Patient-oriented computerized clinical guidelines for mobile decision support in gestational diabetes

García Sáez, Gema and Rigla Cros, Mercedes and Martínez Sarriegui, Iñaki and Shalom, Erez and Peleg, Mor and Broens, Tom and Pons, Belén and Caballero Ruiz, Estefanía and Gómez Aguilera, Enrique J. and Hernando Pérez, María Elena (2014). Patient-oriented computerized clinical guidelines for mobile decision support in gestational diabetes. "Journal of Diabetes Science and Technology", v. 8 (n. 2); pp. 238-246. ISSN 1932-2968. https://doi.org/10.1177/1932296814526492.

Description

Title: Patient-oriented computerized clinical guidelines for mobile decision support in gestational diabetes
Author/s:
  • García Sáez, Gema
  • Rigla Cros, Mercedes
  • Martínez Sarriegui, Iñaki
  • Shalom, Erez
  • Peleg, Mor
  • Broens, Tom
  • Pons, Belén
  • Caballero Ruiz, Estefanía
  • Gómez Aguilera, Enrique J.
  • Hernando Pérez, María Elena
Item Type: Article
Título de Revista/Publicación: Journal of Diabetes Science and Technology
Date: March 2014
ISSN: 1932-2968
Volume: 8
Subjects:
Freetext Keywords: Clinical guidelines, decision support system, gestational diabetes, m-health, telemedicine
Faculty: E.T.S.I. Telecomunicación (UPM)
Department: Tecnología Fotónica y Bioingeniería
Creative Commons Licenses: Recognition - No derivative works - Non commercial

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Abstract

The risks associated with gestational diabetes (GD) can be reduced with an active treatment able to improve glycemic control. Advances in mobile health can provide new patient-centric models for GD to create personalized health care services, increase patient independence and improve patients’ self-management capabilities, and potentially improve their treatment compliance. In these models, decision-support functions play an essential role. The telemedicine system MobiGuide provides personalized medical decision support for GD patients that is based on computerized clinical guidelines and adapted to a mobile environment. The patient’s access to the system is supported by a smartphone-based application that enhances the efficiency and ease of use of the system. We formalized the GD guideline into a computer-interpretable guideline (CIG). We identified several workflows that provide decision-support functionalities to patients and 4 types of personalized advice to be delivered through a mobile application at home, which is a preliminary step to providing decision-support tools in a telemedicine system: (1) therapy, to help patients to comply with medical prescriptions; (2) monitoring, to help patients to comply with monitoring instructions; (3) clinical assessment, to inform patients about their health conditions; and (4) upcoming events, to deal with patients’ personal context or special events. The whole process to specify patient-oriented decision support functionalities ensures that it is based on the knowledge contained in the GD clinical guideline and thus follows evidence-based recommendations but at the same time is patient-oriented, which could enhance clinical outcomes and patients’ acceptance of the whole system.

Funding Projects

TypeCodeAcronymLeaderTitle
FP7287811MobiGuideUNIVERSITY OF HAIFAGuiding Patients Anytime Everywhere

More information

Item ID: 35141
DC Identifier: http://oa.upm.es/35141/
OAI Identifier: oai:oa.upm.es:35141
DOI: 10.1177/1932296814526492
Official URL: http://dst.sagepub.com/content/8/2/238
Deposited by: Memoria Investigacion
Deposited on: 04 Aug 2015 16:36
Last Modified: 14 May 2019 11:42
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