Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2014

Open Access 01-12-2014 | Research article

Designing effective visualizations of habits data to aid clinical decision making

Authors: Joost de Folter, Hulya Gokalp, Joanna Fursse, Urvashi Sharma, Malcolm Clarke

Published in: BMC Medical Informatics and Decision Making | Issue 1/2014

Login to get access

Abstract

Background

Changes in daily habits can provide important information regarding the overall health status of an individual. This research aimed to determine how meaningful information may be extracted from limited sensor data and transformed to provide clear visualization for the clinicians who must use and interact with the data and make judgments on the condition of patients. We ascertained that a number of insightful features related to habits and physical condition could be determined from usage and motion sensor data.

Methods

Our approach to the design of the visualization follows User Centered Design, specifically, defining requirements, designing corresponding visualizations and finally evaluating results. This cycle was iterated three times.

Results

The User Centered Design method was successfully employed to converge to a design that met the main objective of this study. The resulting visualizations of relevant features that were extracted from the sensor data were considered highly effective and intuitive to the clinicians and were considered suitable for monitoring the behavior patterns of patients.

Conclusions

We observed important differences in the approach and attitude of the researchers and clinicians. Whereas the researchers would prefer to have as many features and information as possible in each visualization, the clinicians would prefer clarity and simplicity, often each visualization having only a single feature, with several visualizations per page. In addition, concepts considered intuitive to the researchers were not always to the clinicians.
Appendix
Available only for authorised users
Literature
3.
go back to reference Crepeau EB, Cohn ES, Schell BAB, Neistadt ME: Willard and Spackman's Occupational Therapy. 2003, Lippincott, Philadelphia Crepeau EB, Cohn ES, Schell BAB, Neistadt ME: Willard and Spackman's Occupational Therapy. 2003, Lippincott, Philadelphia
4.
go back to reference Clark RA, Inglis SC, McAlister FA, Cleland JGF, Stewart S: Telemonitoring or structured telephone support programmes for patients with chronic heart failure: Systematic review and meta-analysis. Br Med J. 2007, 334: 942-945. 10.1136/bmj.39156.536968.55.CrossRef Clark RA, Inglis SC, McAlister FA, Cleland JGF, Stewart S: Telemonitoring or structured telephone support programmes for patients with chronic heart failure: Systematic review and meta-analysis. Br Med J. 2007, 334: 942-945. 10.1136/bmj.39156.536968.55.CrossRef
5.
go back to reference Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, Krumholz HM: Telemonitoring for Patients With Chronic Heart Failure: A Systematic Review. J Card Fail. 2007, 13: 56-62. 10.1016/j.cardfail.2006.09.001.CrossRefPubMedPubMedCentral Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, Krumholz HM: Telemonitoring for Patients With Chronic Heart Failure: A Systematic Review. J Card Fail. 2007, 13: 56-62. 10.1016/j.cardfail.2006.09.001.CrossRefPubMedPubMedCentral
6.
go back to reference García-Lizana F, Sarría-Santamera A: New technologies for chronic disease management and control: A systematic review. J Telemed Telecare. 2007, 13: 62-68. 10.1258/135763307780096140.CrossRefPubMed García-Lizana F, Sarría-Santamera A: New technologies for chronic disease management and control: A systematic review. J Telemed Telecare. 2007, 13: 62-68. 10.1258/135763307780096140.CrossRefPubMed
7.
go back to reference Maric B, Kaan A, Ignaszewski A, Lear SA: A systematic review of telemonitoring technologies in heart failure. Eur J Heart Fail. 2009, 11: 506-517. 10.1093/eurjhf/hfp036.CrossRefPubMed Maric B, Kaan A, Ignaszewski A, Lear SA: A systematic review of telemonitoring technologies in heart failure. Eur J Heart Fail. 2009, 11: 506-517. 10.1093/eurjhf/hfp036.CrossRefPubMed
8.
