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![Wearable fitness trackers to support
physical activity in breast cancer
“Wearable Activity Trackers are
perceived as useful and acceptable
interventions by postmenopausal breast
cancer survivors” – Study findings
Nguyen, Nga H., et al. "A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for
consumer wearable technology activity trackers." Supportive Care in Cancer (2017): 1-10.
“If you get to say 8,000 [steps] in a day,
you're more motivated to do those extra
2,000 because you're so close. It's like
“Why would I stop now?” I might as well
keep going.” - 52 patient participant
http://www.pcadvisor.co.uk/reviews/g
adget/3495685/fitbit-force-review/
Slide adapted from Luis Luque (@luisluque)](https://image.slidesharecdn.com/panagiotisbamidis-slides-181205000210/75/Augmenting-health-professionals-and-empowering-patients-with-new-technologies-13-2048.jpg)
Uploaded byFacultad de Informática UCM
Augmenting health professionals and empowering patients with new technologies
The document discusses the integration of new technologies in healthcare, emphasizing the need to empower health professionals and patients through digital tools and e-learning. It highlights significant innovations like virtual reality surgeries, personalized health systems, and the importance of continuous monitoring in chronic care. The ultimate goal is to enhance education and adaptability within the healthcare workforce to improve service delivery and patient outcomes.
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Augmenting health professionals and empowering patients with new technologies
- 1. AUGMENTING HEALTH PROFESSIONALS ANDEMPOWERING PATIENTS WITH NEW TECHNOLOGIES Panos Bamidis Assoc. Prof, School of Medicine, Aristotle University of Thessaloniki, Greece Visiting Prof, Leeds Institute of Medical Education, University of Leeds, UK Founder LLM Care Ecosystem & EIPonAHA Reference Site Thessaloniki Active & Healthy Ageing Living Lab (ThessAHALL) President, Greek Biomedical Technology Society (ELEBIT) President, Society of Applied Neuroscience (SAN) [email protected] panagiotis.bamidis http://medphys.med.auth.gr www.llmcare.gr @MedicalPhysicsA @Bamidis
- 2. Apple, iPhone 8– Augmented Reality
- 3. https://www.healthdatamanagement.com/list/10-top-healthcare-information-technology-trends-for-2017 Consumer facing technology Thecloud Disease Managemnet technology EHR improvement Improved Imaging, Emerging Imaging Hospital & patient medical devices Interoperability Tele-medicine/mhealth
- 4. Future MDs, today? Democratising educationand disrupting clinical practice with technology The World’s most watched doctor! performed the world’s first virtual reality operation recorded and streamed live in 360-degree, or immersive, video in 2016. It was viewed live by 55,000 people in 142 countries and downloaded 200,000 times on YouTube
- 5. Disruption in clinicaleducation? Shafi used MS HoloLens headsets to virtually bring together surgeons from London and Mumbai … to operate together on a bowel-cancer patient. Each colleague was able to view tumor scans that appeared as 3D holograms, and could “see” each other as graphic avatars, standing and speaking as if together in the operating room in London… Lancet Commission on Global Surgery estimated in 2015 that 5 billion people lack access to safe, affordable surgical and anesthesia care, leading to about 17 million deaths annually. Saving lives will require a doubling of the surgical workforce, or an extra 2.2 million surgeons, anesthetists and obstetricians over 15 years…
- 6. eLearning – thecycle of acceptance Time Visibility/ Acceptance Hype Hope Productivity Terry Poulton, Hot topics in elearning & distance learning, MEI2015 http://mei2015.camei-project.eu/content/hot-topics-elearning-and-distance-learning
- 7. Warming up surgeons InguinalHernia Repair EGD Lens Implant M Mon-Williams, Keynote, 3rd Int. Conf on Medical Education Informatics (MEI2018)
- 8. Technological Innovations ineveryday health care practice…
- 9. Leeds Teaching HospitalsTrust has built its own EHR known as PPM+. This is now a platform for delivery of mobile, location based care information & the Leeds Care Record. Innovation & Leeds R Corbridge, Keynote Panel, 3rd Int. Conf on Medical Education Informatics (MEI2018)
- 10. CHAT BOT: AIsupporting search capability within the EHR and the possibility of AI support for patient interaction. CLOUD FIRST: Remove reliance on LTHT infrastructure and move to an agile, secure and waste resistant model. MOBILE FIRST: Ensure all clinical teams have responsive kit that can be used to adapt to the changing needs effectively. Deliver choice. CLINICALY IMPACTFUL GENOMICS: Enable a MDT view of geneticists opinion in rare disease and cancer. CLINICIAN PROXIMITY: Enable technology to prompt clinical time based on location in the hospital. VIRTUAL CONSULT: Enable clinical contact with patient virtually but within a secure and contextualised environment. Innovation & the future R Corbridge, Keynote Panel, 3rd Int. Conf on Medical Education Informatics (MEI2018)
- 11. Personalised Health Systems(PHS) provide continuous, quality controlled, person-specific healthcare services and empower people anytime & anywhere Active citizen/patient participation Mobile,wearable,implantabledevices/sensors PHS
- 12. Image: The Economist TheQuantified Self Self- measuring… monitoring… estimating… knowing… …through numbers… and digitisation of daily activities
- 13. Wearable fitness trackersto support physical activity in breast cancer “Wearable Activity Trackers are perceived as useful and acceptable interventions by postmenopausal breast cancer survivors” – Study findings Nguyen, Nga H., et al. "A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for consumer wearable technology activity trackers." Supportive Care in Cancer (2017): 1-10. “If you get to say 8,000 [steps] in a day, you're more motivated to do those extra 2,000 because you're so close. It's like “Why would I stop now?” I might as well keep going.” - 52 patient participant http://www.pcadvisor.co.uk/reviews/g adget/3495685/fitbit-force-review/ Slide adapted from Luis Luque (@luisluque)
- 14. Sleep, Stress andCancer Slide adapted from Luis Luque (@luisluque)
- 15.
