lewis, D.: Computers in patient education. Cin-Computers Informatics Nursing 21(2), 88–96 (2003)

    Article  Google Scholar 

  9. Holzinger, A., Nischelwitzer, A., Meisenberger, M.: Mobile Phones as a Challenge for m-Learning: Examples for Mobile Interactive Learning Objects (MILOs). In: Tavangarian, D. (ed.) 3rd IEEE PerCom, pp. 307–311. IEEE Computer Society Press, Los Alamitos (2005)

    Google Scholar 

  10. Holzinger, A., Searle, G., Nischelwitzer, A.: On some Aspects of Improving Mobile Applications for the Elderly. In: Stephanidis, C. (ed.) Coping with Diversity in Universal Access, Research and Development Methods in Universal Access. LNCS, vol. 4554, pp. 923–932 (2007)

    Google Scholar 

  11. Pinnock, H., Slack, R., Pagliari, C., Price, D., Sheikh, A.: Understanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study. Clinical and Experimental Allergy 37(5), 794–802 (2007)

    Article  Google Scholar 

  12. Scherr, D., Zweiker, R., Kollmann, A., Kastner, P., Schreier, G., Fruhwald, F.M.: Mobile phone-based surveillance of cardiac patients at home. Journal of Telemedicine and Telecare 12(5), 255–261 (2006)

    Article  Google Scholar 

  13. Ichimura, T., Suka, M., Sugihara, A., Harada, K.: Health support intelligent system for diabetic patient by mobile phone. In: Proceedings of Knowledge-Based Intelligent Information and Engineering Systems, Pt 3, pp. 1260–1265. Springer, Heidelberg (2005)

    Google Scholar 

  14. Weippl, E., Holzinger, A., Tjoa, A.M.: Security aspects of ubiquitous computing in health care. Springer Elektrotechnik & Informationstechnik, e&i 123(4), 156–162 (2006)

    Article  Google Scholar 

  15. Holzinger, A., Ebner, M.: Interaction and Usability of Simulations & Animations: A case study of the Flash Technology. In: Rauterberg, M., Menozzi, M., Wesson, J. (eds.) Human-Computer Interaction Interact, pp. 777–780 (2003)

    Google Scholar 

  16. Adams, R., Langdon, P.: Assessment, insight and awareness in design for users with special needs. In: Keates, S., Clarkson, J., Langdon, P., Robinson, P. (eds.) Designing for a more inclusive world, pp. 49–58. Springer, Heidelberg (2004)

    Google Scholar 

  17. Kyngas, H.A., Kroll, T., Duffy, M.E.: Compliance in adolescents with chronic diseases: A review. Journal of Adolescent Health 26(6), 379–388 (2000)

    Article  Google Scholar 

  18. Kortke, H., Korfer, R., Kirchberger, I., Bullinger, M.: Quality of life of patients after heart valve surgery - First results of the early self-controlled anticoagulation trial (ESCAT). Quality of Life Research 6(7-8), 200–200 (1997)

    Google Scholar 

  19. Zaphiris, P., Ghiawadwala, M., Mughal, S.: Age-centered research-based web design guidelines CHI 2005 extended abstracts on Human factors in computing systems, pp. 1897–1900 (2005)

    Google Scholar 

  20. Sinha, R., Boutelle, J.: Rapid information architecture prototyping Symposium on Designing Interactive Systems, pp. 349–352 (2004)

    Google Scholar 

  21. Holzinger, A.: Application of Rapid Prototyping to the User Interface Development for a Virtual Medical Campus. IEEE Software 21(1), 92–99 (2004)

    Article  Google Scholar 

  22. Holzinger, A.: Usability Engineering for Software Developers. Communications of the ACM 48(1), 71–74 (2005)

    Article  Google Scholar 

  23. Adams, R.: Universal access through client-centred cognitive assessment and personality profiling. In: User-Centered Interaction Paradigms for Universal Access in the Information Society, pp. 3–15. Springer, Heidelberg (2004)

    Google Scholar 

  24. Holzinger, A.: User-Centered Interface Design for disabled and elderly people: First experiences with designing a patient communication system (PACOSY). In: Miesenberger, K., Klaus, J., Zagler, W. (eds.) ICCHP 2002. LNCS, vol. 2398, pp. 34–41. Springer, Heidelberg (2002)

    Google Scholar 

  25. Holzinger, A.: Finger Instead of Mouse: Touch Screens as a means of enhancing Universal Access. In: Carbonell, N., Stephanidis, C. (eds.) Universal Access, Theoretical Perspectives, Practice, and Experience. LNCS, vol. 2615, pp. 387–397. Springer, Heidelberg (2003)

    Google Scholar 

  26. Giller, V., Melcher, R., Schrammel, J., Sefelin, R., Tscheligi, M.: Usability evaluations for multi-device application development three example studies. In: Human-Computer Interaction with Mobile Devices and Services, pp. 302–316. Springer, Heidelberg (2003)

    Google Scholar 

  27. Miller, G.A.: The magical number seven, plus or minus two: Some limits of our capacity for processing information. Psychological Review 63, 81–97 (1956)

    Article  Google Scholar 

  28. Baddeley, A.: The concept of working memory: A view of its current state and probable future development. Cognition 10(1-3), 17–23 (1981)

    Article  Google Scholar 

  29. Nielsen, J.: Medical Usability: How to Kill Patients Through Bad Design. Jakob Nielsen’s Alertbox, April 11, http://www.useit.com/alertbox/20050411.html (last access: 2007-08-16)

  30. Holzinger, A.: Multimedia Basics,Design. In: Developmental Fundamentals of multimedial Information Systems, vol.3, Laxmi Publications, New Delhi (2002)

    Google Scholar 

  31. Chadwick-Dias, A., McNulty, M., Tullis, T.: Web usability and age: how design changes can improve performance ACM Conference on Universal Usability: The ageing user, pp.30–37 ( 2002)

    Google Scholar 

  32. Rippey, R.M., Bill, D., Abeles, M., Day, J., Downing, D.S., Pfeiffer, C.A., Thal, S.E., Wetstone, S.L.: Computer-Based Patient Education for Older Persons with Osteoarthritis. Arthritis and Rheumatism 30(8), 932–935 (1987)

    Article  Google Scholar 

  33. Stoop, A.P., Van’t Riet, A., Berg, M.: Using information technology for patient education: realizing surplus value? Patient Education and Counseling 54(2), 187–195 (2004)

    Article  Google Scholar 

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Andreas Holzinger

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Nischelwitzer, A., Pintoffl, K., Loss, C., Holzinger, A. (2007). Design and Development of a Mobile Medical Application for the Management of Chronic Diseases: Methods of Improved Data Input for Older People. In: Holzinger, A. (eds) HCI and Usability for Medicine and Health Care. USAB 2007. Lecture Notes in Computer Science, vol 4799. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76805-0_10

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  • DOI: https://doi.org/10.1007/978-3-540-76805-0_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-76804-3

  • Online ISBN: 978-3-540-76805-0

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