An Adaptable Platform to Promote Patient Health Through Adherence to Treatment and Prevention

项目摘要/摘要 明尼苏达医疗解决方案公司与梅奥诊所合作，提议开发一种可适应的 支持患者行为改变的平台，以提高对治疗和预防的依从性 多种慢性病。拟议的平台将利用远程监测和健康指导相结合 创造旨在提高自我管理和生活质量的行为改变。慢性病是 全球残疾和死亡的主要原因，估计每三个成年人中就有一个患有一种或多种慢性 条件。对许多慢性病的自我监测已经成为常见的流动健康干预措施 已经扩散了。然而，许多此类干预措施的有效性尚未得到彻底评估。 此外，流动卫生干预措施的增加突出了其使用方面的差距和障碍。 明尼苏达医疗解决方案公司和梅奥诊所之前已经合作开发了一种有效的家庭-- 基于肺康复系统，提供远程监测和健康指导，以促进自我 管理层。该系统已经在两个大型随机对照试验中进行了评估，并显示出显著的意义 结果既有坚持，也有结果。我们相信，可以创建一个适应性强的系统，它可以 用来治疗许多常见的慢性病。建议的系统将具有成本效益、可扩展和 适用于慢性病的广泛实施。

Project Summary/Abstract Minnesota HealthSolutions Corporation in collaboration with the Mayo Clinic proposes to develop an adaptable platform to support patients with behavior change to improve adherence to treatment and prevention for multiple chronic diseases. The proposed platform will utilize remote monitoring combined with health coaching to create behavior change aimed at improving self-management and quality of life. Chronic diseases are the leading cause of disability and death worldwide and an estimated one in three adults has one or more chronic conditions. Self-monitoring of many chronic conditions has become common and mobile health interventions have proliferated. Yet the effectiveness of many such interventions has not yet been thoroughly assessed. Additionally, the increase in mobile health interventions has highlighted disparities and barriers to its use. Minnesota HealthSolutions and the Mayo Clinic have previously collaborated to develop an effective home- based pulmonary rehabilitation system that provides remote monitoring and health coaching to promote self- management. The system has been evaluated in two large randomized controlled trials and shown significant results in both adherence and outcomes. We believe that an adaptable system can be created that can be utilized to address many common chronic conditions. The proposed system will be cost-effective, scalable, and feasible for widespread implementation for chronic diseases.