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Do CHANGE Report Summary

Project ID: 643735
Funded under: H2020-EU.3.1.

Periodic Reporting for period 1 - Do CHANGE (Do Cardiac Health: Advanced New Generation Ecosystem)

Reporting period: 2015-02-01 to 2016-01-31

Summary of the context and overall objectives of the project

Do CHANGE is a research & innovation project with European and Taiwanese partners, co-funded by the European Commission and the Taiwanese Government. It will last from early 2015 to early 2018. The primary objective of Do CHANGE is to develop a health ecosystem for integrated disease management of patients with ischemic heart disease and heart failure. The system will give them access to a set of personalized health services in a near real-time fashion. This disruptive system will incorporate the behaviour change method “Do Something Different”, in conjunction with new innovative wearable/portable tools that will give indications of salt and fluid intake, monitor behaviour and clinical parameters in normal living situations. The total ecosystem will provide guidance to the patients themselves, their families, informal carers, and patient's social environments for disease management. Also, clinical diagnosis by various health care professionals (dietician, psychologist, cardiologist, cardiology nurse practitioner, GP, case manager) will be supported, but only after they have been given authorised access to these data by the patients.

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

In the first year of the project, the first cycle of the co-design process has been completed. It has delivered a good overview of achievable and feasible project goals, products and services. In the tools development considerable progress has been made, but also physical limitations in measuring saline in preparing food (spatula) and prepared dishes (spectrometer) occurred. From various discussions, meetings, literature studies and expert views, it became apparent that behavior changes can best be achieved via the core Do’s of the Do Something Different programme and that contextual Do’s can have an influence as well, if they are based on input of relevant sensor and contextual information. With the proposed infrastructure and architecture, the patient will receive a lot of stimuli, including Do’s, trend data on his salt/water intake, as well as trend data of traditional vital signs. First integrations of these sensor data and the Do’s into the existing doc@HOME portal have achieved. First API’s with the total Do CHANGE infrastructure have been generated and built. With so many variables it was concluded that evaluation with a randomized clinical trial would not deliver statistically meaningful results. From first explorations on exploitation, it was concluded that Do CHANGE might generate high cost savings in the treatment of patients with acute coronary heart diseases and heart failure.

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

Several technologies have been tried out to detect sodium in food. The difficulty is in differentiating the different ions in food with impedance measurements. The developers are now able to distinguish groups: Na/K from Mg/Ca, but not Na from K, which actually is the most relevant. The mix of all these components in a solution will add more complexity and will be more challenging to distinguish each one and its concentration.

From initial lab studies it appeared that there is no obvious spectral feature in terms of sodium. Thus, by principle, the sodium within food cannot be detected by a silicon-based spectrometer. Therefore, the development of a combined computer vision and spectral vision recognition system was started. Acceptable accuracies have been achieved, but the spectrometer with, at present time, high cost sensor will be difficult to commercialize. I

The Do CHANGE ecosystem could have considerable impact economically, socially and medically if it can be deployed in part or in full in healthcare. The emphasis on behaviour change, however, is a fundamental element of the ecosystem. There are major human and economic benefits to be had in tackling the behavioural risk factors in disease and the Do CHANGE ecosystem could be used in many other health areas. There seems little doubt that many lives would be saved and healthcare costs reduced by changes in lifestyle of the kind being targeted in Do CHANGE.

Related information

Record Number: 190311 / Last updated on: 2016-11-14
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