go back to reference Klersy C, De Silvestri A, Gabutti G, Regoli F, Auricchio A: A Meta-Analysis of Remote Monitoring of Heart Failure Patients. J Am Coll Cardiol. 2009, 54: 1683-1694. 10.1016/j.jacc.2009.08.017.CrossRefPubMed Klersy C, De Silvestri A, Gabutti G, Regoli F, Auricchio A: A Meta-Analysis of Remote Monitoring of Heart Failure Patients. J Am Coll Cardiol. 2009, 54: 1683-1694. 10.1016/j.jacc.2009.08.017.CrossRefPubMed
9.
go back to reference Clarke M, Shah A, Sharma U: Systematic review of studies on telemonitoring of patients with congestive heart failure: A meta-analysis. J Telemed Telecare. 2011, 17: 7-14. 10.1258/jtt.2010.100113.CrossRefPubMed Clarke M, Shah A, Sharma U: Systematic review of studies on telemonitoring of patients with congestive heart failure: A meta-analysis. J Telemed Telecare. 2011, 17: 7-14. 10.1258/jtt.2010.100113.CrossRefPubMed
10.
go back to reference Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K: Home telehealth for diabetes management: A systematic review and meta-analysis. Diabetes Obesity Metabolism. 2009, 11: 913-930. 10.1111/j.1463-1326.2009.01057.x.CrossRef Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K: Home telehealth for diabetes management: A systematic review and meta-analysis. Diabetes Obesity Metabolism. 2009, 11: 913-930. 10.1111/j.1463-1326.2009.01057.x.CrossRef
11.
go back to reference Eslami S, de Keizer NF, de Jonge E, Schultz MJ, Abu-Hanna A: A systematic review on quality indicators for tight glycaemic control in critically ill patients: Need for an unambiguous indicator reference subset. Crit Care. 2008, 12: 1-11. 10.1186/cc7114.CrossRef Eslami S, de Keizer NF, de Jonge E, Schultz MJ, Abu-Hanna A: A systematic review on quality indicators for tight glycaemic control in critically ill patients: Need for an unambiguous indicator reference subset. Crit Care. 2008, 12: 1-11. 10.1186/cc7114.CrossRef
12.
go back to reference Gokalp H, Clarke M: Monitoring activities of daily living of the elderly and the potential for its use in telecare and telehealth: A review. Telemedicine e-Health. 2013, 19: 910-923. 10.1089/tmj.2013.0109.CrossRefPubMed Gokalp H, Clarke M: Monitoring activities of daily living of the elderly and the potential for its use in telecare and telehealth: A review. Telemedicine e-Health. 2013, 19: 910-923. 10.1089/tmj.2013.0109.CrossRefPubMed
13.
go back to reference Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K: Validity and reliability of the Edmonton Frail Scale. Age Ageing. 2006, 35: 526-529. 10.1093/ageing/afl041.CrossRefPubMed Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K: Validity and reliability of the Edmonton Frail Scale. Age Ageing. 2006, 35: 526-529. 10.1093/ageing/afl041.CrossRefPubMed
14.
go back to reference Habte-Gabr E, Wallace RB, Colsher PL, Hulbert JR, White LR, Smith IM: Sleep patterns in rural elders: Demographic, health, and psychobehavioral correlates. J Clin Epidemiol. 1991, 44: 5-13. 10.1016/0895-4356(91)90195-F.CrossRefPubMed Habte-Gabr E, Wallace RB, Colsher PL, Hulbert JR, White LR, Smith IM: Sleep patterns in rural elders: Demographic, health, and psychobehavioral correlates. J Clin Epidemiol. 1991, 44: 5-13. 10.1016/0895-4356(91)90195-F.CrossRefPubMed
15.
go back to reference Virone G, Alwan M, Dalal S, Kell SW, Turner B, Stankovic JA, Felder R: Behavioral patterns of older adults in assisted living. IEEE Trans Inf Technol Biomed. 2008, 12: 387-398. 10.1109/TITB.2007.904157.CrossRefPubMed Virone G, Alwan M, Dalal S, Kell SW, Turner B, Stankovic JA, Felder R: Behavioral patterns of older adults in assisted living. IEEE Trans Inf Technol Biomed. 2008, 12: 387-398. 10.1109/TITB.2007.904157.CrossRefPubMed
16.
go back to reference Van Kasteren T, Noulas A, Englebienne G, Kröse B: Accurate activity recognition in a home setting. Proceedings of the 10th international conference on Ubiquitous computing: 21–24 September 2008; Seoul. 2008, ACM, New York, 1-9. Van Kasteren T, Noulas A, Englebienne G, Kröse B: Accurate activity recognition in a home setting. Proceedings of the 10th international conference on Ubiquitous computing: 21–24 September 2008; Seoul. 2008, ACM, New York, 1-9.
17.
go back to reference Spence R: Information visualization: Design for Interaction. 2007, Pearson/Prentice Hall, Upper Saddle River, 2 Spence R: Information visualization: Design for Interaction. 2007, Pearson/Prentice Hall, Upper Saddle River, 2
18.
