Physical Medicine and Rehabilitation Clinics of North America
Virtual Coach Technology for Supporting Self-Care
Section snippets
Components of virtual coach interventions
To systematically understand virtual coach interventions, the authors have identified four components that define the design space of such interventions and address when, how, and what message to deliver in an automated and intelligent way (Fig. 1).
Examples of virtual coach interventions
The use of technologies to coach activities for supporting preventive health management and self-care has been an active domain for research. Table 1 summarizes some typical virtual coach interventions including those mentioned in previous sections. The authors also discuss their preliminary work in developing a wheelchair seating virtual coach in this section.
Opportunities and challenges
Although virtual coach technology has shown promising results, the authors identified some key challenges and opportunities that need to be addressed as the technology matures and help shape future directions.
Summary
Prevention and self-care play increasingly important roles in the overall health of an individual. Virtual coach technology potentially can enable a new class of intelligent devices and applications that facilitate self-management and improve compliance to clinical regimens. The ability to provide coaching messages in a way that is tailored both to the user and the situation likely will enable a trustworthy relationship between the technology and the user, improving technology acceptance and
Acknowledgements
Funding for this study was provided by the National Science Foundation, Engineering Research Center (EEC0540865), and the US Department of Veterans Affairs Rehabilitation Research and Development Service Center of Excellence for Wheelchairs and Associated Rehabilitation Engineering (B3142C).
References (45)
- et al.
Context awareness in a handheld exercise agent
PMC
(2009) - et al.
Aging with a disability
Arch Phys Med Rehabil
(2004) Radar plots: a useful way for presenting multivariate health care data
J Clin Epidemiol
(2008)- et al.
Healthy living with persuasive technologies: framework, issues, and challenges
J Am Med Inform Assoc
(2009) - Virtual coach: disk offers expert guidance. CD-ROM saves man's only leg: a Sarasota surgeon would have had to amputate...
- Plan and schedule your season. TRAININGPEAKS. The ultimate training & nutrition software....
- Pondera virtual coach sports program. In: Virtual Coach Sports LLC, 2007, volume...
- Virtual coach program. Business development services. In: Big Time Business,...
- Virtual coach/basic training combo. In: Financial Strategies, Incorporated, 2007, volume...
- et al.
A programmable prompting device improves adherence to highly active antiretroviral therapy in HIV-infected subjects with memory impairment
Clin Infect Dis
(2005)
Electric powered wheelchairs for those with muscular dystrophy: problems of posture, pain, and deformity
Disabil Rehabil Assist Technol
The efficacy if an intelligent cognitive orthosis to facilitate handwashing by persons with moderate-to-severe dementia
Neuropsychol Rehabil
The potential of intelligent technology as an occupational enabler
Occupational Therapist Now
Persuasive technology: using computers to change what we think and do
Healthy people 2010: understanding an improving health
The future of disability in America
Preventing and managing secondary conditions: a proposed role for independent living centers
J Rehabil
The effect of a glaucoma medication reminder cap on patient compliance and intraocular pressure
JOP
WebDietAID: an interactive Web-based nutritional counselor
Proceedings of the American Medical Informatics Association Annual Symposium. Los Angeles, California
A social cognitive view of self-regulated learning about health
Health Educ Res
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