Development of Cell Phone Application for Blood Glucose Self-Monitoring Based on ISO/IEEE 11073 and HL7 CCD
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: The objectives of this research were to develop and evaluate a cell phone application based on the standard protocol for personal health devices and the standard information model for personal health records to support effective blood glucose management and standardized service for patients with diabetes. Methods: An application was developed for Android 4.0.3. In addition, an IEEE 11073 Manager, Medical Device Encoding Rule, and Bluetooth Health Device Profile Connector were developed for standardized health communication with a glucometer, and a Continuity of Care Document (CCD) Composer and CCD Parser were developed for CCD document exchange. The developed application was evaluated by five healthcare professionals and 87 users through a questionnaire comprising the following variables: usage intention, effort expectancy, social influence, facilitating condition, perceived risk, and voluntariness. Results: As a result of the evaluation of usability, it was confirmed that the developed application is useful for blood glucose self-monitoring by diabetic patients. In particular, the healthcare professionals stated their own views that the application is useful to observe the trends in blood glucose change through the automatic function which records a blood glucose level measured using Bluetooth function, and the function which checks accumulated records of blood glucose levels. Also, a result of the evaluation of usage intention was 3.52 ± 0.42 out of 5 points. Conclusions: The application developed by our research team was confirmed by the verification of healthcare professionals that accurate feedback can be provided to healthcare professionals during the management of diabetic patients or education for glucose management.
Abstract
Objectives: The objectives of this research were to develop and evaluate a cell phone application based on the standard protocol for personal health devices and the standard information model for personal health records to support effective blood glucose management and standardized service for patients with diabetes. Methods: An application was developed for Android 4.0.3. In addition, an IEEE 11073 Manager, Medical Device Encoding Rule, and Bluetooth Health Device Profile Connector were developed for standardized health communication with a glucometer, and a Continuity of Care Document (CCD) Composer and CCD Parser were developed for CCD document exchange. The developed application was evaluated by five healthcare professionals and 87 users through a questionnaire comprising the following variables: usage intention, effort expectancy, social influence, facilitating condition, perceived risk, and voluntariness. Results: As a result of the evaluation of usability, it was confirmed that the developed application is useful for blood glucose self-monitoring by diabetic patients. In particular, the healthcare professionals stated their own views that the application is useful to observe the trends in blood glucose change through the automatic function which records a blood glucose level measured using Bluetooth function, and the function which checks accumulated records of blood glucose levels. Also, a result of the evaluation of usage intention was 3.52 ± 0.42 out of 5 points. Conclusions: The application developed by our research team was confirmed by the verification of healthcare professionals that accurate feedback can be provided to healthcare professionals during the management of diabetic patients or education for glucose management.
참고문헌 (29)
- American Diabetes Association, "Standards of medical care in diabetes—2013", Diabetes Care, 36(Suppl 1), pp.11~66 (2013)
- Statistics Korea, "2012 Cause of death statistics" (2012), Statistics Korea
- 박수경, "제2형 당뇨병환자의 사망원인에 대한 10년간의 추세 변화 -부산 시내 6개 종합병원을 중심으로-", Diabetes and Metabolism Journal, 33(1), pp.65~72 (2009), 대한당뇨병학회
- Korean Diabetes Association, "Diabetes fact sheet in Korea 2013" (2013), Korea Diabetes Association
- Yoon KH, "Epidemic obesity and type 2 diabetes in Asia", Lancet, 368(9548), pp.1681~1688 (2006)
- Edelman SV, "Importance of glucose control", Med Clin North Am, 82(4), pp.665~687 (1998)
- The Diabetes Control and Complications Trial Research Group, "The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus", N Engl J Med, 329(14), pp.977~986 (1993)
- Korea National Diabetes Program, "Education guidelines for the treatment of diabetes" (2008), Korea National Diabetes Program
- Cameron C, "Cost-effectiveness of self-monitoring of blood glucose in patients with type 2 diabetes mellitus managed without insulin", CMAJ, 182(1), pp.28~34 (2010)
- Korean Diabetes Association, "Clinical practice guideline" (2013), Korean Diabetes Association
- National Health Insurance Service., "2012 National Health Insurance Statistical Yearbook" (2012), National Health Insurance Service
- Centers for Disease Control and Prevention, "National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011" (2011), US Department of Health and Human Services, Centers for Disease Control and Prevention
- Lee SH., "Sociocultural impact and evolution of mobile health" (2013), Korea Information Society Development Institute
- Jung KT, "Trend and prospect of healthcare wearable device" (2013), Korea Health Industry Development Institute
- 강성인, "스마트폰을 활용한 ISO", IEEE 11073 기반의 산소포화도 측정에 관한 연구, 2013, pp.17(8), 1940~1946[DOI]
- 조경래, "Bluetooth Health Device Profile기반 스마트폰을 이용한 u-Healthcare 모니터링 시스템 설계", 한국정보통신학회논문지, 17(6), pp.1365~1369 (2013), 한국정보통신학회[DOI]
- 강성인, "스마트 게이트웨이 기반 모바일 헬스케어시스템의 설계 및 구현", 한국정보통신학회논문지, 16(9), pp.1970~1974 (2012), 한국정보통신학회[DOI]
- 박영진, "안드로이드에서 블루투스 HDP를 이용한 표준건강정보의 송수신", 한국통신학회논문지C, 38(5), pp.464~470 (2013), 한국통신학회
- 오암석, "HL7 기반 표준화된 헬스케어시스템에 관한 연구", 한국정보통신학회논문지, 17(3), pp.656~664 (2013), 한국정보통신학회[DOI]
- "HealthUp" (2015)[URL]
- "myFitnessCompanion" (2015)[URL]
- Institute of Electrical and Electronics Engineers, "ISO", IEEE 11073-20601 Standard for Health Informatics -Personal health device communication - Application profile - Optimized exchange protocol, IEEE FDIS 11073-20601), pp.2009, ~
- 박한나, "IEEE 11073 개인건강기기별 표준 현황 및 분석", 한국통신학회논문지C, 37(6), pp.469~475 (2012), 한국통신학회[DOI]
- Health Level Seven International, "HL7 Implementation Guide: CDA Release 2 - Continuity of Care Document (CCD)" (2007), Health Level Seven International
- Lupse O, "Using HL7 CDA and CCD standards to improve communication between healthcare information systems", Proceedings of 2011 IEEE 9th International Symposium on Intelligent Systems and Informatics (SISY), pp.453~457 (2011)
- US Department of Health and Human Services, "Health information technology: initial set of standards, implementation specifications, and certification criteria for electronic health record technology (45 CFR Part 170)" (2010), Office of the National Coordinator for Health Information Technology, Department of Health and Human Services
- 이인근, "CCD", CCR 중심의 표준진료문서 관리 도구의 개발, 2012, pp.22(4), 507~514[DOI]
- Venkatesh V, "User acceptance of information technology : toward a unified view", MIS Q, 27(3), pp.425~478 (2003)
- "Fora D40d" (2013)[URL]