Dept. Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, Avda. Països Catalans, 26, 43007, Tarragona, Catalonia, Spain.
Nursing Department, Universitat Rovira i Virgili, Avinguda Catalunya 35, 43002, Tarragona, Catalonia, Spain.
BMC Med Inform Decis Mak. 2021 Feb 25;21(1):74. doi: 10.1186/s12911-021-01445-6.
Taking care of chronic or long-term patients at home is an arduous task. Non-professional caregivers suffer the consequences of doing so, especially in terms of their mental health. Performing some simple activities through a mobile phone app may improve their mindset and consequently increase their positivity. However, each caregiver may need support in different aspects of positive mental health. In this paper, a method is defined to calculate the utility of a set of activities for a particular caregiver in order to personalize the intervention plan proposed in the app.
Based on the caregivers' answers to a questionnaire, a modular averaging method is used to calculate the personal level of competence in each positive mental health factor. A reward-penalty scoring procedure then assigns an overall impact value to each activity. Finally, the app ranks the activities using this impact value.
The results of this new personalization method are provided based on a pilot test conducted on 111 caregivers. The results indicate that a conjunctive average is appropriate at the first stage and that reward should be greater than penalty in the second stage.
The method presented is able to personalize the intervention plan by determining the best order of carrying out the activities for each caregiver, with the aim of avoiding a high level of deterioration in any factor.
在家照顾慢性或长期患者是一项艰巨的任务。非专业护理人员为此付出了代价,尤其是在心理健康方面。通过手机应用程序执行一些简单的活动可能会改善他们的心态,从而提高他们的积极性。然而,每个护理人员可能需要在积极心理健康的不同方面得到支持。本文定义了一种方法,用于计算一组活动对特定护理人员的效用,以便为应用程序中提出的干预计划进行个性化设置。
基于护理人员对问卷的回答,使用模块化平均方法计算每个积极心理健康因素中的个人能力水平。然后,采用奖励-惩罚评分程序为每个活动分配整体影响值。最后,应用程序根据此影响值对活动进行排名。
基于对 111 名护理人员进行的试点测试,提供了这种新个性化方法的结果。结果表明,在第一阶段使用联合平均值是合适的,而在第二阶段奖励应大于惩罚。
所提出的方法能够通过确定对每个护理人员执行活动的最佳顺序来个性化干预计划,目的是避免任何因素的恶化程度过高。