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Konsolakis K, Banos O, Cabrita M, Hermens H. COVID-BEHAVE dataset: measuring human behaviour during the COVID-19 pandemic. Sci Data 2022; 9:754. [PMID: 36473876 PMCID: PMC9726931 DOI: 10.1038/s41597-022-01856-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 11/21/2022] [Indexed: 12/12/2022] Open
Abstract
Aiming to illuminate the effects of enforced confinements on people's lives, this paper presents a novel dataset that measures human behaviour holistically and longitudinally during the COVID-19 outbreak. In particular, we conducted a study during the first wave of the lockdown, where 21 healthy subjects from the Netherlands and Greece participated, collecting multimodal raw and processed data from smartphone sensors, activity trackers, and users' responses to digital questionnaires. The study lasted more than two months, although the duration of the data collection varies per participant. The data are publicly available and can be used to model human behaviour in a broad sense as the dataset explores physical, social, emotional, and cognitive domains. The dataset offers an exemplary perspective on a given group of people that could be considered to build new models for investigating behaviour changes as a consequence of the lockdown. Importantly, to our knowledge, this is the first dataset combining passive sensing, experience sampling, and virtual assistants to study human behaviour dynamics in a prolonged lockdown situation.
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Affiliation(s)
- Kostas Konsolakis
- grid.6214.10000 0004 0399 8953Biomedical Signals and Systems Research Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, 7522NB The Netherlands
| | - Oresti Banos
- grid.4489.10000000121678994Research Center for Information and Communication Technologies, University of Granada, Granada, E-18071 Spain
| | - Miriam Cabrita
- Innovation Sprint, Drienerlolaan 5, Enschede, 7522NB The Netherlands
| | - Hermie Hermens
- grid.6214.10000 0004 0399 8953Biomedical Signals and Systems Research Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, 7522NB The Netherlands
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Oliveira B, Barros P, Dores M, Rosa G, Cabrita M, Coutinho A. Erectile dysfunction in young people with type I diabetes: Prevalence, comorbidities and therapeutic response. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02069-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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3
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Brandl L, Cabrita M, Brodbeck J, Heylen D, van Velsen L. Consulting the Oracle: A Delphi study for determining parameters for a mental health user profile and personalization strategy for an online service to aid grieving older adults. Internet Interv 2022; 28:100534. [PMID: 35462943 PMCID: PMC9019256 DOI: 10.1016/j.invent.2022.100534] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 03/29/2022] [Accepted: 04/01/2022] [Indexed: 11/16/2022] Open
Abstract
While much effort has been devoted to the development of mental e-health interventions, the tailoring of these applications to user characteristics and needs is a comparatively novel field of research. The premise of personalizing mental e-health interventions is that personalization increases user motivation and (thereby) mitigates intervention dropout and enhances clinical effectiveness. In this study, we selected user profile parameters for personalizing a mental e-health intervention for older adults who lost their spouse. We conducted a three-round Delphi study involving an international and interdisciplinary expert panel (N = 16) with two objectives. The first aim was to elicit adaptation strategies that can be used to dynamically readjust the intervention to the user's needs. The second aim was to identify a set of meaningful indicators for monitoring the user from within the grief intervention to escalate from self-help to blended care, whenever advisable. This Delphi study used as starting point an evaluated, text-based grief intervention composed of ten modules, including psychoeducation about grief and cognitive-behavioral exercises to support the user in adjusting their lives after bereavement. Every user follows this grief intervention in a linear fashion from beginning to end. The resulting conceptual adaptation model encompasses dynamic adjustments, as well as one-time adjustments performed at the initialization of the service. On the level of the application structure, the adaptations affect when which topic module is presented to the user. The adaptations further provide strategies for adjusting the text-based content of individual intervention modules dependent on user characteristics and for selecting appropriate reactions to user input. Eighteen monitoring parameters were elicited and grouped into four categories: clinical, behavioral/emotional, interactive, and external. Parameters that were perceived as most urgent to attend to for escalation were Suicidality, Self-destructive behavior, Client-initiated escalation, Unresponsiveness and (Complicated) Grief symptoms.
