The POWER2DM applications use predictive models.
The POWER2DM Prediction Service is the component that provide services for predictive models that are used in the system:
- KADIS: The KADIS model is a short term simulation model based on 72 hours of patient data regarding blood glucose values, oral medication, insulin therapy, carbohydrate intake, and exercise. KADIS can visualize 24-h glucose absorption patterns based on aforementioned data.
- The ADVANCE risk scores are derived using the ADVANCE Cardiovascular risk engine and the ADVANCE Kidney risk engine which provide the risk of developing cardiac and kidney complications in patients with diabetes The ADVANCE risk engines combine aspects of the patient’s current physical and clinical assessments with medical history and current care plan to give a risk percentage for developing cardiovascular disease, kidney disease, or dying due to either disease.
- The Major Outcome T1D model uses the prognostic factors of age, glycated haemoglobin, waist-hip ratio, albumin/creatinine ratio, and HDL cholesterol to classify people according to risk groups for major outcomes including major coronary heart disease, stroke, end-stage renal failure, amputations, blindness and all-cause death.
- The UKPDS is a risk engine used to calculate a risk score for T2DM patients developing coronary heart disease. The engine uses a combination of demographic information, health information, and clinical lab values to calculate risk for developing coronary heart disease, stroke, or death resulting from either.
The POWER2DM Communication Engine is a component of the POWER2DM applications which continuously monitors the patient’s changing behaviour context and helps patients to comply their goals and action plans for the behaviours by delivering motivational interventions through POWER2DM Mobile Application by means of Just-In-Time-Adaptive-Intervention (JITAIs). JITAIs are interventions that are targeted to the specific needs of the patient by identifying problem areas that the patient experiences and the time context in which these issues often occur. JITAIs will be delivered to the patient on a schedule which they can adjust based on their personal preferences. In POWER2DM, a collaborative work has been performed with the domain experts in behaviour change to configure the software for the behaviours, intervention techniques, intervention content according to scope and requirements of POWER2DM.
The POWER2DM Action Plan Engine is a component of the POWER2DM applications which supports the self-management activities of diabetes patients by planning self-management goals and activities based on treatment plans specified by healthcare professionals and by providing feedback by taking into consideration how successful patients have met their goals and activities. The feedback comprises the performance for goals and activities. If the patient is unsatisfied, has not reached their goals, or wishes to change their goals or plans, the system will guide the patient through a barrier identification process to identify possible issues that may be preventing the patient from successfully self-managing. This process will end by offering the patient support in achieving their self-management goals using either motivational messaging, simple psychological exercise to help overcome barriers, psychoeducation related to the patients self-management plans and diabetes, or the ability to change the self-management plans.