- 16. IBM Watson …in Taiwan https://taiwantoday.tw/news.php?unit=11&post=125887
- 17. Emerging Healthcare model •Old: – Emphasis on disease events/cases – Sparse monitoring – Diagnosis and therapy – Care at hospital – Passive patients – Rare use of technology • New: – Emphasis on chronic care – Continuous monitoring – Prognosis and Prevention – Daily living, home care – Patient as a collaborator, self-care – Technology dependence What can we do about it (at a higher level)?
- 18. Topol Review Preparing thehealthcare workforce to deliver the digital future P Mitchell, Keynote, 3rd Int. Conf on Medical Education Informatics (MEI2018)
- 19. The panels Genomics Digital medicine Artificial intelligence and robotics @NHS_HealthEdEng#TopolReview P Mitchell, Keynote, 3rd Int. Conf on Medical Education Informatics (MEI2018)
- 20. Improving health andeducation M Mon-Williams, Keynote, 3rd Int. Conf on Medical Education Informatics (MEI2018)
- 21.
- 22. This project hasreceived funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 689476 Chronic Pain Management
- 23. Peer Support CommunityPortal Treatment remote monitoring with sensors, e.g. sleep, activity Pain Assessment Individualized Treatment Plan Self-Management Tools Patient-Doctor Communication Patient Education
- 24. Monitoring and control… ActivityStatistics Calories/Steps/Distance Biometric Statistics Heart Rate/Respiration Rate etc. Sleep Statistics Hours awake/asleep, light vs deep sleep, awakenings
- 25. Self assessment withchatbot Automated and intuitive way of self-observation Virtual patient Educational episodes Learning via simulation Peer support – social networking
- 26. multi-dimensional evaluation of results LLM Careis an EIP on AHA candidate Reference Site
- 27.
- 28.
- 29. www.aha-livinglabs.com ThessalonikiActive and HealthyAgeing Living Lab
- 31. WHY EDUCATION; WHY SKILLS; Education,Skills… Quality education for healthcare workforce … is key for a quality healthcare system…
- 32. Develop Lifelong Learners Possessself-determination skills to: - identify their areas of strengths and weaknesses; - set personal learning goals; - develop ways to achieve these goals; - become ready to deal with complex future problems; - constantly seek ways to improve their practice. Putting students in charge of their learning
- 33. Digitalisation of Learning Clinicalskills feedback Project feedback Resource usage Exam-based assessment OSCE assessment ‘Digital Companion’ for Personalised Adaptive Learning - `learning support at your fingertips’ - fosters the development of self-regulated learning skills - co-designed with students and tutors
- 34. Work Streams Co-Design withStudents and Tutors Visualisations Text Analytics Interaction Data Management
- 35. mEducator (www.mEducator.net) • ABest Practice Network (BPN) – eContentplus 2008 EC programme (ECP- 2008-EDU-418006) – May 2009 – April 2012 • Developed and compared two different solutions/frameworks – Solution 1 = mEducator2.0 (based on Social Media/Web2.0) – Solution 2 = mEducator3.0 (based on Web3.0/semantic web) • Scope: to draw best practice recommendations
- 36. The main product/service 1.mEducator 2.0: loosely coupled LCMSs via mashup technologies (Web2.0) 2. mEducator 3.0: LCMSs linked via (semantic) linked services (Web3.0) partner institute 1 partner institute 4 partner institute 3 partner institute 2 partner institute 5 www.meducator2.net www.meducator3.net 38
- 37. The mEducator LearningResource Space 39 -Giordano et al, Developing controlled vocabularies for educational resources sharing: a case study,’ -Mistopoulou et al, Connecting medical educational resources to the Linked Data cloud: the mEducator RDF Schema, store & API; both in Proc. of 1st Int. Workshop on eLearning Approaches for the Linked Data Age (Linked Learning 2011, in ESWC2011)