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Affiliation(s)
- Lena Brandl
- Roessingh Research and Development, P.O. Box 1212, Enschede, the Netherlands,University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Department of Human Media Interaction, P.O. Box 217, 7500AE Enschede, the Netherlands,Corresponding author at: University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Department of Human Media Interaction, P.O. Box 217, 7500AE Enschede, the Netherlands.
| | - Miriam Cabrita
- Roessingh Research and Development, P.O. Box 1212, Enschede, the Netherlands,University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Department of Biomedical Signals and Systems, P.O. Box 217, 7500AE Enschede, the Netherlands
| | - Jeannette Brodbeck
- Institute for Consulting, Coaching and Social Management, FHNW School of Social Work, Riggenbachstrasse 16, 4600 Olten, Switzerland,Universität Bern, Institut für Psychologie, Fabrikstrasse 8, 3012 Bern, Switzerland
| | - Dirk Heylen
- University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Department of Human Media Interaction, P.O. Box 217, 7500AE Enschede, the Netherlands
| | - Lex van Velsen
- Roessingh Research and Development, P.O. Box 1212, Enschede, the Netherlands,University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Department of Biomedical Signals and Systems, P.O. Box 217, 7500AE Enschede, the Netherlands
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op den Akker H, Cabrita M, Pnevmatikakis A. Digital Therapeutics: Virtual Coaching Powered by Artificial Intelligence on Real-World Data. Front Comput Sci 2021. [DOI: 10.3389/fcomp.2021.750428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
An ever-increasing number of people need to cope with one or more chronic conditions for a significant portion of their life. Digital Therapeutics (DTx) focused on the prevention, management, or treatment of chronic diseases are promising in alleviating the personal socio-economic burden caused. In this paper we describe a proposed DTx methodology covering three main components: observation (which data is collected), understanding (how to acquire knowledge based on the data collected), and coaching (how to communicate the acquired knowledge to the user). We focus on an emerging form of automated virtual coaching, delivered through conversational agents allowing interaction with end-users using natural language. Our methodology will be applied in the new generation of the Healthentia platform, an eClinical solution that captures clinical outcomes from mobile, medical and Internet of Things (IoT) devices, using a patient-centric mobile application and offers Artificial Intelligence (AI) driven smart services. While we are unable to provide data to prove its effectiveness, we illustrate the potential of the proposed architecture to deliver DTx by describing how the methodology can be applied to a use-case consisting of a clinical trial for treatment of a chronic condition, combining testing of a new medication and a lifestyle intervention, which will be partly implemented and evaluated in the context of the European research project RE-SAMPLE (REal-time data monitoring for Shared, Adaptive, Multi-domain and Personalised prediction, and decision making for Long-term Pulmonary care Ecosystems).
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Jansen-Kosterink S, van Velsen L, Cabrita M. Clinician acceptance of complex clinical decision support systems for treatment allocation of patients with chronic low back pain. BMC Med Inform Decis Mak 2021; 21:137. [PMID: 33906665 PMCID: PMC8077885 DOI: 10.1186/s12911-021-01502-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 04/09/2021] [Indexed: 11/10/2022] Open
Abstract
Background The uptake of complex clinical decision support systems (CDSS) in daily practice remains low, despite the proven potential to reduce medical errors and to improve the quality of care. To improve successful implementation of a complex CDSS this study aims to identify the factors that hinder, or alleviate the acceptance of, clinicians toward the use of a complex CDSS for treatment allocation of patients with chronic low back pain. Methods We tested a research model in which the intention to use a CDSS by clinicians is influenced by the perceived usefulness; this usefulness, in turn is influenced by the perceived service benefits and perceived service risks. An online survey was created to test our research model and the data was analysed using Partial Least Squares Structural Equation Modelling. The study population consisted of clinicians. The online questionnaire started with demographic questions and continued with a video animation of the complex CDSS followed by the set of measurement items. The online questionnaire ended with two open questions enquiring the reasons to use and not use, a complex CDSS. Results Ninety-eight participants (46% general practitioners, 25% primary care physical therapists, and 29% clinicians at a rehabilitation centre) fully completed the questionnaire. Fifty-two percent of the respondents were male. The average age was 48 years (SD ± 12.2). The causal model suggests that perceived usefulness is the main factor contributing to the intention to use a complex CDSS. Perceived service benefits and risks are both significant antecedents of perceived usefulness and perceived service risks are affected by the perceived threat to autonomy and trusting beliefs, particularly benevolence and competence. Conclusions To improve the acceptance of complex CDSSs it is important to address the risks, but the main focus during the implementation phase should be on the expected improvements in patient outcomes and the overall gain for clinicians. Our results will help the development of complex CDSSs that fit more into the daily clinical practice of clinicians.
