26 research outputs found

    An active learning approach to home heating in the smart grid

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    A key issue for the realization of the smart grid vision is the implementation of effective demand-side management. One possible approach involves exposing dynamic energy prices to end-users. In this paper, we consider a resulting problem on the user’s side: how to adaptively heat a home given dynamic prices. The user faces the challenge of having to react to dynamic prices in real time, trading off his comfort with the costs of heating his home to a certain temperature. We propose an active learning approach to adjust the home temperature in a semiautomatic way. Our algorithm learns the user’s preferences over time and automatically adjusts the temperature in real-time as prices change. In addition, the algorithm asks the user for feedback once a day. To find the best query time, the algorithm solves an optimal stopping problem. Via simulations, we show that our algorithm learns users’ preferences quickly, and that using the expected utility loss as the query criterion outperforms standard approaches from the active learning literature

    Can Health Improvements from a Community-Based Exercise and Lifestyle Program for Older Adults with Type 2 Diabetes Be Maintained? A Follow up Study

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    Background: Older people consistently report a desire to remain at home. Beat It is a community-based exercise and lifestyle intervention that uses evidence-based strategies to assist older people with type 2 diabetes mellitus (T2DM) to improve physical and functional fitness, which are crucial to maintain independence. This follow up, real-world study assessed the efficacy of Beat It and whether older adults with T2DM were able to maintain improvements in physical activity, waist circumference and fitness one year post completion. Methods: We have previously reported methods and results of short-term outcomes of Beat It. This paper reports anthropometric measurements and physical fitness outcomes of Beat it at 12-months post program completion and compares them to validated standards of fitness required to retain physical independence. Results: Improvements that were observed post program were maintained at 12 months (n = 43). While the number of participants who met fitness standards increased post program, not all increases were maintained at 12 months. Conclusions: This study provides promising early evidence that an eight-week, twenty-hour community-based clinician-led exercise and lifestyle program can improve health outcomes in older adults with T2DM which were retained for at least a year after program completion

    The associations between sport commitment, explanatory style, physical self-concept and athlete selection and acceptance in a cycling talent identification program

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    The purpose of this study was to determine if anthropometric, performance and psychological measures could predict selection and acceptance of participants in a Talent Identification (TID) program for cycling. Participants (n = 72; male = 46; female = 26; age = 15.4 ± 2.0 yrs) underwent measurements of height, body mass, maximal aerobic power, sprint running speed, leg power, sport commitment, explanatory style and physical self-concept. Discriminant function analysis was used to determine which of these variables related to both selection and acceptance into the cycling TID squad. Maximal aerobic power, running speed, and leg power made significant (p <.05) contributions to selection into the TID program. Sport commitment was predictive of accepting the invitation into the TID program. The results suggest that although physical performance capacities were predictive of selection into the TID squad, sport commitment was the greatest predictor of acceptance. The findings suggest the importance of considering psychological measures in the initial phase of a TID program.</p

    Developing and evaluating smartphone applications to improve health behaviours and chronic disease self-management

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    "The overall purpose of this research was to design, develop and evaluate the effectiveness of smartphone applications to improve health behavours in primary and secondary prevention. The first study comprised the design, development and formative evaluation of a smartphone application 'iStepLog' designed for the iPhone (Apple) platform, developed as an adjunct delivery tool for an online physical activity health promotion program ... The second study in this research tested the iStepLog applicationin a real-world setting ... The third study tested if integrating a smartphone application into secondary care improved health outcomes; in this instance adults self-managing type 1 diabetes ... The combined results of these studies highlight the potential and effectiveness of smartphone applications to improve self-care and/or health behaviours, both in the general population (primary prevention) and those managing a chronic disease (secondary prevention)."--Abstract

    Developing and evaluating smartphone applications to improve health behaviours and chronic disease self-management

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    "The overall purpose of this research was to design, develop and evaluate the effectiveness of smartphone applications to improve health behavours in primary and secondary prevention. The first study comprised the design, development and formative evaluation of a smartphone application 'iStepLog' designed for the iPhone (Apple) platform, developed as an adjunct delivery tool for an online physical activity health promotion program ... The second study in this research tested the iStepLog applicationin a real-world setting ... The third study tested if integrating a smartphone application into secondary care improved health outcomes; in this instance adults self-managing type 1 diabetes ... The combined results of these studies highlight the potential and effectiveness of smartphone applications to improve self-care and/or health behaviours, both in the general population (primary prevention) and those managing a chronic disease (secondary prevention)."--Abstract

    Communication Idol: Using popular culture to catalyse active learning by engaging students in the development of entertaining teaching and learning resources

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    Bringing popular culture to tertiary education can potentially increase student engagement with learning tasks and content, especially when the learning task has students producing the content. Using a single-group intervention plus post-test design, this study implemented and evaluated a purposely developed learning and teaching innovation capitalising on popular and consumer culture to promote active over passive learning in a large, interprofessional health science unit. Students were invited to develop educational video presentations in a friendly competition based on high-rating television musical and vocal talent quests, with cash prizes based on peer ratings, this being the intervention. From a cohort of 569 students in 12 undergraduate allied health programs, 14 students in seven teams of 1 to 3 students produced seven, high-quality videos about communication in professional health practice, and recorded their experiences of doing so. Ratings showed the majority found the process fun (85%) and instructive (64%), with 29% finding the task harder than expected. The prospect of prizes along with intrinsic motivators were reasons for producing a video. A further 285 students viewed the productions and for extra marks completed evaluation of the videos’ educational value. Videos were perceived as an educationally valuable yet entertaining way to engage unit content. Producers of videos rated the teaching and learning experience significantly more positively than students not involved in production. Qualitative analysis of open-ended responses supported relevant numerical findings. Barriers to producing videos were identified as time, resources, confidence and lack of a team. Results should encourage educators contemplating similar initiatives. The project highlights benefits of harnessing popular genres with which students identify, to encourage involvement in producing educationally justifiable content that rewards both performer and audience. The project shows how learning content and tasks created and presented in familiar and entertaining formats can catalyse students’ agentic engagement in tertiary curricula

