Developing of a web-based application to facilitate patient treatment adherence in individuals with sleep apnea treated with Continuous Positive Airway Pressure (CPAP) devices [5 Aud 1330 Dickerson]
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This document summarizes the development of a web-based application to facilitate patient adherence to CPAP treatment for sleep apnea. A team including clinicians, psychologists, and software engineers conceptualized an interactive motivational program that tracks patient progress over time using self-reported surveys and motivational messages. The application was developed over 12 months, including prototyping user scenarios, designing interfaces, implementing features, and testing, with the goal of evaluating the application's impact on sleep quality, daytime sleepiness, quality of life, and adherence in future feasibility studies.
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Developing of a web-based application to facilitate patient treatment adherence in individuals with sleep apnea treated with Continuous Positive Airway Pressure (CPAP) devices [5 Aud 1330 Dickerson]
- 1. Dickerson, S. et al.: Developing of a web-based application to facilitate patient treatment adherence in individuals with sleep apnea treated with Continuous Positive Airway Pressure (CPAP) devices This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com ) Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
- 2. Developing a web- application to facilitate patient treatment adherence . Suzanne S. Dickerson DNS RN Associate Professor Grace Dean PhD RN Assistant Professor
- 3. Defining the Need Evidence Based Literature review Research to define specific needs Experiential patient narratives Develop problem statement Determine appropriate behavioral strategies to promote adherence and timeline for effectiveness Choose theory
- 4. Gathering the team Facilitate patient's adherence to CPAP treatment Team members: Software engineer as principle engineer Clinical Sleep medicine expert Psy D for cognitive behavioral intervention component Software design and development It support staff
- 5. Conceptualize the problem brainstorming with Software systems engineer and PIs Visualize the flow of the idea Understand how theory is operationalized I.e. Self Efficacy Motivators Vicarious learning Support
- 7. Defining expected outcomes Motivational program that is web based, interactive, uses patient self management strategies. Capture data by collecting self report CPAP use survey data and store on HIPPA approved server Track patient progress over time for use by patient and provider Provide automated motivators based on answers to questions and patient progress data Use motivation enhancers Provide resource library with motivational success stories for vicarious learning.
- 8. 50,000 foot view of topics User data capture User progress tracking by Investigators Peers Users themselves ( homepage) Motivators automated or managed by investigators Resource library ( user contributions?) Rolling news blog for investigators.
- 9. The Application Codify the Protocols Easy capture and easy storage Interactions: What is displayed, when, how, When are things available to use? UI page designs (User Interaction) UI page flows ( graphic designers or interaction designers)
- 10. The application cont. Store the data Analyze data for next steps in the intervention protocol Technology requirements/restrictions Web application Runtime/deployment environment (server) Runtime framework (server software, webapp, infrastructure, libraries Data storage Development environment
- 11. Software development Requirements Protocols Tech restrictions Design –user centric UI interactions Use case Design – tech centric Components , techniques Build Test and repair Deploy and active Follow up
- 12. Timeline Initial 4 months Secure developmental server Protocols Base use cases Technology platform selection Network Admini-strator PIs Principal engineer Set up developmental Server and test security Software development: Finalized protocols Write software initial requirements Month 1–4 milestone Team member Task Timeline
- 13. Next 2 months Prototype users scenarios (personas) Interaction task scenarios UI screen designs Data type and flow definitions PIs Principal engineer Graphic designer Interaction and interface design Data model design Month 4-6 milestone Team member Task Timeline
- 14. Time line 6-8 months Model-View-Controller software design Implementation Plan Principal engineer Graphic designer Programmer Design tech-centric components techniques Month 6-8 milestone Team member Task Timeline
- 15. Timeline 8-10 months Completion of initial implementation plan System test all functionality Complete fixes for high priority defects; Finalize setup of the production environment Release final deploy package PI Principal engineer Programmer Build and test Month 8-10 milestone Team member Task Timeline
- 16. Final months Publish the application to the production environment Production test to verify installation Ready for feasibility study PIs Principal engineer Programmer Deploy and activate Months 10-12 milestone Team member Task Timeline
- 17. Evaluation Sleep quality PSQI Sleepiness scale ESS Quality of life CSAQLI Adherence- actual use. Future testing with R21 and R01 mechanisms
- 18. Dissemination Publication on development strategies Feasibility study Multisite study local then national Marketing and business plan Format in multiple languages
- 19. Obtaining funding Finding grant mechanisms to support development of intervention Seed monies internal research development funding Corporate funding Foundations or corporations that endorse idea