Rationale in Semi-Structured Processes

Abstract. This paper argues that an explicit account of rationale is essential for the effective management and evolution of semi-structured processes. Our approach is based on a view of semi-structured process models as unfinished products whose design is implicitly completed through their execution by process model users. The resulting refinements and modifications of the process models are instances of user-driven design innovation. Our framework shows how rationale can explain a user’s individual execution decisions, as a basis for process modelers to improve the original process specifications. We propose and illustrate a modeling approach using the FBS ontology

Persuasive digital health technologies for lifestyle behaviour change

BACKGROUND. Unhealthy lifestyle behaviours such as physical inactivity are global risk factors for chronic disease. Despite this, a substantial proportion of the UK population fail to achieve the recommended levels of physical activity. This may partly be because the health messages presently disseminated are not sufficiently potent to evoke behaviour change. There has been an exponential growth in the availability of digital health technologies within the consumer marketplace. This influx of technology has allowed people to self-monitor a plethora of health indices, such as their physical activity, in real-time. However, changing movement behaviours is difficult and often predicated on the assumption that individuals are willing to change their lifestyles today to reduce the risk of developing disease years or even decades later. One approach that may help overcome this challenge is to present physiological feedback in parallel with physical activity feedback. In combination, this approach may help people to observe the acute health benefits of being more physically active and subsequently translate that insight into a more physically active lifestyle. AIMS. Study One aimed to review existing studies employing fMRI to examine neurological responses to health messages pertaining to physical activity, sedentary behaviour, smoking, diet and alcohol consumption to assess the capacity for fMRI to assist in evaluating health behaviours. Study Two aimed to use fMRI to evaluate physical activity, sedentary behaviour and glucose feedback obtained through wearable digital health technologies and to explore associations between activated brain regions and subsequent changes in behaviour. Study Three aimed to explore engagement of people at risk of type 2 diabetes using digital health technologies to monitor physical activity and glucose levels. METHODS. Study One was a systematic review of published studies investigating health messages relating to physical activity, sedentary behaviour, diet, smoking or alcohol consumption using fMRI. Study Two asked adults aged 30-60 years to undergo fMRI whilst presented personalised feedback on their physical activity, sedentary behaviour and glucose levels, following a 14-day wear protocol of an accelerometer, inclinometer and flash glucose monitor. Study Three was a six-week, three-armed randomised feasibility trial for individuals at moderate-to-high risk of developing type 2 diabetes. The study used commercially available wearable physical activity (Fitbit Charge 2) and flash glucose (Freestyle Libre) technologies. Group 1 were offered glucose feedback for 4 weeks followed by glucose plus physical activity feedback for 2 weeks (G4GPA2). Group 2 were offered physical activity feedback for 4 weeks followed by glucose plus physical activity feedback for 2 weeks (PA4GPA2). Group 3 were offered glucose plus physical activity feedback for six weeks (GPA6). The primary outcome for the study was engagement, measured objectively by time spent on the Fitbit app, LibreLink app (companion app for the Freestyle Libre) as well as the frequency of scanning the Freestyle Libre and syncing the Fitbit. RESULTS. For Study One, 18 studies were included in the systematic review and of those, 15 examined neurological responses to smoking related health messages. The remaining three studies examined health messages about diet (k=2) and physical activity (k=1). Areas of the prefrontal cortex and amygdala were most commonly activated with increased activation of the ventromedial prefrontal cortex predicting subsequent behaviour (e.g. smoking cessation). Study Two identified that presenting people with personalised feedback relating to interstitial glucose levels resulted in significantly more brain activation when compared with feedback on personalised movement behaviours (P<.001). Activations within regions of the prefrontal cortex were significantly greater for glucose feedback compared with feedback on personalised movement behaviours. Activation in the subgyral area was correlated with moderate-to-vigorous physical activity at follow-up (r=.392, P=.043). In Study Three, time spent on the LibreLink app significantly reduced for G4GPA2 and GPA6 (week 1: 20.2±20 versus week 6: 9.4±14.6min/day, p=.007) and significantly fewer glucose scans were recorded (week 1: 9.2±5.1 versus week 6: 5.9±3.4 scans/day, p=.016). Similarly, Fitbit app usage significantly reduced (week 1: 7.1±3.8 versus week 6: 3.8±2.9min/day p=.003). The number of Fitbit syncs did not change significantly (week 1: 6.9±7.8 versus week 6: 6.5±10.2 syncs/day, p=.752). CONCLUSIONS. Study One highlighted the fact that thus far the field has focused on examining neurological responses to health messages using fMRI for smoking with important knowledge gaps in the neurological evaluation of health messages for other lifestyle behaviours. The prefrontal cortex and amygdala were most commonly activated in response to health messages. Using fMRI, Study Two was able to contribute to the knowledge gaps identified in Study One, with personalised glucose feedback resulting in a greater neurological response than personalised feedback on physical activity and sedentary behaviour. From this, Study Three found that individuals at risk of developing type 2 diabetes were able to engage with digital health technologies offering real-time feedback on behaviour and physiology, with engagement diminishing over time. Overall, this thesis demonstrates the potential for digital health technologies to play a key role in feedback paradigms relating to chronic disease prevention

