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Pettersson, B., Wiklund, M., Janols, R., Lindgren, H., Lundin-Olsson, L., Skelton, D. A. & Sandlund, M. (2019). "Managing pieces of a personal puzzle': Older people's experiences of self-management falls prevention exercise guided by a digital program or a booklet. BMC Geriatrics, 19, Article ID 43.
Open this publication in new window or tab >>"Managing pieces of a personal puzzle': Older people's experiences of self-management falls prevention exercise guided by a digital program or a booklet
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2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, article id 43Article in journal (Refereed) Published
Abstract [en]

Background: Exercise is effective in order to prevent falls in community-dwelling older people. Self-management programs have the potential to increase access and reduce costs related to exercise-based fall prevention. However, information regarding older people's views of participating in such programs is needed to support implementation. The aim of this study was to explore older people's experiences of a self-management fall prevention exercise routine guided either by a digital program (web-based or mobile) or a paper booklet.

Methods: This qualitative study was part of a feasibility study exploring two completely self-managed exercise interventions in which the participants tailored their own program, guided either by a digital program or a paper booklet. Individual face-to-face semi-structured interviews were conducted with a purposeful sample of 28 participants (18 women), mean age 76yrs. Qualitative content analysis was used to analyse the data.

Results: Self-managing and self-tailoring these exercise programs was experienced as Managing pieces of a personal puzzle'. To independently being able to create a program and manage exercise was described in the categories Finding my own level' and Programming it into my life'. The participants experienced the flexibility and independence provided by completely self-managed exercise as positive and constructive although it required discipline. Furthermore, different needs and preferences when managing their exercise were described, as well as varying sources of motivation for doing the exercise, as highlighted in the category Defining my source of motivation'. The category Evolving my acquired knowledge' captures the participants' views of building their competence and strategies for maintenance of the exercise. It describes a combined process of learning the program and developing reflection, which was more clearly articulated by participants using the digital program.

Conclusions: This study provides new knowledge regarding experiences, preferences and motivations of older people to engage in home-based self-managed fall prevention exercise. They expressed both a capability and willingness to independently manage their exercise. A digital program seems to have strengthened the feeling of support while creating their own exercise program and tailoring it to their preferences and circumstances, which might therefore create better opportunities for adoption and adherence in the long term.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Accidental falls, Aged, Exercise, Qualitative research, eHealth, Digital health, Self-management, Falls prevention, Intervention, Behaviour change
National Category
Geriatrics Nursing
Identifiers
urn:nbn:se:umu:diva-157209 (URN)10.1186/s12877-019-1063-9 (DOI)000459122200003 ()30777026 (PubMedID)
Available from: 2019-03-26 Created: 2019-03-26 Last updated: 2019-03-26Bibliographically approved
Yan, C. & Lindgren, H. (2018). A Generic Approach for Data Management and End-User Development of Clinical Decision Support Systems. Umeå universitet
Open this publication in new window or tab >>A Generic Approach for Data Management and End-User Development of Clinical Decision Support Systems
2018 (English)Report (Other academic)
Abstract [en]

The main purposes of clinical decision-support systems (CDSS) are disseminating evidence-based medical knowledge (EBM), supporting a continued medical education, and improving clinical decision making and care. These purposes are traditionally achieved by using solutions that are relatively transparent and explainable to the end user. However, the development and maintenance of such solutions is resource demanding. Currently, there are four challenges existing in CDSSs when adapting to new circumstances. That is, when facing new knowledge, new diseases, different organizations and users with different skills, usually one needs to update the existing CDSS or develop a new CDSS, which requires lots of time and efforts. Hence, this paper aims for reusing an existing CDSS code by virtue of inputs from authorized medical domain expert users, and with minimal requirement of knowledge and software engineers. To facilitate knowledge elicitation and end-user development, an ACKTUS-based architecture for CDSS development and management is presented that contains: I) A knowledge base and a content management system built on Semantic Web technology to achieve modularity, reusability, customisation, and the possibility to allow medical experts to model the medical knowledge and to structure the information that builds up the design of the user interface; II) A user interface and an graphical user interface generator that automatically generates the user interface whenever the user logs in, so that the interface is synchronised with updates of the knowledge base; III) An inference engine that utilizes patient-specific data and applies various rules in the knowledge base to conduct the reasoning and decision making. These modules can be reused when adapting to new situations. A CDSS for dementia diagnosis is developed and used as an example in the presentation of the generic architecture. A pilot study of the CDSS is presented involving four medical professionals with different levels of expertise. The results show how the generic approach allows for easy knowledge representation and management of EBM, supports a continued medical education and may improve clinical decision making and care provision.

