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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.
- Proposal for selection of mental health indicators in the management of health networks: from heuristic to process modelingPublication . Lima, Inacia Bezerra de; Yamada, Diego Bettiol; Yoshiura, Vinicius Tohoru; Lance, Rogério Cortecioni; Rodrigues, Lidia Maria Lourençön; Vinci, Andre Luiz Teixeira; Martinho, Ricardo; Pádua, Silvia Dallavalle de; Rijo, Rui Pedro Charters Lopes; Rijo, Rui, Rui Pedro Charters Lopes; Furegato, Antonia Regina Ferreira; Alves, DomingosIn 2011, Brazil instituted the Psychosocial Care Network (RAPS) for people suffering from mental disorders and needs arising from the use of alcohol and other drugs within the Unified Health System an electronic information system that supports the planning, regulation, control and evaluation of mental health actions. Several studies have been done to select a complete set of indicators for mental health in Brazil; however, these studies do not describe how these principles are transposed into indicators. In this work we will use Business Process Management Notation (BPMN) to analyze the process of patient care in a mental health unit and to search through this analysis to select and map those that apply to the specific RAPS institutions. We propose a method, using process modeling along the Thornicroft and Tansella matrix, to select the relevant indicators and their mapping along the network. The method was effective allowing the application of indicators to the concrete reality of a psychiatric hospital in Brazil.
- A New Approach for Schematics for Public Transport Spider MapsPublication . Ribeiro, João Tiago; Rijo, Rui, Rui Pedro Charters Lopes; Leal, AntónioThis research aims to create a new approach for spider maps production that results in a fast and automatic method having as input only network location data. Schematization task is commonly done by hand or by purely graphics software. This is a difficult and time consuming task that also needs a skilled map designer, which results in an expensive outcome. A configurable force-directed algorithm allows fast creation of eyepleasing schematic maps, avoiding labor-intensive manual arrangement. In the other hand, different sets of design rules and constraints may be used to quickly generate alternatives, and allow the configuration of a distinctive graphic style. This document presents some of the rules and constraints that may be used to output a map that meets certain criteria in order to be used as a spider map in transportation systems. We present results with real public transport network datasets, and discuss possible evaluation criteria. The present work introduces a new set of experimental validations that confirm the previous research but also leading to new open issues for future work.
- Towards a health observatory conceptual model based on the semantic webPublication . Yoshiura, Vinicius Tohoru; Yamada, Diego Bettiol; Pellison, Felipe Carvalho; Lima, Inácia Bezerra de; Damian, Ieda Pelogia Martins; Rijo, Rui, Rui Pedro Charters Lopes; Marques, João Mazzoncini de Azevedo; Alves, DomingosIntroduction. Health Observatories have gained global popularity and have been established worldwide since the 1970s. With the advent of the Semantic Web, machines can process, reuse, integrate and understand the meaning (semantics) of the information and knowledge on the World Wide Web to perform complex tasks. Objective. To propose a health observatory conceptual model based on Semantic Web in order to assist in the design, development and implementation processes of a Health Observatory. Methods. The proposed model was based on a conceptual analysis that include Semantic Web technologies narrative review, multi-layer software architecture and an integrative review of Health Observatories. Results. The proposed Health Observatory conceptual model consists of a chain of several related components based on information technology multi-layer architecture, Semantic Web technologies, Health Observatories stakeholders and key concepts. Conclusion. The proposed model can provide opportunities for the development and implementation of new observatories or for the adequacy of existing Health Observatories.