@article{8745005,
  abstract     = {{Congestive heart failure is a chronic medical condition that affects about 2 % of the adult population. Even though it cannot be cured, it can be relieved by a proper, long-term, complex and personalized disease management. In this paper we present the HeartMan Decision Support System (DSS), aimed at supporting individual patients in their uptake of well-established clinical guidelines (i.e., both medication and behaviour based) for disease management. The HeartMan DSS is a central component of the wider HeartMan mobile-health platform that employs mobile phones, wristband sensors and a web application for communication with patients, their physicians and caregivers. The DSS itself provides recommendations for (1) managing patient's physical health in terms of exercise, nutrition, medications and self-monitoring, (2) psychological support, and (3) managing environmental parameters. The DSS employs a variety of methods: rule-based decision models and adaptable workflows developed using literature and in collaboration with medical experts, classification models developed by machine learning from data, and optimization algorithms. Taken together, they provide a comprehensive, personalized and user-friendly disease management platform. The system was evaluated in a clinical proof-orconcept trial, involving 56 patients in four hospitals. The results confirmed that the system was successful in improving self-care behaviour, decreased patients' levels of depression and anxiety, and improved the overall predicted 1-year mortality risk.}},
  articleno    = {{115688}},
  author       = {{Bohanec, Marko and Tartarisco, Gennaro and Marino, Flavia and Pioggia, Giovanni and Puddu, Paolo Emilio and Schiariti, Michele Salvatore and Baert, Anneleen and Pardaens, Sofie and Clays, Els and Vodopija, Aljoša and Luštrek, Mitja}},
  issn         = {{0957-4174}},
  journal      = {{EXPERT SYSTEMS WITH APPLICATIONS}},
  keywords     = {{Artificial Intelligence,Computer Science Applications,General Engineering,Personal health system,Decision support system,Congestive heart failure,Physical exercise,Decision models,QUALITY-OF-LIFE,ILLNESS PERCEPTION,CARE,ASSOCIATION,THERAPY,HEALTH}},
  language     = {{eng}},
  pages        = {{13}},
  title        = {{HeartMan DSS : a decision support system for self-management of congestive heart failure}},
  url          = {{http://doi.org/10.1016/j.eswa.2021.115688}},
  volume       = {{186}},
  year         = {{2021}},
}

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