empowerment, activation and engagement for digital health...1 empowerment, activation and engagement...

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Empowerment, Activation and Engagement for Digital Health

Session #33, February 12, 2019

Tracie Risling RN, PhD – University of Saskatchewan

Derek Risling MSc, MBA – RisTech Consulting

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Tracie Risling RN, PhD

Derek Risling MSc, MBA

Have no real or apparent conflicts of interest to report.

Conflict of Interest

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Off the Top

▶ Session Objectives

▶ About Us

The EAE Model

▶ Conceptual Confusion

▶ Effect on Digital Interventions

▶ EAE Model - Components & Operation

Case Study: Plan of Care Portal

Closing

▶ Questions/Discussion

Agenda

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• Identify the critical conceptual differences between patient empowerment, activation, and engagement.

• Discuss the role of the presented EAE model in supporting improved sustained interaction with digital health solutions.

• Apply the model to a case study to review how the model can be used in design, implementation, and evaluation of health IT projects.

• Share experiences with the group on how the use of the model may be of benefit in your own context or project.

Learning Objectives

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-38C

-36F

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Dr. Tracie Risling RN, PhD

Associate Professor – Nursing

Health Informatics Researcher

EAE, AI-Ethics, Patient use EHRs, Supporting HCT

Derek Risling MSc. MBA

Project Manager

Software Developer

Analyst

About Us

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• Scoping Review JMIR 2017-Sep 19(9): e329

• Evaluating Patient Empowerment in eHealth (measures)

Conceptual Confusion

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The EAE model is about achieving

positive health outcomes

Understanding how we can identify and

define the most impactful metrics

And how we can align our measures

so that we can pool our data

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A multi-dimensional process that helps

people gain control over their own lives and

increases their capacity to act on issues

that they themselves define as important

Empowerment

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Sharing Control

Look at:

Understanding the users’ needs and context

Maximizing involvement in healthcare processes

Developing and testing the application

Creating training and support materials

Empowerment

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E

M

P

O

W

E

R

M

E

N

T

(Risling & Risling, 2019)

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Welcome

Activation is

the

TRANSITION

from

Empowered

to Engaged

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Activation as Transition

Look at:

Registering an account

Exploring the application

Getting started on tasks

Leaving and then returning to the application

Activation

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Sustained, Observable, Usage Over Time

Look at:

Logging in to the application frequently

Completing tasks

Providing feedback/requesting new features

Assisting others

Promoting or recommending the application

Engagement

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Case Study: Plan of Care Portal

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What are some empowerment metrics to consider?

[new measure of patient empowerment]

How could the inclusion of these metrics affect the portal design?

Case Study: Empowerment

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Once portal development is completed, how might we measure Activation?

[moving engagement measures to activation]

How might we plan for Activation, early in the project?

Case Study: Activation

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What would the behavior of an engaged user of the portal look like?

[two key measures – EAE Model]

What metrics could we use to measure this engagement?

Case Study: Engagement

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Sustainment

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How can we monitor for lagging engagement?

How can we encourage sustained engagement?

Case Study: Sustainment

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Questions & Contacts

@traciewashere

@derek_r

derek@ristechconsulting.com

tracie@ristechconsulting.com

Please don’t

forget to

complete

your online

session

evaluation