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Affiliation(s)
- Stephanie Jansen-Kosterink
- eHealth Group, Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AL, Enschede, The Netherlands. .,Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, University of Twente, Enschede, the Netherlands.
| | - Lex van Velsen
- eHealth Group, Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AL, Enschede, The Netherlands.,Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, University of Twente, Enschede, the Netherlands
| | - Miriam Cabrita
- eHealth Group, Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AL, Enschede, The Netherlands.,Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, University of Twente, Enschede, the Netherlands
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van Velsen L, Cabrita M, Op den Akker H, Brandl L, Isaac J, Suárez M, Gouveia A, Dinis de Sousa R, Rodrigues AM, Canhão H, Evans N, Blok M, Alcobia C, Brodbeck J. LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation. JMIR Res Protoc 2020; 9:e19344. [PMID: 32897238 PMCID: PMC7509633 DOI: 10.2196/19344] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 06/17/2020] [Accepted: 06/30/2020] [Indexed: 12/20/2022] Open
Abstract
Background Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief (PG). PG, in turn, can result in mental and physical problems including poor sleep, cardiovascular problems, depression, and suicidal tendencies. Objective LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy) is an online bereavement program that will support the prevention and treatment of PG, so that elderly mourners can continue to lead an active, meaningful, and dignified life. LEAVES will cater to secondary end users (eg, family, informal caregivers) by reducing stress. Methods LEAVES will help older adults to process the loss of a spouse in an online environment, which consists of (1) an existing online grief self-help program LIVIA, (2) the Before You Leave program that allows for storing personal memories, (3) a virtual agent platform, and (4) an accessible front-end design. LEAVES can detect persons at risk for complications, reveal negative trends in their emotional life, and act to counter such trends. The service relies on online support whenever possible but is blended with telephone or face-to-face counseling when necessary. Results The project will take place between February 2020 and January 2023 and includes a real-life evaluation in which 315 end users will use the service across 3 countries (the Netherlands, Portugal, and Switzerland). The evaluation of LEAVES will focus on clinical effect, its business case, and technology acceptance. The results will pave the way for smooth integration into existing care paths and reimbursement schemes. Conclusions The LEAVES service aims to soften the mourning process, prevents depression or social isolation, strengthens widow(er)s resilience and well-being, and quickens one’s return to societal participation. International Registered Report Identifier (IRRID) DERR1-10.2196/19344
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Affiliation(s)
- Lex van Velsen
- eHealth group, Roessingh Research and Development, Enschede, Netherlands.,Biomedical Signals and Systems Group, University of Twente, Enschede, Netherlands
| | - Miriam Cabrita
- eHealth group, Roessingh Research and Development, Enschede, Netherlands.,Biomedical Signals and Systems Group, University of Twente, Enschede, Netherlands
| | - Harm Op den Akker
- eHealth group, Roessingh Research and Development, Enschede, Netherlands.,Biomedical Signals and Systems Group, University of Twente, Enschede, Netherlands
| | - Lena Brandl
- eHealth group, Roessingh Research and Development, Enschede, Netherlands
| | - Joana Isaac
- Unidade Local de Saúde do Baixo Alentejo, Beja, Portugal.,Comprehensive Health Research Center, NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal
| | - María Suárez
- Unidade Local de Saúde do Baixo Alentejo, Beja, Portugal
| | - Afonso Gouveia
- Unidade Local de Saúde do Baixo Alentejo, Beja, Portugal
| | - Rute Dinis de Sousa
- Comprehensive Health Research Center, NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal
| | - Ana Maria Rodrigues
- Comprehensive Health Research Center, NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal
| | - Helena Canhão
- Comprehensive Health Research Center, NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal
| | | | | | - Marije Blok
- National Foundation for the Elderly, Amersfoort, Netherlands.,Department of Sociology, Vrije Universiteit, Amsterdam, Netherlands
| | | | - Jeannette Brodbeck
- School of Social Work, FHNW University of Applied Sciences and Arts Northwestern Switzerland, Olten, Switzerland.,Department for Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
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Jansen-Kosterink SM, Cabrita M, Flierman I. The acceptance of clinical decision support systems among clinicians in the treatment of neck and/or back pain. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.1234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Clinical Decision Support Systems (CDSSs) are computerized systems using case-based reasoning to assist clinicians in making clinical decisions. Despite the proven added value to public health, the implementation of CDSS clinical practice is scarce. Particularly, little is known about the acceptance of CDSS among clinicians. Within the Back-UP project (Project Number: H2020-SC1-2017-CNECT-2-777090) a CDSS is developed with prognostic models to improve the management of Neck and/or Low Back Pain (NLBP). Therefore, the aim of this study is to present the factors involved in the acceptance of CDSSs among clinicians.
