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A personalized platform for life and health services
Transcript of A personalized platform for life and health services
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Kicked-off: Jan 1, 2004 - Conclusion: Dec. 31, 2007
Project budget: 14 million € (grant 9,8 million €)
European Commission 6st R&D Framework Program
Information Society Technologies, e-Health: IST507019
A personalized platform for life and health services
Alberto Sanna: San Raffaele Scientific Institute, e-Services for Life & Health
and PIPS Project Coordinator – [email protected]
Emanuele Bosi: San Raffaele Scientific Institute, Diabetes & Endocrinology
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Personalized Information Platform for Life & Health Services The PIPS Partners
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
He needs to complywith medical advices
while shopping, cooking, eating He needs daily memosfor drug taking,
vital signs/weight monitoring,physical exercisingHe wants
timely updateson specific health topics
He needs toset periodically
medical check ups & lab tests
Mr. John Doewants (or needs!) to follow an healthier lifestyle
Personalized Services for Life & Health …… for a healthier lifestyle
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Home
The Person
Gym & Spa Supermarket
Food Industry
Restaurant
Mobility
PharmaIndustry
Medical Doctor
Hospital
Pharmacy
Personalized Services for Life & Health …… to assist the Individual in his/her daily life
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Home
The Person
Supermarket
Pharmacy
Medical Doctor
Hospital
Personalized Services for Life & Health …… to assist the Individual in his/her daily life: the Virtual Ego
Mobility
Gym & Spa
Restaurant
Food Industry
PharmaIndustry
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Choices
Needs Preferences
MedicalProfile
Personal PreferencesProfile
BehaviourProfile
Personalized Services for Life & Health …… and the PIPS Individual’s Profile
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Home
The Person
Supermarket
Mobility
PharmaIndustry
Pharmacy
Medical Doctor
Hospital
Personalized Services for Life & Health …… to assist in making informed choices in daily life
Gym & Spa
Food Industry
Restaurant
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Personalized Services for Life & Health …… the technological challenges
Home
The Person
Supermarket
MobilityPharmacy
Medical Doctor
Hospital
• Distributed Knowledge Sources• Knowledge Management• Decision Support Systems• Sensor Interaction & Data Capture• User Interaction• Trust & Security
Gym & Spa
Food Industry
Restaurant
PharmaIndustry
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
PharmaIndustry
Restaurant
Personalized Services for Life & Health …… knowledge mgmt from fragmented, heterogeneous sources
Home
The Person
Gym & Spa Supermarket
Mobility
Medical Doctor
Hospital
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Pharmacy
Technical Solutions
Domain Ontologies ROME, NutriPIPSOntology Based Reasoning KAON2, KaSeASemantic Query Languages DIGUT, OWL, SPARQLDialoguing Systems GATE, Haptek
Food Industry
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Personalized Services for Life & Health …… to support the Individual’s decision in a trusted framework
Home
The Person
Supermarket
Restaurant
PharmaIndustry
Pharmacy
Medical Doctor
Hospital
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Technical SolutionsProfiling Virtual Ego, HL7 RIMRule Engine JESS, RULEMLMulti-Agent Platform JADEWorkflows JBPM, LAPTrust & Security Trust Case, P3P
Mobility
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Gym & Spa
Food Industry
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Hospital Home
The Person
Pharma &Medical Device
Pharmacy
Supermarket
RestaurantMedical Doctor
Personalized Services for Life & Health …… the medical challenges
Medical-Scientific Domain
Healthier LifestyleDiabetes
CardiologyAllergology
NutritionPhysical ExercisePharma TherapiesSelfCare Monitoring Mobility
Gym & Spa
Food Industry
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Supermarket
Personalized Services for Life & Health …… to assist in making informed choices in daily life: at the supermarket
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Home
Personalized Services for Life & Health …… to assist in making informed choices in daily life: at home
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Home
Personalized Services for Life & Health …… to assist in making informed choices in daily life: at home
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Restaurant
Home
The Person
Supermarket
FoodIndustry
Mobility
Pharma & Med.Industry
Pharmacy
Medical Doctor
Hospital
Personalized Services for Life & Health …… to assist in making informed choices in daily life
Gym & Spa
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Personalized Services for Life & Health …… to assist in making informed choices in daily life: physical activity
Gym & Spa
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Personalized Services for Life & Health …… to assist in making informed choices in daily life: physical activity
Why Diabetes?
Gym & Spa
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Total cases > 300 million adults
Number of persons< 5,0005,000–74,00075,000–349,000350,000–1,499,0001,500,000–4,999,000> 5,000,000No data available
Worldwide prevalence of diabetes in 2030 (projected)
Adapted from WHO Diabetes Programme Facts and Figures:www.who.int/diabetes/facts/world_figures/en. Accessed 1 August, 2006.
