FOR D ELIVERING Q UESTIONNAIRES , E DUCATIONAL M ATERIAL AND C - - PDF document

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FOR D ELIVERING Q UESTIONNAIRES , E DUCATIONAL M ATERIAL AND C - - PDF document

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G- QUEST : A S INGLE P LATFORM FOR D ELIVERING Q UESTIONNAIRES , E DUCATIONAL M ATERIAL AND C HECKLISTS ON M OBILE D EVICES Giordano Lanzola Dept. of Electrical, Computer and Biomedical Engineering University of Pavia Via Ferrata 1, 27100 Pavia

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SLIDE 1

UNIVERSITÀ DI PAVIA

G-QUEST: A SINGLE PLATFORM

FOR DELIVERING QUESTIONNAIRES,

EDUCATIONAL MATERIAL

AND CHECKLISTS ON MOBILE DEVICES

Giordano Lanzola

  • Dept. of Electrical, Computer and Biomedical Engineering

University of Pavia Via Ferrata 1, 27100 Pavia Italy

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SLIDE 2

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Summary

  • Introduction / Motivation
  • G-quest Design and Implementation
  • Results
  • Conclusions

MIE 2014 - Istanbul

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SLIDE 3

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

EU Project MobiGuide VII FP

EU Project involving 11 partners in Europe and 2 in Israel

Implement a Patient Guidance System

  • tighter interaction between the patient and his care providers
  • recommendations concerning the therapy anytime and anywhere
  • use of Smartphones / Tablets (Android OS)

Main components decision support system, body area network Validation areas

  • atrial fibrillation
  • gestational diabetes
  • hypertensive disorders of pregnancy

MIE 2014 - Istanbul

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SLIDE 4

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

EU Project MobiGuide VII FP

EU Project involving 11 partners in Europe and 2 in Israel

Implement a Patient Guidance System

  • tighter interaction between the patient and his care providers
  • recommendations concerning the therapy anytime and anywhere
  • use of Smartphones (Android OS)

Main components decision support system, body area network Validation areas

  • atrial fibrillation
  • gestational diabetes
  • hypertensive disorders of pregnancy

MIE 2014 - Istanbul

A snapshot of the AFEQT Questionnaire A snapshot of EuroQol 5D-5L Questionnaire

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SLIDE 5

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

The simplest tools

  • Poor question composition capabilities
  • Unable (or limited support) to operate offline
  • Unable (or limited support) to navigate across questions

The more complex ones

  • Unavailable on Android
  • No integration with TTS and speech recognition modules
  • Do not allow the evaluation of user-defined arithmetics
  • Adopt the Platform as a Service paradigm

MIE 2014 - Istanbul

Missing Features in Commercial Tools

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SLIDE 6

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Summary

  • Introduction / Motivation
  • G-quest Design and Implementation
  • Results
  • Conclusions

MIE 2014 - Istanbul

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SLIDE 7

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

a question is a group of information which must be shown all together

  • n the screen

MIE 2014 - Istanbul

Question Assembly Model

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SLIDE 8

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Questions include a title, answer lines, labels and input elements

Question Assembly Model

MIE 2014 - Istanbul

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SLIDE 9

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Questions include a title, answer lines, labels and input elements

Question Assembly Model

MIE 2014 - Istanbul

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SLIDE 10

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Questions include a title, answer lines, labels and input elements

Question Assembly Model

MIE 2014 - Istanbul

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SLIDE 11

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Inputs can be textboxes, checkboxes, radios, multichoice, yes-no

MIE 2014 - Istanbul

Question Assembly Model

Questions include a title, answer lines, labels and input elements

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SLIDE 12

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Allows the definition of consistency checks enforcing the correctness of the user input On a local basis:

  • prevent the introduction of wrong values
  • implemented through the GUI type-checking primitives

On a contextual basis:

  • enforce consistency considering the question as a whole
  • prevent the acquisition of misleading or mismatched

information

Constraint Model

MIE 2014 - Istanbul

Each hierarchy element (i.e. question, answer, input) declares:

  • whether filling in the element is required or not (i.e. fillrequired)
  • how many contained elements should be filled (i.e. fillcount)

In the example shown:

