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

SHB：II 类 (INT)：赋能个性化健康管理的目标寻求框架

• 批准号: 1237069
• 负责人: Shivakumar Sastry
• 金额: $ 128.56万
• 依托单位: University of Akron
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-10-01 至 2018-09-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1237069&HistoricalAwards=false
• 关键词: SHB; Type; II; INT; Goal

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

个性化健康管理（PWM）是一个重要的国家优先事项，有可能显着降低医疗保健成本，目前超过16%的国家GDP。为了应对日益增长的社会挑战，目前以疾病管理为重点的被动医疗方法必须转变为积极主动的方法，使个人能够管理个人健康。我们提出了一个多学科的调查到一个新的系统框架，这将使个人采取永久的生活方式的变化，导致持续的PWM。智力优点：一个目标寻求系统框架，使医疗协议和行为分析协议与新兴技术和设备的集成开发在这个项目中。该方法通过以下方式赋予个人权力：（a）建议他们最有可能采取的行动，（B）确保所建议的行动所需的资源是可获得的，（c）通过激励措施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在实现目标结果方面的个人进展。目标寻求框架寻求找到足够好的解决方案，不需要基本解决方案的精确模型。只要所选行动的测量结果在可接受的容忍限度内，决策者就允许系统发展。能够为个人量身定制容忍限度，随着时间的推移改变限度，并将人类纳入决策循环，所有这些都使这种方法具有吸引力。PI已经组建了一个跨学科团队，代表来自工程，医学，体育和运动科学，心理学和护理。更广泛的影响：在这个项目中，跨多个学科的本科生和研究生在调查的各个方面共同努力。研究成果最终将与正在进行的工程和体育运动科学课程相结合。将通过传统学术出版物和非传统渠道广泛传播成果。例如，该团队将在当地社区报纸上开设个性化健康专栏。将邀请社区代表参加项目研讨会和介绍会。基于目标寻求范式的系统框架有可能从根本上改变目前在个性化医疗、社区精神病服务提供、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（阿比亚）将在其责任关怀社区项目中使用这项调查的软件和其他工具。阿比亚已经建立了一个由公共卫生、医疗和社会服务组织组成的首脑会议县（OH）健康理事会，这些组织正在制定计划，通过预防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。考虑到大约80%的阿克伦大学学生来自俄亥俄州的六个相邻县，并且这些学生中有很大一部分更喜欢在这个地区生活和抚养家庭，这项调查的结果很可能对地区经济和产业产生长期的影响。关键词：目标寻求范式，个性化健康，技术授权