Fostering Independence, Participation, and Healthy Aging Through Technology Workshop Summary (2013) / Chapter Skim
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6 Health Management and Promotion
6 Health Management and Promotion
Pages 41-48
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From page 41... ...
Carolee Winstein, director of the Optimizing Participation through Technology Rehabilitation Engineering Research Center at the University of Southern California, analyzed four factors that together are forestalling the onset of disability. And Timothy Bickmore, associate professor in the Department of Computer and Information Science at Northeastern University, described a particular technology he has helped develop to improve interactions with patients.
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From page 42... ...
screening rates increased approximately 90 percent, and 87 percent of survey respondents said they knew more about controlling their blood pressure as a result of the program. Economic modeling showed that if just 8 percent of eligible candidates participated in the program, better management of blood pressure could result in 23 fewer strokes, 22 fewer coronary artery disease events, and 16 fewer deaths per 100,000 people annually.
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From page 43... ...
The goal is to increase the quality of health care at reasonable costs by increasing patient engagement and improving clinical outcomes.
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From page 44... ...
But technological change also creates challenges in translating advances into practices that address real problems. According to Winstein, solutions will come through effective collaborations at the nexus of new technologies, aging, and disability among those working in a wide range of fields, including • rehabilitation engineering, • psychological science, • implementation science, • gerontology, • clinical science, • social science, • cinematic arts, • health economics and policy, • the health care industry, and • consumers.
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From page 45... ...
Motivational Influences on Behavior Change At another corner of the pyramid are motivational influences on behavior change, which Winstein analyzed in terms of three fundamental psychological needs: autonomy, competence, and social relatedness. Autonomy involves the need to determine or feel in control of one's actions.
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From page 46... ...
This interactive app and Web-based system for health professionals and patients will enable them to use current evidence to identify and decrease risk factors for falling, identify and implement behaviors to prevent falling, and maintain healthy behaviors after one or more initial falls. It uses psychological theory, the best evidence from implementation science, and leading technology to create an interactive system that clinicians and patients can use through the convenience of their smartphone, tablet, or computer.
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From page 47... ...
By emulating human relationship-building behavior to create and maintain a trusting therapeutic alliance, virtual characters can maintain engagement for longitudinal inventions. Bickmore and his team simulated the patient–provider interactions they observed with as much fidelity as possible in automated health care providers.
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From page 48... ...
Finally, Bickmore mentioned a project involving a linguistically and culturally tailored version of the system for use with an older adult Latino population in San Jose, California (King et al., 2013)
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