SHB: Type II (INT): A Goal-seeking Framework to Empower Personalized Wellness Management

个性化健康管理（PWM）是一项关键的国家优先事项，有可能显著降低医疗保健成本，目前医疗保健成本占全国GDP的16%以上。为了应对日益增长的社会挑战，目前以疾病管理为重点的医疗实践反应性方法必须转变为积极主动的方法，使个人能够管理自己的个人健康。我们建议对一个新的系统框架进行多学科研究，该系统框架将使个人能够采用永久性的生活方式改变，从而导致持续的脉宽调制。智力优势：本项目开发了一个目标寻求系统框架，使医学协议和行为分析协议与新兴技术和设备相结合。该方法通过(a)建议他们最有可能执行的行动，(b)确保建议行动所需的资源可获得，(c)通过激励加强他们实现目标结果的愿望，以及(d)使他们能够跟踪他们实现目标结果的个人进展，从而赋予个人权力。目标寻找框架寻求找到足够好的解决方案，并且不需要底层解决方案的精确模型。只要所选操作的测量结果在可接受的容忍范围内，决策者就允许系统演进。为个人量身定制容忍度限制、随时间变化限制以及将人类纳入决策循环的能力，都使这种方法具有吸引力。pi已经组建了一个跨学科的团队，包括来自工程、医学、体育和运动科学、心理学和护理学的代表。更广泛的影响：在这个项目中，本科生和研究生跨越多个学科在调查的各个方面一起工作。研究成果最终将与正在进行的工程、体育和运动科学课程相结合。研究结果将通过传统的学术出版物和非传统渠道广泛传播。例如，该团队将在当地社区报纸上开设一个个性化健康专栏。将邀请社区代表参加项目讲习班和介绍。基于目标寻求范式的系统框架有可能从根本上改变当前在个性化医疗、社区精神病学服务提供、减少物质依赖计划和减少K-12学生肥胖方面的实践。位于阿克伦的奥斯汀生物创新研究所（ABIA）将在其责任关怀社区项目中使用该调查的软件和其他工具。ABIA已经成立了Summit县（OH）健康委员会，由公共卫生、医疗和社会服务组织组成，这些组织正在制定方案，通过预防来最大限度地提高健康影响，减少健康差距，并扩大影响社区健康的地方政策变化的证据基础。考虑到阿克伦大学约80%的学生来自俄亥俄州六个相邻的县，并且这些学生中有很大一部分更愿意在该地区生活和抚养家庭，因此这项调查的结果很可能对该地区的经济和工业产生长期影响。关键词：目标寻求范式，个性化健康，技术赋权

Personalized Wellness Management (PWM) is a critical national priority that has the potential to significantly reduce healthcare costs, which are presently greater than 16% of the nation's GDP. To address growing societal challenges, the current reactive approach to medical practice, which is focused on disease management, must be transformed into a proactive approach that empowers individuals to manage their personal wellness. We propose a multi-disciplinary investigation into a novel systems framework that will empower individuals to adopt permanent lifestyle changes that result in sustained PWM.Intellectual Merit: A goal-seeking systems framework that enables the integration of medical protocols and behavioral analysis protocols with emerging technologies and devices is developed in this project. The approach empowers individuals by (a) suggesting actions that they are most likely to perform, (b) ensuring that the resources required for the suggested actions are accessible, (c) reinforcing their desire to achieve the target consequences through incentives, and (d) enabling them to track their personal progress toward their target consequences. The goal-seeking framework seeks to find good-enough solutions and does not require a precise model of the underlying solution. As long as the measured consequences of the selected actions are within an acceptable tolerance limit, the decision-maker allows the system to evolve. The ability to tailor the tolerance limit to an individual, vary the limit over time, and incorporate humans in the decision-making loop all make the approach attractive. The PIs have assembled an inter-disciplinary team with representation from engineering, medicine, sport and exercise science, psychology, and nursing. Broader Impacts: In this project, undergraduate and graduate students across multiple disciplines work together in all aspects of the investigation. The research outcomes will eventually be integrated with ongoing courses in engineering and in sport and exercise science. Results will be widely disseminated through traditional academic publications and non-traditional avenues. For example, the team will start a Personalized Wellness column in local community newspapers. Community representatives will be invited to attend project workshops and presentations. The systems-framework that is based on the goal-seeking paradigm has the potential to fundamentally transform current practice in personalized medicine, community psychiatric services delivery, substance-dependence reduction programs, and reducing obesity among K-12 students. The Austen BioInnovation Institute in Akron (ABIA) will use the software and other instruments from this investigation in its Accountable Care Community Project. The ABIA has already developed a Summit County (OH) Wellness Council comprising Pubic Health, Medical, and Social Service organizations that are developing programs to maximize health impact through prevention, reduce health disparities, and expand the evidence base for local policy changes that impact community health. Considering that about 80% of the students at The University of Akron are from six adjacent counties in Ohio, and the fact that a very large percentage of these students prefer to live and raise their families in this region, the outcomes of this investigation are very likely to have a long-lasting impact on the regional economy and industry.Keywords: Goal-seeking Paradigm, Personalized Wellness, Technology Empowerment