Optional intervention activity

[GJNilsen]

Often a certain medication should be taken only when some conditions are met. For example, if when in pain, take x number of pill of y type, an deduct it from the daily dosage. The optional intervention activities could also be other things and not only medication, but it would be available when the given conditions are met.

Example
The patient suddenly experiences pain, and reports the symptom. Since the pain is moderate, the intervention activity then suggests using medication X. If the pain was more severe, the suggestion then would be medication Y. After 30 minutes, a notification reminds the patient to report the pain again, if the value is lower, then everything is OK. If the pain value rises, of course within the parameters set by the care giver/doctor, a new intervention activity is suggested.

Regarding reporting, the optional medication should not count against the care completion percentage, because when it did, patients would be encouraged to take medication just so the heart fills up.

[umerkhan-apple]

@yuppielabel This is a great idea. It would be great to brainstorm ways in which we can surface the optionality to the UI.

[GJNilsen]

I suggest its done very simple. Have the optional show up on the Care Card, but not taken in account with the Care Completion status. For example, Oxynorm shows up as Ibuprofen and the other interventions, with the total available amount as empty rings, and with the taken amount as filled rings, just like the other intervention activities.
As long as its not taken in account in the total percentage, patients will not feel they have only 90% completed care if they have not taken the maximum dosage.

When choosing the optional intervention, there should be a way to attach an assessment to it, like measuring pain/mood.

[umerkhan-apple]

@yuppielabel I feel that it might be confusing for users when all the circles have not been marked and they still get 100% Care Completion, or vice-versa. We could potentially create sections for required and optional, or even have a small indicator next to the chevron indicating optional/required.

Currently, in order to attach an assessment to an intervention, there is a delegate callback provided. The developer can use that to invoke some activity (such as pain survey).

[GJNilsen]

@umerkhan-apple: The important thing is to display the number of interventions made and the number still available, without building up some kind of expectation or pressure to invoke interventions when not absolutely needed. One way of presenting the option for an intervention is after an assessment, so the proper intervention is presented based on the answer. This is pretty hard, but Ill run it by a MD who works with pain relief. Maybe you guys also have some resources to throw at this?
Thanks for bringing it to my attention regarding the delegate. Is there also a way to do the opposite, present an intervention based on an assesment?

[GJNilsen]

By the way, pain assessment should also have a body part map with the scale, or at least have it optional. I have made a map in Swift with UIBezierPaths and not bitmap based graphics. Maybe it could be of use for CareKit? The screenshots show only the front, I have the same for the back as well.

[stevemoser]

You could also reuse Mole Mapper's body map. https://github.com/Sage-Bionetworks/MoleMapper/blob/master/MoleMapper/interfaceTesting/BodyMapViewController.m

[GJNilsen]

Yup, I probably coud. The body parts in my map are UIBezierPaths, so they are resolution independent. The Mole Mapper graphics are bitmapped images, so they only look the best in a certain size. But Ill check out Mole Mapper more closely, to see if they have incorporated it as a assesment or just as some custom class like I did with my view.

[umerkhan-apple]

@GJNilsen This looks really nice! I think it would fit nicely into CareKit under a folder that contains different types of assessments (this module for pain assessment being the first one). Let me discuss it with the team and get back to you!

[GJNilsen]

Great, @umerkhan-apple! Looking forward to it!

[GJNilsen]

Since Im not as good at coding objc anymore, I could port the view to objc and maybe someone could help making it a proper assessment module?

[scdi]

Both body mappers, the one from Bionetworks and the one posted here look very good. Is there an easy way to get the code to implement to get those results.

[GJNilsen]

@YuanZhu-apple: mr Jude Jonassaint from the UPMC Cancer Centers, @scdi, and I, are now working on the picker together. Its open source, and when its done, it will be donated to CareKit or ResearchKit, where it would fit best. Its written in Swift.

[umerkhan-apple]

@GJNilsen That sounds great! Looking forward to the modules. Will be happy to provide any assistance that I can. 👍

[pthealthtech]

@umerkhan-apple you mentioned back on May 4 the possibility of having a required and optional sections. We definitely need the ability to have optional intervention activities. We have several requests for diary-type PRN activities and cannot put pressure on the patient to feel like they have a certain number of entries they are meant to make in a day. Some concerns we have with sectioning them off from required, as opposed to having them be an optional type of activity in a single list of activities:

1. they will take a lower-status or priority with the patient
2. explaining the difference between the sections is more training by the clinician and another thing for the patient to understand
3. activities are often purposefully sequenced. If they are grouped separately, it will be challenging to convey to the patient the order they are meant to be completed.

Optional activities are a requirement for our clinicians so anything you can do in this regard would be greatly appreciated!

ps @GJNilsen and @stevemoser thank you for the body maps!

[GJNilsen]

Thanks, @pthealthtech! @scdi from the UPMC Cancer Centers and I are working on an updated modular and easily modified picker.

[akshay-yadav-apple]

Hey @GJNilsen !
How are the modules coming up, any updates?
Feel free to reach out in case you need any assistance.

[scdi]

We should talk. My number is 919-21-7481 jude

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On Thu, Jan 26, 2017 at 6:46 PM, akshay-yadav-apple < ***@***.***> wrote: Hey @GJNilsen <https://github.com/GJNilsen> ! How are the modules coming up, any updates? Feel free to reach out in case you need any assistance. — You are receiving this because you were mentioned. Reply to this email directly, view it on GitHub <#22 (comment)>, or mute the thread <https://github.com/notifications/unsubscribe-auth/AM6vr2sH_IPqmovGTCeSoHwnVf_lfyh7ks5rWTBXgaJpZM4IWZ3M> .

[Pariecemckinney-apple]

Closing due to inactivity. Please feel free to reopen if you would like the conversation to continue.