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- Tracking human routines towards adaptive monitoring: the MOVIDA.domus platformPublication . Gordalina, Gonçalo; Figueiredo, João; Martinho, Ricardo; Rijo, Rui; Correia, Pedro; Assunção, Pedro A. Amado; Seco, Alexandra; Pires, Gabriel; Oliveira, Luís; Fonseca-Pinto, RuiAccording to estimates by the World Health Organization, the average life expectancy will continue to rise. This indicator, being a measure of success in terms of healthcare, is not synonymous with quality of life and will increase healthcare costs. Associated with this problem are also the changes in terms of the organization of society, which has not been able to solve these constraints of functional limitations, dementia, social isolation, and loneliness. This paper presents the concept of adaptive surveillance based on mobile technology and artificial intelligence, presented in the context of a global physical activity monitoring program (MOVIDA), in his domus dimension designed to the elderly people with some functional limitation or dementia. The proposed solution for an adaptive surveillance is thus to conduct direct supervision programs, to enroll persons who live alone or in nursing homes who need supervision without limiting their individual autonomy. The preliminary results show that it is possible to use the data obtained from a mobile smartphone to identify routines and use this information to identify daily patterns. Changes to these routine patterns can be used to generate alarms for caregivers.
- Evaluation of an e-health platform for informal caregivers and health professionals: the case study of Help2CarePublication . Gomes, N.; Caroço, J.; Rijo, R.; Martinho, R.; Querido, A.; Peralta, T.; Dixe, Maria dos AnjosThe Help2Care e-Health platform was developed in order to capacitate infor-mal caregivers with digital, multimedia training materials. Health professionals select these materials according to the needs of the homebound patients under the supervision of these caregivers. In turn, caregiver can then use their smartphones to consult and apply the care procedures illustrated by these materials. In this paper, we present the results of performed usability tests for both web and mobile software applications of the Help2Care platform. These indicate an overall positive outcome, revealing less usable aspects such as the navigation flow in the web application and some design elements in the mobile application. Important written feedback was also collected, which we took into consideration to improve the software features of the platform.
- Help2CARE - Towards a digital platform to help to care for dependent persons and caregiversPublication . Gomes, Nuno; Caroço, João; Martinho, Ricardo; Rijo, Rui; Querido, Ana; Dixe, Maria dos AnjosNowadays, the training of caregivers and patients in self-care is performed in a health professional-to-patient/caregiver oral communication during consultation or discharge from the hospital, which leads to a limited knowledge retention rate either by caregivers and patients in self-care. The Help2CARE project aims to reduce the high rate of readmissions of patients in hospitals due to the lack of training of their informal caregivers. Therefore, we propose to train these caregivers/self-care patients through the provision of training materials that can increase the level of care provided. For this purpose, we present in this paper the Help2CARE digital platform, consisting of a web application and a mobile application that communicate with each other, which enables training materials to be available to caregivers (according to their patients’ needs of care) in a mobile application. With the web application, it is possible for a health professional to manage caregivers and materials to be made available to them, in order to enable those caregivers to access them through the mobile application, among other features, which enables health professionals to accomplish a closer monitoring of the caregivers under their guidance.
- Building Bridges for “Palliative Care-in-Place”: Development of a mHealth Intervention for Informal Home CarePublication . Laranjeira, Carlos; Dixe, Maria dos Anjos; Martinho, Ricardo; Rijo, Rui; Querido, AnaIn Palliative Care (PC), family and close people are an essential part of provision of care. They assume highly complex tasks for which they are not prepared, with considerable physical, psychological, social and economic impact. Informal Caregivers (ICs) often falter in the final stage of life and develop distress, enhancing emotional burden and complicated grief. The lack of available and accessible in-person counselling resources is often reported by ICs. Online resources can promote early access to help and support for patient-IC dyads in palliative care. The primary aim of this research is to co-design, develop and test the feasibility of the Help2Care-PAL mHealth app that addresses the needs of ICs of palliative patients cared for at home. This Digital Health Intervention (DHI) in palliative care will be used for education, symptom management, communication and decision-making, to enhance Quality of Life (QoL) of patients and ICs, fostering anticipatory grief and the reach and efficiency of services.
