Self-evaluation, the key to the empowerment of the patient

Edito of 04/24/2015

The patient’s management of his/her health and his/her empowerment in this sense is made easier by the use of connected objects and self-monitoring of “health” parameters. The former provide data, the latter follow-up tables to be integrated by the patient in his/her “fitness path” under the control of his/her attending physician.

Connected objects used for healthcare measure certain parameters such as blood pressure, heart rate, weight, duration of sleep or energy expenditure. According to an IFOP survey reported by the Website Atelier on the 26 February 2015, only 13% of the French declare owning such a type of connected object. However, 79% of them consider that these objects guarantee a better medical follow-up. According to the 3rd VIDAL-CNOM barometer carried out in November 2014, doctors increasingly recommend mobile phone applications to their patients (17% in 2014 versus 8% in 2013) especially for follow-up and nutritional advice (11%). Nearly 10% recommend “health/well-being” connected objects (tensiometer, glucose meter, pedometer, etc.).

On-line questionnaires are the 2nd aspect of the self-evaluation of patients. They can contribute to the self-monitoring of a large number of parameters: from pain to treatment including mood levels. The responses (often boxes to ticked) are analysed by a computer programme and transmitted as graphs in a trend chart. The latter groups the evolution of the different “health” parameters.

The attending physician is the privileged partner of this patient commitment. This health self-management is only meaningful if it is integrated in the doctor-patient relationship. It is up to the doctor to be aware of his/her patient’s initiative and to encourage him/her at the slightest sign of discouragement. In turn, it is up to the patient to provide his/her doctor, if the doctor wishes, the data supplied by the connected objects and the evolution of the graphs in his/her trend chart.

Osteoarthritis is a disease which greatly profits from self-evaluation. 

Two of its risk factors (excess weight and lack of exercise) are particularly suited to self-measurement by connected objects. The monitoring of weight, body mass index and energy expenditure are among the services provided by the “Internet of Things”.

Arthrocoach, the integrated self-evaluation and coaching programme posted on-line by Expanscience is a complete, personalised, structured and structuring as well as fun programme that accompanies the treatment of this disease. It prompts the patient suffering from osteoarthritis in a motivating manner to fill in 3 times a week (ideally) the nature of his/her diet, level of physical activity, quality of sleep and intensity of the 3 major symptoms of the disease (pain – stiffness – tiredness).

The coaching is provided by renowned diet and physical exercise experts and a self-training programme that delivers information and advice through 12 “diet” training modules and an equivalent number of “physical activity” modules.

This highly developed programme is recommended by the Association française de lutte anti-rhumatismale (AFLAR).


References :

Anthea Delpuech (26 February 2015)
Les Français enjoignent les professionnels de santé à adopter les objets connectés
l’Atelier Website

Arthrocoach Website


Arthrolink Editorial Commitee