Methods
To assess the acceptance of CDSSs among clinicians we conducted a mixed method analysis of questionnaires and focus groups. An online questionnaire with a low-fidelity prototype of a CDSS (TRL3) was sent to Dutch clinicians aimed to identify the factors influencing the acceptance of CDSSs (intention to use, perceived threat to professional autonomy, trusting believes and perceived usefulness). Next to this, two focus groups were conducted with clinicians addressing the general attitudes towards CDSSs, the factors determining the level of acceptance, and the conditions to facilitate use of CDSSs.
Results
A pilot-study of the online questionnaire is completed and the results of the large evaluation are expected spring 2020. Eight clinicians participated in two focus groups. After being introduced to various types of CDSSs, participants were positive about the value of CDSS in the care of NLBP. The clinicians agreed that the human touch in NLBP care must be preserved and that CDSSs must remain a supporting tool, and not a replacement of their role as professionals.
Conclusions
By identifying the factors hindering the acceptance of CDSSs we can draw implications for implementation of CDSSs in the treatment of NLBP.
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Affiliation(s)
- S M Jansen-Kosterink
- eHealth group, Roessingh Research and Development, Enschede, Netherlands
- Biomedical Signals and Systems group, University of Twente, Enschede, Netherlands
| | - M Cabrita
- eHealth group, Roessingh Research and Development, Enschede, Netherlands
- Biomedical Signals and Systems group, University of Twente, Enschede, Netherlands
| | - I Flierman
- Roessingh Center of Rehabilitation, Enschede, Netherlands
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Øverås CK, Villumsen M, Axén I, Cabrita M, Leboeuf-Yde C, Hartvigsen J, Mork PJ. Association between objectively measured physical behaviour and neck- and/or low back pain: A systematic review. Eur J Pain 2020; 24:1007-1022. [PMID: 32096285 DOI: 10.1002/ejp.1551] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 01/07/2020] [Accepted: 02/23/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND AND OBJECTIVE Clinical guidelines recommend physical activity to manage neck pain (NP) and low back pain (LBP). However, studies used to support these guidelines are based on self-reports of physical behaviour, which are prone to bias and misclassification. This systematic review aimed to investigate associations between objectively measured physical behaviour and the risk or prognosis of NP and/or LBP. DATABASES AND DATA TREATMENT Literature searches were performed in MEDLINE, Embase and Scopus from their inception until 18 January 2019. We considered prospective cohort studies for eligibility. Article selection, data extraction and critical appraisal were carried out by independent reviewers. Results were stratified on activity/sedentariness. RESULTS Ten articles out of 897 unique records identified met the inclusion criteria, of which eight studied working populations with mainly blue-collar workers. The overall results indicate that increased sitting time at work reduces the risk of NP and LBP while increased physical activity during work and/or leisure increases the risk of these conditions among blue-collar workers; however, associations were weak. Physical activity was not associated with prognosis of LBP (no studies investigated prognosis of NP). Most of the included articles have methodological shortcomings. CONCLUSIONS This review indicates that, among blue-collar workers, increased sitting at work may protect against NP and LBP while increased physical activity during work and/or leisure may increase this risk. There was no evidence supporting physical activity as a prognostic factor for LBP. Findings should be interpreted with caution due to the weak associations and few available studies with methodological shortcomings. SIGNIFICANCE Based on prospective cohort studies with objectively measured physical behaviour, this review questions the common notion that increased physical activity is associated with reduced risk or better prognosis of NP and/or LBP. We found that, among blue-collar workers, increased sitting time at work reduces the risk of NP and LBP, whereas physical activity somewhat increases the risk. Despite methodological shortcomings, there was consistency in the direction of the results, although high-quality articles reported the weakest associations. Systematic review registration: PROSPERO CRD42018100765.
