2. Strategies for the Education of Diabetic Patients on the World Wide Web Part I K C LUN Associate Professor, Dept of Community Medicine Director, WHO Collaborating Centre for Health Informatics Director, Medical Informatics Programme National University of Singapore

3. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network A recent study shows that 60% of consumers in the USA get their health information from the Internet The Internet - a huge repository of health information

4. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Feb 99 Asian Edition of Businessweek Number of Internet users in 11 Asian countries will hit 10 million by end 1999 and 30 million by 2002

5. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Strategies for Diabetic Patient Education on the World Wide Web Health information from Web Portals  Text-based e.g. Frequently-Asked Questions  Multimedia-based e.g. Health Education Videos Newsletters and Electronic Journals Discussion Groups, Interactive Forum and Support Groups Virtual Patient Distance Education

6. Connect to Health ONE Health ONE: A strategic joint project between the NUS Medical Informatics Program and the National Computer Board

7. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Health One information available in English, Chinese and Malay in text, audio and video Health ONE reaches out to the public and healthcare professionals via interactive multimedia web applications as well as multilingualism to promote health and education

8. Health information from Web Portals - Text-based Resource Materials

9. Health information from Web Portals - Multimedia-based e.g. Health Education Videos

11. Newsletters and Electronic Journals

12. Message Boards, Support Groups

13. New Paradigm in Patient Education: The Virtual Patient using gaming technique to promote patient education

14. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Can this electronic virtual pet be usefully applied to medicine?. The Tamagotchi Electronic Pet

15. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Research Goal: Build a website that allows users to learn management of a disease by looking after a virtual patient afflicted with a particular medical condition. Proper management results in control of condition and eventually improvement. Kasou Kanjya or Kkanjya - Japanese for “Virtual Patient”. Virtual patient modeled on the tamagotchi

16. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Kasou Kanjya or Kkanjya - Japanese for “Virtual Patient” Improper management results in deterioration of patient’s condition. Research Goal: Build a website that allows users to learn management of a disease by looking after a virtual patient afflicted with a particular medical condition. Virtual patient modeled on the tamagotchi

17. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network I am OK but take good care of me The many faces of Kkanjya - an insulin-dependent diabetic

18. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Ouch! I need my insulin The many faces of Kkanjya - an insulin-dependent diabetic

19. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network My diabetes is under control. Thank you for taking good care of me The many faces of Kkanjya - an insulin-dependent diabetic

20. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network kclun ******** Taking care of Kkanjya, the insulin-dependent diabetic

21. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Home Screen

22. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Three levels of play (beginner, intermediate, advanced) Scoring based on: –Patient’s adherence to dietary restrictions –Strict adherence to insulin regime Score of 2 - caloric and insulin intake fall within normal range Score of 1 -Outside the normal range but within the stipulated upper and lower bounds Score of 0 -Outside the stipulated upper and lower bounds Game Design

23. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network 1 virtual day = 15 mins real-time Game runs on accelerated time clock

24. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network timely insulin injections Logic engine scores player based on:

25. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network glucometer readings based on dietary caloric intake Logic engine scores player based on:

26. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Feeding Kkanjya

27. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Looking after Kkanjya - your scorecard

28. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network User registration User login with password Plays with virtual patient Administers insulin Feeds patient Store user’s login name, password and play level, date of last transaction Store user transactions Store criteria and scoring system for each level of play Outcome SQL database Flow Chart

29. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Insulin module: proper way to administer insulin using traditional fine needle NOVOPEN III Digital training videos delivered in real-time using streaming technology Glucometer module: calibration of glucometer measurement of blood glucose obtaining reading from glucometer The Health Education Module

30. © KC Lun, NUS 1 st International Conference on Western Pacific Diabetes Information Network Health Education Significance of the Diabetic Virtual Patient Teaches the importance of medication compliance to patients Educates patients and the public on the management of diabetes Training videos teaches them on proper procedure to administer insulin and calibration and use of glucometer

31. Strategies for the Education of Diabetic Patients on the World Wide Web To be continued … Please view Part II