Personal Health and Wellness Management with Technologies

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    A Web-Based Medical Text Simplification Tool
    ( 2020-01-07) Kauchak, David ; Leroy, Gondy
    With the increasing demand for improved health literacy, better tools are needed to produce personalized health information efficiently that is readable and understandable by the patient. In this paper, we introduce a web-based text simplification tool that helps content-producers simplify existing text materials to make them more broadly accessible. The tool uses features that provide concrete suggestions and all features have been shown individually to improve the understandability of text in previous research. We provide an overview of the tool along with a quantitative analysis of the impact on medical texts. On a medical corpus, the tool provides good coverage with suggestions on over a third of the words and over a third of the sentences. These suggestions are over 40% accurate, though the accuracy varies by text source.
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    Exploring the Possibility of Virtual Reality Exergaming as a Cognitive Screening System
    ( 2020-01-07) Shaw, Alex ; Buckley, Jude ; Corballis, Paul ; Lutteroth, Christof ; Wuensche, Burkhard
    Regular screening is important for early detection of cognitive impairment. Standard cognitive screening tests can be time consuming and tedious. Individuals at risk of cognitive decline should be doing regular exercise, and Virtual Reality (VR) exergames are one way to motivate them to do so. If these exergames can include non-obtrusive cognitive tests, then users can be regularly screened without it being such a tedious process. However, exergaming and VR might threaten the validity of these tests. This paper investigates whether this is likely to be the case and discusses some practical concerns around this approach of screening for cognitive decline. The results of this study suggest that standard cognitive tests are not rendered invalid in VR exergaming. However, more work is needed to investigate the effects of integrating tests into gameplay elements.
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    Objective Measurement of Physician Stress in the Emergency Department Using a Wearable Sensor
    ( 2020-01-07) Kaczor, Eric ; Carreiro, Stephanie ; Stapp, Joshua ; Chapman, Brittany ; Indic, Premananda
    Physician stress, and resultant consequences such as burnout, have become increasingly recognized pervasive problems, particularly within the specialty of Emergency Medicine. Stress is difficult to measure objectively, and research predominantly relies on self-reported measures. The present study aims to characterize digital biomarkers of stress as detected by a wearable sensor among Emergency Medicine physicians. Physiologic data was continuously collected using a wearable sensor during clinical work in the emergency department, and participants were asked to self-identify episodes of stress. Machine learning algorithms were used to classify self-reported episodes of stress. Comparing baseline sensor data to data in the 20-minute period preceding self-reported stress episodes demonstrated the highest prediction accuracy for stress. With further study, detection of stress via wearable sensors could be used to facilitate evidence-based stress research and just-in-time interventions for emergency physicians and other high-stress professionals.
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    A Precision Post-Operative Wellness Monitoring Solution
    ( 2020-01-07) Wickramasinghe, Nilmini ; Gehlot, Vijay ; Sloane, Elliot ; Smart, Philip ; Schaffer, Jonathan
    Multiple orthogonal challenges around escalating costs and providing quality care plague healthcare delivery, especially in OECD countries. This research in progress paper addresses the post-operative discharge phase of the patient journey and proffers a technology enabled model that both supports a quality care experience post discharge but also prudent management to minimize costly unplanned readmissions and thereby subscribe to a value-based care paradigm. The chosen context is stoma patients but the solution can be easily generalized to other contexts. Next steps include the conducting of clinical trials to establish proof of concept, validity and usability.
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    Sharing Personal Health and Fitness Data with Health Insurance Providers: An Empirical Study Considering Trust and Risk
    ( 2020-01-07) Seiferth, Aurica ; Schaarschmidt, Mario
    Digital self-tracking with wearable devices and mobile applications is exceedingly popular. The arising data is not only crucial for individual use but also for parties of the healthcare segment. This paper focuses on German health insurance providers and their expanding call for clients’ personal health and fitness data in a highly complex and regulated environment. As clients need to be willing to share health-related information, an experimental study was conducted, consisting of different modes of reward-based insurance offerings. Trust and perceived risk were assessed as prominent psychological constructs, assessing participants’ willingness to share their personal information. Results show that examined factors such as company prominence or monetary incentives are scarcely influential. However, trust and perceived risk affect an individual’s willingness to share. Taking up the health insurance provider’s perspective, alternative aspects need to be considered to successfully gain consumer trust to collect the clients’ health and fitness information.