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Affiliation(s)
- Cecilie K Øverås
- Department of Public Health and Nursing, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.,Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Morten Villumsen
- Department of Public Health and Nursing, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
| | - Iben Axén
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Miriam Cabrita
- Roessingh Research and Development, eHealth Group, Enschede, The Netherlands.,Biomedical Signals and Systems group, University of Twente, Enschede, The Netherlands
| | - Charlotte Leboeuf-Yde
- Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
| | - Jan Hartvigsen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
| | - Paul J Mork
- Department of Public Health and Nursing, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
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Cabrita M, Tabak M, Vollenbroek-Hutten MM. Older Adults' Attitudes Toward Ambulatory Technology to Support Monitoring and Coaching of Healthy Behaviors: Qualitative Study. JMIR Aging 2019; 2:e10476. [PMID: 31518252 PMCID: PMC6715015 DOI: 10.2196/10476] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 06/14/2018] [Accepted: 12/27/2018] [Indexed: 01/19/2023] Open
Abstract
Background Prevention of functional decline demands a holistic perspective of health management. Older adults are becoming avid users of technology; however, technology is not yet largely used in supporting self-management of health in daily life. Previous research suggests that the low adherence to these technologies is likely to be associated with the fact that opinions and wishes of the older population are not always taken into consideration when designing new technology. Objective The aim of this study was to investigate the attitudes of older adults living independently regarding technology to support healthy behaviors, addressing nutrition, physical and cognitive function, and well-being. Methods In-depth semistructured interviews were performed with 12 older adults addressing 4 themes: (1) current practices in health management, (2) attitudes toward using technology to support health management, (3) wishes from technology, and (4) change in attitudes after actual use of technology. The fourth theme was investigated with a follow-up interview after participants had used a step counter, a smart scale, and a mobile app for 1 month. Data collected were analyzed using inductive thematic analysis. Results Participants were active in self-managing their health and foresaw an added value on using technology to support them in adopting healthier behaviors in everyday life. Attitudes and wishes differed considerably per health domain, with cognitive function being the most sensitive topic. Fears from technology mentioned were attention theft, replacement of human touch, and disuse of existing abilities. Poststudy interviews suggest that attitudes toward technology improve after a short period of use. Conclusions Technology to support aging in place must target health literacy, allow personalization in the design but also in the use of the technology, and tackle existing fears concerning technology. Further research should investigate the effect of these strategies on the adherence to technology to be used in daily life. We outline a set of recommendations of interest to those involved in developing and implementing technology to support aging in place, focusing on acceptance, barriers, and ethical concerns.
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Affiliation(s)
- Miriam Cabrita
- eHealth Group, Roessingh Research and Development, Enschede, Netherlands.,Biomedical Signals and Systems Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, Netherlands
| | - Monique Tabak
- eHealth Group, Roessingh Research and Development, Enschede, Netherlands.,Biomedical Signals and Systems Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, Netherlands
| | - Miriam Mr Vollenbroek-Hutten
- Biomedical Signals and Systems Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, Netherlands
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Cabrita M, Op den Akker H, Tabak M, Hermens HJ, Vollenbroek-Hutten MMR. Persuasive technology to support active and healthy ageing: An exploration of past, present, and future. J Biomed Inform 2018; 84:17-30. [PMID: 29935348 DOI: 10.1016/j.jbi.2018.06.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 06/06/2018] [Accepted: 06/13/2018] [Indexed: 12/30/2022]
Abstract
The age of the population worldwide is rapidly increasing, bringing social and economic challenges. Persuasive technology can alleviate the burden on traditional healthcare services when used to support healthy behaviors, for instance in the prevention and treatment of chronic diseases. Additionally, healthy behaviors are key factors for active and healthy ageing by delaying or even reversing functional decline. In this manuscript, we present a multi-perspective analysis of technologies that can be used in the support of active and healthy ageing in the daily life. First, we take the perspective of physical and mental health, by focusing on the promotion of physical activity and emotional wellbeing. From a temporal perspective, we look at how technology evolved from past, present and future. The overview of the literature is structured in four main sections: (1) measurement of current behavior (monitoring), (2) analysis of the data gathered to derive meaningful information (analyzing & reasoning), (3) support the individual in the adoption or maintenance of a behavior (coaching), and (4) tools or interfaces that provide the information to the individual to stimulate the desired behavior (applications). Finally, we provide recommendations for the design, development and implementation of future technological innovations to support Active and Healthy Ageing in daily life.
