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DOI: 10.3414/ME12-01-0027
Introducing the Adherence Strategy Engineering Framework (ASEF)
Support for Developing Technology-based Self-care SolutionsPublication History
received:
04 April 2012
accepted:
16 April 2012
Publication Date:
20 January 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035037/201303/lookinside/thumbnails/10-3414-me-12-01-0027-1.jpg)
Summary
Background: Patients performing self-care in the unsupervised setting do not always adhere to the instructions they were initially provided with. As a consequence, a patient’s ability to successfully comply with the treatment plan cannot be verified by the treating healthcare professional, possibly resulting in reduced data quality and suboptimal treatment.
Objectives: The aim of this paper is to introduce the Adherence Strategy Engineering Framework (ASEF) as a method for developing novel technology-based adherence strategies to assess and improve patient adherence levels in the unsupervised setting.
Methods: Key concepts related to self-care and adherence were defined, discussed, and implemented as part of the ASEF framework.
ASEF was applied to seven self-care case studies, and the perceived usefulness and feasibility of ASEF was evaluated in a questionnaire study by the case study participants. Finally, we reviewed the individual case studies usage of ASEF.
Results: A range of central self-care concepts were defined and the ASEF methodological framework was introduced. ASEF was successfully used in seven case studies with a total of 25 participants. Of these, 16 provided answers in the questionnaire study reporting ASEF as useful and feasible. Case study reviews illustrated the potential of using context-aware technologies to support self-care in the unsupervised setting as well as ASEF’s ability to support this.
Conclusion: Challenges associated with moving healthcare to the unsupervised setting can be overcome by applying novel context-aware technology using the ASEF method. This could lead to better treatment outcomes and reduce healthcare expenditures.
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