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Table 3 Main optimization strategies and system features

From: The development and feasibility of a personal health-optimization system for people with bipolar disorder

Strategy 1: Find the best treatment

Ranks all available treatments based on all available information and the patient’s preferences.

Allows patients to see how modifying their personal preferences influence this ranking

Presents head-to-head comparisons of all treatments on all included outcomes

Removes treatments that are contraindicated for the specific patient automatically

Removes outcomes that are irrelevant for the specific patient, automatically

Integrates quantitative estimates of treatment effects from research, the patient, and the clinician

Presents treatment results longitudinally together with treatment details and other relevant data

Strategy 2: Find the best dosage

Presents the effects of different dosages on subjective and objective health outcomes as graphs and statistics

Presents the effects of different dosages as an integrated part of complete treatment plans

Strategy 3: Increase treatment adherence

Can remind the patient to take the treatment at all agreed times, on the smartphone

Presents actual use over time as graphs and statistics for patients and clinicians to inspect together

Includes snippets for day-to-day improvement of treatment, lifestyle and monitoring adherence, based on information from the last two weeks

Strategy 4: Live more healthily

Allows patients to select suggested lifestyle measures and include them in the overall treatment plan

Can remind the patient to follow up the lifestyle measures

Presents the adherence to the lifestyle measures graphically and allows inspection of their effects on subjective and objective health outcomes

Allows inspection of how lifestyle, defined as significant events added into the system, affects health, in graphs and from statistics

Strategy 5: Get support from healthcare providers, friends and family

Enables the patient to give healthcare provideres, friends and family access to the patient’s system

Enables the patient to set rules regarding when others should be warned, for instance when adherence has dropped below a pre-defined level

Strategy 6: Improve the decision process and decision satisfaction

Provides information about why and how to be involved in decisions

Enables patients to track the decision quality related to each specific healthcare provider on several aspects

Enables patients and clinicians to make decisions based on patient-specific information integrated with information from research, condensed into graphics and statistics.

  1. Six health optimization strategies are supported by 21 features