From design to implementation - The Joint Asia Diabetes Evaluation (JADE) program: A descriptive report of an electronic web-based diabetes management program

<p>Abstract</p> <p>Background</p> <p>The Joint Asia Diabetes Evaluation (JADE) Program is a web-based program incorporating a comprehensive risk engine, care protocols, and clinical decision support to improve ambulatory diabetes care.</p> <p>Methods</p> <p>The JADE Program uses information technology to facilitate healthcare professionals to create a diabetes registry and to deliver an evidence-based care and education protocol tailored to patients' risk profiles. With written informed consent from participating patients and care providers, all data are anonymized and stored in a databank to establish an Asian Diabetes Database for research and publication purpose.</p> <p>Results</p> <p>The JADE electronic portal (e-portal: <url>http://www.jade-adf.org</url>) is implemented as a Java application using the Apache web server, the mySQL database and the Cocoon framework. The JADE e-portal comprises a risk engine which predicts 5-year probability of major clinical events based on parameters collected during an annual comprehensive assessment. Based on this risk stratification, the JADE e-portal recommends a care protocol tailored to these risk levels with decision support triggered by various risk factors. Apart from establishing a registry for quality assurance and data tracking, the JADE e-portal also displays trends of risk factor control at each visit to promote doctor-patient dialogues and to empower both parties to make informed decisions.</p> <p>Conclusions</p> <p>The JADE Program is a prototype using information technology to facilitate implementation of a comprehensive care model, as recommended by the International Diabetes Federation. It also enables health care teams to record, manage, track and analyze the clinical course and outcomes of people with diabetes.</p

Promoting Wellbeing in Pregnancy: A Multi-component Positive Psychology and Mindfulness-Based Mobile App

Pregnancy involves important changes for women of all ages: it is a time of physical and psychological change. Women may experience anxiety and negative emotions, which can negatively influence their wellbeing and make difficult their adaptation to the new role of mothers. Furthermore, poor mental well-being and difficulties in emotion regulation can negatively affect obstetric outcomes, development of the child and neonatal adaptation. The aim of this work is to present a new self-applied multi-component positive psychology- and mindfulness-based intervention (MPPMI) supported by a mobile App addressed to pregnant women. The core of this MPPMI is to combine traditional positive psychology activities with mindfulness-based exercises. The purpose of this MPPMI App (available in both Android and IOS versions) is to increase positive feelings, behaviors and cognitions and to learn strategies to better cope with anxiety to get adaptively and positively through pregnancy. The intervention is composed by five modules, for a total length of five weeks, and each module includes three activities. The future steps will be to carry out a pilot study to examine the program implementation and preliminary evaluate the effectiveness of the intervention on women\u2019s mental well-being, both at the end of the intervention and after childbirth