Inovação auxiliada por computador (CAI): uma análise bibliométrica de artigos publicados entre 2004 e 2013

In recent decades, innovation has come to be seen as a crucial factor for the competitiveness of organizations. From a process little orderly, innovation has come to be systematized, with the establishment of tools, methodologies and theories. A variety of computer programs have been created to support innovation, giving rise to a new category of tools, which is being called Computer Aided Innovation (CAI). This exploratory research seeks to understand more precisely the concept of CAI, as well as identify key publications, authors, institutions and regions in which it has been developed, besides seeking to identify gaps and trends of the topics covered in the area. Given the purpose of the research, it was decided to use bibliometrics, which allows obtaining the information indicated from the analysis of the main databases related to CAI. The research consists of 217 articles, published between 2004-2013. The methodological procedures to develop the research involved the following steps: a) raise the state of the art regarding the Computed Aided Innovation; b) Survey and data collection of scientific papers on CAI; c) categorization and bibliometric analysis and d) classify and analyze the topics covered. The results obtained through the bibliometric analysis revealed that there were 378 different authors, and authors have increased an average of 34.7% from 2004 to 2013. When checking the adhesion of the Lotka´s law to the field of CAI, It was observed that 72.8% of the authors had only one publication, 15% more than proposed by Lotka, than the area of CAI does not adjust to this law. The most productive authors were Runhua Tan (complete count) and Noel Leon (direct counting). The most cited author was Gaetano Cascini. The most productive country in the world is China, with 41% of publications, as well as having the largest number of researchers (42% of total) and the largest number of institutions. However, the country with the greatest relevance is France, because the French articles had 30.4% of the citations. The more productive institution is Hebei Universi ty of Technology, China, with 16% of the articles. The institution most frequently cited is INSA Strasbourg, France. By analyzing the topics covered, it was realized that the "Idea Management" category is more developed and the category "Management Patent" is the one with the least amount of work. It is considered that this research has contributed to give visibility to researchers, institutions and countries that have contributed to the development of CAI, besides recognizing the theoretical core that serves as the foundation of knowledge of the area. The theme CAI is extremely important for the improvement of the innovation process, enabling to innovate more efficiently and effectively.Nas últimas décadas, a inovação passou a ser vista como um fator crucial para a competitividade das organizações. De um processo pouco ordenado, a inovação tem passado a ser sistematizada, com o estabelecimento de ferramentas, metodologias e teorias. Uma variedade de programas computacionais têm sido criadas para apoiar a inovação, dando origem a uma nova categoria de ferramentas, que vem sendo denominada Computer Aided Innovation (CAI), ou Inovação Auxiliada por Computador. Esta pesquisa, de característica exploratória, busca compreender com maior exatidão o conceito de CAI, bem como identificar as principais publicações, autores, instituições e regiões nas quais o assunto tem sido desenvolvido, além de buscar identificar as lacunas e tendências dos temas abordados na área. Dada a finalidade da pesquisa, decidiu-se pelo uso da bibliometria e da análise de conteúdo para alcançar os objetivos estabelecidos. O universo da pesquisa constitui -se de 217 artigos, publicados no período de 2004 a 2013. Os procedimentos metodológicos para desenvolver a pesquisa envolveram os seguintes passos: a) levantar o estado da arte no que se refere a Inovação Auxiliada por Computador; b) levantar e coletar os dados dos artigos científicos em CAI; c) categorizar e fazer análise bibliométrica e d) classificar e analisar os temas abordados. Os resultados obtidos, por meio da análise bibliométrica, revelaram que houve 378 autores diferentes, e que a média de autores aumentou em 30,4% de 2004 a 2013. Ao verificar a aderência da lei de Lotka à área de CAI, observou-se que 72,8% dos autores tiveram apenas uma publicação, sendo 15% a mais do que o proposto por Lotka, ou seja, a área de CAI não se ajusta a esta lei. Os autores mais produtivos foram Runhua Tan (contagem completa) e Noel León (contagem direta). O autor mais citado foi Gaetano Cascini. O país mais produtivo do mundo é a China, com 41% das publicações, além de possuir o maior número de pesquisadores (42% do total) e o maior número de instituições. No entanto, o país com a maior relevância é a França, pois os artigos franceses tiveram 30,4% das citações. A instituição mais produtiva é Hebei University of Technology da China, com 16% dos artigos. A instituição mais citada é INSA Strasbourg, França. Ao analisar os temas abordados, percebeu-se que a categoria “Gestão de Ideias” é mais desenvolvida e a categoria “Gestão de Patentes” é a que possui a menor quantidade de trabalhos. Considera-se que esta pesquisa contribuiu para dar visibilidade aos pesquisadores, instituições e países que tem contribuído para o desenvolvimento do CAI, além de reconhecer o núcleo teórico que serve de alicerce do conhecimento da área. O tema CAI é de suma importância para a melhoria do processo de inovação, possibilitando inovar com mais eficiência e eficácia