CbI-M: Context-based Intervention Methodology for Rehabilitation of Persons with NCDs

Abstract

Recent evidence shows that occurrence of Non-Communicable Diseases (NCDs) are the leading cause of death in low and middle-income countries. The fitness applications are not capable enough to help persons with NCDs to change their lifestyle behavior for improving life quality. Currently, the major focus of the existing healthcare applications is towards general public fitness. However, existing solutions lacks in monitoring and adaptation of healthy behaviors. The rehabilitation of person with NCDs is very demanding and challenging to avoid and reduce the advert impacts. In this paper, we argue that the context based behavior adaption observing multiple factors provides an appropriate solution. We have developed a methodology of context-based Just-in-Time actionable interventions for adopting healthy behavior. The risk factors defining the target context are obtained from literature and evaluated by 7 experts with inter-rater agreement kappa value of 0.5 based on 3 categories. The result shows the effectiveness of our proposed approach and depicts the usefulness of context-based intervention in terms of higher receptivity and user satisfaction level. The implicit feedback from 142 persons with different NCDs highlighted the effectiveness of methodology with 82.37% of responded intervention. Whereas, the explicit UEQ benchmark result indicated that the application got excellent responses in the categories of attractiveness, motivation, and novelty.