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Strategies for the Education of Diabetic Patients on the World Wide Web Part I

Strategies for the Education of Diabetic Patients on the World Wide Web Part I. K C LUN <kclun@nus.edu.sg> Associate Professor, Dept of Community Medicine Director, WHO Collaborating Centre for Health Informatics Director, Medical Informatics Programme National University of Singapore.

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Strategies for the Education of Diabetic Patients on the World Wide Web Part I

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  1. Strategies for the Education of Diabetic Patients on the World Wide WebPart I K C LUN <kclun@nus.edu.sg> Associate Professor, Dept of Community Medicine Director, WHO Collaborating Centre for Health Informatics Director, Medical Informatics Programme National University of Singapore

  2. The Internet - a huge repository of health information A recent study shows that 60% of consumers in the USA get their health information from the Internet

  3. Feb 99 Asian Edition of Businessweek Number of Internet users in 11 Asian countries will hit 10 million by end 1999 and 30 million by 2002

  4. Strategies for Diabetic Patient Education on the World Wide Web • Health information from Web Portals • Text-based e.g. Frequently-Asked Questions • Multimedia-based e.g. Health Education Videos • Newsletters and Electronic Journals • Discussion Groups, Interactive Forum and Support Groups • Virtual Patient • Distance Education

  5. Health ONE: A strategic joint project between the NUS Medical Informatics Program and the National Computer Board Connect to Health ONE

  6. Health ONE reaches out to the public and healthcare professionals via interactive multimedia web applications as well as multilingualism to promote health and education Health One information available in English,Chinese and Malay in text, audio and video

  7. Health information from Web Portals- Text-based Resource Materials

  8. Health information from Web Portals- Multimedia-based e.g. Health Education Videos

  9. Health information from Web Portals- Multimedia-based e.g. Health Education Videos

  10. Newsletters and Electronic Journals

  11. Message Boards, Support Groups

  12. New Paradigm in Patient Education: The Virtual Patient using gaming technique to promote patient education

  13. The Tamagotchi Electronic Pet Can this electronic virtual pet be usefully applied to medicine? .

  14. Virtual patient modeled on the tamagotchi Research Goal: Build a website that allows users to learn management of a disease by looking after a virtual patient afflicted with a particular medical condition. Proper management results in control of condition and eventually improvement. Kasou Kanjya or Kkanjya - Japanese for “Virtual Patient” .

  15. Virtual patient modeled on the tamagotchi Research Goal: Build a website that allows users to learn management of a disease by looking after a virtual patient afflicted with a particular medical condition. Improper management results in deterioration of patient’s condition. Kasou Kanjya or Kkanjya - Japanese for “Virtual Patient”

  16. The many faces of Kkanjya- an insulin-dependent diabetic I am OK but take good care of me

  17. The many faces of Kkanjya- an insulin-dependent diabetic Ouch! I need my insulin

  18. The many faces of Kkanjya- an insulin-dependent diabetic My diabetes is under control. Thank you for taking good care of me

  19. Taking care of Kkanjya,the insulin-dependent diabetic kclun ********

  20. Home Screen

  21. Game Design • Three levels of play (beginner, intermediate, advanced) • Scoring based on: • Patient’s adherence to dietary restrictions • Strict adherence to insulin regime • Score of 2 - caloric and insulin intake fall within normal range • Score of 1 - Outside the normal range but within the stipulated upper and lower bounds • Score of 0 - Outside the stipulated upper and lower bounds

  22. Game runs on accelerated time clock 1 virtual day = 15 mins real-time

  23. Logic engine scores player based on: • timely insulin injections

  24. Logic engine scores player based on: • glucometer readings based on dietary • caloric intake

  25. Feeding Kkanjya

  26. Looking after Kkanjya - your scorecard

  27. User registration Flow Chart User login with password • Plays with virtual patient • Administers insulin • Feeds patient Outcome Store user’s login name, password and play level, date of last transaction Store user transactions Store criteria and scoring system for each level of play SQL database

  28. The Health Education Module Digital training videos delivered in real-time using streaming technology • Glucometer module: • calibration of glucometer • measurement of blood glucose • obtaining reading from glucometer • Insulin module: • proper way to administer insulin using traditional fine needle • NOVOPEN III

  29. Health Education Significanceof the Diabetic Virtual Patient • Teaches the importance of medication compliance to patients • Educates patients and the public on the management of diabetes • Training videos teaches them on proper procedure to administer insulin and calibration and use of glucometer

  30. Strategies for the Education of Diabetic Patients on the World Wide Web To be continued … Please view Part II

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