  • all inputs have fillrequired=no
  • the first two answers have fillrequired=no, fillcount=4
  • the last answer has fillrequired=no, fillcount=5
  • question has fillrequired=yes
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SLIDE 13

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Allows the definition

  • f

Navigation Rules for implementing branches and cycles across questions

  • questions are enclosed in blocks which drive their

sequential administration

  • questions may specify both onfill / onblank action, forcing

a jump to a different block depending on the fill status

  • answers may specifiy an onfill action, forcing a jump to

another block if the answer is filled

Navigation Model

MIE 2014 - Istanbul

any visit? please describe

C

  • nfill
  • nblan

k

D

  • nfill
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SLIDE 14

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Functional Architecture

MIE 2014 - Istanbul

Deploy Download

  • Select
  • Fill
  • Review
  • Modify
  • Close
  • Delete

Design Synchro Analysis

  • textual help
  • speech synthesis
  • speech recognition
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SLIDE 15

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

  • Introduction / Motivation
  • G-quest Design and Implementation
  • Results
  • Conclusions

MIE 2014 - Istanbul

Summary

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SLIDE 16

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Questionnaire: Preterm Newborns

MIE 2014 - Istanbul

  • Any user provided input is stored locally and

synchronized when the the questionnaire is finished

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SLIDE 17

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

Questionnaire: AFEQT

MIE 2014 - Istanbul

G-quest has been positively validated administering the EuroQol and AFEQT questionnaires to selected patients in a pilot study

[Lanzola et al.] Gquest: modeling patient questionnaires and administering them through a mobile platform. Comput Meth Prog Bio doi: 10.1016/j.cmpb.2014.07.010

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SLIDE 18

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

  • The original constructs of the model have been
  • verturned to deliver educational material:
  • the patient is now asked about which information he wishes to receive

and plays an active role instead of a passive one

  • We implemented a guide to promote self-management

in patients affected by the rare disease amyloidosis.

  • A questionnaire has also been embedded into the

application to assess the patient perception

MIE 2014 - Istanbul

Educational Material: AmyGuide

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SLIDE 19

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

AmyGuide has been validated in the waiting room of a national amyloidois referral center

[Lanzola et al.] Delivering and assessing learning material through Gquest: a case study

  • n patient education. Int J Mobile Blended Learn, 2014, 3 (to appear)

Educational Material: AmyGuide

MIE 2014 - Istanbul

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SLIDE 20

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

MIE 2014 - Istanbul

Checklists: Atrial Fibrillation

Calculate CHADS2 score No Treatment Aspirin Treatment Calculate CHA2DS2- VASc for better assessment Evaluate risk mitigation Assess monitoring requirements Select Anticoagulant A guide to starting oral anticoagulants in atrial fibrillation (non-valvular patients) From: NPS MedicineWise (funded by the Australian Gov Dept of Health) http:://www.nps.org.au

[CHADS2 = 0] [CHADS2 >= 1]

Assess individual conditions

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SLIDE 21

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

MIE 2014 - Istanbul

Checklists: Atrial Fibrillation

  • Design of a checklist library for emergency and first aid
  • Speech recognition also for commands (handless operation)
  • Match checklist instances with outcomes coming from patient records
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SLIDE 22

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

  • Introduction / Motivation
  • G-quest Design and Implementation
  • Results
  • Conclusions

MIE 2014 - Istanbul

Summary

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SLIDE 23

Angelo Nuzzo IIT@SEMM, Milan, 2011 Giordano Lanzola

The model developed not only fits the scenarios of complex questionnaires but also applies to different contexts

  • dialog adaptivity, constraints on input, consistency rules, score

calculation

The platform manages the full module delivery round-trip

  • anywhere / anytime availability, even without carrier coverage
  • combines the pros of paper and web based administration

The pilot validations accomplished proved the effectiveness

  • f G-Quest in different areas

MIE 2014 - Istanbul

Conclusions

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SLIDE 24

UNIVERSITÀ DI PAVIA

Thank you for your attention

MIE 2014 - Istanbul

Credits:

  • Giordano LANZOLA, PhD
  • Germana GINARDI, MSc
  • Paola RUSSO, MD
  • Silvana QUAGLINI, PhD
  • Dept. of Electrical, Computer and Biomedical Engineering

University of Pavia Via Ferrata 1, 27100 Pavia Italy