    Engagement and nonusage attrition with a free physical activity promotion program the case of 10,000 Steps Australia /

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    Background: Data from controlled trials indicate that Web-based interventions generally suffer from low engagement and high attrition. This is important because the level of exposure to intervention content is linked to intervention effectiveness. However, data from real-life Web-based behavior change interventions are scarce, especially when looking at physical activity promotion. Objective: The aims of this study were to (1) examine the engagement with the freely available physical activity promotion program 10,000 Steps, (2) examine how the use of a smartphone app may be helpful in increasing engagement with the intervention and in decreasing nonusage attrition, and (3) identify sociodemographic- and engagement-related determinants of nonusage attrition. Methods: Users (N=16,948) were grouped based on which platform (website, app) they logged their physical activity: Web only, app only, or Web and app. Groups were compared on sociodemographics and engagement parameters (duration of usage, number of individual and workplace challenges started, and number of physical activity log days) using ANOVA and chi-square tests. For a subsample of users that had been members for at least 3 months (n=11,651), Kaplan-Meier survival curves were estimated to plot attrition over the first 3 months after registration. A Cox regression model was used to determine predictors of nonusage attrition. Results: In the overall sample, user groups differed significantly in all sociodemographics and engagement parameters. Engagement with the program was highest for Web-and-app users. In the subsample, 50.00% (5826/11,651) of users stopped logging physical activity through the program after 30 days. Cox regression showed that user group predicted nonusage attrition: Web-and-app users (hazard ratio=0.86, 95% CI 0.81-0.93, P<.001) and app-only users (hazard ratio=0.63, 95% CI 0.58-0.68, P<.001) showed a reduced attrition risk compared to Web-only users. Further, having a higher number of individual challenges (hazard ratio=0.62, 95% CI 0.59-0.66, P<.001), workplace challenges (hazard ratio=0.94, 95% CI 0.90-0.97, P<.001), physical activity logging days (hazard ratio=0.921, 95% CI 0.919-0.922, P<.001), and steps logged per day (hazard ratio=0.99999, 95% CI 0.99998-0.99999, P<.001) were associated with reduced nonusage attrition risk as well as older age (hazard ratio=0.992, 95% CI 0.991-0.994, P<.001), being male (hazard ratio=0.85, 95% CI 0.82-0.89, P<.001), and being non-Australian (hazard ratio=0.87, 95% CI 0.82-0.91, P<.001). Conclusions: Compared to other freely accessible Web-based health behavior interventions, the 10,000 Steps program showed high engagement. The use of an app alone or in addition to the website can enhance program engagement and reduce risk of attrition. Better understanding of participant reasons for reducing engagement can assist in clarifying how to best address this issue to maximize behavior change

    Community-Based Exercise and Lifestyle Program Improves Health Outcomes in Older Adults with Type 2 Diabetes

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    Background: The aim of this study was to assess the efficacy of Beat It—a community-based exercise and lifestyle intervention—in improving anthropometric and physical fitness outcomes in older adults with type 2 diabetes mellitus (T2DM). Methods: Australians with T2DM who were aged 60 years or older were included. These individuals were enrolled in Beat It, a twice-weekly supervised group exercise and education program conducted over 8 weeks. Anthropometric measurements and physical fitness parameters were assessed at baseline and completion. Physical fitness measures were then compared to validated criterion standards of fitness levels required by older adults to remain physically independent into later life. Results: A total of 588 individuals were included in the study. At baseline, a substantial proportion of the cohort had physical fitness measures that were below the standard for healthy independent living for their gender and age. Significant improvements in waist circumference and physical fitness were observed post program and resulted in an increase in the number of participants who met the standard for healthy independent living. Conclusions: Participation in Beat It improved important health outcomes in older adults with T2DM. A longer-term follow-up is needed to determine whether these positive changes were maintained beyond the delivery of the program

    Design, development, and formative evaluation of a smartphone application for recording and monitoring physical activity levels : the 10,000 steps "iStepLog"

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    Objectives. Limited research exists addressing the development of health-related smartphone apps, a new and potentially effective health promotion delivery strategy. This article describes the development and formative evaluation of a smartphone app associated with a physical activity promotion website. Methods. A combination of qualitative and quantitative techniques (performance measures, direct observation, and subjective participant preferences) were implemented during two usability testing sessions (pre- and postmodification) while participants were completing tasks using the app. Results. Design improvements to the app resulted in a reduction in the problems experienced and a decrease in the time taken to complete tasks. Four usability themes emerged from the data: design, feedback, navigation, and terminology. Conclusion. This study demonstrates the relevance of usability testing to the design and modification of a smartphone app related to a health promotion website. This study resulted in an app with much higher usability, which might increase usage and maintenance of health behavior change in the long term. Practical implications. This study demonstrates the need for formative evaluation in health-related smartphone apps. Attention should be given to basic design principles as well as feedback, navigation, and terminology in order to ensure utility and ease of use of future smartphone app designs
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