- 38. http://purl.org/meducator/resourceType#virtualPatient mEducator Metadata Scheme RDFModel 40 Medical Resource creator • RDF: Framework to describe resources on the web • Statements about resources • Uses a recommended XML serialization • It is a W3C Recommendation and part of the W3C's Semantic Web Activity Johnathan Round MEFANET 2013
- 39. Attention metadata (AM) •Goal: modeling user activity within the content sharing platforms to provide recommendations • Proposal: extend the ATOM schema • Advantages: – More intuitive and richer than other AM schemas (e.g., CAM) – Easily extensible – AAIR mapping (Atom Activity Streams in RDF Vocabulary) designed for social web sites to be used as starting point 41MEFANET 2013
- 40. An example from ProblemBased Learning and Virtual Patients 42
- 41. Virtual Patients • Interactivesimulation of health care incidents • The learners take the role of the professional, being able to: – diagnose – make therapeutic decisions • Medical errors challenge the learners without being harmful or fatal to any real person
- 42. A VP map:a graphical tree of (connected) nodes
- 43. Open Labyrinth • Web-basedVirtual Patients platform • allows users to build, run and analyze pathway-based applications. • Pathways may be linear, branched or any other sequence format. • Virtual patients are called labyrinths, because of the many pathways • Object referencing model allows for easy use and reuse of media, questions, avatars etc.
- 44. MLA reports onthe effectiveness of learning material 46
- 45. MLA improves learnerexperience based on profiles & paradata in other learning environments 47
- 46. ePBLnet: Establishment ofthe Supra-Regional Network of the National Centres in Medical Education, focused on PBL and Virtual Patients Panos Bamidis Project Co-ordinator Aristotle University of Thessaloniki www.epblnet.eu
- 47. TAME: Training AgainstMedical Error http://www.tame-project.org/
- 48. WAVES: WIDENING ACCESSTO VIRTUAL EDUCATIONAL SCENARIOS http://wavesnetwork.eu/
- 49. Remarkable brain investigations-HoloLensAnatomy Teaching Step by step Anatomy Teaching through HoloLens
- 50. Mixed Reality, LivingLabs Virtual Patient scenario https://www.youtube.com/watch?v=MeSvPE2Q9mM
- 51. Mixed Reality content,in a Living Lab fused with Virtual Patient scenario Bamidis, PME 2018, Ioannina https://www.youtube.com/watch?v=MeSvPE2Q9mM
- 52.
- 53. eLearning – thecycle of acceptance Time Visibility/ Acceptance Hype Hope Productivity Terry Poulton, Hot topics in elearning & distance learning, MEI2015 http://mei2015.camei-project.eu/content/hot-topics-elearning-and-distance-learning
- 54. Vision as atake home message Vision: augmented minds digitally empowered medical professionals who use technology to enhance their learning and professional development – take advantage of the availability of a variety of technology – personalise their learning by reflecting on their progress and – … identifying opportunities to learn anywhere and anytime, continuously improve in their profession. Equipping the future healthcare workforce with these faster adoption of new innovations improvements in healthcare service and delivery key challenge: balance between preserving what already works and bringing innovation to address what may not be effective…
- 55. OLLD 2019 “Open LivingLab Days International Conference” Thessaloniki 2-5 September, 2019
- 56. SAN 2019 “Society ofApplied Neuroscience Conference” Thessaloniki, Greece 2-5, May 2019
- 57. http://medphys.med.auth.gr www.llmcare.gr THANK YOU -GRACIAS Panos Bamidis Assoc. Prof, School of Medicine, Aristotle University of Thessaloniki, Greece Visiting Prof, Leeds Institute of Medical Education, University of Leeds, UK Founder LLM Care Ecosystem & EIPonAHA Reference Site Thessaloniki Active & Healthy Ageing Living Lab (ThessAHALL) President, Greek Biomedical Technology Society (ELEBIT) President, Society of Applied Neuroscience (SAN) [email protected] @MedicalPhysicsA @Bamidis panagiotis.bamidis