2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops Detach: Authoring Digital Therapeutic Artefacts

2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops Detach: Authoring Digital Therapeutic Artefacts
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2013 年第七届医疗保健普适计算技术国际会议和研讨会 Detach:创作数字治疗制品

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通讯作者:
A. Tion
A. Tion
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作者:
Filipe Fernandes;L. Duarte;Luis Carriyo;I. Motty;A. Tion

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我们介绍了DETACH,这是一个创作工具,允许治疗师为认知行为治疗程序设计和部署数字人工制品。该系统根据现有的治疗纸质表格,从有限的模板集中选择屏幕设计,从而增强了移动应用程序的创建。屏幕切换可以根据患者的反应进行定制。通过利用现代智能手机的传感器和功能,这些转变也可以从外部变量中出现,比如过去的时间、当前用户的位置或用户的生理状态。该系统的开发过程遵循以用户为中心的设计方法,在多个参与性设计会议上考虑了临床医生的宝贵反馈。在这篇文章中,我们介绍了早期设计阶段,临床医生的要求,以及如何将这些转化为我们的低保真和高保真原型。可用性评估仍在进行中,正在进行多次测试,以确保该工具完全符合利益相关者的期望。手机的临床应用已经成功地用于改善患者的状态[3][7]。智能手机的日益普及和强大进一步强调了这种可能性[2][7]。它们为临床医生提供了复杂的手段,以便在日常生活中更密切地陪伴他们的患者;为患者提供了主动和易于使用的工具来解决他们的问题。自闭症[1]或恐惧疗法[2]等各种各样的病理学和治疗方法的成功案例证明了技术的好处。然而,这些申请中有相当一部分并未获得成功。有几个因素可以解释这种结果,其中包括无法对内容进行个性化和改编[8]。例如,一个应用程序的演示通常对所有下载它的用户都是相同的。然而,8岁的潜在用户和45岁的患者的期望是完全不同的。此外,患者健康状况的演变通常需要进行调整,而应用程序并不准备伴随这些调整。例如,监测阈值各不相同,支持信息传递和数据收集应适应新的临床评估。这种应用刚性的来源是由许多因素构成的。技术和268应用领域的复杂性当然是其中一个原因。事实上,我们认为这是最重要的因素之一:所涉及的知识的二分法和复杂性。IT工程师和研究人员主导着这项技术,总体上能够处理其复杂性。另一端的临床医生了解患者和他们必须提出的为他们提供…的方案
We present DETACH, an authoring tool which allows therapists to design and deploy digital artefacts for cognitive behavioral therapy procedures. The system potentiates the creation of mobile applications by choosing screen designs from a limited template set based on existing therapeutic paper forms. Screen transitions can be customized according to patient's responses. By capitalizing on modern smart-phones' sensors and features, these transitions can also emerge from external variables such as elapsed time, current user location or user physiological state. The system's development process followed a user-centered design approach, counting with the clinicians' valuable feedback in multiple participatory design sessions. In this paper we present the early design stages, clinicians' requirements, and how these translated into both our low-fidelity and high-fidelity prototypes. Usability evaluation is still undergoing, with multiple test sessions taking place to guarantee the tool fully adheres to the stakeholders' expectations. Clinical applications for mobile phones have been successfully used to improve a patient's state [3][7]. The increasing dissemination and power of smart-phones has further emphasized this possibility [2][7]. They provide: clinicians with sophisticated means to more closely accompany their patients in their daily lives; patients with proactive and easy to use tools addressing their issues. Success cases for pathologies and therapy procedures as diverse as autism [1] or fear therapy [2] are testaments on the benefits of technology. Nevertheless, a significant number of these applications fall short to success. Several factors can account for this outcome, among which the inability to personalize and adapt content [8]. For instance, an application's presentation is typically the same for all users who download it. Yet, the expectations of a potential 8 year old user are quite different from those of a 45 year old patient. Also, the evolution of the patient's health status often requires adjustments that applications are not ready to accompany. For example, monitoring thresholds vary and support messaging and data collection should be adapted to new clinical assessments. The origin of this application stiffness builds in many factors. The complexity of the technology and of the 268 application domain is certainly one of those reasons. In fact we believe that it is one of the most important factors: the dichotomy and complexity of knowledge involved. IT engineers and researchers dominate the technology and are in general able to handle its complexity. Clinicians on the other end understand patients and the protocols they must put forward to provide them …