Place, publisher, year, edition, pages
Umeå universitet, 2018. p. 25
Series
Report / UMINF, ISSN 0348-0542 ; 18.08
Keywords
CDSS, Data Management, Knowledge Acquisition, Ontology, Semantic Web
National Category
Information Systems Human Computer Interaction
Identifiers
urn:nbn:se:umu:diva-150968 (URN)
Available from: 2018-08-21 Created: 2018-08-21 Last updated: 2018-08-21Bibliographically approved
Guerrero, E., Nieves, J. C., Sandlund, M. & Lindgren, H. (2018). Activity qualifiers using an argument-based construction. Knowledge and Information Systems, 54(3), 633-658
Open this publication in new window or tab >>Activity qualifiers using an argument-based construction
2018 (English)In: Knowledge and Information Systems, ISSN 0219-1377, E-ISSN 0219-3116, Vol. 54, no 3, p. 633-658Article in journal (Refereed) Published
Abstract [en]

Based on an argumentation theory approach, we present a novel method for evaluating complex goal-based activities by generalizing a notion of qualifier defined in the health domain. Three instances of the general qualifier are proposed: Performance, Actuation and Capacity; the first one evaluates what a person does, the second how an individual follows an action plan, and the third one how "well" or "bad" an activity is executed. Qualifiers are intended to be used by autonomous systems for evaluating human activity. We exemplify our approach using a health domain assessment protocol. Main results of this test show a partial correlation between ambiguities assessed by experts and our argument-based approach; and a multi-dimensional perspective how an activity is executed when a combined evaluation of qualifiers is used. This last outcome was interesting for some therapists consulted. Results also show differences between values of qualifiers using different argumentation semantics; two scenarios were proposed by therapist for using different semantics: preliminary activity screening and time-span follow-up evaluation.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Human activity, Argumentation theory, Logic programming, Performance Capacity, Activity evaluation
National Category
Computer Sciences
Research subject
Computer Science
Identifiers
urn:nbn:se:umu:diva-141040 (URN)10.1007/s10115-017-1112-7 (DOI)000425010800006 ()
Available from: 2017-10-23 Created: 2017-10-23 Last updated: 2018-06-09Bibliographically approved
Lindgren, H., Lu, M.-H., Hong, Y. & Yan, C. (2018). Applying the zone of proximal development when evaluating clinical decision support systems: a case study. In: Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen (Ed.), Building continents of knowledge in oceans of data: The future of co-created eHealth (pp. 131-135). IOS Press, 247
Open this publication in new window or tab >>Applying the zone of proximal development when evaluating clinical decision support systems: a case study
2018 (English)In: Building continents of knowledge in oceans of data: The future of co-created eHealth / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen, IOS Press, 2018, Vol. 247, p. 131-135Chapter in book (Refereed)
Abstract [en]

The goal to facilitate a continuing medical education can be incorporated in the design of a clinical decision-support system. Developing a method for evaluating knowledge and skill development as part of evaluating the system is the aim for the research presented in this paper. The activity supported by the system was analyzed using Activity theory and structured into a protocol. Four clinicians were studied using the system for the first time, and their activity were assessed using the concept of Zone of Proximal Development. Initial results show how the system was used for clinician with different level of skills, and provide implications for further development of the methodology and the system.

