internet of things (iot) · behavior change web-based intervention for postpartum depression •...
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Internet of Things (IoT)in Pospartum Depression
SLIDES BY: ASTRI MUTIAR, S.KEP., NERS., MS
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Astri Mutiar
Ciamis, 15 April 1991
Lembang/Sukabumi
2016 - 2018
Master degree, National Cheng
Kung University, Taiwan
2009 - 2014
Bachelor degree, Universitas
Padjadjaran
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Almost ‘anything’
-including ‘living things’-
connected to the internet
regardless of location or other
physical restriction
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30.3% 69.7%
Percentage of IoT devices
found in healthcare
Percentage of IoT devices
found in elsewhere
Deployment of the Industrial Internet can help to drive
down costs from clinical and operations inefficiencies by
roughly 25% or about $100 billion per year
30.3% 69.7%Sources: Intel, A guide to the Internet of Things & General Electric Company (2012) Industrial Internet: Pushing the boundaries of minds and machines
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What can IOT do for healthcare?
Ability to react on speed
Hig
her
qua
lity d
eliv
ery
Ability to act at scale
UrbanRural
Small data Big data
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Internet of Things on Healthcare
• The technology will play a prominent role in patient tele-
monitoring in hospitals and more importantly at home (Jara, Zamora &
Skarmeta, 2013; Byun, Nasridinov &Park, 2014; Trinugroho & Baptista, 2017).
• The use of these technologies empowers patients to follow self-
care principles which lead to cost-effectiveness of healthcare
services increased patient satisfaction and better self-
management. (Hossein, Arji, Shahmoradi, Safdari, Nilashi & Alizadeh, 2018).
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Apa
Itu?
Internet of Things on Healthcare
Designed to remind individuals to take their medication at the
right time and to ease the burden of complex medication
regimen
Electronic pill
dispenser
The lenses may ultimately be able to ration glucose levels of
diabetes patients through their tears and then hoard the data in
a mobile device
Connected
Contact Lenses
To reduce healthcare associated infections (HAIs), companies such
as Intelligent M, HyGreen, IBM in collaboration with OhioHealth,
and BIOVIGIL are creating sensor technologies and networks to
monitor hand washing practices in real-time.
Hand Wash
Detector
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Postpartum Depression
Week 1 Week 2 Week 3 Week 4 week 5 Week 6 Week 7
Postpartum Depression
No suicidal idea Suicidal idea
Diagnostic assessment
• Postpartum depressive
symptoms
• Postpartum blues
• Postpartum anxiety
Screening tools assessment
(Alici-Evcimen & Sudak, 2003; Bloch, 2006)
(APA, 2013)
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Postpartum Depression
• The depressive symptoms in postpartum period include
mood disorder, anxiety, disturbed sleep, guilt,
worthlessness, restlessness, low self-esteem, weight loss,
impaired concentration, loss of energy, pessimism and
appetite disturbed, loss interest and feeling inadequacy
ability to giving care to the infant (APA, 2013; Klainin, 2009; Almond,
2009; Sharma, Rai, & Pathak, 2015).
• It can affect mother’s condition as well quality of life (Field,
2010; Zajicek-Farber, 2010).
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Internet of Things in
Postpartum Depression
1. Monitoring changes in
heart rate
2. Used k-means
algorithm
3. Assessed with smart
watch
4. Connected with cloud
on mobile device
Real-time Maternal
Stress Monitoring
Got 97.9% accuracy
after tested on dataset
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Internet of Things in
Postpartum Depression
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Internet of Things in
Postpartum Depression
1. MumMoodBooster
intervention delivered
through websites (partner’s
website, coach’s website,
administrative website)
2. Treatment consisted of six
interactive sessions that were
sequentially accessed and
designed to encourage
optimal engagement and
behavior change
Web-Based Intervention
for Postpartum Depression
• 79% of women no longer
met DSM-IV
• Got 90% rate of women
satisfaction to programs
Milgrom, J., Danaher, B. G., Gemmill, A. W., Holt, C., Holt, C. J., Seeley, J. R., ... & Ericksen, J.
(2016). Internet cognitive behavioral therapy for women with postnatal depression: a randomized
controlled trial of MumMoodBooster. Journal of medical Internet research, 18(3).
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Internet of Things in Postpartum Depression
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Internet of Things in Postpartum Depression
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Internet of Things in
Postpartum Depression
1. The intervention is delivered
by email and interactive
websites, combining text,
pictures, prerecorded audio
files, and user input
2. Three phases (second
trimester 21–25 and ends in
37 weeks; infant is 2–3-
weeks-old, last 6 weeks;
final phase 18-week period
11.5 months.
Internet-based program
preventive intervention for
depressive symptoms
• Got 21.5–26.6% reduction on
postpartum depression
• Mamma Mia prevent at least minor
to moderate depression.
Haga, S. M., Drozd, F., Lisøy, C., Wentzel-Larsen, T., & Slinning, K. (2018). Mamma Mia–A
randomized controlled trial of an internet-based intervention for perinatal depression. Psychological
medicine, 1-9.
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Internet of Things in
Postpartum Depression
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