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