Place, publisher, year, edition, pages
IOS Press, 2018
Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 247
Keywords
Activity theory, Clinical decision-support system, Continuing medical education, Dementia, Evaluation, Zone of proximal development
National Category
Human Computer Interaction
Research subject
människa-datorinteraktion; medicinsk informatik
Identifiers
urn:nbn:se:umu:diva-146892 (URN)10.3233/978-1-61499-852-5-131 (DOI)29677937 (PubMedID)978-1-61499-851-8 (ISBN)978-1-61499-852-5 (ISBN)
Available from: 2018-04-23 Created: 2018-04-23 Last updated: 2018-06-09Bibliographically approved
Kampik, T., Nieves, J. C. & Lindgren, H. (2018). Coercion and deception in persuasive technologies. In: Robin Cohen, Murat Sensoy, Timothy J. Norman (Ed.), Proceedings of the 20th International Trust Workshop: . Paper presented at 20th International Trust Workshop (co-located with AAMAS/IJCAI/ECAI/ICML 2018), Stockholm, Sweden, 14 July, 2018 (pp. 38-49). CEUR-WS
Open this publication in new window or tab >>Coercion and deception in persuasive technologies
2018 (English)In: Proceedings of the 20th International Trust Workshop / [ed] Robin Cohen, Murat Sensoy, Timothy J. Norman, CEUR-WS , 2018, p. 38-49Conference paper, Published paper (Refereed)
Abstract [en]

Technologies that shape human behavior are of high societal relevance, both when considering their current impact and their future potential. In information systems research and in behavioral psychology, such technologies are typically referred to as persuasive technologies. Traditional definitions like the ones created by Fogg, and Harjumaa and Oinas-Kukkonen, respectively, limit the scope of persuasive technology to non-coercive, non-deceptive technologies that are explicitly designed for persuasion. In this paper we analyze existing technologies that blur the line between persuasion, deception,and coercion. Based on the insights of the analysis, we lay down an updated definition of persuasive technologies that includes coercive and deceptive forms of persuasion. Our definition also accounts for persuasive functionality that was not designed by the technology developers. We argue that this definition will help highlight ethical and societal challenges related to technologies that shape human behavior and encourage research that solves problems with technology-driven persuasion. Finally, we suggest multidisciplinary research that can help address the challenges our definition implies. The suggestions we provide range from empirical studies to multi-agent system theory.

Place, publisher, year, edition, pages
CEUR-WS, 2018
Series
CEUR Workshop Proceedings, ISSN 1613-0073 ; 2154
National Category
Computer Sciences
Research subject
Computer Science
Identifiers
urn:nbn:se:umu:diva-151230 (URN)2-s2.0-85051397631 (Scopus ID)
Conference
20th International Trust Workshop (co-located with AAMAS/IJCAI/ECAI/ICML 2018), Stockholm, Sweden, 14 July, 2018
Available from: 2018-08-30 Created: 2018-08-30 Last updated: 2018-08-30Bibliographically approved
Kampik, T., Nieves, J. C. & Lindgren, H. (2018). Implementing Argumentation-enabled Empathic Agents. In: Slavkovik, Marija (Ed.), Marija Slavkovik (Ed.), Multi-Agent Systems: 16th European Conference, EUMAS 2018, Bergen, Norway, December 6–7, 2018, Revised Selected Papers. Paper presented at EUMAS 2018 (pp. 140-155). Paper presented at EUMAS 2018. Springer Berlin/Heidelberg
Open this publication in new window or tab >>Implementing Argumentation-enabled Empathic Agents
2018 (English)In: Multi-Agent Systems: 16th European Conference, EUMAS 2018, Bergen, Norway, December 6–7, 2018, Revised Selected Papers / [ed] Slavkovik, Marija, Springer Berlin/Heidelberg, 2018, p. 140-155Chapter in book (Refereed)
Abstract [en]

