A personalized platform for life and health services

A. Sanna, E. Bosi, San Raffaele Scientific Institute & University @ Personal Health Systems, Brussels, Feb. 12, 2007

Kicked-off: Jan 1, 2004 - Conclusion: Dec. 31, 2007

Project budget: 14 million € (grant 9,8 million €)

European Commission 6st R&D Framework Program

Information Society Technologies, e-Health: IST507019

A personalized platform for life and health services

Alberto Sanna: San Raffaele Scientific Institute, e-Services for Life & Health

and PIPS Project Coordinator – [email protected]

Emanuele Bosi: San Raffaele Scientific Institute, Diabetes & Endocrinology

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Personalized Information Platform for Life & Health Services The PIPS Partners


He needs to complywith medical advices

while shopping, cooking, eating He needs daily memosfor drug taking,

vital signs/weight monitoring,physical exercisingHe wants

timely updateson specific health topics

He needs toset periodically

medical check ups & lab tests

Mr. John Doewants (or needs!) to follow an healthier lifestyle

Personalized Services for Life & Health …… for a healthier lifestyle


Home

The Person

Gym & Spa Supermarket

Food Industry

Restaurant

Mobility

PharmaIndustry

Medical Doctor

Hospital

Pharmacy

Personalized Services for Life & Health …… to assist the Individual in his/her daily life


Home

The Person

Supermarket

Pharmacy

Medical Doctor

Hospital

Personalized Services for Life & Health …… to assist the Individual in his/her daily life: the Virtual Ego

Mobility

Gym & Spa

Restaurant

Food Industry

PharmaIndustry


Choices

Needs Preferences

MedicalProfile

Personal PreferencesProfile

BehaviourProfile

Personalized Services for Life & Health …… and the PIPS Individual’s Profile


Home

The Person

Supermarket

Mobility

PharmaIndustry

Pharmacy

Medical Doctor

Hospital

Personalized Services for Life & Health …… to assist in making informed choices in daily life

Gym & Spa

Food Industry

Restaurant


Personalized Services for Life & Health …… the technological challenges

Home

The Person

Supermarket

MobilityPharmacy

Medical Doctor

Hospital

• Distributed Knowledge Sources• Knowledge Management• Decision Support Systems• Sensor Interaction & Data Capture• User Interaction• Trust & Security

Gym & Spa

Food Industry

Restaurant

PharmaIndustry


PharmaIndustry

Restaurant

Personalized Services for Life & Health …… knowledge mgmt from fragmented, heterogeneous sources

Home

The Person

Gym & Spa Supermarket

Mobility

Medical Doctor

Hospital

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Pharmacy

Technical Solutions

Domain Ontologies ROME, NutriPIPSOntology Based Reasoning KAON2, KaSeASemantic Query Languages DIGUT, OWL, SPARQLDialoguing Systems GATE, Haptek

Food Industry


Personalized Services for Life & Health …… to support the Individual’s decision in a trusted framework

Home

The Person

Supermarket

Restaurant

PharmaIndustry

Pharmacy

Medical Doctor

Hospital

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Technical SolutionsProfiling Virtual Ego, HL7 RIMRule Engine JESS, RULEMLMulti-Agent Platform JADEWorkflows JBPM, LAPTrust & Security Trust Case, P3P

Mobility

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.xls

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Gym & Spa

Food Industry


Hospital Home

The Person

Pharma &Medical Device

Pharmacy

Supermarket

RestaurantMedical Doctor

Personalized Services for Life & Health …… the medical challenges

Medical-Scientific Domain

Healthier LifestyleDiabetes

CardiologyAllergology

NutritionPhysical ExercisePharma TherapiesSelfCare Monitoring Mobility

Gym & Spa

Food Industry


Supermarket

Personalized Services for Life & Health …… to assist in making informed choices in daily life: at the supermarket


Home

Personalized Services for Life & Health …… to assist in making informed choices in daily life: at home


Restaurant

Home

The Person

Supermarket

FoodIndustry

Mobility

Pharma & Med.Industry

Pharmacy

Medical Doctor

Hospital

Personalized Services for Life & Health …… to assist in making informed choices in daily life

Gym & Spa


Personalized Services for Life & Health …… to assist in making informed choices in daily life: physical activity

Gym & Spa


Personalized Services for Life & Health …… to assist in making informed choices in daily life: physical activity

Why Diabetes?

Gym & Spa


Total cases > 300 million adults

Number of persons< 5,0005,000–74,00075,000–349,000350,000–1,499,0001,500,000–4,999,000> 5,000,000No data available

Worldwide prevalence of diabetes in 2030 (projected)

Adapted from WHO Diabetes Programme Facts and Figures:www.who.int/diabetes/facts/world_figures/en. Accessed 1 August, 2006.


