International Workshop TSB 2011

Authors

Alejandro González Patón Giuseppe Fico

María Teresa Arredondo Waldmeyer Alessio Fioravanti

An iPhone-based application for promoting type 2 diabetic patients self-management towards healthy lifestyle habits

Content

2 LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

1. Introduction 2. Methodology 3. Objectives 4. METABO Project 5. Results 6. Conclusion 7. Next Steps

Definition

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Diabetes mellitus is defined as a set of syndromes which have a

blood hypoglycaemia as a common factor, caused by the

absence or decrease of the insulin. It is a chronic disease with

no cure nowadays

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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Types

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• T1DM: (5-10%), difficulties in the production of insulin

• T2DM: (90-95%), resistance to the action of the insulin

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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Complications

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• Hypoglycaemia & Hyperglycaemia • Cardiovascular diseases • Retinopathy • Nerves Damage • Nephropathy • Osteoporosis • Alzheimer’s • Hearing problems

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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Diabetes type 2

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Diabetes World Prevalence

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Source IDF Atlas Diabetes 2009

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Diabetes World Prevalence

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Source IDF Atlas Diabetes 2009

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Stratategies

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•Nutrition •Physical Activity •Self-Management •Education •Motivation

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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G-OD Methodology

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METABO PERSONA

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George Age: 68 Weight: 90kg Height: 164 cm Type: T2DM Onset: 5 years ago Main characteristics: Co-morbidities, lack of motivation, IT illiterate

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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Objectives

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• High usability, user-friendliness and intuitiveness

• Drive-system application • High level satisfaction • Communication • Continuous monitoring

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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METABO

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METABO

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WSDL

Control Panel

Server iPhone

METABO DB SQLite

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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Results

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George – Doctor Module

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Patient and clinician are connected and are able to exchange messages related to the treatment

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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George – Messages Module

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can see all messages generated by METABO platform classified by priority

Clinician can see all messages that METABO platform has generated to each patient

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George – Medication Module (I)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Clinician can prescribe drug treatment remotely

Clinician can monitoring patient adherence to the treatment

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George – Medication Module (II)

Patient can see next drug prescription as well as the week prescription

Patient can estimate the number of drugs to carry with him in case of travel

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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George – Measurements Module (I)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Clinician can monitoring patient adherence to the treatment and see all measurements inserted by the patient

Clinician can prescribe glycaemic measurements remotely

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George – Measurements Module (II)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can see glycaemic measurement prescription

Patient can insert measurements and see his evolution

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George – Food Intake Module (I)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Clinician can monitoring patient adherence to the treatment and see all meals inserted by the patient

Clinician can suggest meals remotely

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George – Food Intake Module (II)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can insert his daily meals and see the kcal associated

Patient can insert measurements and see his evolution

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George – Physical Activity Module (I)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Clinician can monitoring patient adherence to the treatment and see all exercises inserted by the patient

Clinician can prescribe physical activity remotely

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George – Physical Activity Module (II)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can see next physical activity as well as week prescription

Patient can insert his physical activity and see his evolution

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George – Learning Module

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Clinician can monitoring patient adherence to the treatment and see all quizzes performed by the patient

Clinician can prescribe educational contents remotely

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George – Learning Module

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can see educational content prescribed by his physician

Patient can perform different quizzes and check his knowledge

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George – Goal Quest Module (I)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Clinician can prescribe two different goals 1. Lose Weight 2. Improve education knowledge

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George – Goal Quest Module (II)

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can see his current goals prescribed as well as the achievement ones

Patient can see his evolution

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George – Feedback Module

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

Patient can decide which kind of feedback he wants to receive

Feedback generated in the iPhone (Warnings) or in the METABO platform (Reminders and Tips)

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George – Security Module

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

It is needed to insert METABO credentials in order to register the application

Personal PIN

HTTPS communication

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Conclusions

Holistic Interaction Model for people living with a chronic disease | Elena Villalba Mora @2008 32

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• Based on a solid scientific background • Changing lifestyle through healthy diet and

physical activity • Useful tool for T2DM patients • Remote follow up • Bi-directional communication • Reducing health care system

Next steps

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Madrid

Paris

Parma Modena

Prague

LST – Life Supporting Technologies@2011 | WTHS’11– Alejandro González Patón

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International Workshop TSB 2011

Authors

Alejandro González Patón Giuseppe Fico

María Teresa Arredondo Waldmeyer Alessio Fioravanti

An iPhone-based application for promoting type 2 diabetic patients self-management towards healthy lifestyle habits