Transcript Document

Self-management
Education
Persona Hypothesis
Shruti Bajaj
Ann Hsieh
Hane Kim
Who would use this product?
 Patients with chronic diseases
 Newly-diagnosed
 Patients who aren’t self-managing
their care
 Health professionals
 Caregivers
What are the users needs and
motivations?
 To gain confidence to bring them
to the point of self-efficacy
“The use of EIMT is making it possible for patients to
build new practices and routines (e.g., monitoring
daily symptoms) around their illness, in a sense
changing their perception of control in managing it.”
(Jeremy, 2003)
“A central concept in self-management is self-efficacy –
confidence to carry out a behavior necessary to reach
a desired goal.” (Bodenheimer, 2002)
What are their needs and
motivations in using this product?
 To learn self-management skills,
such as problem-solving and goal
setting
“Self-efficacy is enhanced when patients
succeed in solving patient-identified
problems.” (Bodenheimer, 2002)
What are their needs and
motivations in using this product?
 To minimize physician dependency
“This partnership paradigm credits patients with
an expertise similar in importance to the
expertise of professionals. This paradigm
implies that while professionals are experts
about diseases, patients are experts about their
own lives.” (Bodenheimer, 2002)
How radically different might the
needs and behaviors be across
different kinds of users?
The needs can be very different since
self-management education is very
dependent on the lifestyle of the
patient. No one plan will work for
all people!
Where will the product be used?
Home / Workplace
Doctors office
Community settings such as
senior centers, churches,
libraries and hospitals
How might the physical environment
influence how the product will be used?
In common, the product is expected to be used
personally to find resources and track their
treatment and progress, but depending on
where to be used, it will be …
 Home – Can be referred by family
 Workplace –Not intrusive to the work
 Doctor’s office – To be shared with doctor
about patients’ progress
 Community Setting - To be shared with and
referred by caregivers
Who else besides the end-user has a
stake in the success of the product?
 Factory/designer of the product or
programmer
 Health professionals
 Caregivers
 Families
Experience: Interview with exDiabetes patient, Mr. Kim
Empowerment First!
 Need to be empowered to get over
disease by being master over the
disease
 Expert information is not needed to
master the disease
Experience: Interview with exDiabetes patient, Mr. Kim
Execution is Essential!
 Make a strategy and build it into daily life
as a new practice and daily routine
 Motivation to execute the plan was from
confidence of the treatment, not from
frequent monitoring
 Did not need much external support except
a pedometer and a couple of books; internal
motivation is more important
Research Articles
 Jeremy J. Nobel, M.D., M.P.H., and
Gordon K. Norman, M.D., M.B.A,
Emerging Information Management
Technologies and the Future of Disease
Management, 2004
 E.D. Lehmann, Application of computers
in clinical diabetes care, 1997
 T. Bodenheimer, K. Lorig, H. Holman, K.
Grumbah. Patient Self-Management of
Chronic Disease in Primary Care, 2002