Prevalence of Diabetes*: Europe

<2% 2%–5% 5%–8% 8%–11% 11%–14%

Europe 2003: 48 million Europe 2003: 48 million

*T2DM represents ~90%–95% of cases (Centers for Disease Control and Prevention. National Diabetes Fact Sheet, 2003. Rev ed. Atlanta, Ga: US Department of Health and Human Services; 2004.)Adapted from International Diabetes Federation. Diabetes Atlas. 2nd ed. 2003.1 World Health Organization, Prevalence of Diabetes in the WHO European Region. <http://www.who.int/diabetes.>

Nationwide Diabetes Prevalence Categories

1.7 (3.9%)UK2.5 (9.0%)Poland2.6 (6.2%)France2.9 (6.6%)Italy2.9 (7.0%)Turkey

0.22 (8.0%)Switzerland

3.0 (9.9%)Spain3.5 (9.7%)Ukraine6.3 (10.2%)Germany9.7 (9.2%)Russia

No. (Millions) with Diabetes 20- to 79-Year

Age Group (% of population)

Country


Why Diabetes isexploding worldwide?

The leading cause of diabetespandemia are changes in

lifestyle, i.e. more caloric intakeand, even more important, less

physical activity


Underlying hypothesis

Can interactive communication technology

be used to achieve and maintain sustained physical activity in patients with type

2 diabetes?


Clinical Trial:Exercise Behavioral Changes

in patients with type 2 diabetes using a PIPS Motivational Model

Emanuele Bosi, Luca FalquiDiabetes & Endocrinology Unit, San Raffaele Scientific Institute and Life-Health University


PIPS CLINICAL TRIAL on DIABETES interactive and context-sensitive communication

((((

Till now you reached 70% of the target.

Fairly good, you are motivated and active taking care of yourself: to regain your missing steps, have a walk with your dog this evening.

Pedometer Pedometer

Mobile PhoneMobile Phone

Mobile PhoneMobile Phone

PIPS PlatformPIPS Platform


Mary is a Diabetic person in Likelihood of Change her exercise habits.Target is set on N° steps and caloric consumption.

Strolling & MotivationMotivational messages: technical information

TECHNICAL INFORMATION

‘Yesterday you have reached the 80% of the target.



‘Yesterday you have reached the 70% of the targetNot bad, but you didn’t fully reached the goal. Try to regain!

COMMENT

>80%

50% 80%

<50%

Strolling & MotivationMotivational messages: comment



ENCOURAGEMENT

‘Yesterday you have reached the 80% of the targetNot bad, but you didn’t fully reached the goal. Try to regain!Start being more active is one of the most important things you could do for your health

Strolling & MotivationMotivational messages: encouragement



SUGGESTION

‘Yesterday you have reached the 80% of the targetNot bad, but you didn’t fully reached the goal. Try to regain!Start being more active is one of the most important things you could do for your health.The weekend will be sunny: why don’t you go footing in the park near your home. Bring your dog with you!’

Strolling & MotivationMotivational messages: Suggestion


Restaurant

Home

The Person

Supermarket

FoodIndustry

Mobility

PharmaIndustry

Pharmacy

Medical Doctor

Hospital

Contact: ALBERTO [email protected]

www.pips.eu.org

PIPS – IST507019Personalized Information Platform for Life & Health Services

Gym & Spa


Kicked-off: Jan 1, 2004 - Conclusion: Dec. 31, 2007

Project budget: 14 million € (grant 9,8 million €)

European Commission 6st R&D Framework Program

Information Society Technologies, e-Health: IST507019

A personalized platform for life and health services

Alberto Sanna: San Raffaele Scientific Institute, e-Services for Life & Health

and PIPS Project Coordinator – [email protected]

Emanuele Bosi: San Raffaele Scientific Institute, Diabetes & Endocrinology


Personalized Information Platform for Life & Health ServicesThe PIPS Architecture


Diabetes & Physical Activity

Regular Physical Activity/Exercise:

- has been shown to improve blood glucose control, reduce cardiovascular risk, contribute to weight loss and improve well-being in people with both type 1 and type 2 diabetes;

- reduces the risk of developing type 2 diabetes in predisposedindividuals;

- is therefore strongly recommended in people with diabetes;

However, only a minor proportion (around 20%) of adults withtype 2 diabetes fulfill the recommendations of minimal physicalactivity (60 min or more weekly)


Strolling and MotivationThe strategy: act on the likelihood of change

• Walking Target, i.e. a personalized path of incremental physical activity based on patient’s fitness status

• Monitoring, i.e. following the progression of the patient in a specified length of time

• PIPS messages to the patient, i.e. PIPS feedback to the walking data sent to the server by the patient through her/his pedometer

• Self Knowledge Improvement, i.e. the patients are stimulated to reason about themselves and their emotional status

• Failing strategy, i.e. the choice of the actions to be performed in case of failure in the target achievement (e.g. protract absence of data or low percentage of target achievement)

• Information delivery to the patients supporting them in the walking program follow up

A personalized platform for life and health services

Documents

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