strategies for the education of diabetic patients on the world wide web part i

Strategies for the Education of Strategies for the Education of Diabetic Patients on the Diabetic Patients on the

World Wide WebWorld Wide WebPart IPart I

K C LUN<[email protected]>

Associate Professor, Dept of Community MedicineDirector, WHO Collaborating Centre for Health Informatics

Director, Medical Informatics ProgrammeNational University of Singapore

© KC Lun, NUS1st International Conference on Western Pacific Diabetes Information Network

A recent study shows that 60% of consumers in the USA get their health information from the Internet

The Internet - a huge repository of health information


Feb 99 Asian Edition of Businessweek

Number of Internet users in 11 Asian countries will hit 10 million by end 1999 and 30 million by 2002


Strategies for Diabetic Patient Education on the World Wide Web

Health information from Web Portals Text-based e.g. Frequently-Asked Questions Multimedia-based e.g. Health Education Videos

Newsletters and Electronic Journals Discussion Groups, Interactive Forum and

Support Groups Virtual Patient Distance Education

Connect to Health ONE

Health ONE: A strategic joint project between the NUS Medical Informatics Program and the National Computer Board

http://www.health1.nus.edu.sg/


Health One information available in English,Chinese and Malay in text, audio and video

Health ONE reaches out to the public and healthcare professionals via interactive multimedia web applications as well as multilingualism to promote health and education

Health information from Web Portals- Text-based Resource Materials

Health information from Web Portals- Multimedia-based e.g. Health Education Videos

http://www.health1.nus.edu.sg/~health1/public/video/diabetes/real/monitoring.rmm

Health information from Web Portals- Multimedia-based e.g. Health Education Videos

http://www.health1.nus.edu.sg/~health1/chinese/ch_archive/b41stdec/public/video/diabetes/real/explain.rmm

Newsletters and Electronic Journals

Message Boards, Support Groups

New Paradigm in Patient Education: The Virtual Patient

using gaming

technique to promote

patient education


Can this electronic virtual pet be usefully applied to medicine? .

The Tamagotchi Electronic Pet


Research Goal:

Build a website that allows users to learn management of a disease by looking after a virtual patient afflicted with a particular medical condition.

Proper management results in control of condition and eventually improvement.

Kasou Kanjya or Kkanjya - Japanese for “Virtual Patient” .

Virtual patient modeled on the tamagotchi


Kasou Kanjya or Kkanjya - Japanese for “Virtual Patient”

Improper management results in deterioration of patient’s condition.

Research Goal:

Build a website that allows users to learn management of a disease by looking after a virtual patient afflicted with a particular medical condition.

Virtual patient modeled on the tamagotchi


I am OK but take good care of me

The many faces of Kkanjya- an insulin-dependent diabetic


Ouch! I need my insulin



My diabetes is under control. Thank you for taking good care of me



kclun

********

Taking care of Kkanjya,the insulin-dependent diabetic


Home Screen


• Three levels of play (beginner, intermediate, advanced)

• Scoring based on:

– Patient’s adherence to dietary restrictions

– Strict adherence to insulin regime• Score of 2 - caloric and insulin intake fall

within normal range• Score of 1 - Outside the normal range

but within the stipulated upper and lower bounds

• Score of 0 - Outside the stipulated upper and lower bounds

Game Design


1 virtual day = 15 mins real-time

Game runs on accelerated time clock


• timely insulin injections

Logic engine scores player based on:


• glucometer readings based on dietarycaloric intake

Logic engine scores player based on:


Feeding Kkanjya


Looking after Kkanjya - your scorecard


User registration

User login with password

Plays with virtual patient• Administers insulin• Feeds patient

Store user’s login name,password and play level, dateof last transaction

Store user transactions

Store criteria and scoring system for each level of play

Outcome

SQL database

Flow Chart


Insulin module:• proper way to administer insulin using traditional

fine needle• NOVOPEN III

Digital training videos delivered in real-time using streaming technology

Glucometer module:

• calibration of glucometer

• measurement of blood glucose

• obtaining reading from glucometer

The Health Education Module


Health Education Significanceof the Diabetic Virtual Patient

Teaches the importance of medication compliance to patients

Educates patients and the public on the management of diabetes

Training videos teaches them on proper procedure to administer insulin and calibration and use of glucometer

Strategies for the Education of Strategies for the Education of Diabetic Patients on the Diabetic Patients on the

World Wide WebWorld Wide Web

To be continued …

Please view Part II

strategies for the education of diabetic patients on the world wide web part i

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