go back to reference Card SK, Mackinlay JD, Shneiderman B: Readings in information visualization: using vision to think. 1999, Academic Press, San Diego Card SK, Mackinlay JD, Shneiderman B: Readings in information visualization: using vision to think. 1999, Academic Press, San Diego
19.
go back to reference Sharp H, Rogers Y, Preece J: Interaction Design: Beyond Human-Computer Interaction. 2007, Wiley, Chichester, 2 Sharp H, Rogers Y, Preece J: Interaction Design: Beyond Human-Computer Interaction. 2007, Wiley, Chichester, 2
20.
go back to reference IEEE Health informatics--Personal health device communication Part 20601: Application profile--Optimized Exchange Protocol Amendment 1, 11073-20601a-2010. Book IEEE Health informatics--Personal health device communication Part 20601: Application profile--Optimized Exchange Protocol Amendment 1, 11073-20601a-2010. 2011, IEEE, New York, ᅟ- IEEE Health informatics--Personal health device communication Part 20601: Application profile--Optimized Exchange Protocol Amendment 1, 11073-20601a-2010. Book IEEE Health informatics--Personal health device communication Part 20601: Application profile--Optimized Exchange Protocol Amendment 1, 11073-20601a-2010. 2011, IEEE, New York, ᅟ-
21.
go back to reference ZigBee Health CareTM Profile Specification. 2010, ZigBee Alliance, San Ramon ZigBee Health CareTM Profile Specification. 2010, ZigBee Alliance, San Ramon
22.
go back to reference Health Level 7 (HL7) Standard. American National Standards Institute (ANSI); 2007 Health Level 7 (HL7) Standard. American National Standards Institute (ANSI); 2007
23.
go back to reference LeBellego G, Noury N, Virone G, Mousseau M, Demongeot J: A model for the measurement of patient activity in a hospital suite. IEEE Trans Inf Technol Biomed. 2006, 10: 92-99. 10.1109/TITB.2005.856855.CrossRefPubMed LeBellego G, Noury N, Virone G, Mousseau M, Demongeot J: A model for the measurement of patient activity in a hospital suite. IEEE Trans Inf Technol Biomed. 2006, 10: 92-99. 10.1109/TITB.2005.856855.CrossRefPubMed
24.
go back to reference Suzuki R, Ogawa M, Otake S, Izutsu T, Tobimatsu Y, Iwaya T, Izumi SI: Rhythm of daily living and detection of atypical days for elderly people living alone as determined with a monitoring system. J Telemed Telecare. 2006, 12: 208-214. 10.1258/135763306777488780.CrossRefPubMed Suzuki R, Ogawa M, Otake S, Izutsu T, Tobimatsu Y, Iwaya T, Izumi SI: Rhythm of daily living and detection of atypical days for elderly people living alone as determined with a monitoring system. J Telemed Telecare. 2006, 12: 208-214. 10.1258/135763306777488780.CrossRefPubMed
25.
go back to reference Chan M, Campo E, Laval E, Estève D: Validation of a remote monitoring system for the elderly: Application to mobility measurements. Technol Health Care. 2002, 10: 391-399.PubMed Chan M, Campo E, Laval E, Estève D: Validation of a remote monitoring system for the elderly: Application to mobility measurements. Technol Health Care. 2002, 10: 391-399.PubMed
26.
go back to reference Chan M, Campo E, Estève D: Assessment of activity of elderly people using a home monitoring system. Int J Rehabil Res. 2005, 28: 69-76. 10.1097/00004356-200503000-00010.CrossRefPubMed Chan M, Campo E, Estève D: Assessment of activity of elderly people using a home monitoring system. Int J Rehabil Res. 2005, 28: 69-76. 10.1097/00004356-200503000-00010.CrossRefPubMed
27.
go back to reference Alwan M, Dalal S, Mack D, Kell SW, Turner B, Leachtenauer J, Felder R: Impact of monitoring technology in assisted living: Outcome pilot. IEEE Trans Inf Technol Biomed. 2006, 10: 192-198. 10.1109/TITB.2005.855552.CrossRefPubMed Alwan M, Dalal S, Mack D, Kell SW, Turner B, Leachtenauer J, Felder R: Impact of monitoring technology in assisted living: Outcome pilot. IEEE Trans Inf Technol Biomed. 2006, 10: 192-198. 10.1109/TITB.2005.855552.CrossRefPubMed
Metadata
Title
Designing effective visualizations of habits data to aid clinical decision making
Authors
Joost de Folter
Hulya Gokalp
Joanna Fursse
Urvashi Sharma
Malcolm Clarke
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2014
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-014-0102-x

Other articles of this Issue 1/2014

BMC Medical Informatics and Decision Making 1/2014 Go to the issue