title: Continual Screening of Patients Using mHealth: The Rolling Score Concept Applied to Sleep Medicine.
abstract: Continual monitoring of patients utilizing mHealth-based telemonitoring applications are more and more used for individual management of patients. A new approach in risk assessment called Rolling Score Concept uses standardized questionnaires for continual scoring of individuals' health state through electronic patient reported outcome (ePRO). Using self-rated questionnaires and adding a specific Time Schedule to each question result in a movement of the questionnaires' scores over time, the Rolling Score. A text-processing pipeline was implemented with KNIME analytics platform to extract a Score Mapping Rule Set for three standardized screening questionnaires in the field of sleep medicine. A feasibility study was performed in 10 healthy volunteers equipped with a mHealth application on a smartphone and a sleep tracker. Results show that the proposed Rolling Score Concept is feasible and deviations of scores are in a reasonable range (&lt; 7%), sustaining the new approach. However, further studies are required for verification. In addition, parameter quantification could avoid incorrect subjective evaluation by substitution of questions with sensor data.
authors.affiliation: AIT Austrian Institute of Technology, Austria.
authors.forename: Claudio
authors.initials: C
authors.lastname: Zluga
authors.affiliation: AIT Austrian Institute of Technology, Austria.
authors.forename: Robert
authors.initials: R
authors.lastname: Modre-Osprian
authors.affiliation: AIT Austrian Institute of Technology, Austria.
authors.forename: Peter
authors.initials: P
authors.lastname: Kastner
authors.affiliation: AIT Austrian Institute of Technology, Austria.
authors.forename: Günter
authors.initials: G
authors.lastname: Schreier
mesh_terms: D005240:Feasibility Studies; D006801:Humans; D063731:Mobile Applications; D008991:Monitoring, Physiologic; D012890:Sleep; D056508:Sleep Medicine Specialty; D000068997:Smartphone; D011795:Surveys and Questionnaires; D017216:Telemedicine