Objects: People with disabilities (PWD) tend to have a low health accessibility due to their physical and mobility limitations, especially in the covid 19 status, so they have a difficulty in monitoring their own health status, and getting a customized health information. A non-contact, web-based wellness care system could act as a complementary method of self-health management in the PWD. The purpose of this study was to develop a web-based wellness care system supporting self-health management of the PWD.
Methods: Requirement analysis, knowledge acquisition, knowledge representation, and development of the wellness care system were conducted: (1) for the requirement analysis, we explored the healthcare needs of the PWD in using a web-based wellness care system through focus group interview; (2) for the knowledge acquisition, we conducted literature reviews to find the main factors affecting health status of the PWD, and received consultation from academic and clinical experts in the field of rehabilitation medicine, sports and nutrition about various ways of healthcare; (3) for the knowledge representation, we defined the person-generated health data (PGHD) supporting self-health monitoring and designed a rule-based logic tree matching the results of PGHD with customized healthcare methods and; (4) the web-based wellness care system was developed.
Results: As primary healthcare needs, physical activity, nutrition and mental health management were identified. Accordingly, PGHD, such as step count, walked distance, amount of sleep, heart rate, dietary intake and nutritional status, stress, pain, and suicidality were defined and designed to be collected using smart health device or by means of self-reported questionnaire. Then we matched the results of PGHD with customized healthcare methods using a rule-based logic tree. Finally, the web-based wellness care system, which supported PWDs monitoring their own health status through the results of PGHD and suggested a customized method of health management, were developed.
Conclusion: In current study, we suggested a non-contact, web-based wellness care system as a complementary method of self-health management in PWD in the covid 19 status. |