In a previous publication, we introduced the core concepts of empathic agents as agents that use a combination of utility-based and rule-based approaches to resolve conflicts when interacting with other agents in their environment. In this work, we implement proof-of-concept prototypes of empathic agents with the multi-agent systems development framework Jason and apply argumentation theory to extend the previously introduced concepts to account for inconsistencies between the beliefs of different agents. We then analyze the feasibility of different admissible set-based argumentation semantics to resolve these inconsistencies. As a result of the analysis we identify the maximal ideal extension as the most feasible argumentation semantics for the problem in focus.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2018
Series
Lecture Notes in Artificial Intelligence ; 11450
Keywords
Agent Architectures, Agent-oriented Software Engineering, Argumentation
National Category
Computer Sciences
Research subject
Computer Science
Identifiers
urn:nbn:se:umu:diva-156655 (URN)10.1007/978-3-030-14174-5 (DOI)978-3-030-14174-5 (ISBN)
Conference
EUMAS 2018
Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-02-22Bibliographically approved
Blusi, M., Nilsson, I. & Lindgren, H. (2018). Older adults co-creating meaningful individualized social activities online for healthy ageing. In: Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen (Ed.), Building continents of knowledge in oceans of data: The future of co-created eHealth (pp. 775-779). IOS Press, 247
Open this publication in new window or tab >>Older adults co-creating meaningful individualized social activities online for healthy ageing
2018 (English)In: Building continents of knowledge in oceans of data: The future of co-created eHealth / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen, IOS Press, 2018, Vol. 247, p. 775-779Chapter in book (Refereed)
Abstract [en]

Social isolation and loneliness among older people is a growing problem with negative effects on physical and mental health. In co-creation with older adults individualized social activities were designed where older adults through computer mediated communication were able to participate in social activities without leaving their homes. Four types of activities were designed; outdoor activity, music event, visiting a friend and leisure activity. A participatory action research design was applied, where end users together with scientists from two research fields developed, tested and evaluated online participation in the activities. Usability and safety of the systems were major concerns among older adults. The evaluation pointed out that level of simplicity, usability and audio-video quality determined the level of satisfaction with the human interaction during the activity, thereby affecting the meaningfulness of the activity. The research presented in this paper constitutes the first step in a long-term research process aiming at developing a digital coaching system that gives older adults personalized support for increasing participation in meaningful social activities.

Place, publisher, year, edition, pages
IOS Press, 2018
Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 247
Keywords
Co-creation, computer mediated communication, healthy ageing, participatory action research, personalization, social activity
National Category
Human Computer Interaction
Research subject
människa-datorinteraktion; medicinsk informatik
Identifiers
urn:nbn:se:umu:diva-146893 (URN)10.3233/978-1-61499-852-5-775 (DOI)29678066 (PubMedID)978-1-61499-851-8 (ISBN)978-1-61499-852-5 (ISBN)
Available from: 2018-04-23 Created: 2018-04-23 Last updated: 2018-06-09Bibliographically approved
Kampik, T., Nieves, J. C. & Lindgren, H. (2018). Towards empathic autonomous agents. In: Viviana Mascardi, Alessandro Ricci, Danny Weyns (Ed.), : . Paper presented at 6th International Workshop on Engineering Multi-Agent Systems (EMAS 2018), Stockholm, Sweden, 14–15 July, 2018.
Open this publication in new window or tab >>Towards empathic autonomous agents
2018 (English)In: / [ed] Viviana Mascardi, Alessandro Ricci, Danny Weyns, 2018Conference paper, Published paper (Refereed)
Abstract [en]

Identifying and resolving conflicts of interests is a key challenge when designing autonomous agents. For example, such conflicts often occur when complex information systems interact persuasively with humans and are in the future likely to arise in non-human agent-to-agent interaction. We work towards a theoretical framework for an empathic autonomous agent that proactively identifies potential conflicts of interests in interactions with other agents (and humans) byl earning their utility functions and comparing them with its own preferences using a system of shared values to find a solution all agents consider acceptable.To provide a high-level overview of our work, we propose a reasoning-loop architecture to address the problem in focus. To realize specific components of the architecture, we suggest applying existing concepts in argumentation and utility theory. Reinforcement learning methods can be used by the agent to learn from and interact with its environment.