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Affiliation(s)
- Miriam Cabrita
- Telemedicine Group, Roessingh Research and Development, P.O. Box 310, 7522 AH Enschede, The Netherlands; Telemedicine Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands.
| | - Harm Op den Akker
- Telemedicine Group, Roessingh Research and Development, P.O. Box 310, 7522 AH Enschede, The Netherlands.
| | - Monique Tabak
- Telemedicine Group, Roessingh Research and Development, P.O. Box 310, 7522 AH Enschede, The Netherlands; Telemedicine Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands.
| | - Hermie J Hermens
- Telemedicine Group, Roessingh Research and Development, P.O. Box 310, 7522 AH Enschede, The Netherlands; Telemedicine Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands.
| | - Miriam M R Vollenbroek-Hutten
- Telemedicine Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands.
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11
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Cabrita M, Lamers SMA, Trompetter HR, Tabak M, Vollenbroek-Hutten MMR. Exploring the relation between positive emotions and the functional status of older adults living independently: a systematic review. Aging Ment Health 2017; 21:1121-1128. [PMID: 27437908 DOI: 10.1080/13607863.2016.1204982] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Literature suggests that positive emotions positively influence physiological parameters but their relation to functioning in the daily life of older adults living independently remains unclear. The present work aims to investigate the relation between positive emotions and functional status in daily life of older people living independently. METHOD A systematic literature review was conducted using the PubMed, PsycINFO and Scopus electronic databases. Included works were peer-reviewed empirical studies that analysed the relation between positive emotions and ability to perform activities of daily living with older adults living independently. RESULTS After removal of duplicates, 10 out of 963 papers met the inclusion criteria. Cross-sectional studies (n = 6) provided limited evidence about a relation between positive emotions and functioning in daily life. However, longitudinal studies (n = 4) provide significant evidence for an interaction between the two factors, suggesting that time influences this interaction. CONCLUSION The variety on the design and samples of the studies included in this review does not allow a cohesive conclusion of the results. Nevertheless, limited evidence suggests that higher frequency in the experience of positive emotions might be associated with lower functional limitations. The issue of causality in emotions-functioning remains unclear from the review. Further observational studies are highly recommended, supported by innovative technologies.
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Affiliation(s)
- Miriam Cabrita
- a Roessingh Research and Development, Telemedicine Group , Enschede , The Netherlands.,b Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group , University of Twente , Enschede , The Netherlands
| | - Sanne M A Lamers
- c Department of Psychology, Health and Technology , University of Twente , Enschede , The Netherlands
| | - Hester R Trompetter
- c Department of Psychology, Health and Technology , University of Twente , Enschede , The Netherlands
| | - Monique Tabak
- a Roessingh Research and Development, Telemedicine Group , Enschede , The Netherlands.,b Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group , University of Twente , Enschede , The Netherlands
| | - Miriam M R Vollenbroek-Hutten
- a Roessingh Research and Development, Telemedicine Group , Enschede , The Netherlands.,b Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group , University of Twente , Enschede , The Netherlands
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Cabrita M, Lousberg R, Tabak M, Hermens HJ, Vollenbroek-Hutten MMR. An exploratory study on the impact of daily activities on the pleasure and physical activity of older adults. Eur Rev Aging Phys Act 2017; 14:1. [PMID: 28074110 PMCID: PMC5216572 DOI: 10.1186/s11556-016-0170-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2016] [Accepted: 12/13/2016] [Indexed: 11/23/2022] Open
Abstract
Background Pleasure is one determinant of intrinsic motivation and yet a dimension often forgotten when promoting physical activity among the older population. In this study we investigate the relation between daily activities and physical activity, experience of pleasure, and the interaction between pleasure and physical activity in the daily lives of community-dwelling older adults. Methods Participants carried a hip-worn accelerometer during 30 consecutive days resulting in a total of 320 days of data collection. Current activity, location, companion and experience of pleasure during each activity were assessed through experience sampling on a smartphone every 1–2 h. Between- and within-individual differences were analysed with multi-level models and 10xN = 1 regression analysis. Results Outdoor activities were associated with higher physical activity than indoor activities (p < 0.001). Performing