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Engineering for reliability in at-home chronic disease management
Logan Kendall1, Jordan Eschler1, Paula Lozano2
1University of Washington, Seattle, WA.
Summary
Chronic disease self-management is hard. Reminders can help, but failures are often system issues, not patient non-compliance. Reliability engineering principles can improve patient reminder systems for better adherence.
Area of Science:
- Health behavior
- Patient adherence
- Chronic disease management
Background:
- Lifelong adherence to self-management activities presents challenges for individuals with chronic conditions.
- Reminders can aid cognitive demands in managing health tasks, but their integration into daily life is poorly understood.
Purpose of the Study:
- To explore how older adults with diabetes and mothers of children with asthma use reminders for at-home chronic disease management.
- To identify factors contributing to self-management failures and suggest improvements for patient reminder systems.
Main Methods:
- Qualitative study utilizing maximum variation sampling.
- Interviews conducted with 20 older adults with diabetes and 19 mothers of children with asthma.
Main Results:
- Self-management failures in chronic conditions are frequently systems failures, not individual non-compliance.
- Key principles from reliability engineering can explain patient behavior and inform reminder system design.
Conclusions:
- Patient reminder systems require redesign to better support chronic disease self-management.
- Viewing self-management challenges through a systems lens, informed by reliability engineering, can enhance adherence and patient outcomes.
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