A Novel Virtual Coaching System Based on Personalized Clinical Pathways for Rehabilitation of Older Adults—Requirements and Implementation Plan of the vCare Project

Frontiers in Digital Health

Morten Bøttcher¹  Vibeke Lynggaard¹  Juan Carlos Gomez-Esteban²  Inigo Gabilondo²  Rocio Del Pino²  Sofoklis Kyriazakos³  Peppino Tropea⁴  Elda Judica⁴  Irma Sterpi⁴  Massimo Caprino⁴  Massimo Corbo⁴  Marc Lange⁵  Patrick Philipp⁶  Hannes Schlieter⁷  Kai Gand⁷  Lucia Pannese⁸  Alvaro Martínez⁹  Jordi Rovira⁹  Stefan Busnatu^1,10 

[1] 0Hospitalsenheden Vest, Herning, Denmark;Biocruces-Bizkaia Health Research Institute, Bilbao, Spain;Department of Business Development and Technology, Aarhus University, Aarhus, Denmark;Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milano, Italy;European Health Telematics Association, Brussels, Belgium;FZI Forschungszentrum Informatik am Karlsruher Institut für Technologie, Karlsruhe, Germany;Faculty of Business and Economics, Technische Universität Dresden, Dresden, Germany;Imaginary s.r.l., Milan, Italy;MYSPHERA, Valencia, Spain;Universitatea de Medicina si Farmacie “Carol Davila” din Bucuresti, Bucuresti, Romania;

关键词: virtual coaching;    personalized medicine;    clinical pathways (CPs);    home rehabilitation;    digital health (eHealth);    embodied conversational agents;   

DOI  :  10.3389/fdgth.2020.546562

来源: DOAJ

【 摘 要 】

Home-based rehabilitation after an acute episode or following an exacerbation of a chronic disease is often problematic with a clear lack of continuity of care between hospital and home care. Secondary prevention is an essential element of long-term rehabilitation where strategies oriented toward risk reduction, treatment adherence, and optimization of quality of life need to be applied. Frail and sometimes isolated, the patient fails to adhere to the proposed post-discharge clinical pathway due to lack of appropriate clinical, emotional, and informational support. Providing a suitable rehabilitation after an acute episode or a chronic disease is a major issue, as it helps people to live independently and enhance their quality of life. However, as the rehabilitation period usually lasts some months, the continuity of care is often interrupted in the transition from hospital to home. Virtual coaches could help these patients to engage in a personalized rehabilitation program that complies with age-related conditions. These coaches could be a key technology for empowering patients toward increasing their adherence to the care plan and to improve their secondary prevention measures. In this paper, we are presenting a novel virtual coaching system that will address these challenges by combining recent technological advances with clinical pathways, based on joint research and validation activities from researchers from the medical and information and communication technology (ICT) domains.

【 授权许可】

Unknown