STTR Phase I: Improving Patient Engagement in Self-Health Management through a Mobile Informatics Platform

这种小型企业技术转让的更广泛的影响/商业潜力是一个健康信息学平台，通过非药物干预影响慢性病的自我管理。目前，25%的美国人患有一种或多种慢性病。然而，他们消耗了全国医疗保健资源的86%，2015年估计为3万亿美元。SIPPA健康信息学平台通过纳入调查反馈循环，通过个性化软件服务转变非药物干预提供模式。这改善了患者的体验和参与度，并有助于收集大数据，将动机与行为治疗联系起来-产生了对改善人群健康和推进个性化精准医学至关重要的效果。拟议的项目是开发一个卫生信息学基础设施-称为SIPPA卫生信息学平台(SHIP)。目标是确定SHIP的技术可行性，使信息-动机-行为技能(IMB)模型能够将软件服务与激励策略联系起来。我们的方法是开发和整合(1)动态调查引擎，该引擎鼓励以协作的方式让患者和提供者安全地交换健康数据，并清楚地传达干预的行动计划偏好，以及(2)数据分析算法，它将利用慢性患者提供的动态调查反馈和软件服务使用的日志数据，以确定动机的关键决定因素。这项研究将纳入IRB批准的试点，以进行实证研究，帮助照顾者深入了解制定个性化医疗保健和干预计划，并帮助开发以患者为中心的协作护理模式。

The broader impact/commercial potential of this Small Business Technology Transfer (STTR) is a health informatics platform to affect self-management of chronic disease through non-pharmacological interventions. Currently 25% of Americans live with one or more chronic conditions. Yet they consume 86% of the national healthcare resource, which was estimated at $3 trillion in 2015. SIPPA Health Informatics Platform transforms the non-pharmacological intervention delivery model through personalized software services by incorporating a survey feedback loop. This improves patient experience and engagement, and contributes to collecting big data for linking motivation to behavioral therapy --- resulting in an effect essential to improving population health and advancing personalized precision medicine. The proposed project is the development of a health informatics infrastructure --- referred to as SIPPA Health Informatics Platform (SHIP). The objective is to determine the technical feasibility of SHIP for enabling the Information-Motivation-Behavioral skill (IMB) model to link software services to motivational strategies. Our approach is to develop and incorporate (1) a dynamic survey engine that encourages a collaborative approach to engage patients and providers to securely exchange health data, and to communicate clearly the action plan preferences of an intervention, and (2) a data analytics algorithm that will utilize dynamic survey feedback provided by a chronic patient, and the log data of software service usage, to identify critical determinants of motivation. An IRB approved pilot will be incorporated in this research to carry out empirical study to help caregivers gain insights into developing personalized healthcare and intervention plan, and to assist in developing a patient-centered collaborative model of care.