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Prevalence of Diabetes*: Europe
<2% 2%–5% 5%–8% 8%–11% 11%–14%
Europe 2003: 48 million Europe 2003: 48 million
*T2DM represents ~90%–95% of cases (Centers for Disease Control and Prevention. National Diabetes Fact Sheet, 2003. Rev ed. Atlanta, Ga: US Department of Health and Human Services; 2004.)Adapted from International Diabetes Federation. Diabetes Atlas. 2nd ed. 2003.1 World Health Organization, Prevalence of Diabetes in the WHO European Region. <http://www.who.int/diabetes.>
Nationwide Diabetes Prevalence Categories
1.7 (3.9%)UK2.5 (9.0%)Poland2.6 (6.2%)France2.9 (6.6%)Italy2.9 (7.0%)Turkey
0.22 (8.0%)Switzerland
3.0 (9.9%)Spain3.5 (9.7%)Ukraine6.3 (10.2%)Germany9.7 (9.2%)Russia
No. (Millions) with Diabetes 20- to 79-Year
Age Group (% of population)
Country
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Why Diabetes isexploding worldwide?
The leading cause of diabetespandemia are changes in
lifestyle, i.e. more caloric intakeand, even more important, less
physical activity
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Underlying hypothesis
Can interactive communication technology
be used to achieve and maintain sustained physical activity in patients with type
2 diabetes?
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Clinical Trial:Exercise Behavioral Changes
in patients with type 2 diabetes using a PIPS Motivational Model
Emanuele Bosi, Luca FalquiDiabetes & Endocrinology Unit, San Raffaele Scientific Institute and Life-Health University
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
PIPS CLINICAL TRIAL on DIABETES interactive and context-sensitive communication
((((
Till now you reached 70% of the target.
Fairly good, you are motivated and active taking care of yourself: to regain your missing steps, have a walk with your dog this evening.
Pedometer Pedometer
Mobile PhoneMobile Phone
Mobile PhoneMobile Phone
PIPS PlatformPIPS Platform
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Mary is a Diabetic person in Likelihood of Change her exercise habits.Target is set on N° steps and caloric consumption.
Strolling & MotivationMotivational messages: technical information
TECHNICAL INFORMATION
‘Yesterday you have reached the 80% of the target.
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Mary is a Diabetic person in Likelihood of Change her exercise habits.Target is set on N° steps and caloric consumption.
‘Yesterday you have reached the 70% of the targetNot bad, but you didn’t fully reached the goal. Try to regain!
COMMENT
>80%
50% 80%
<50%
Strolling & MotivationMotivational messages: comment
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Mary is a Diabetic person in Likelihood of Change her exercise habits.Target is set on N° steps and caloric consumption.
ENCOURAGEMENT
‘Yesterday you have reached the 80% of the targetNot bad, but you didn’t fully reached the goal. Try to regain!Start being more active is one of the most important things you could do for your health
Strolling & MotivationMotivational messages: encouragement
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Mary is a Diabetic person in Likelihood of Change her exercise habits.Target is set on N° steps and caloric consumption.
SUGGESTION
‘Yesterday you have reached the 80% of the targetNot bad, but you didn’t fully reached the goal. Try to regain!Start being more active is one of the most important things you could do for your health.The weekend will be sunny: why don’t you go footing in the park near your home. Bring your dog with you!’
Strolling & MotivationMotivational messages: Suggestion
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Restaurant
Home
The Person
Supermarket
FoodIndustry
Mobility
PharmaIndustry
Pharmacy
Medical Doctor
Hospital
Contact: ALBERTO [email protected]
www.pips.eu.org
PIPS – IST507019Personalized Information Platform for Life & Health Services
Gym & Spa
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Kicked-off: Jan 1, 2004 - Conclusion: Dec. 31, 2007
Project budget: 14 million € (grant 9,8 million €)
European Commission 6st R&D Framework Program
Information Society Technologies, e-Health: IST507019
A personalized platform for life and health services
Alberto Sanna: San Raffaele Scientific Institute, e-Services for Life & Health
and PIPS Project Coordinator – [email protected]
Emanuele Bosi: San Raffaele Scientific Institute, Diabetes & Endocrinology
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Personalized Information Platform for Life & Health ServicesThe PIPS Architecture
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Diabetes & Physical Activity
Regular Physical Activity/Exercise:
- has been shown to improve blood glucose control, reduce cardiovascular risk, contribute to weight loss and improve well-being in people with both type 1 and type 2 diabetes;
- reduces the risk of developing type 2 diabetes in predisposedindividuals;
- is therefore strongly recommended in people with diabetes;
However, only a minor proportion (around 20%) of adults withtype 2 diabetes fulfill the recommendations of minimal physicalactivity (60 min or more weekly)
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A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007
Strolling and MotivationThe strategy: act on the likelihood of change
• Walking Target, i.e. a personalized path of incremental physical activity based on patient’s fitness status
• Monitoring, i.e. following the progression of the patient in a specified length of time
• PIPS messages to the patient, i.e. PIPS feedback to the walking data sent to the server by the patient through her/his pedometer
• Self Knowledge Improvement, i.e. the patients are stimulated to reason about themselves and their emotional status
• Failing strategy, i.e. the choice of the actions to be performed in case of failure in the target achievement (e.g. protract absence of data or low percentage of target achievement)
• Information delivery to the patients supporting them in the walking program follow up