leisure activities, outdoors and not alone significantly predicted pleasure in daily life (all p’s < 0.05). Being more active while performing leisure activities resulted in higher experiences of pleasure (p < 0.001). However, when performing basic activities of daily living (e.g. commuting or households) this relation was inverted. Results provide meaningful indication for individual variance. The 30 days of data collected from each participant allow for identification of individual differences. Conclusions Daily activities and their contexts do influence the experience of pleasure and physical activity of older adults in daily life of older adults, although similar research with larger population is recommended. Results are in accordance with the literature, indicating that the method adopted (accelerometry combined with experience sampling) provides reliable representation of daily life. Identification of individual differences can eventually be automatically performed through data mining techniques. Further research could look at innovative approaches to promote Active Ageing using mobile technology in the daily life, by promoting physical activity through recommendation of pleasurable activities, and thus likely to increase the intrinsic motivation to become physically active.
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Affiliation(s)
- Miriam Cabrita
- Telemedicine group, Roessingh Research and Development, P.O. Box 310, Enschede, 7522 AH The Netherlands ; Telemedicine group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, Enschede, 7500 AE The Netherlands
| | - Richel Lousberg
- Department of Psychiatry & Psychology, Maastricht University, Maastricht, The Netherlands
| | - Monique Tabak
- Telemedicine group, Roessingh Research and Development, P.O. Box 310, Enschede, 7522 AH The Netherlands ; Telemedicine group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, Enschede, 7500 AE The Netherlands
| | - Hermie J Hermens
- Telemedicine group, Roessingh Research and Development, P.O. Box 310, Enschede, 7522 AH The Netherlands ; Telemedicine group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, Enschede, 7500 AE The Netherlands
| | - Miriam M R Vollenbroek-Hutten
- Telemedicine group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, Enschede, 7500 AE The Netherlands
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Op den Akker H, Cabrita M, Op den Akker R, Jones VM, Hermens HJ. Tailored motivational message generation: A model and practical framework for real-time physical activity coaching. J Biomed Inform 2015; 55:104-15. [PMID: 25843359 DOI: 10.1016/j.jbi.2015.03.005] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Revised: 01/20/2015] [Accepted: 03/17/2015] [Indexed: 10/23/2022]
Abstract
This paper presents a comprehensive and practical framework for automatic generation of real-time tailored messages in behavior change applications. Basic aspects of motivational messages are time, intention, content and presentation. Tailoring of messages to the individual user may involve all aspects of communication. A linear modular system is presented for generating such messages. It is explained how properties of user and context are taken into account in each of the modules of the system and how they affect the linguistic presentation of the generated messages. The model of motivational messages presented is based on an analysis of existing literature as well as the analysis of a corpus of motivational messages used in previous studies. The model extends existing 'ontology-based' approaches to message generation for real-time coaching systems found in the literature. Practical examples are given on how simple tailoring rules can be implemented throughout the various stages of the framework. Such examples can guide further research by clarifying what it means to use e.g. user targeting to tailor a message. As primary example we look at the issue of promoting daily physical activity. Future work is pointed out in applying the present model and framework, defining efficient ways of evaluating individual tailoring components, and improving effectiveness through the creation of accurate and complete user- and context models.
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Affiliation(s)
- Harm Op den Akker
- Roessingh Research and Development, Telemedicine Group, Enschede, The Netherlands; University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, Enschede, The Netherlands.
| | - Miriam Cabrita
- Roessingh Research and Development, Telemedicine Group, Enschede, The Netherlands; University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, Enschede, The Netherlands
| | - Rieks Op den Akker
- University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Human Media Interaction Group, Enschede, The Netherlands
| | - Valerie M Jones
- University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, Enschede, The Netherlands
| | - Hermie J Hermens
- Roessingh Research and Development, Telemedicine Group, Enschede, The Netherlands; University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, Enschede, The Netherlands
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