- Modelo de capacitação do cuidador informal para cuidar da pessoa com dependência.Publication . Dixe, Maria dos Anjos; Soares, Elsa; Martinho, Ricardo; Rijo, Rui; Caroço, João; Gomes, Nuno; Querido, Ana
- 2ARTs: A Platform for Exercise Prescriptions in Cardiac Recovery PatientsPublication . Pereira, Andreia; Martinho, Ricardo; Pinto, Rui; Rijo, Rui; Grilo, CarlosDue to limited access, increasing costs and an ageing population, the global healthcare system faces significant coverage problems that call for innovative approaches. Health professionals are actively seeking alternative methods to provide care to an increasingly needy population, without increasing human effort and associated costs. eHealth platforms, which use technology to provide patient care, are emerging as transformative solutions for addressing these problems. This study is centered on the demand for a Decision Support System (DSS) in cardiology to enable doctors to prescribe individualized care inside Cardiac Rehabilitation Programmes (CRPs). The 2ARTs project’s main objective is to include a cardiac rehabilitation platform with a DSS within the hospital infrastructure. This DSS uses models to classify patients into different groups, delivering crucial information to assist with decisions regarding treatment. Regarding the DSS, Principal Component Analysis (PCA) emerged as a standout technique for dimensionality reduction, due to its interoperability with clustering algorithms and superior evaluation metrics. The most appropriate clustering technique was determined to be the K-means algorithm, which was supported by the experts analysis. In accordance with the goals of the 2ARTs project, this integration of PCA and K-means provides meaningful insights that improve reasoned decision-making.
- MOVIDA.eros: an eHealth Solution for Cardiac Rehabilitation ProgramsPublication . Fonseca-Pinto, Rui; Silva, E.; Martinho, Ricardo; Rijo, Rui; Januario, F.; Antunes, A.MOVIDA.eros platform is a rehabilitation program emerging from a partnership between academia and a central hospital in Portugal. The platform combines a mobile application and a web backoffice platform to presceibe and monitoring physical activity. The system also allows changes to be made to the prescription, depending on physical performance and physiological response. These changes are automatically updated in the mobile app.The results regarding the adhesion and usability of the platform are encouraging. So far, the integration of the MOVIDA.eros platform into a classic cardiac rehabilitation program has allowed an increase in the number of patients under supervision, and has contributed to increasing the feeling of security during physical training. This program, in 1.5 years, has allowed the number of patients being monitored and treated to currently be 150, in a continuous monitoring regime (the classic program was designed for 5 patients every 3 months).In the near future, the platform will be able to be easily integrated into Cardiac Rehabilitation Programs in other hospital centers and contribute to the increase in the number of patients in rehabilitation, which is a central strategy in the management of heart diseases, with special emphasis on myocardial infarction.
- Contact center: information systems designPublication . Rijo, Rui; Varajão, João; Gonçalves, RamiroThe economic sector of contact centers is growing by more than 8% a year. It is a multidisciplinary area in which information systems are decisive to organizations' success. Contact Centers' Information Systems deal with real time requisites and critical business information. A theorybuilding research shows a framework with 12 key design factors to consider, which managers might use to develop projects and researchers may adopt for further investigation in the area of Contact Center design. This work intends to provide a valuable link between the research community and practitioners in industry.
- Recognition of human activity based on sparse data collected from smartphone sensorsPublication . Gordalina, Goncalo; Correia, Pedro; Pires, Gabriel; Oliveira, Luis; Figueiredo, Maria João; Martinho, Ricardo; Rijo, Rui Pedro Charters Lopes; Assunção, Pedro; Seco, Maria Alexandra Abreu Henriques; Fonseca-Pinto, RuiThis paper proposes a method of human activity monitoring based on the regular use of sparse acceleration data and GPS positioning collected during smartphone daily utilization. The application addresses, in particular, the elderly population with regular activity patterns associated with daily routines. The approach is based on the clustering of acceleration and GPS data to characterize the user’s pattern activity and localization for a given period. The current activity pattern is compared to the one obtained by the learned data patterns, generating alarms of abnormal activity and unusual location. The obtained results allow to consider that the usage of the proposed method in real environments can be beneficial for activity monitoring without using complex sensor networks.
- Profiling IT Security and Interoperability in Brazilian Health Organisations From a Business PerspectivePublication . Rijo, Rui; Martinho, Ricardo; Oliveira, Adicinéia Aparecida; Alves, Domingos; Reis, Zilma Silveira Nogueira; Santos-Pereira, Cátia; Correia, Manuel E.; Antunes, Luís Filipe; Cruz-Correia, Ricardo JoãoThe proliferation of electronic health (e-Health) initiatives in Brazil over the last 2 decades has resulted in a considerable fragmentation within health information technology (IT), with a strong political interference. The problem regarding this issue became twofold: 1) there are considerable flaws regarding interoperability and security involving patient data; and 2) it is difficult even for an experienced company to enter the Brazilian health IT market. In this article, the authors aim to assess the current state of IT interoperability and security in hospitals in Brazil and evaluate the best business strategy for an IT company to enter this difficult but very promising health IT market. A face-to-face questionnaire was conducted among 11 hospital units to assess their current status regarding IT interoperability and security aspects. Global Brazilian socio-economic data was also collected, and helped to not only identify areas of investment regarding health IT security and interoperability, but also to derive a business strategy, composed out of recommendations listed in the paper.