Keywords
Multi-agent systems, Utility theory, Conflicts of interests
National Category
Computer Sciences
Identifiers
urn:nbn:se:umu:diva-151240 (URN)
Conference
6th International Workshop on Engineering Multi-Agent Systems (EMAS 2018), Stockholm, Sweden, 14–15 July, 2018
Available from: 2018-08-30 Created: 2018-08-30 Last updated: 2018-08-30Bibliographically approved
Janols, R. & Lindgren, H. (2017). A method for co-designing theory-based behaviour change systems for health promotion. Studies in Health Technology and Informatics, 235, 368-372
Open this publication in new window or tab >>A method for co-designing theory-based behaviour change systems for health promotion
2017 (English)In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 235, p. 368-372Article in journal (Refereed) Published
Abstract [en]

A methodology was defined and developed for designing theory-based behaviour change systems for health promotion that can be tailored to the individual. Theories from two research fields were combined with a participatory action research methodology. Two case studies applying the methodology were conducted. During and between group sessions the participants created material and designs following the behaviour change strategy themes, which were discussed, analysed and transformed into a design of a behaviour change system. Theories in behavioural change and persuasive technology guided the data collection, data analyses, and the design of a behaviour change system. The methodology has strong emphasis on the target group's participation in the design process. The different aspects brought forward related to behaviour change strategies defined in literature on persuasive technology, and the dynamics of these are associated to needs and motivation defined in literature on behaviour change. It was concluded that the methodology aids the integration of theories into a participatory action research design process, and aids the analyses and motivations of design choices.

Place, publisher, year, edition, pages
Amsterdam: IOS Press, 2017
Keywords
Health promotion, Participatory action research, behavioural change systems, persuasive design
National Category
Human Computer Interaction
Research subject
medicinsk informatik; Computer and Information Science; människa-datorinteraktion
Identifiers
urn:nbn:se:umu:diva-134631 (URN)10.3233/978-1-61499-753-5-368 (DOI)28423816 (PubMedID)
Available from: 2017-05-10 Created: 2017-05-10 Last updated: 2018-06-09Bibliographically approved
Baskar, J., Janols, R., Guerrero, E., Nieves, J. C. & Lindgren, H. (2017). A Multipurpose Goal Model for Personalised Digital Coaching. In: Agents and Multi-Agent Systems for Health Care: 10th International Workshop, A2HC 2017, São Paulo, Brazil, May 8, 2017, and International Workshop, A-HEALTH 2017, Porto, Portugal, June 21, 2017, Revised and Extended Selected Papers. Paper presented at A2HC 2017 : X Workshop on Agents Applied in Health Care, Sao Paolo, Brazil, May 8-9, 2017 (pp. 94-116). Springer, 10685
Open this publication in new window or tab >>A Multipurpose Goal Model for Personalised Digital Coaching
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2017 (English)In: Agents and Multi-Agent Systems for Health Care: 10th International Workshop, A2HC 2017, São Paulo, Brazil, May 8, 2017, and International Workshop, A-HEALTH 2017, Porto, Portugal, June 21, 2017, Revised and Extended Selected Papers, Springer, 2017, Vol. 10685, p. 94-116Conference paper, Published paper (Refereed)
Abstract [en]

Supporting human actors in daily living activities for improving health and wellbeing is a fundamental goal for assistive technology. The personalisation of the support provided by assistive technology in the form of digital coaching requires user models that handle potentially conflicting goals and motives. The aim of this research is to extend a motivational model implemented in an assistive technology, into a multipurpose motivational model for the human actor who is to be supported, which can be translated into a multipurpose goal model for a team of assistive agents. A team of assistive agents is outlined with supplementary goals following the human’s different properties. A method for generating multipurpose arguments relating to different motives were developed, and implemented in a human-agent dialogue system. The results are exemplified based on a use case from an earlier pilot user study of the assistive technology. Future work includes user studies to validate the model.

Place, publisher, year, edition, pages
Springer, 2017
Series
Lecture Notes in Artificial Intelligence
National Category
Computer Sciences Human Computer Interaction
Research subject
Computer Science; human-computer interaction
Identifiers
urn:nbn:se:umu:diva-141360 (URN)10.1007/978-3-319-70887-4_6 (DOI)
Conference
A2HC 2017 : X Workshop on Agents Applied in Health Care, Sao Paolo, Brazil, May 8-9, 2017
Available from: 2017-10-31 Created: 2017-10-31 Last updated: 2019-06-19Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8430-4241

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