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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
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Developing a web- application to facilitate patient treatment adherence.
Suzanne S. Dickerson DNS RNAssociate Professor Grace Dean PhD RN Assistant Professor
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
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
Conceptualize the problem
brainstorming with Software systems engineer and PIs
Visualize the flow of the idea Understand how theory is
operationalizedI.e. Self Efficacy
Motivators
Vicarious learning
Support
Visualizing the problem
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.
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.
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)
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
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
Timeline Initial 4 months
Timeline Task Team member
milestone
Month
1–4 Set up developmental Server and test security
Software development:
Finalized protocols
Write software initial requirements
Network Admini-strator
PIs
Principal engineer
Secure developmental server
Protocols
Base use cases
Technology platform selection
Next 2 months
Timeline Task Team member milestone
Month
4-6
Interaction and interface design
Data model design
PIs
Principal engineer
Graphic designer
Prototype users scenarios (personas)
Interaction task scenarios
UI screen designs
Data type and flow definitions
Time line 6-8 months
Timeline Task Team member
milestone
Month
6-8
Design tech-centric components techniques
Principal engineer
Graphic designer
Programmer
Model-View-Controller software design
Implementation Plan
Timeline 8-10 months
Timeline Task Team member milestone
Month
8-10
Build and test
PI
Principal engineer
Programmer
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
Final months
Timeline Task Team member
milestone
Months 10-12
Deploy and activate
PIs
Principal engineer
Programmer
Publish the application to the production environment
Production test to verify installation
Ready for feasibility study
Evaluation
Sleep quality PSQI Sleepiness scale ESS Quality of life CSAQLI Adherence- actual use. Future testing with R21 and R01 mechanisms
Dissemination
Publication on development strategies Feasibility study Multisite study
local then national Marketing and business plan Format in multiple languages
Obtaining funding
Finding grant mechanisms to support development of intervention
Seed monies internal research development funding
Corporate fundingFoundations or corporations that endorse idea
Questions??
Thank you