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CS342/MED253 Building for Digital Health Final Presentation

mobile

3/10/2022

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Public Health Crisis of Pain

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Institute of Medicine,  Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: The National Academies Press, 2011

>1 in 3 Americans has Chronic Pain $635B in costs

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Current Needs

New therapies and interventions

  1. Medication
  2. Psychological/Behavioral Therapy
  3. Physical therapy/Rehab

Surveys

Wearable Sensors

  • heart rate variability
  • Physical activity

mobile

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Project Background

CHOIR is a learning health system that integrates into clinical practice

    • Longitudinally captures patient and clinician reported outcome via computer adaptive testing
      • Physical, psychological, and social functioning
    • Mobile first web application
      • EMA surveys
    • Goal: integrate wearable metadata and sensor data
      • Step count
      • Computed heart rate variability

Collaborative Health Outcomes Information Registry (CHOIR)

Surveys

Wearable Sensors

  • Accelerometry
  • heart rate variability
  • Physical activity

mobile

© 2016 Stanford Byers Center for Biodesign

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Project Background

CHOIR is a learning health system that integrates into clinical practice

    • Longitudinally captures patient and clinician reported outcome via computer adaptive testing
      • Physical, psychological, and social functioning
    • Mobile first web application
      • EMA surveys
    • Goal: integrate wearable metadata and sensor data
      • Step count
      • Computed heart rate variability

Collaborative Health Outcomes Information Registry (CHOIR)

Surveys

Wearable Sensors

  • Accelerometry
  • heart rate variability
  • Physical activity

mobile

© 2016 Stanford Byers Center for Biodesign

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We will collect longitudinal data from wearable sensors and pain surveys from people with chronic pain to

  1. optimize pain treatments
  2. develop objective biomarkers
  3. discover safe and effective therapies

Our Need Statement

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Project Architecture

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  • Onboarding updates + UI
  • Task scheduling
  • Push notifications
  • Survey button logic + survey updates
  • CardinalKit dashboard

Demo

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Onboarding Updates

Added push notification consent

© 2016 Stanford Byers Center for Biodesign

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General App UI

Live demo!

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DEMO

Onboarding, general UI of the app (different tabs), survey

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Task Scheduling

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Push Notifications

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Survey button logic + Survey updates

Live demo!

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Cardinal-Kit Dashboard Demo

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Cardinal-Kit Dashboard Demo

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Project Roadmap: Phase 1

Front-end and back-end infrastructure

  • Login screen
  • Permissions
  • Consent form
  • Firebase backend (for data collection)

User pain assessments

Collect sensor data

  • Implement frequent EMA survey
  • Heart rate variability
  • Step Count
  • Accelerometry Data

Launch on Apple testflight

  • Visualize for actionability

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Project Roadmap: Next Steps

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Collect patient data

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  • Gather representative biomarker data
  • Methods publication

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Research and data analysis

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CHOIR and EHR integration

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  • HRV and chronic pain
  • Predicting pain throughout day
  • Integrate CHOIR mobile data into EPIC using FHIR
  • Data visualizations for clinicians to optimize patient treatment

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Real-time behavioral Interventions

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  • Real-time digital interventions for pain management
  • Goal setting (step counts)
  • Patient feedback on daily activity monitoring via step counts and HRV (i.e. stress)

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© 2016 Stanford Byers Center for Biodesign

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Thank you!

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Survey Architecture

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Survey Architecture - With Predicates

© 2016 Stanford Byers Center for Biodesign