Context-aware solutions for asthma condition management: a survey

The evolution of information technology has allowed the development of ubiquitous, user-centred, and context-aware solutions. This article considers existing context-aware systems supporting asthma management with the aim of describing their main benefits and opportunities for improvement. To achieve this, the main concepts related to asthma and context awareness are explained before describing and analysing the existing context-aware systems aiding asthma. The survey shows that the concept of personalisation is the key when developing context-aware solutions supporting asthma management because of the high level of heterogeneity of this condition. Hence, the benefits and challenges of context-aware systems supporting asthma management are strongly linked to contextual Just-In-Time information of internal and external factors related to a person and the heterogeneity it represents

Personalisation of context-aware solutions supporting asthma management

Personalisation of asthma management plans is important because asthma patients experience different triggers and symptoms as a result of the high heterogeneity level of the condition. Although this makes context-awareness suitable to support asthma management, existing context-aware solutions do not allow patients to personalise their management plans. This research proposes an approach to develop context-aware solutions allowing the personalisation of asthma management plans. It is derived on the basis of the literature review and a qualitative research that includes both asthma patients and carers. A prototype to illustrate the application of the approach is demonstrated

Personalisation of context-aware solutions supporting asthma management

Personalisation of asthma management plans is important because asthma patients experience different triggers and symptoms as a result of the high heterogeneity level of the condition. Although this makes context-awareness suitable to support asthma management, existing context-aware solutions do not allow patients to personalise their management plans. This research proposes an approach to develop context-aware solutions allowing the personalisation of asthma management plans. It is derived on the basis of the literature review and a qualitative research that includes both asthma patients and carers. A prototype to illustrate the application of the approach is demonstrated

ADAPT: Approach to Develop context-Aware solutions for Personalised asthma managemenT

The creation of sensors allowing the collection of a high amount of data has been possible thanks to the evolution of information and communication technology. These data must be properly interpreted to deliver meaningful information and services. Context-aware reasoning plays an important role in this task, and it is considered as a hot topic to study in the development of solutions that can be categorised under the scope of Intelligent Environments. This research work studies the use of context-aware reasoning as a tool to provide support in the asthma management process. The contribution of this study is presented as the Approach to Develop context-Aware solutions for Personalised asthma managemenT (ADAPT), which can be used as a guideline to create solutions supporting asthma management in a personalised way. ADAPT proposes context-aware reasoning as an appropriate tool to achieve the personalisation that is required to address the heterogeneity of asthma. This heterogeneity makes people with asthma have different triggers provoking their exacerbations and to experience different symptoms when their exacerbations occur, which is considered as the most challenging characteristic of the condition when it comes to implementing asthma treatments. ADAPT context dimensions are the main contribution of the research work as they directly address the heterogeneity of asthma management by allowing the development of preventive and reactive features that can be customised depending on the characteristics of a person with asthma. The approach also provides support to people not knowing their triggers properly through case-based reasoning, and includes virtual assistant as a complementing technology supporting asthma management. The comprehensive nature of ADAPT motivates the study of the interaction between context-aware reasoning and case-based reasoning in Intelligent Environments, which is also reported as a key contribution of the research work. The inclusion of people with asthma, carers and experts in respiratory conditions in the experiments of the research project was possible to achieve thanks to the collaboration formed with Asthma UK

ADAPT: Approach to Develop context-Aware solutions for Personalised asthma managemenT

People with asthma have heterogeneous triggers and symptoms, which they need to be aware of in order to implement the strategies to manage their condition. Context-aware reasoning has the potential to provide the personalisation that is required to address the heterogeneity of asthma by helping people to define the information that is relevant considering the characteristics of their condition and delivering services based on this information. This research work proposes the Approach to Develop context-Aware solutions for Personalised asthma managemenT (ADAPT), whose aim is to facilitate the creation of solutions allowing the required customisation to address the heterogeneity of asthma. ADAPT is the result of the constant interaction with people affected by asthma throughout the research project, which was possible to achieve thanks to the collaboration formed with the Centre for Applied Research of Asthma UK. ADAPT context dimensions facilitate the development of preventive and reactive features that can be configured depending on the characteristics of the person with asthma. The approach also provides support to people not knowing their triggers through case-based reasoning and includes virtual assistant as a complementing technology supporting asthma management. ADAPT is validated by people with asthma, carers and experts in respiratory conditions, who evaluated a mobile application that was built based on the approach

Case-based reasoning for context-aware solutions supporting personalised asthma management

Context-aware solutions have the potential to address the personalisation required for implementing asthma management plans. However, they have limitations to aid people with asthma when their triggers and symptoms are poorly known or changing. Case-Based Reasoning can address these limitations as it can effectively deal with personal constraints in problems that involve evolving context adaptation. This research work proposes to use Case-Based Reasoning together with Context-Aware Reasoning to aid the personalisation of asthma management plans at specific stages of the condition when the triggers and symptoms are not completely known or evolving. The proposal was implemented and evaluated using historical weather and air pollution data and two control cases that were defined based on a set of interviews. Finally, the benefits and challenges of the proposal are presented and analysed based on the results of the evaluation

A Human-in-The-Loop context-aware system allowing the application of case-based reasoning for asthma management

Determining the asthma health status of a person is a relevant task in the application of context-awareness and case-based reasoning for asthma management. As there are no devices that can track the asthma health status of a person constantly, it is necessary to use a Human-in-The-Loop (HiTL) approach for creating a solution able to associate their health status with context-related data. This research work proposes a system that implements the Asthma Control Questionnaire (ACQ) for determining the asthma health status of a person. The system links this health status to context-related data the person is exposed and creates the cases to be used by the CBR component of the system. The system is then evaluated by users from a usability perspective through the Health IT Usability Evaluation Model (Health-ITUEM)

Case-based reasoning for context-aware solutions supporting personalised asthma management

Context-aware solutions have the potential to address the personalisation required for implementing asthma management plans. However, they have limitations to aid people with asthma when their triggers and symptoms are poorly known or changing. Case-Based Reasoning can address these limitations as it can effectively deal with personal constraints in problems that involve evolving context adaptation. This research work proposes to use Case-Based Reasoning together with Context-Aware Reasoning to aid the personalisation of asthma management plans at specific stages of the condition when the triggers and symptoms are not completely known or evolving. The proposal was implemented and evaluated using historical weather and air pollution data and two control cases that were defined based on a set of interviews. Finally, the benefits and challenges of the proposal are presented and analysed based on the results of the evaluation